Nepalese Journal of Radiology最新文献_第2页

High Output External Biliary Drainage Leading to Acute Kidney Injury in a Patient with Malignant Obstructive Jaundice: A Rare Case Report 恶性阻塞性黄疸患者高输出胆道外引流导致急性肾损伤：罕见病例报告

Nepalese Journal of Radiology Pub Date : 2023-11-24 DOI: 10.3126/njr.v13i2.59969

Sristi Singh, Prabeen Ghimire, Samriddha Basnyat

引用次数: 0

Bronchial Artery Embolization: IS NBCA/LIPIODOL Better Than PVA? 支气管动脉栓塞术：NBCA/LIPIODOL 优于 PVA 吗？

Nepalese Journal of Radiology Pub Date : 2023-11-24 DOI: 10.3126/njr.v13i2.59965

Manish Thapa, Ashish Gupta, Ajit Thapa, Arun Gupta

{"title":"Bronchial Artery Embolization: IS NBCA/LIPIODOL Better Than PVA?","authors":"Manish Thapa, Ashish Gupta, Ajit Thapa, Arun Gupta","doi":"10.3126/njr.v13i2.59965","DOIUrl":"https://doi.org/10.3126/njr.v13i2.59965","url":null,"abstract":"Introduction: Bronchial artery embolization (BAE) is a minimally invasive interventional procedure, which is now considered the first-line management strategy and an alternative to surgery for massive and recurrent haemoptysis. The advances in embolic agents have led to a significant improvement in the success rates of the procedure, however, there has been no significant change in the recurrence rate of haemoptysis. Methods: This retrospective study was conducted at a tertiary care center from January 2012 to December 2020. The final analysis was performed on 123 patients [NBCA(n= 37) and PVA(n= 86)]. Technical and clinical success rates, complications and recurrence rates were compared between the two groups. Results: A total of 248 arteries were embolized. In the PVA group, clinical success was achieved in 84 out of 86 cases (97.6%) and with NBCA in 36 out of 37 patients (97.3%) (p >0.05). Of the 120 patients in whom BAE was clinically successful, recurrence was observed in 43 patients within the 12-month follow-up period. The study showed a statistically significant association between the embolizing agent used for BAE and the recurrence of hemoptysis (χ2 = 4.80, df = 1, p = 0.028). The use of PVA particles for BAE was found to have2.62 times higher odds (95% CI 1.10 - 6.81) of recurrence of hemoptysis as compared to the use of NBCA glue. Conclusions: BAE with NBCA provided higher hemoptysis-free survival rates compared with PVA particles without increasing complication rates.","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139241780","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

Improved Health-Related Quality of Life with Superficial Femoral Artery Stenting in Intermittent Claudication Done Prior to Medical Treatment: A Case Report 间歇性跛行患者在接受药物治疗前接受股浅动脉支架置入术可提高与健康相关的生活质量：病例报告

Nepalese Journal of Radiology Pub Date : 2023-11-24 DOI: 10.3126/njr.v13i2.59970

Sushila Gyawali, Sristi Singh, Bibek Dhital

引用次数: 0

Pioneering the Future by Respecting the Past: A Glimpse into the History of Interventional Radiology in Nepal 尊重过去，开拓未来：尼泊尔介入放射学历史一瞥

Nepalese Journal of Radiology Pub Date : 2023-11-24 DOI: 10.3126/njr.v13i2.59963

O. Panta

引用次数: 0

Intracardiac KCl Injection in Cesarean Scar Pregnancy: A Review Article 剖宫产瘢痕妊娠中的心内氯化钾注射：综述文章

Nepalese Journal of Radiology Pub Date : 2023-11-24 DOI: 10.3126/njr.v13i2.59964

Ashish Gupta, Manish Thapa

引用次数: 0

Percutaneous Sclerotherapy as Therapeutic Option in Benign Vascular Lesions: A Retrospective Study 经皮硬化剂注射治疗良性血管病变：回顾性研究

Nepalese Journal of Radiology Pub Date : 2023-11-24 DOI: 10.3126/njr.v13i2.59967

O. Panta, Abhishek Adhikari, Babin Basnet, B. Pantha, Ram Kumar Ghimire

{"title":"Percutaneous Sclerotherapy as Therapeutic Option in Benign Vascular Lesions: A Retrospective Study","authors":"O. Panta, Abhishek Adhikari, Babin Basnet, B. Pantha, Ram Kumar Ghimire","doi":"10.3126/njr.v13i2.59967","DOIUrl":"https://doi.org/10.3126/njr.v13i2.59967","url":null,"abstract":"Introduction:Sclerotherapy, a minimally invasive approach, has gained prominence as a therapeutic modality for the treatment of these lesions. The objective of this article is to assess clinical success, complications and periprocedural pain score of sclerotherapy and their variation with the nature of the lesion and choice of sclerosants. Methods: This was a hospital record-based retrospective study in a tertiary care centre in Kathmandu. Sclerotherapy done in the institute from January 2019 to December 2022 was evaluated for the nature of the lesion, clinical success, number of sessions, periprocedural pain score and complications. All sclerotherapy was performed under combined USG and fluoroscopic guidance by an interventional radiologist. Data was entered in predesigned proforma and data analysis was done using SPSS 25.0. Results: A total of 33 patients underwent 61 sessions of sclerotherapy during the study period. Venous malformation (72.2%) was the most common vascular lesion followed by hemangioma. There was significant resolution of symptoms post sclerotherapy pain relief in 95% complete resolution of swelling in 65.38 % and partial resolution with acceptable cosmetic results in 26.92% of cases. Only minor complications were seen in 6.5% of cases. The median periprocedural pain score was 5 with an interquartile range of 2. Periprocedural pain was significantly less with sodium tetradecyl sulphate than with alcohol(P-0.002). The resolution of swelling was less in hemangiomas than in other lesions, while pain relief was similar for all lesions. Complications were seen only in the alcohol group. Conclusions: Sclerotherapy is a safe and effective procedure for benign vascular lesions. Complications and periprocedural pain are less with sodium tetradecyl sulphate as compared to alcohol.","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"90 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139241841","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

Spectrum of Radiological Findings in Hysterosalpingography for Female Subfertility: A Retrospective Cross-Sectional Study in a Tertiary Care Center of Nepal 子宫输卵管造影术治疗女性不孕症的放射学发现范围：尼泊尔一家三级医疗中心的回顾性横断面研究

Nepalese Journal of Radiology Pub Date : 2023-11-24 DOI: 10.3126/njr.v13i2.59968

Umesh Khanal, Shailendra Katwal, Sunita Shrestha, Ram Swarth Shah

{"title":"Spectrum of Radiological Findings in Hysterosalpingography for Female Subfertility: A Retrospective Cross-Sectional Study in a Tertiary Care Center of Nepal","authors":"Umesh Khanal, Shailendra Katwal, Sunita Shrestha, Ram Swarth Shah","doi":"10.3126/njr.v13i2.59968","DOIUrl":"https://doi.org/10.3126/njr.v13i2.59968","url":null,"abstract":"Introduction: Hysterosalpingography (HSG) is a commonly used diagnostic procedure to investigate the causes of female subfertility. This study aimed to evaluate the range of findings observed in HSG examinations conducted for this purpose. Methods: A prospective cross-sectional study was conducted at the Department of Radiology and Imaging, Tribhuvan University Teaching Hospital, from December 2022 to April 2023. The study included 196 female participants who underwent HSG and met the inclusion criteria. Results: Out of the 196 participants, 127 (64.8%) were categorized as having primary subfertility, while 69 (35.2%) had secondary subfertility. The mean age of the participants was 30.61±5.623 years, with an age range of 20 to 45 years. Among the participants, 142 (72.4%) exhibited a normal uterus, 23 (11.7%) displayed left tubal occlusion, 17 (8.7%) showed right tubal occlusion, 13 (6.6%) had other findings, and 1 (0.5%) was diagnosed with uterine fibroids. Conclusions: This study demonstrated that approximately one out of every five HSG examinations performed to evaluate subfertility revealed tubal occlusion. Consequently, the high detection rate of uterine and tubal pathologies using HSG underscores its critical role as a diagnostic tool for assessing women with subfertility.","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139241946","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

A Case Report on Aggressive Breast Cancer 侵袭性乳腺癌1例报告

Nepalese Journal of Radiology Pub Date : 2023-06-30 DOI: 10.3126/njr.v13i1.57833

Kundana Rayamajhi, R. Ghimire, B. Kayastha

引用次数: 0

Evaluation of Olfactory Fossa Depth Using Computed Tomography in A Tertiary Center: A Retrospective Study 第三中心嗅觉窝深度的计算机断层评估:一项回顾性研究

Nepalese Journal of Radiology Pub Date : 2023-06-30 DOI: 10.3126/njr.v13i1.57822

R. Shrestha, M. Gautam, Nischal Shrestha

{"title":"Evaluation of Olfactory Fossa Depth Using Computed Tomography in A Tertiary Center: A Retrospective Study","authors":"R. Shrestha, M. Gautam, Nischal Shrestha","doi":"10.3126/njr.v13i1.57822","DOIUrl":"https://doi.org/10.3126/njr.v13i1.57822","url":null,"abstract":"Introduction:Endoscopic sinus surgery is a widely utilized surgical method for addressing chronic sinonasal diseases. To prevent major postoperative problems, an anatomical understanding of its variants is necessary. Our study aims to determine the occurrence and classification of different Keros types by analyzing paranasal sinus CT scans and retrospectively evaluating the depth of the olfactory fossa in our population.Methods:This is a retrospective single-centre analytical study on 254 patients who had undergone a non-enhanced paranasal sinus CT scan for 1 year after ethical approval from the Institutional Review Committee of Nobel Medical College Teaching Hospital. The statistical program SPSS version 25 was used to conduct the statistical analysis.Results:The average depth of the right olfactory fossa (OF) was 4.4±1.44 mm on the right side and 4.5±1.5 mm on the left side. According to the Keros classification, out of a total of 254 patients, 38 patients (15%) were classified as Keros I, 193 patients (76%) as Keros II, and 23 patients (9%) as Keros III for the right lateral lamella. 44 (17.3%), 180 (70.9%), and 30 (11.8%) patients were classified as Keros I, II, and III respectively, for the left lateral lamella..Conclusions:A preoperative CT scan of the paranasal sinus is useful in assessing the architecture of the anterior skull base and making sure the surgical approach is properly planned.","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115731385","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

MRI Evaluation of Degenerative Lumbar Spine in Population Of Eastern Nepal 尼泊尔东部人群退行性腰椎的MRI评价

Nepalese Journal of Radiology Pub Date : 2023-06-30 DOI: 10.3126/njr.v13i1.57823

N. Ranabhat, Rakshya Bhattarai, Prasansa Basnet, Udaya Raj Banjade, Shreebridhi Pande, Suhail Sapkota, Diki Sherpa

{"title":"MRI Evaluation of Degenerative Lumbar Spine in Population Of Eastern Nepal","authors":"N. Ranabhat, Rakshya Bhattarai, Prasansa Basnet, Udaya Raj Banjade, Shreebridhi Pande, Suhail Sapkota, Diki Sherpa","doi":"10.3126/njr.v13i1.57823","DOIUrl":"https://doi.org/10.3126/njr.v13i1.57823","url":null,"abstract":"Introduction:Low back pain is the most commonly encountered symptom, with approximately 80% of individuals experiencing at least one instance of back pain throughout their lifetime. Magnetic resonance imaging is widely regarded as a highly effective diagnostic tool for assessing different factors contributing to back pain.Methods:The study included all patients who had a history of chronic low back pain and were referred for Magnetic resonance imaging at the Radiology Department of Nobel Medical College between September 1, 2020, and September 1, 2021. These patients were suspected to have degenerative diseases of the lumbar spine.Results:A total of 120 patients were included in the study, with ages ranging from 28 to 81 years (mean: 53.38 ± 11.5 years). Among these patients, 64 individuals (53.3%) were females. The most common finding observed was disc desiccation, which was present in 115 patients (95.8%). The prevalence of degenerative findings increased with age, indicating a correlation between age and degenerative changes in the lumbar spine.Conclusions:The study's conclusion states that Magnetic resonance imaging is the most sensitive imaging technique for evaluating low back pain related to degenerative changes. The use of Magnetic resonance imaging is recommended due to its lack of known side effects, absence of radiation exposure, and noninvasive nature. It was found that various types of degenerative changes can be present in symptomatic patients aged over40.","PeriodicalId":178516,"journal":{"name":"Nepalese Journal of Radiology","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126153919","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