Journal of Clinical Imaging Science最新文献

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Delineating thrombus versus myxoma: Perioperative 3D transesophageal echocardiography to the rescue! 区分血栓与肌瘤:围手术期三维经食道超声心动图来救场!
IF 0.9
Journal of Clinical Imaging Science Pub Date : 2024-02-29 eCollection Date: 2024-01-01 DOI: 10.25259/JCIS_136_2023
Mohanish Badge, Poonam Malhotra Kapoor, T Thiruselvan, Jijo Francis
{"title":"Delineating thrombus versus myxoma: Perioperative 3D transesophageal echocardiography to the rescue!","authors":"Mohanish Badge, Poonam Malhotra Kapoor, T Thiruselvan, Jijo Francis","doi":"10.25259/JCIS_136_2023","DOIUrl":"10.25259/JCIS_136_2023","url":null,"abstract":"<p><p>Cardiac masses are a significant cause of patient morbidity and mortality by virtue of their symptoms and surgical removal. Preoperative diagnosis of a cardiac mass is usually based on clinical correlation and transthoracic echocardiography findings. Myxomas are the most common benign cardiac tumors, commonly occurring in the left atrium attached to the interatrial septum near the fossa ovalis. Although, at times atypical location and unusual morphology may pose a diagnostic dilemma with 2D echocardiography. 3D echocardiography with its multifaceted advantages, including multiplanar cropping abilities and superior imaging quality can help distinguish between a clot and a myxoma.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10927041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140101675","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
Emergency transabdominal preperitoneal (TAPP) repair of a strangulated obturator hernia: A literature review and video vignette. 经腹腹膜前(TAPP)紧急修补绞窄性闭孔疝:文献综述和视频短片。
IF 0.9
Journal of Clinical Imaging Science Pub Date : 2024-02-21 eCollection Date: 2024-01-01 DOI: 10.25259/JCIS_2_2024
Valentin Butnari, Ahmer Mansuri, Subham Prasad Jaiswal, Mohamed Wael Ahmed, Moataz Ewedah, Dixon Osilli, Francesco Di Nubila, Robert Leonides Buhain, Sayed Haschmat Sarwary, Sandeep Kaul
{"title":"Emergency transabdominal preperitoneal (TAPP) repair of a strangulated obturator hernia: A literature review and video vignette.","authors":"Valentin Butnari, Ahmer Mansuri, Subham Prasad Jaiswal, Mohamed Wael Ahmed, Moataz Ewedah, Dixon Osilli, Francesco Di Nubila, Robert Leonides Buhain, Sayed Haschmat Sarwary, Sandeep Kaul","doi":"10.25259/JCIS_2_2024","DOIUrl":"10.25259/JCIS_2_2024","url":null,"abstract":"<p><p>Obturator hernia (OH), a rare and potentially life-threatening condition, presents diagnostic and therapeutic challenges. This review article comprehensively delves into the clinical features, diagnosis, and management of OH, with a particular emphasis on the pivotal role of computed tomography (CT) in timely and accurate diagnosis. Delays, particularly in contrast-enhanced CT, dramatically increase mortality due to potential bowel strangulation. To illustrate the challenges and complexities surrounding OH, we present a video vignette of a 74-year-old female patient who presented with symptoms suggestive of bowel obstruction (BO) secondary to a strangulated left-sided OH. This patient case complements the theoretical framework established in the review, serving as a practical example for healthcare professionals. Her presentation included abdominal pain, absence of flatus and bowel movements, and abdominal distension. Laboratory tests demonstrated a mildly elevated white blood cell count and C-reactive protein. CT imaging confirmed the diagnosis of a strangulated OH with an ischemic small bowel. An emergency laparoscopy was undertaken, and the hernia was repaired using the transabdominal preperitoneal approach. A portion of the ischemic small bowel was resected through a 5-cm extension of the umbilical port, and an anastomosis was performed using a modified Barcelona technique. The surgery was successfully completed without immediate or long-term complications. This case highlights the crucial role of timely CT diagnosis and minimally invasive surgical management in achieving improved outcomes in acute BO secondary to OH, particularly when facilitated by pre-operative CT planning.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10927043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140101718","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
Clinical application of medical adhesive in endovascular embolization treatment of peripheral pseudoaneurysm. 医用粘合剂在外周假性动脉瘤血管内栓塞治疗中的临床应用。
IF 0.9
Journal of Clinical Imaging Science Pub Date : 2024-01-30 eCollection Date: 2024-01-01 DOI: 10.25259/JCIS_120_2023
Li-Ping Jiang, Qi-Bin Wang
{"title":"Clinical application of medical adhesive in endovascular embolization treatment of peripheral pseudoaneurysm.","authors":"Li-Ping Jiang, Qi-Bin Wang","doi":"10.25259/JCIS_120_2023","DOIUrl":"https://doi.org/10.25259/JCIS_120_2023","url":null,"abstract":"<p><strong>Objectives: </strong>This study explores the clinical application value of medical adhesive in endovascular embolization treatment of peripheral pseudoaneurysm.</p><p><strong>Material and methods: </strong>This was a retrospective review on 31 patients with peripheral pseudoaneurysm treated with medical adhesive endovascular embolization at the First Affiliated Hospital of Shihezi University from July 2021 to July 2023. Follow-up for 3-6 months was to observe the clinical efficacy and postoperative complications of medical adhesive embolization treatment.</p><p><strong>Results: </strong>A total of 32 pseudoaneurysms were embolized in 31 patients with peripheral pseudoaneurysms. All pseudoaneurysms originated from visceral arteries. Among them, 29 pseudoaneurysms were embolized with medical adhesive alone, and three pseudoaneurysms were embolized with coil-assisted medical adhesive. After endovascular embolization with medical adhesive, all pseudoaneurysms were successfully embolized. Technical success was 100%. All patients experienced cessation of bleeding after endovascular embolization with medical adhesive, and there were no serious post-operative complications. Clinical success was 100%. During the follow-up period, two patients experienced recurrent bleeding but no pseudoaneurysm recurrence was observed.</p><p><strong>Conclusion: </strong>Endovascular medical adhesive embolization is a safe and effective method for treating pseudoaneurysm, with high hemostatic efficiency and permanent occlusion of the pseudoaneurysm after embolization, which is worthy of clinical promotion and application.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10858755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139722839","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
An assessment of the relationship between body mass index and minor complications in percutaneous gastrostomy tubes 评估体重指数与经皮胃造瘘管轻微并发症之间的关系
IF 0.9
Journal of Clinical Imaging Science Pub Date : 2024-01-12 DOI: 10.25259/jcis_62_2023
Sean Lee, Abheek Ghosh, Aislynn Raymond, Nabeel M. Akhter
{"title":"An assessment of the relationship between body mass index and minor complications in percutaneous gastrostomy tubes","authors":"Sean Lee, Abheek Ghosh, Aislynn Raymond, Nabeel M. Akhter","doi":"10.25259/jcis_62_2023","DOIUrl":"https://doi.org/10.25259/jcis_62_2023","url":null,"abstract":"\u0000\u0000The aim of our study was to determine if patients with obesity have different postoperative outcomes than their peers.\u0000\u0000\u0000\u0000A single-center retrospective review of all fluoroscopically-guided percutaneous gastrostomy tube, with 183 patients and 90 patients in the BAG and dilator groups, respectively. Patients were stratified, based on body mass index (BMI) percentile and for age. Demographic information and data on medical comorbidities and post-operative complications were collected. All analyses were conducted using Chi-square or Kruskal–Wallis testing.\u0000\u0000\u0000\u0000The median BMI was 26.6 kg/m2 with a standard deviation of 7.7. 106 (38.8%) patients were classified in the normal BMI category, 57 (20.9%) were overweight, and 50 (28.3%) were classified as obese. No major complications were reported in either group. 106 patients (38.8%) reported minor complications. The most common complication observed across both groups was procedural pain, with a higher incidence in the balloon group compared to the dilator group (17.5% vs. 12.2%). Dislodgement emerged as the second most common complication, occurring more frequently in the balloon group (12%) compared to the dilator group (6.7%). When considering weight categories, the overall rate of minor complications was highest among underweight patients (57.6%, P = 0.124). Both underweight and normal BMI patients showed a significantly higher incidence of tube dislodgement compared to other BMI categories (27.2% and 9.4%, respectively, P = 0.015). In a multivariable logistic regression, age was associated with an increased risk of minor complications (odds ratio [OR] 1.03, F [1.01, 1.05], P = 0.002). BAG had a greater OR for minor complication rate compared to dilator-assisted gastrostomy, although the difference was not statistically significant (OR 1.19, 95% confidence interval [0.69, 2.06]).\u0000\u0000\u0000\u0000Few studies have identified the relationship between BMI and complications related to gastrostomy tube placement. Our study highlights the importance of individualized care for patients across different BMI classes to minimize complications and improve patient outcomes.\u0000","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139624371","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}
引用次数: 0
3D wrist imaging - Is it time for superman to retire? 3D 腕部成像--超人该退休了吗?
IF 0.9
Journal of Clinical Imaging Science Pub Date : 2023-12-27 eCollection Date: 2023-01-01 DOI: 10.25259/JCIS_64_2023
Svea Deppe Mørup, Bo Mussmann, Malene Roland Vils Pedersen, Lykke Moseholm Rasumssen, Katrine Gaarde, Janni Jensen
{"title":"3D wrist imaging - Is it time for superman to retire?","authors":"Svea Deppe Mørup, Bo Mussmann, Malene Roland Vils Pedersen, Lykke Moseholm Rasumssen, Katrine Gaarde, Janni Jensen","doi":"10.25259/JCIS_64_2023","DOIUrl":"10.25259/JCIS_64_2023","url":null,"abstract":"<p><strong>Objectives: </strong>Computed tomography (CT) of the wrist may be challenged, due to patients' inability to extend the arm for a \"Superman pose\" resulting in increased radiation dose due to scatter. Alternative positions and less dose administering modalities such as 3D Cone-beam CT (CBCT) and single-shot CT could be considered. This phantom study aimed to estimate scatter radiation dose in different phantom positions using helical and single-shot CT and 3D CBCT.</p><p><strong>Material and methods: </strong>Wireless electronic dosimeters attached to the head and chest of an anthropomorphic phantom in various clinically relevant positions were used to measure scatter radiation. In helical CT, the following positions were used: Superman pose, semi-superman pose, wrist on the abdomen, and single-shot CT with the patient sitting in front of and behind the gantry. In 3D CBCT, the phantom was in a supine position with the arm extended laterally.</p><p><strong>Results: </strong>Helical CT using the Superman pose resulted in a total scattered radiation dose of 64.8 µGy. The highest total dose (269.7 µGy) was obtained with the wrist positioned on the abdomen while the lowest total dose was achieved in single-shot CT with the phantom sitting behind the gantry with the forearm placed inside the gantry (3.2 µGy). The total dose in 3D CBCT was 171.1 µGy.</p><p><strong>Conclusion: </strong>The commonly used semi-superman and wrist-on-abdomen positions in CT administer the highest scattered doses and should be avoided when either single-shot CT or 3D CBCT is available. Radiographers should carefully consider alternatives when a patient referred for wrist CT cannot comply with the Superman position.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10778063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139417235","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
Interhemispheric asymmetrical change in gray matter volume in patients with unilateral hippocampal sclerosis 单侧海马硬化症患者大脑半球间灰质体积的不对称变化
IF 0.9
Journal of Clinical Imaging Science Pub Date : 2023-12-22 DOI: 10.25259/jcis_77_2023
S. Mugikura, Naoko Mori, Miyeong Gang, Shigenori Kanno, K. Jin, S. Osawa, Nobukazu Nakasato, Kei Takase
{"title":"Interhemispheric asymmetrical change in gray matter volume in patients with unilateral hippocampal sclerosis","authors":"S. Mugikura, Naoko Mori, Miyeong Gang, Shigenori Kanno, K. Jin, S. Osawa, Nobukazu Nakasato, Kei Takase","doi":"10.25259/jcis_77_2023","DOIUrl":"https://doi.org/10.25259/jcis_77_2023","url":null,"abstract":"\u0000\u0000To clarify the interhemispheric asymmetrical change in gray matter volume (GMV) in unilateral hippocampal sclerosis (HS), we compared changes in GMV relative to normal subjects between the HS and contralateral or non-HS sides.\u0000\u0000\u0000\u0000Forty-five patients with unilateral HS and 30 healthy subjects were enrolled. We quantified changes in GMV in the patients with HS as compared to GMV in the normal subjects by introducing the Z-score (Z-GMV) in each region or region of interest in unilateral HS. Then, we assessed the asymmetrically decreased regions, that is, regions with significantly higher Z-GMV on the HS side than the contralateral or non-HS side. Z-GMV was calculated according to the two templates of 58 regions per hemisphere covering the whole brain by anatomical automatic labeling (AAL) and 78 regions per cerebral hemisphere using the Anatomy Toolbox.\u0000\u0000\u0000\u0000Seven and four regions in AAL and 17 and 11 regions in Anatomy Toolbox were asymmetrically decreased in the Left Hand Side (LHS) and Right Hand Side (RHS), respectively. Hippocampus and Caudate in AAL, five subregions of the hippocampus (CA1–3, Dentate Gyrus and hippocampus-amygdala-transition-area and 4 extrahippocampal regions including two subregions in amygdala (CM: Centromedial, SF: Superficial), basal forebrain (BF) (Ch4), and thalamus (temporal) in anatomy toolbox were common among LHS and RHS concerning asymmetrically decreased regions.\u0000\u0000\u0000\u0000By introducing Z-GMV, we demonstrated the regions with asymmetrically decreased GMV in LHS and RHS, and found that the hippocampus and extrahippocampal regions, including the BF, were the common asymmetrically decreased regions among LHS and RHS.\u0000","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138944386","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}
引用次数: 0
Renal functional outcomes after robot-assisted partial nephrectomy and percutaneous cryoablation of clinical T1 renal cell carcinoma – A prospective study 临床 T1 级肾细胞癌机器人辅助肾部分切除术和经皮冷冻消融术后的肾功能预后 - 一项前瞻性研究
IF 0.9
Journal of Clinical Imaging Science Pub Date : 2023-12-15 DOI: 10.25259/jcis_66_2023
Louise A Duus, T. Junker, Benjamin Schnack Brandt Rasmussen, M. Vilstrup, Lars Lund, Michael Pedersen, Ole Graumann
{"title":"Renal functional outcomes after robot-assisted partial nephrectomy and percutaneous cryoablation of clinical T1 renal cell carcinoma – A prospective study","authors":"Louise A Duus, T. Junker, Benjamin Schnack Brandt Rasmussen, M. Vilstrup, Lars Lund, Michael Pedersen, Ole Graumann","doi":"10.25259/jcis_66_2023","DOIUrl":"https://doi.org/10.25259/jcis_66_2023","url":null,"abstract":"\u0000\u0000The objective of this study was to investigate renal function after robot-assisted partial nephrectomy (RAPN) and percutaneous cryoablation (PCA) in clinical stage T1 (cT1) renal cell carcinoma (RCC) and evaluate the relationship between baseline renal function and renal functional outcome.\u0000\u0000\u0000\u0000Patients with cT1 RCC treated with RAPN or PCA were prospectively enrolled between June 2019 and January 2021. Renal function was evaluated using estimated glomerular filtration rate, Tc-99m diethylenetriamine-pentaacetate plasma clearance, Tc-99m mercaptoacetyltriglycine renography, and renal volume at baseline and 6 months after treatment.\u0000\u0000\u0000\u0000Fifty-six patients were included (18 RAPN, 38 PCA). PCA patients had a significantly higher age (68.5 years; P = 0.019) and Charlson comorbidity index (3.0; P = 0.007). Tumor characteristics did not differ significantly between RAPN and PCA. Total renal volume decreased significantly after PCA (−18.2 cm3; P = 0.001). Baseline chronic disease stage IIIb–IV leads to a greater reduction in renal volume (−31.8 cm3; P = 0.003) but not other renal function measures. Renal function declined significantly after either treatment without significant differences between RAPN and PCA.\u0000\u0000\u0000\u0000This study found a small, similar decrease in renal function 6 months after RAPN or PCA, despite significant differences in baseline patient characteristics. Reduced renal function at baseline did not lead to a worse renal functional outcome.\u0000","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139000437","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}
引用次数: 0
Retroperitoneal anatomy with the aid of pathologic fluid: An imaging pictorial review 借助病理液进行腹膜后解剖:成像图解回顾
IF 0.9
Journal of Clinical Imaging Science Pub Date : 2023-12-13 DOI: 10.25259/jcis_79_2023
Matthew Montanarella, Carlos Ignacio Gonzalez Baerga, Manuel Jeronimo Menendez Santos, Sherif Elsherif, Kimberly Boldig, Sidhu Kumar, Mayur K. Virarkar, D. Gopireddy
{"title":"Retroperitoneal anatomy with the aid of pathologic fluid: An imaging pictorial review","authors":"Matthew Montanarella, Carlos Ignacio Gonzalez Baerga, Manuel Jeronimo Menendez Santos, Sherif Elsherif, Kimberly Boldig, Sidhu Kumar, Mayur K. Virarkar, D. Gopireddy","doi":"10.25259/jcis_79_2023","DOIUrl":"https://doi.org/10.25259/jcis_79_2023","url":null,"abstract":"The retroperitoneum, a complex anatomical space within the abdominopelvic region, encompasses various vital abdominal organs. It is compartmentalized by fascial planes and contains potential spaces critical in multiple disease processes, including inflammatory effusions, hematomas, and neoplastic conditions. A comprehensive understanding of the retroperitoneum and its potential spaces is essential for radiologists in identifying and accurately describing the extent of abdominopelvic disease. This pictorial review aims to describe the anatomy of the retroperitoneum while discussing commonly encountered pathologies within this region. Through a collection of illustrative images, this review will provide radiologists with valuable insights into the retroperitoneum, facilitating their diagnostic proficiency to aid in appropriate patient clinical management.","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139006105","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}
引用次数: 0
Radiologically inserted gastrostomy tube in neurological disease: A retrospective study. 放射插入胃造瘘管治疗神经系统疾病:一项回顾性研究。
IF 0.9
Journal of Clinical Imaging Science Pub Date : 2023-10-30 eCollection Date: 2023-01-01 DOI: 10.25259/JCIS_78_2023
Brittany Marie Zaita, Abheek Ghosh, Sean Lee, Aislynn Raymond, Tanvir Agnihotri, Nabeel M Akhter
{"title":"Radiologically inserted gastrostomy tube in neurological disease: A retrospective study.","authors":"Brittany Marie Zaita, Abheek Ghosh, Sean Lee, Aislynn Raymond, Tanvir Agnihotri, Nabeel M Akhter","doi":"10.25259/JCIS_78_2023","DOIUrl":"10.25259/JCIS_78_2023","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to compare the safety and efficacy of balloon and non-balloon (or dilator) gastrostomy devices in radiologically inserted gastrostomy (RIG) for patients with neurological disease.</p><p><strong>Material and methods: </strong>A retrospective analysis of 152 patients was conducted at a tertiary care hospital from July 2017 to September 2020. 104 and 48 patients were included in the balloon and non-balloon groups, respectively. The frequency of complications per specific neurological indication as well as the breakdown of the different complications pertaining to each indication was recorded for analysis. The recovery time, fluoroscopy time, contrast volume, peak radiation, and pain management dosages for each procedure were all reviewed to evaluate for statistical differences between the balloon and non-balloon groups. An adjusted model odds ratio (OR) was conducted to evaluate how each of the variables (type of gastrostomy tube, body mass index [BMI], age, and gender) affected the frequency of complications within our cohort.</p><p><strong>Results: </strong>This study included 152 patients, with an average age of 65.17 years (interquartile range [IQR] = 12.66) and an average BMI of 26.97 (IQR = 7.19). The majority of patients were male (71.1%). The most common indication for the procedure was stroke (24.3%), followed by post-intubation dysphagia (16.4%) and intracranial hemorrhage (11.8%). Amyotrophic lateral sclerosis (ALS) and altered mental status had a similar prevalence at 9.9%. The overall complication rate was 33.8%, overall mortality rate 3.3%, 30-day mortality rate of 2.6%, and no other major complications according to CIRSE criteria. Notably, patients with neurodegenerative disorders exhibited comparable rates of minor complications: 33.3% in ALS (5/15 patients), 50% in myasthenia gravis (1/2 patients), and 100% in muscular dystrophy (1/1 patient). The study compared two groups: the balloon group (104 patients) and the dilator group (48 patients). The balloon group received significantly lower preoperative sedation in the form of fentanyl (Avg = 4.46 min vs. 6.54 min, <i>P</i> = 0.287). The balloon group had shorter fluoroscopy time, lower radiation exposure dose, and shorter operating time compared to the dilator group, though not statistically significant. In the logistic regression model, there was no statistical difference in complication rates between the dilator and balloon groups. BMI, age, and gender did not significantly affect minor complication rates.</p><p><strong>Conclusion: </strong>RIG tube insertions may serve as a valuable, alternative approach in providing enteral support in patients with neurological disease.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10629245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71521664","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
Patient positioning during the radiographic procedure affects the radiological signs of acetabular retroversion - A systematic review. 影像学检查过程中患者的定位影响髋臼后倾的影像学体征——一项系统综述。
IF 0.9
Journal of Clinical Imaging Science Pub Date : 2023-10-19 eCollection Date: 2023-01-01 DOI: 10.25259/JCIS_82_2023
Marie Midtgaard, Malene R Vils Pedersen, Nicolaj Lyhne Christensen, K Louise McKnight, Janni Jensen
{"title":"Patient positioning during the radiographic procedure affects the radiological signs of acetabular retroversion - A systematic review.","authors":"Marie Midtgaard, Malene R Vils Pedersen, Nicolaj Lyhne Christensen, K Louise McKnight, Janni Jensen","doi":"10.25259/JCIS_82_2023","DOIUrl":"10.25259/JCIS_82_2023","url":null,"abstract":"<p><p>Young adults presenting with non-traumatic hip pain may suffer from acetabular retroversion (AR). The previous studies have suggested that patient positioning during the radiographic procedure, that is, pelvic tilt and/or rotation may alter the appearance of the acetabulum. The purpose of this systematic review was to explore and collate existing literature on the correlation between pelvic positioning in weight-bearing anterior-posterior radiographs and the radiographic signs of AR, namely, the ischial spine sign (ISS) the cross-over sign (COS) and posterior wall sign (PWS). The preferred reporting items for systematic reviews and meta-analysis guidelines were followed. MEDLINE, EMBASE, PubMed, The Cochrane Library, and CINAHL were searched. The search string included the following keywords: Pelvic, tilt, rotation, positioning, inclination, incidence, AR, ISS, COS, PWS, and acetabular version. Two authors independently screened the studies identified in the search, extracted data, and critically assessed included studies for quality using the Quality Assessment of Diagnostic Accuracy Studies 2 tool. In total, 2289 publications were screened. Fifteen articles were found eligible for full-text screening, and four articles met the inclusion criteria. Although the studies varied methodologically, all reported that pelvic positioning impacted radiographic signs of AR investigated. One study suggested that more than 9° of pelvic inclination would result in positive COS. No other benchmark values on the degree of pelvic tilt and rotation that would compromise the diagnosis of AR, that is, the detection of ISS, COS, and PWS were reported. At present, literature reporting on the correlation between patient positioning and AR is sparse. Four studies met the inclusion criteria, and they all reported a link between pelvic positioning and the radiographic appearance of AR.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10629244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71524079","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
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