Radiology of Infectious Diseases最新文献_第10页

Clinical and CT characteristics which indicate timely radiological reexamination in patients with COVID-19: A retrospective study in Beijing, China COVID-19患者的临床和CT特征提示及时放射学复查:中国北京的回顾性研究

Radiology of Infectious Diseases Pub Date : 2020-06-01 DOI: 10.1016/j.jrid.2020.05.003

Xueqin Li , Ziang Pan , Zhenying Xia , Ruili Li , Xing Wang , Ruichi Zhang , Hongjun Li

{"title":"Clinical and CT characteristics which indicate timely radiological reexamination in patients with COVID-19: A retrospective study in Beijing, China","authors":"Xueqin Li , Ziang Pan , Zhenying Xia , Ruili Li , Xing Wang , Ruichi Zhang , Hongjun Li","doi":"10.1016/j.jrid.2020.05.003","DOIUrl":"10.1016/j.jrid.2020.05.003","url":null,"abstract":"<div><h3>Objective</h3><p>Chest CT is useful in assessing the disease course of coronavirus disease-19 (COVID-19). This study aims to identify the characteristics of patients in whom imaging progression occurred while clinical symptoms were relieved and to guide radiological reexamination.</p></div><div><h3>Methods</h3><p>This retrospective study included 73 patients with reverse transcription-polymerase chain reaction (RT-PCR) confirmed severe acute respiratory syndrome-2 (SARS-CoV-2) infection. All patients received CT reexaminations within 24 h after symptomatic remission. We divided patients into two groups according to the matching degree between clinical and imaging outcomes.</p></div><div><h3>Results</h3><p>21 patients displayed imaging progression while symptoms relieved. Patients with imaging progression were prone to be advanced in age [years: 60 (46–65) v 47 (37–60.75), <em>P</em> = 0.030]; lymphopenia (66.7% v 40.4%, <em>P</em> = 0.042) and low level of C-reactive protein [mg/L: 5.7 (1.9–20.2) v 18.9 (6.7–38.9), <em>P</em> = 0.038]. An age over 50 was an independent risk factor for imaging progression (OR = 3.41, 95%CI 1.14–10.20, <em>P</em> = 0.028). In CT images, they were inclined to present lesions with clear border (94.7% v 64.7%, <em>P</em> = 0.012), pure peripheral distribution (89.5% v 39.2%, <em>P</em> < 0.001), without bilateral lungs involved (57.9% v 29.4%, <em>P</em> = 0.028) especially with left lung involved only (42.1% v 17.6%, <em>P</em> = 0.034).</p></div><div><h3>Conclusion</h3><p>In order to improve the therapeutic effect, the interval before radiological follow-up should be shortened appropriately especially in patients over the age of 50. It is essential to proceed to CT reexamination before symptomatic remission.</p></div>","PeriodicalId":101055,"journal":{"name":"Radiology of Infectious Diseases","volume":"7 2","pages":"Pages 62-70"},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jrid.2020.05.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38295725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Neuroimaging in leprosy: the nerves and beyond 麻风病的神经成像:神经及其他

Radiology of Infectious Diseases Pub Date : 2020-03-01 DOI: 10.1016/j.jrid.2020.03.008

Shumyla Jabeen , Jitender Saini , Seena Vengalil , Mallika Lavania , Itu Singh , Saraswati Nashi , Veeramani Preethish-Kumar , Kiran Polavarapu , Niranjan Prakash Mahajan , Anita Mahadevan , Tagadur Chickabasaviah Yasha , Bevinahalli Nandeesh , Krishnamurthy Gnanakumar , Utpal Sengupta , Atchayaram Nalini

{"title":"Neuroimaging in leprosy: the nerves and beyond","authors":"Shumyla Jabeen , Jitender Saini , Seena Vengalil , Mallika Lavania , Itu Singh , Saraswati Nashi , Veeramani Preethish-Kumar , Kiran Polavarapu , Niranjan Prakash Mahajan , Anita Mahadevan , Tagadur Chickabasaviah Yasha , Bevinahalli Nandeesh , Krishnamurthy Gnanakumar , Utpal Sengupta , Atchayaram Nalini","doi":"10.1016/j.jrid.2020.03.008","DOIUrl":"10.1016/j.jrid.2020.03.008","url":null,"abstract":"<div><h3>Objective</h3><p>To elucidate the spectrum of findings on neuroimaging in leprosy with special reference to magnetic resonance imaging (MRI).</p></div><div><h3>Methods</h3><p>We retrospectively reviewed the neuroimaging findings on MRI in thirty-two patients with leprosy where dedicated plexus, brain and spine imaging had been performed.</p></div><div><h3>Results</h3><p>Twenty-two patients had positive findings on imaging. Six patients showed involvement of the peripheral nerves as thickening and formation of micro or macroabscesses. The brachial plexus showed thickening and hyperintensity in ten patients, with associated involvement of the lumbosacral plexus in one patient. Four patients showed spinal cord involvement as discrete T2 hyperintense lesions with postcontrast enhancement. Intracranial lesions involving the nucleus ambiguus and facial colliculus were seen in two patients.</p></div><div><h3>Conclusion</h3><p>Neuroimaging in Hansen's disease has brought several new findings to the fore front. Besides peripheral nerves, involvement of the centrally located plexuses, spinal cord and brain has also been seen which thus expands the imaging spectrum of the disease.</p></div>","PeriodicalId":101055,"journal":{"name":"Radiology of Infectious Diseases","volume":"7 1","pages":"Pages 12-21"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jrid.2020.03.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91451835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Hepatobiliary and hepatic vascular anatomy evaluated with computed tomography and magnetic resonance imaging: the current status 用计算机断层扫描和磁共振成像评价肝胆和肝血管解剖:现状

Radiology of Infectious Diseases Pub Date : 2020-03-01 DOI: 10.1016/j.jrid.2020.02.005

Sai Charan Goud Kurelli, Jian Wang, Sanawar Abbas, Hari Krishna Kanduri, Wenya Liu

{"title":"Hepatobiliary and hepatic vascular anatomy evaluated with computed tomography and magnetic resonance imaging: the current status","authors":"Sai Charan Goud Kurelli, Jian Wang, Sanawar Abbas, Hari Krishna Kanduri, Wenya Liu","doi":"10.1016/j.jrid.2020.02.005","DOIUrl":"10.1016/j.jrid.2020.02.005","url":null,"abstract":"<div><p>The purpose of this article was to review the literature on hepatobiliary anatomy evaluation using different imaging modalities and opt for the best suitable imaging technique to show a specified part of the hepatobiliary system. For this article, the best suitable literature was searched using PubMed database and reviewed. This article describes major aspects of liver segmentation and the most popular classification of the hepatic segments and the vascular and biliary variants in the liver. And the evaluation of the hepatobiliary system using imaging techniques such as ① computed tomography (CT) and magnetic resonance imaging (MRI) for liver, ② computed tomography angiography (CTA) and magnetic resonance angiography (MRA) for the hepatic vasculature including the hepatic arteries, hepatic veins and the portal vein, and ③ magnetic resonance cholangiopancreatography (MRCP) for bile duct. These imaging techniques have provided us with better procedures to depict the liver and biliary architecture, which will help us differentiate normal anatomy from variants and abnormal findings, even benefit in differential diagnosis and devising surgical planning/mapping for preoperative evaluation and post-operative care in conditions of the liver sucha as hepatocellular carcinoma and parasitic cysts.</p></div>","PeriodicalId":101055,"journal":{"name":"Radiology of Infectious Diseases","volume":"7 1","pages":"Pages 1-6"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jrid.2020.02.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84684430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

A case report of pulmonary melioidosis with the air crescent sign 肺类鼻疽伴气月牙征1例

Radiology of Infectious Diseases Pub Date : 2020-03-01 DOI: 10.1016/j.jrid.2020.03.005

Chee Yik Chang

引用次数: 3

Advances in differential diagnosis of pulmonary ground glass opacity on high resolution computed tomography and histopathology 肺磨玻璃样混浊的高分辨ct及组织病理学鉴别诊断进展

Radiology of Infectious Diseases Pub Date : 2020-03-01 DOI: 10.1016/j.jrid.2020.03.003

Yaoyao Zhuo, Fei Shan, Shuyi Yang, Yi Zhan, Yuxin Shi, Zhiyong Zhang

引用次数: 4

MRI in the differential diagnosis between well-differentiated hepatocellular carcinomas and high-grade dysplastic nodules in cirrhotic liver MRI在肝硬化高分化肝细胞癌与高级别发育不良结节鉴别诊断中的价值

Radiology of Infectious Diseases Pub Date : 2020-03-01 DOI: 10.1016/j.jrid.2020.03.009

Yanyan Zhang, Mingming Liu, Qi Zhang, Jun Sun, Sudan Wang, Jinli Ding, Dongli Shi, Hongjun Li

{"title":"MRI in the differential diagnosis between well-differentiated hepatocellular carcinomas and high-grade dysplastic nodules in cirrhotic liver","authors":"Yanyan Zhang, Mingming Liu, Qi Zhang, Jun Sun, Sudan Wang, Jinli Ding, Dongli Shi, Hongjun Li","doi":"10.1016/j.jrid.2020.03.009","DOIUrl":"10.1016/j.jrid.2020.03.009","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the diagnostic efficacy of magnetic resonance imaging (MRI) in the differential diagnosis between well-differentiated hepatocellular carcinomas (WD-HCCs) and high-grade dysplastic nodules (HGDNs) in cirrhotic liver.</p></div><div><h3>Methods</h3><p>From January 2012 to April 2018, we retrospectively analyzed 91 cirrhotic nodules (HGDN, n = 31, WD-HCC, n = 60) which were confirmed by surgery or pathology. Each patient underwent gadobenate dimeglumine-enhanced hepatic MRI. The MRI characteristics and enhancement effects were calculated and analyzed.</p></div><div><h3>Results</h3><p>Hyperintensity on diffusion-weighted imaging (DWI), the typical enhancement pattern and hypo-intensity on T1-Weighted imaging (T1WI)were showed with statistically significant difference between WD-HCCs and HGDNs in cirrhotic live (<em>P</em> = 0.002, 0.008, 0.002, respectively). And high signal intensity (SI) on DWI (sensitivity, 66.7%, specificity, 67.7%) was the most specific feature to differentiated WD-HCCs from HGDNs. The combination of DWI and the dynamic enhancement pattern improved the differentiation of WD-HCCs from HGDNs(specificity 83.9%).</p></div><div><h3>Conclusion</h3><p>DWI is the most specific technique to differentiate WD-HCCs from HGDNs. The combination of DWI and the typical dynamic enhancement pattern can improve the differentiation of WD-HCCs from HGDNs. Pre-enhanced T1WI, as well as a capsule, provides additional diagnostic values.</p></div>","PeriodicalId":101055,"journal":{"name":"Radiology of Infectious Diseases","volume":"7 1","pages":"Pages 22-27"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jrid.2020.03.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86664610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Chronic chest wall abscess caused by Salmonella enterica subsp. enterica serovar Dublin infection in an HIV-infected patient: a case report and literature review 肠沙门氏菌亚群致慢性胸壁脓肿。1例hiv感染者肠血清型都柏林感染:1例报告并文献复习

Radiology of Infectious Diseases Pub Date : 2020-03-01 DOI: 10.1016/j.jrid.2020.03.002

Weixiao Wang , Yaling Chen , Yun Chi , Jing Huang , Wei Chen , Zhiliang Hu

引用次数: 1

Pulmonary toxoplasmosis in simian immunodeficiency virus infected rhesus monkey with irregular antiretroviral therapy - Case report 猴免疫缺陷病毒感染恒河猴肺弓形虫病与不规则抗逆转录病毒治疗- 1例报告

Radiology of Infectious Diseases Pub Date : 2019-12-01 DOI: 10.1016/j.jrid.2020.03.001

Jiaojiao Liu , Hongwei Qiao , Li Li , Hongjun Li

{"title":"Pulmonary toxoplasmosis in simian immunodeficiency virus infected rhesus monkey with irregular antiretroviral therapy - Case report","authors":"Jiaojiao Liu , Hongwei Qiao , Li Li , Hongjun Li","doi":"10.1016/j.jrid.2020.03.001","DOIUrl":"10.1016/j.jrid.2020.03.001","url":null,"abstract":"<div><p>We describe a case of simian immunodeficiency virus (SIV) infected rhesus monkey with irregular antiretroviral (ARV) therapy that was finally diagnosed as pulmonary toxoplasmosis. So far, there are still rare reports on pulmonary toxoplasmosis for its non-specific clinical and radiological abnormalities.</p><p>A Chinese origin rhesus monkey started to row loose stools on the 148th day after SIV-mac239 inoculation with irregular ARV therapy, and improved after expectant treatment for five days. However, when the treatment was stopped, loose stools reappeared with inappetence. On the 157th day after inoculation, it became worse with reduced autonomous activity. Before its death, Computed tomography (CT) scan results showed a bilateral pulmonary multiple lesion, characterized by ground-glass opacities, increase of lung markings, the affected lung segments and the obscure lung lobe. Lung autopsy study validated the infection of toxoplasma gandii.</p><p>In this case, we verified the infection of toxoplasma gandii in SIV-mac239 rhesus monkey pathologically, which reflects the pathological basis of infection imaging in return. We also found that pulmonary toxoplasmosis should be taken into consideration in HIV/AIDS patients with a poor adherence or failure to ARV and with fever, loose stools and reduced autonomous activity.</p></div>","PeriodicalId":101055,"journal":{"name":"Radiology of Infectious Diseases","volume":"6 4","pages":"Pages 170-173"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jrid.2020.03.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86021529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Role of imaging in pre-hepatic transplantation evaluation 影像学在肝移植前评估中的作用

Radiology of Infectious Diseases Pub Date : 2019-12-01 DOI: 10.1016/j.jrid.2020.02.004

Hari Krishna Kanduri, Aili xire, Sai Charan Goud Kurelli, Sanawar Abbas, Jian Wang, Wenya Liu

{"title":"Role of imaging in pre-hepatic transplantation evaluation","authors":"Hari Krishna Kanduri, Aili xire, Sai Charan Goud Kurelli, Sanawar Abbas, Jian Wang, Wenya Liu","doi":"10.1016/j.jrid.2020.02.004","DOIUrl":"10.1016/j.jrid.2020.02.004","url":null,"abstract":"<div><p>Infectious diseases of the liver are major causal factors leading to acute or chronic liver failure and end-stage liver failure necessitating Liver transplantation (LT). Parasitic infections (Alveolar echinococcosis) and viral hepatitis (HBV and HCV) in particular are prominent infectious diseases in China which carry substantial morbidity rate. Chronic infections of HBV and HCV have a high potential to develop Hepatocellular cancer (HCC). At the end stage or acute liver failure due to these infectious diseases, LT places itself as an effective treatment option. It is a complex procedure requiring the collaborative planning of a radiologist, transplant surgeon, oncologist, and hepatologist. The criteria required for liver transplantation are constantly being optimized with an aim of decreasing the risks involved and increasing the post-transplant survival rate. Role of imaging is crucial in differentiating the normal from abnormal anatomy of the liver, anatomical variants of the vasculature and biliary tree. It helps the transplant surgeon in deciding the technique which benefits both the donor and recipient, putting the graft to optimal use. In this article, we review the literature on infectious diseases (viral and parasitic) of the liver, their impact on the necessity to undergo hepatic transplantation while highlighting the role of imaging evaluation during pre-transplantation stage.</p></div>","PeriodicalId":101055,"journal":{"name":"Radiology of Infectious Diseases","volume":"6 4","pages":"Pages 133-141"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jrid.2020.02.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81241296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Value of the Xpert MTB/RIF assay in diagnosis of presumptive pulmonary tuberculosis in general hospitals in China Xpert MTB/RIF检测在中国综合医院疑似肺结核诊断中的价值

Radiology of Infectious Diseases Pub Date : 2019-12-01 DOI: 10.1016/j.jrid.2020.02.002

Zhixu Chen , Hui Jiang , Yunfang Tan , Timothy Kudinha , Junwei Cui , Lijun Zheng , Chao Cai , Weimin Li , Chao Zhuo

{"title":"Value of the Xpert MTB/RIF assay in diagnosis of presumptive pulmonary tuberculosis in general hospitals in China","authors":"Zhixu Chen , Hui Jiang , Yunfang Tan , Timothy Kudinha , Junwei Cui , Lijun Zheng , Chao Cai , Weimin Li , Chao Zhuo","doi":"10.1016/j.jrid.2020.02.002","DOIUrl":"10.1016/j.jrid.2020.02.002","url":null,"abstract":"<div><h3>Objectives</h3><p>To evaluate the value of Xpert MTB/RIF in the diagnosis of pulmonary tuberculosis (PTB) in general hospitals, which are usually where patients first visit.</p></div><div><h3>Materials and methods</h3><p>Presumptive PTB patients, based on imaging results, in a general hospital in China, were enrolled from August 2015 to April 2017. The sensitivity and specificity of four tuberculosis (TB) detection methods, including sputum smear, Xpert MTB/RIF, T-SPOT.TB and TB-DNA were studied. To predict the effectiveness of the methods, different combinations were assessed using the receiver operating characteristic (ROC) curve.</p></div><div><h3>Results</h3><p>283 PTB suspect patients were enrolled, 81 of which were diagnosed as TB infections based on the golden standard. The TB detection rate for sputum smear was 11.7% (33/283). The respective sensitivity and specificity of Xpert MTB/RIF were 87.8% (71/81) and 99.5% (201/202). For the smear negative TB patients, the sensitivity of Xpert MTB/RIF was 79.2% (38/48). Combined with several methods, the Xpert MTB/RIF assay had the highest area under curve (AUC) value (0.913).</p></div><div><h3>Conclusions</h3><p>Xpert MTB/RIF showed tremendous promise for early, rapid and accurate diagnosis of TB. Multicentre evaluation and adoption of Xpert MTB/RIF in general hospitals in China should be embraced and promoted in order to establish an effective TB identification system.</p></div>","PeriodicalId":101055,"journal":{"name":"Radiology of Infectious Diseases","volume":"6 4","pages":"Pages 147-153"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jrid.2020.02.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78511961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0