International Journal of Medical Imaging最新文献

{"title":"Radiographic Aspects of Multidrug-Resistant Pulmonary Tuberculosis at the CSDT of Lubumbashi University Clinics","authors":"Lumbala Mota Marc, Ilunga Mpoyi Tabitha, B. Rebecca, Cibaka Kabasele Léon, Tabu Yekoli Léonard, K. Guy, Ngoie Muleka Serge, M. David, Lumbumbu Kasereka, Luyeye Mvila Gertrude","doi":"10.11648/J.IJMI.20210903.14","DOIUrl":"https://doi.org/10.11648/J.IJMI.20210903.14","url":null,"abstract":"Multidrug-resistant pulmonary tuberculosis (MDR-TB) is an infectious disease whose early diagnosis and management still cause problems in countries with very limited resources. Knowing the great consequences of this disease in the life of an individual, we estimated to make an epidemiological and radiographic inventory of this devastating entity at the CSDT university clinics of Lubumbashi. Materials and methods: We conducted a descriptive cross-sectional study including 63 multidrug-resistant tuberculosis subjects aged between 15 and 83 years old at the diagnostic health center and treatment of the university clinics of Lubumbashi (CSDT) from December 2016 to July 2020. The data were analysed using Epi- info 7 and SPSS v 20 software. Results: The average age was 37.4±14.0 years. Male sex was the most dominant with 60.3%; the commune of Kampemba was the most affected (41.7%). HIV co-infection was very low at 4.8%. 90.5% of patients had experienced a therapeutic failure and 9.5% had acknowledged having direct contact with a multi-resistant tuberculosis patient. Chest radiographic lesions were dominated by reticular infiltrations (66.7%) and fibrosis lesions (60.3%). Conclusion: In view of the results demonstrating that the radiographic pulmonary lesions were dominated by reticular infiltrations and pulmonary fibrosis lesions, the discussion with the other authors highlights the late nature of the diagnosis of multidrug-resistant tuberculosis in Lubumbashi, thus exposing our population to irreversible and disabling pulmonary pathologies.","PeriodicalId":117142,"journal":{"name":"International Journal of Medical Imaging","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126085023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Co-infection Pulmonary Tuberculosis and Severe COVID-19 in a Pregnant Woman at the University Hospital of Kinshasa: A Case Report","authors":"Frederick Tshibasu Tshienda, Tresor Mputsu, Benilde Bepouka Izizag, Cynthia Minouche Bukumba, Angèle Mbongo Tansia, D. Mata-Mbemba, M. M. Ndona, J. B. Mabiala, Jean-Robert Makulo Risasi, Roger Mbungu Mwimba, Damien Mbanzulu Pita Nsonizau, J. Ntumba, B. L. Mbenza","doi":"10.11648/J.IJMI.20210903.13","DOIUrl":"https://doi.org/10.11648/J.IJMI.20210903.13","url":null,"abstract":"Background: To date, world widely, only a couple of papers have reported the association between pulmonary tuberculosis, Coronavirus disease 2019 (COVID-19) and pregnancy, and none of these reports was from sub-Saharan Africa where tuberculosis is endemic. Objective: the main objective of this study is to describe the co-infection Pulmonary Tuberculosis and Severe COVID-19 in pregnant young Woman at the University Hospital of Kinshasa. Method: The report case is of a pregnant woman aged 19 (Pare 2, Gesture 2, Abortion 0) with no known significant medical history, at 32 weeks of gestation based last menstrual period She has benefited from clinic examination, biological examinations (Ziehl’s on sputum), a chest CT scan and a morphological ultrasound. Result: On admission, COVID-19 was the only working diagnosis. However, the persistent coughing prompted clinicians to request a Ziehl-Neelsen staining of sputum that revealed the diagnosis of pulmonary TB. The reverse-transcription polymerase chain reaction (RT-PCR)-confirmed COVID-19 infection and HIV serology negative. A contrast-enhanced chest computed tomography (CT) showed airspace disease involving the right upper lobar, right medial basal segment and left upper lobe in the background of diffuse micro-nodular opacities favored to represent military pulmonary tuberculosis. There were associated cystic bronchiectasis in bilateral upper lobe and bilateral small amount of pleural effusion. Aforementioned findings were favored to represent a secondary or reactivation tuberculosis. The obstetrical ultrasound showed a single live intrauterine pregnancy in breech presentation, estimated at 34 weeks 3 days of gestation without usual features including detectable congenital malformation. Conclusion: The outcome of a pregnant woman with simultaneous COVID-19 and pulmonary tuberculosis is improved when the diagnosis is made early and management is promptly initiated. This attitude also improves the fetal prognosis. In the context of the COVID-19, the association of COVID-19 and pulmonary tuberculosis, especially in immunocompromised patients should be considered.","PeriodicalId":117142,"journal":{"name":"International Journal of Medical Imaging","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126020077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultrasonographic Characteristics of Cervical Nerve Roots in Patients with the Degeneration of Cervical Vertebra","authors":"F. Luo, Jun Chen, Shan Wu, Sha He","doi":"10.11648/J.IJMI.20210903.12","DOIUrl":"https://doi.org/10.11648/J.IJMI.20210903.12","url":null,"abstract":"Background: Brachial plexus injury is a complex nerve injury. This may be due to the anatomical complexity of the brachial plexus. Purpose: To obtain sonographic characteristics and oblique sagittal diameter of cervical nerve root by high frequency ultrasound, and the morphology of brachial plexus was described. Methods: Two hundred and twenty-one subjects were recruited in our ultrasonography laboratory between March and December 2016. Their ultrasonographic characteristics of bilateral brachial plexus and cervical nerve roots were obtained by ultrasound, and they were measured with high echo sites on the bone cortex of anterior or posterior tubercles as positioning points in oblique sagittal. Results: 1. Cross-sectional sonogram of brachial plexus showed round and (or) oval “uniform” hypoechoic masses in the gap between anterior scalene muscle with middle scalene muscle, which were arranged in an arc shape; uniform low echo detected in short axis section and long axis section imaging of nerve bundles, which were wrapped by slightly hyper echoic epineuria. 2. Ultrasonographic imaging demonstrated that cervical nerve roots arranged between anterior tubercle and posterior tubercle, and the displaying rate of nerve roots of C4 to C7 was 100%; the displaying rate of nerve root of C8 was 78%. 3. Normal values of the diameters of cervicalr root nerves at intervertebral foramen were: C4, 2.65±0.27 mm; C5, 3.33±0.33 mm; C6, 3.76±0.36 mm; C7, 4.84±0.30 mm; C8, 3.48±0.34 mm. Conclusion: 1. Oblique sagittal imaging, nerve root of C7 is the thickest among all nerve roots of all examinee; 2. The diameter that of cervical nerve root of C4 may be positively correlated with the height.","PeriodicalId":117142,"journal":{"name":"International Journal of Medical Imaging","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123196442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Radiosurgical Occurrence of Lumbar Disc Herniation Operated in Kinshasa / DRC","authors":"Frederick Tshibasu Tshienda, Glennie Ntsambi Eba, Fidèle Nyimi Bushaba, W. Mbarki, Tasnime Hamdeni, M. Sayadi, B. L. Mbenza, Jean-Marie Mbuyi Muamba","doi":"10.11648/J.IJMI.20210903.11","DOIUrl":"https://doi.org/10.11648/J.IJMI.20210903.11","url":null,"abstract":"Lumbar disc herniation (HDL) is a major public health problem in the world. Objectives: The study aimed to determine the clinical and radiological aspects of the lumbar disc herniation [LDH] operated in Kinshasa environments Hospital. Materials and methods: It was a well-documented 160 cases of LDH operated in Biamba Marie Mutombo hospital from January 2012 until December 2016 was evaluated. Results: The most interesting age group range from 31 to 50 years (68, 8%) with a mean age of 44, 7 ± 12, 3 years in that Females were the most affected with 55.6%. Sciatica L5 was found in 28.8% of cases compared to sciatica S1 (15.6%) and left lateralization in 48, 1%. As for imaging results, the posterolateral type was the most common with 53.8% of cases. The disc level: L4-L5 was the most affected in 61.1% of cases. The single LDH was the most common. The discrepancy between imaging and surgery results was 6.3% for medial herniated discs and 24.4% for posterolateral disc herniation. Conclusion: LDH is a pathological reality in hospitals of Kinshasa. The aspects found mainly corroborate literature observations. The discrepancy between imaging and surgery results was statistically insignificant.","PeriodicalId":117142,"journal":{"name":"International Journal of Medical Imaging","volume":"189 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121628407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Influence of Quantitative Parameters Measured on CT with Different Slice Thicknesses on Evaluating the Growth of Pulmonary Nodules","authors":"Jannatul Maoya Bashanti, Binjie Fu, Wangjia Li, M. A. Hossain, Fajin Lv","doi":"10.11648/J.IJMI.20210902.13","DOIUrl":"https://doi.org/10.11648/J.IJMI.20210902.13","url":null,"abstract":"We did this study to investigate the effect of thick (5mm) and thin (1 or 0.625 mm) slice thickness of CT images on evaluating pulmonary nodules' growth to improve their diagnostic accuracy. The clinical and CT data of 251 patients with lung nodules and two follow-up CTs from October 2016 to October 2019 were analyzed retrospectively. Malignant nodules were confirmed by pathology, and benign nodules were confirmed by pathology or follow-up. Two radiologists double-blindly assessed the CT features (density, shape, lobes, border), maximum diameter, and volume of nodules on the thick (5MM) and thin (≤1MM) images of two follow-up CTs. We use One-way analysis of variance for quantitative data; the X2 test or FISHER exact probability method was used for qualitative data; and the ROC curve was used to analyze the diagnostic power of nodule size, volume, and change in differentiating benign and malignant lesions. Among 251 pulmonary nodules, 117 (46.6%) benign nodules and 134 (53.3%) malignant nodules. During the CT follow-up, the volume measured on the thick-section image, the diameter, and the volume measured on the thin-section image were statistically different in benign and malignant lung nodules (P<0.001). In contrast, the diameter measured on the thick-section image was similar between these two groups (P=0.328). For benign and malignant pulmonary nodules, the diameter, volume, and change measured on the thin-section image were significantly larger than the thick-section image's data (P<0.001). The ROC curve showed that the diagnostic efficiency of volume was higher compared to the diameter. There were significant differences in nodule type, density change, shape, lobulation, and pleural retraction between benign and malignant nodules for CT features. Accurately assessing the volume changes combined with CT characteristics will help improve lung nodules' diagnosis accuracy. Volume measured on thin-section (1mm) CT images is the best quantitative parameter for assessing the change of pulmonary nodules. Combining Volume change with CT characteristics would help to improve the diagnostic accuracy.","PeriodicalId":117142,"journal":{"name":"International Journal of Medical Imaging","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134491050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measurement of the Angle Between the Superior Mesenteric Artery and the Aorta: Correlation with Body Mass Index","authors":"R. Sayani, Mustafa Belal Hafeez Chaudhry, M Zahid Hasan, Ali Janjua, Irfan Nazir, Kumail Khandwala","doi":"10.11648/J.IJMI.20210902.12","DOIUrl":"https://doi.org/10.11648/J.IJMI.20210902.12","url":null,"abstract":"Objective: To discover the mean figures of the distance and angle between the superior mesenteric artery (SMA) and the aorta in four standard acknowledged body mass index (BMI) classifications in an ordinary populace and for the two genders, to work with a computed tomography CT based finding of Superior mesenteric artery syndrome (SMAS). Methods: A retrospective cross-sectional study was performed on 338 (157 female, 181 male) patients who were referred for abdominal CT examination. Age, sex, weight and height of all patients were noted, and the BMI was calculated. The distance between the SMA and aorta were measured, as was the angle. Pearson and Spearman correlation coefficients were used to correlate distance and BMI category, angle and BMI category, anteroposterior abdominal distance and SMA angle with aortomesenteric distance. Results: The mean BMI of patients in our study was 27.95 kg/m2 while the mean SMA angle, mean anteroposterior abdominal wall distance and mean aortomesenteric distance was 58.74 degrees, 224.35 cm, and 18.98 cm, respectively. The results showed positive correlation of BMI and anteroposterior abdominal distance with SMA angle and distance. This means if BMI increases, SMA angle and aortomesenteric distance will also increase, and vice versa. This same relationship was also valid for anteroposterior abdominal distance with aortomesenteric angle and distance. Conclusion: Our study helps in stating the values of aortomesenteric distance and angle for different BMI categories that can be used in CT-based diagnosis of SMAS in a South Asian population. The values we found for different BMI categories can be used by radiologists as a reference standard.","PeriodicalId":117142,"journal":{"name":"International Journal of Medical Imaging","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129824646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endobronchial and/or Endoesophageal Bronchoscopic Ultrasound-Guided Fine Needle Aspiration in the Diagnosis of Mediastinal and Hilar Diseases of Unknown Etiologies","authors":"A. A. Elkholy, A. Abdellah, Fawzy El-Emery, Ibrahim Ibrahim, Ayman Abdelhamid Farghaly, M. Hantera, A. M. El-Saka, Dalia E. El-Sharawy","doi":"10.11648/J.IJMI.20210901.19","DOIUrl":"https://doi.org/10.11648/J.IJMI.20210901.19","url":null,"abstract":"Introduction: Diagnosis of mediastinal and hilar lesions represents a problematic issue for long ago, not only due to various structures that occupy this space but also difficult accessibility to such lesions. Mediastinal endosonography – guided FNA is emerged as a new minimally invasive modality for diagnosis of such lesions. Objectives: to evaluate the role of endobronchial and/ or endoesophageal -bronchoscopic ultrasound-guided fine needle aspiration in the diagnosis of mediastinal and hilar diseases of unknown etiologies. Methods: This Prospective observational study was carried out at Tanta University Educational Hospital and Kobri Elkobba Military Hospitals; from December 2017 to December 2019 on thirty patients (19 males; 11 females, age range 17-82 years) presented with undiagnosed mediastinal and or hilar lesions. All patients were subjected to clinical examination, radiological assessment including Chest-X-Ray, CT Chest. Laboratory investigations: CBC, blood urea, serum creatinine and coagulation profile. Twenty-six patients were subjected only to endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) biopsies and four patients were subjected to endoscopic ultrasound using EBUS scope-guided fine- needle aspiration (EUS-B-FNA) after EBUS-TBNA, using Pentax Endobronchial ultrasound and a fine needle (22- Gauge). The procedure was done under local anesthesia and conscious sedation ROSE technique was applied for some cases. Results: Definitive diagnosis was reached in twenty-nine cases, achieving diagnostic yield (96.67%). Malignant lesions were the predominant category; twenty (66.67%), while nine (30%) were diagnosed as benign lesions and one (3.33%) case remained un diagnosed. Also, immunohistochemistry played an important role to reach definitive diagnosis in six cases without further sampling. About (12/30; 40%) of patients were passed without any complications while the others recorded controlled complications without any serious events. Conclusion: EBUS and EUS-B-FNA are minimally invasive, complementary and cost effective procedures with high diagnostic yield for mediastinal and hilar lesions. Addition of immunohistochemistry raises diagnostic value of this procedure.","PeriodicalId":117142,"journal":{"name":"International Journal of Medical Imaging","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123958263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Novel Method to Diagnose COVID-19: HNN of CNN and Bi-LSTM Using X-ray Images","authors":"Hannah Kim, Gina Kim","doi":"10.11648/J.IJMI.20210901.18","DOIUrl":"https://doi.org/10.11648/J.IJMI.20210901.18","url":null,"abstract":"Coronavirus Disease (COVID-19) has caused a global pandemic and many of COVID-19’s key symptoms are related to the respiratory tract. In fact, the most relevant features correlated to the diagnosis of COVID-19 were found to be breathing problems and dry cough as determined by experimental results, produced when such a dataset was run through the random forest model with feature importance function. Therefore, using chest x-ray images labeled as COVID-19 and normal from kaggle, we developed a novel hybrid deep learning model incorporating CNN (convolutional neural network) and Bi-LSTM (bidirectional long short term memory) to detect symptoms of COVID-19. Our goal was to develop a model with the highest accuracy. As a total number of datasets were not enough to train the model, we augmented the input dataset through the “ImagedataGenerator” function from the Keras. Also, this proposed model ensures high accuracy as experimental results reported its average accuracy, which was tested with various optimizers (Adam, Nadam, Rmsprop, SGD), to be 98.13%. The new model showed the highest average accuracy compared to any other preexisting models (VGG-16, Resnet50, Resent50_v2, Mobilenet, Mobilenet_v2, Xception) also tested during this research. This model could potentially be used as an alternative process to diagnose COVID-19, especially with the number of global cases increasing, along with the need for efficient, quicker testing methods.","PeriodicalId":117142,"journal":{"name":"International Journal of Medical Imaging","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125644521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of Cardiac Magnetic Resonance Imaging in Diagnosis of Myocardial Infarction","authors":"Ahmed Mohamed Abdel Hakam, HishamM K. Imam, H. A. Seif, N. A. Abbas","doi":"10.11648/J.IJMI.20200804.19","DOIUrl":"https://doi.org/10.11648/J.IJMI.20200804.19","url":null,"abstract":"Introduction: Cardiac Magnetic Resonance Imaging provides an accurate and reproducible modality for the assessment of global ventricular volumes and function, and valuable in establishing a diagnosis of chronic and acute MI and distinguishing this condition from non-ischemic cardiomyopathies. Aim: To evaluate the role of cardiac Magnetic Resonance Imaging technique in diagnosis of myocardial infarction, assessment of myocardial viability. Subject and Method: The study was conducted over a period of 3 years at Assiut University Hospital. Fifty-six patients were recruited. All patients were subjected to full history taking and radiological evaluation using a 1.5-T MR system and echocardiography. Agreement regarding segmental wall motion was assessed by using Cohen’s Kappa statistics. Also ejection fraction measurement by both modalities was compared using bland-Altman plots. Agreement between Magnetic Resonance Imaging and conventional coronary angiography in detection of diseased coronary arteries was examined using Cohen’s kappa coefficient (κ). Results: It was found that ejection fraction detected by Echo were overestimated relative to Magnetic Resonance Imaging with statistically significant difference (p=0.004). While LV diameters detected by echocardiography were underestimated relative to Magnetic Resonance Imaging. Good agreement between Magnetic Resonance Imaging and Echo regarding segmental wall motion. There was positive very high correlation between the two modalities in evaluation of LV Functionality indices. Conclusion: CMR is superior to echo in evaluating left ventricular functionality indices with echo underestimating these indices except the ejection fraction which is overestimated by Echo. Moreover, CMR is better in evaluating post MI complications and associated cardiac abnormalities.","PeriodicalId":117142,"journal":{"name":"International Journal of Medical Imaging","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123840297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of Ultrasound and Magnetic Resonance Imaging in Evaluation of ‎Elbow Pain","authors":"Reham Samy Sheta, R. Younis, R. Elkhouly, A. Teama","doi":"10.11648/J.IJMI.20200804.18","DOIUrl":"https://doi.org/10.11648/J.IJMI.20200804.18","url":null,"abstract":"The elbow is a complex joint designed to withstand a wide range of dynamic exertional forces. There are multiple lesions causing pain at the elbow. The location and quality of elbow pain can generally localize the injury to one of the four anatomic regions: anterior, medial, lateral, or posterior elbow. The purpose of this study is to evaluate the role of ultrasound and ‎magnetic resonance imaging in identifying elbow pain causes. Sixty patients (36male and 24 female) were enrolled in this study who are complaining from elbow pain and or any discomfort at elbow region. ‎Tendinous elbow lesions (flexor and extensor tendon injury) were the most detectable lesions (50/172) (29.0%), followed by ligamentous lesions (medial and lateral collateral ligament injuries) (42/172) (24.41%), bony lesions (38/172) (22.09%), muscle lesions (24/172) (13.95%) and nerve lesions come last with (20/172) (11.76%). Ultrasound is a rapid cheap modality of choice regarding screening of elbow tendionous and ligamentous injury to lesser degree bony and neural lesions, MRI should be considered to assess precisely the extent of any ‎injury in addition to the value of bone visualization & nerve evaluation. Magnetic resonance neurography is a potentially useful diagnostic tool in the evaluation of ulnar neuropathy at the elbow especially ulnar nerve.","PeriodicalId":117142,"journal":{"name":"International Journal of Medical Imaging","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131358887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}