World journal of radiology最新文献

{"title":"Innovative approaches beyond periprocedural hydration for preventing contrast-induced acute kidney injury.","authors":"Chun-Han Cheng, Wen-Rui Hao, Tzu-Hurng Cheng","doi":"10.4329/wjr.v16.i9.375","DOIUrl":"10.4329/wjr.v16.i9.375","url":null,"abstract":"<p><p>Contrast-induced acute kidney injury (CI-AKI) is a major concern in clinical practice, particularly among high-risk patients with preexisting renal and cardiovascular conditions. Although periprocedural hydration has long been the primary approach for CI-AKI prevention, recent advancements have led to the development of novel approaches such as RenalGuard and contrast removal systems. This editorial explores these emerging approaches and highlights their potential for enhancing CI-AKI prevention. By incorporating the latest evidence into clinical practice, health-care professionals can more effectively maintain renal function and improve outcomes for patients undergoing contrast-enhanced procedures.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":"16 9","pages":"375-379"},"PeriodicalIF":1.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11440278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362128","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}

{"title":"Behcet's disease-related panuveitis following COVID-19 vaccination: A case report.","authors":"Rou-Ting Lin, Pei-Kang Liu, Chia-Wei Chang, Kai-Chun Cheng, Kuo-Jen Chen, Yo-Chen Chang","doi":"10.4329/wjr.v16.i9.460","DOIUrl":"10.4329/wjr.v16.i9.460","url":null,"abstract":"<p><strong>Background: </strong>Behcet's disease (BD) is an inflammatory disorder known for various symptoms, including oral and genital ulcers and ocular inflammation. Panuveitis, a severe eye condition, is rare as the first sign of BD.</p><p><strong>Case summary: </strong>We present an unusual case of a 30-year-old man who developed panuveitis after receiving the mRNA-based coronavirus disease 2019 (COVID-19) vaccine (Moderna). Laboratory tests ruled out infections, but he had a positive HLA-B51 result and a history of genital ulcer and oral ulcers, leading to a BD diagnosis. Treatment with corticosteroids improved his condition. Interestingly, he had another episode of panuveitis after the second mRNA vaccine dose, which also responded to corticosteroids.</p><p><strong>Conclusion: </strong>This case highlights the rare onset of BD following mRNA COVID-19 vaccination, suggesting a potential link between these vaccines and BD's eye symptoms, emphasizing the importance of quick treatment in similar cases.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":"16 9","pages":"460-465"},"PeriodicalIF":1.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11440273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362113","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}

{"title":"Extralobar pulmonary sequestration in children with abdominal pain: Four case reports.","authors":"Meng-Yuan Jiang, Yuan-Xiang Wang, Zhi-Wei Lu, Yue-Jie Zheng","doi":"10.4329/wjr.v16.i9.453","DOIUrl":"10.4329/wjr.v16.i9.453","url":null,"abstract":"<p><strong>Background: </strong>Extralobar pulmonary sequestration (ELS) with torsion is extremely rare, consequently, the diagnosis of ELS with torsion in children presents a challenge for clinicians. Herein, we report four cases of ELS with torsion that presented with abdominal pain, and further review the relevant literature to summarize the clinical features.</p><p><strong>Case summary: </strong>Four children presented to our department with abdominal pain. All underwent chest computed tomography, which revealed an intrathoracic soft tissue mass with pleural effusion. All four children underwent thoracoscopic resection of the identified pulmonary sequestration, and the vascular pedicle was clipped and excised. None of the patients experienced any postoperative complications.</p><p><strong>Conclusion: </strong>Clinicians should consider the possibility of ELS with torsion in children presenting with abdominal pain as the chief complaint.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":"16 9","pages":"453-459"},"PeriodicalIF":1.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11440275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362126","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}

{"title":"Cerebral perfusion in patients with unilateral internal carotid artery occlusion by dual post-labeling delays arterial spin labeling imaging.","authors":"Gui-Rong Zhang, Yan-Yan Zhang, Wen-Bin Liang, Dun Ding","doi":"10.4329/wjr.v16.i9.429","DOIUrl":"10.4329/wjr.v16.i9.429","url":null,"abstract":"<p><strong>Background: </strong>Global and regional cerebral blood flow (CBF) changes in patients with unilateral internal carotid artery occlusion (ICAO) are unclear when the dual post-labeling delays (PLD) arterial spin labeling (ASL) magnetic resonance imaging (MRI) technique is used. Manual delineation of regions of interest for CBF measurement is time-consuming and laborious.</p><p><strong>Aim: </strong>To assess global and regional CBF changes in patients with unilateral ICAO with the ASL-MRI perfusion technique.</p><p><strong>Methods: </strong>Twenty hospitalized patients with ICAO and sex- and age-matched controls were included in the study. Regional CBF was measured by Dr. Brain's ASL software. The present study evaluated differences in global, middle cerebral artery (MCA) territory, anterior cerebral artery territory, and Alberta Stroke Program Early Computed Tomography Score (ASPECTS) regions (including the caudate nucleus, lentiform nucleus, insula ribbon, internal capsule, and M1-M6) and brain lobes (including frontal, parietal, temporal, and insular lobes) between ICAO patients and controls at PLD 1.5 s and PLD 2.5 s.</p><p><strong>Results: </strong>When comparing CBF between ICAO patients and controls, the global CBF in ICAO patients was lower at both PLD 1.5 s and PLD 2.5 s; the CBF on the occluded side was lower in 15 brain regions at PLD 1.5 s, and it was lower in 9 brain regions at PLD 2.5 s; the CBF in the contralateral hemisphere was lower in the caudate nucleus and internal capsule at PLD 1.5 s and in M6 at PLD 2.5 s. The global CBF in ICAO patients was lower at PLD 1.5 s than at PLD 2.5 s. The ipsilateral CBF at PLD 1.5 s was lower than that at PLD 2.5 s in 15 regions, whereas the contralateral CBF was lower at PLD 1.5 s than at PLD 2.5 s in 12 regions. The ipsilateral CBF was lower than the contralateral CBF in 15 regions at PLD 1.5 s, and in M6 at PLD 2.5 s.</p><p><strong>Conclusion: </strong>Unilateral ICAO results in hypoperfusion in the global and MCA territories, especially in the ASPECTS area. Dual PLD settings prove more suitable for accurate CBF quantification in ICAO.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":"16 9","pages":"429-438"},"PeriodicalIF":1.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11440276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362114","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}

{"title":"Intentionally unilateral prostatic artery embolization: Patient selection, technique and potential benefits.","authors":"Hippocrates Moschouris, Konstantinos Stamatiou","doi":"10.4329/wjr.v16.i9.380","DOIUrl":"10.4329/wjr.v16.i9.380","url":null,"abstract":"<p><strong>Background: </strong>Prostatic artery embolization (PAE) is a promising but also technically demanding interventional radiologic treatment for symptomatic benign prostatic hyperplasia. Many technical challenges in PAE are associated with the complex anatomy of prostatic arteries (PAs) and with the systematic attempts to catheterize the PAs of both pelvic sides. Long procedure times and high radiation doses are often the result of these attempts and are considered significant disadvantages of PAE. The authors hypothesized that, in selected patients, these disadvantages could be mitigated by intentionally embolizing PAs of only one pelvic side.</p><p><strong>Aim: </strong>To describe the authors' approach for intentionally unilateral PAE (IU-PAE) and its potential benefits.</p><p><strong>Methods: </strong>This was a single-center retrospective study of patients treated with IU-PAE during a period of 2 years. IU-PAE was applied in patients with opacification of more than half of the contralateral prostatic lobe after angiography of the ipsilateral PA (subgroup A), or with markedly asymmetric prostatic enlargement, with the dominant prostatic lobe occupying at least two thirds of the entire gland (subgroup B). All patients treated with IU-PAE also fulfilled at least one of the following criteria: Severe tortuosity or severe atheromatosis of the pelvic arteries, non-visualization, or visualization of a tiny (< 1 mm) contralateral PA on preprocedural computed tomographic angiography. Intraprocedural contrast-enhanced ultrasonography (iCEUS) was applied to monitor prostatic infarction. IU-PAE patients were compared to a control group treated with bilateral PAE.</p><p><strong>Results: </strong>IU-PAE was performed in a total 13 patients (subgroup A, <i>n</i> = 7; subgroup B, <i>n</i> = 6). Dose-area product, fluoroscopy time and operation time in the IU-PAE group (9767.8 μGy∙m², 30.3 minutes, 64.0 minutes, respectively) were significantly shorter (45.4%, 35.9%, 45.8% respectively, <i>P</i> < 0.01) compared to the control group. Clinical and imaging outcomes did not differ significantly between the IU-PAE group and the control group. In the 2 clinical failures of IU-PAE (both in subgroup A), the extent of prostatic infarction (demonstrated by iCEUS) was significantly smaller compared to the rest of the IU-PAE group.</p><p><strong>Conclusion: </strong>In selected patients, IU-PAE is associated with comparable outcomes, but with lower radiation exposure and a shorter procedure compared to bilateral PAE. iCEUS could facilitate patient selection for IU-PAE.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":"16 9","pages":"380-388"},"PeriodicalIF":1.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11440269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362129","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}

{"title":"Cryoablation of osteoid osteomas: Is it a valid treatment option?","authors":"Antonios Michailidis, Athanasios Panos, Efthimios Samoladas, Georgios Dimou, Georgia Mingou, Panagiotis Kosmoliaptsis, Maria Arvaniti, Christos Giankoulof, Evangelos Petsatodis","doi":"10.4329/wjr.v16.i9.389","DOIUrl":"10.4329/wjr.v16.i9.389","url":null,"abstract":"<p><strong>Background: </strong>Osteoid osteoma is a benign bone tumor with characteristic clinical symptomatology. The selected method for its treatment is percutaneous radiofrequency ablation. However, percutaneous cryoablation is an alternative method with certain advantages.</p><p><strong>Aim: </strong>To evaluate percutaneous computed tomography (CT)-guided cryoablation for the treatment of osteoid osteoma in young patients and adults.</p><p><strong>Methods: </strong>A total of 25 patients were treated with percutaneous CT- guided cryoablation for osteoid osteomas between October 2020 and March 2023 at a single institution. All patients were above 14-years-old (mean age, 24-years-old), and all procedures were performed under local anesthesia. Of the 25 patients, 8 were female and 17 were male. Tumor sites included the femur (<i>n</i> = 9), medial malleolus (<i>n</i> = 4), sacral ala (<i>n</i> = 4), facets (<i>n</i> = 4), humerus (<i>n</i> = 3), and tibia (<i>n</i> = 1). One cryoprobe was used in each procedure and, when possible, the lesion was covered by the ice-ball using an extraosseous position without penetrating the nidus. All necessary thermal protective techniques were used depending on the anatomical structure at risk.</p><p><strong>Results: </strong>All patients treated had complete response (100% clinical success rate) starting on the day of the procedure. Technical success was achieved in all cases. Visual analog scale (VAS) scores at 1 year were 0, compared to a mean VAS score of 8.5 ± 1 (SD) before the procedure. No recurrences were reported at the 1-year follow-up and no complications were observed. In 11/25 cases, an extraosseous position of the cryoprobe was used with less procedural time achieving technical and clinical success and no complications with less patient discomfort. All patients were discharged from the hospital on the same day as the procedure.</p><p><strong>Conclusion: </strong>Cryoablation of osteoid osteomas is an efficacious and safe procedure with durable clinical results. Its greatest advantage is that the procedure can be performed under local anesthesia using an extraosseous position of the cryoprobe when possible.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":"16 9","pages":"389-397"},"PeriodicalIF":1.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11440277/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362125","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}

{"title":"Prolonged course of Paxlovid administration in a centenarian with COVID-19: A case report.","authors":"Yi-Xue Zhang, Juan Tang, Dan Zhu, Chun-Yan Wu, Mei-Lan Liang, Yuan-Tao Huang","doi":"10.4329/wjr.v16.i9.489","DOIUrl":"10.4329/wjr.v16.i9.489","url":null,"abstract":"<p><strong>Background: </strong>According to the population statistics in 2023, there were 110000 people aged over 100 years in China, and the experience of using Paxlovid (nirmatrelvir/ritonavir) for centenarians is particularly valuable. This article reports our experience of using Paxlovid in a centenarian with the novel coronavirus disease 2019 (COVID-19) infection.</p><p><strong>Case summary: </strong>A 103-year-old female with mild COVID-19 and renal insufficiency was given sufficient Paxlovid for 2 days and a half dose for 3 days. During treatment, the patient was complicated with lung infection and heart failure, and nucleic acid remained positive. After expert consultation, a full dose of Paxlovid was given again on the 9th day of admission for 2 days and a half dose for 3 days. Meanwhile, anti-heart failure and antibiotics were administered; the heart failure and pulmonary infection were improved. Finally, on the 33^th day of admission, nucleic acid turned negative, body temperature returned to normal, cough and sputum, fatigue, poor appetite and other symptoms basically improved. The patient was given Paxlovid <i>via</i> nasal feeding for 2 courses without deterioration of liver and kidney function, diarrhea, nausea and vomiting, myalgia, chest tightness and other side effects, and was discharged from hospital with good recovery.</p><p><strong>Conclusion: </strong>This case suggests that Paxlovid can be used cautiously in centenarians with renal insufficiency and two courses of treatment can be considered in patients with persistent positive nucleic acid.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":"16 9","pages":"489-496"},"PeriodicalIF":1.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11440271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362132","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}

{"title":"Retinal microcirculation changes in prediabetic patients with short-term increased blood glucose using optical coherence tomography angiography.","authors":"Bing-Jing Lv, Hang-Jia Zuo, Qi-Fu Li, Fan-Fan Huang, Tong Zhang, Rong-Xi Huang, Shi-Jie Zheng, Wen-Juan Wan, Ke Hu","doi":"10.4329/wjr.v16.i9.407","DOIUrl":"10.4329/wjr.v16.i9.407","url":null,"abstract":"<p><strong>Background: </strong>Retinal microcirculation alterations are early indicators of diabetic microvascular complications. Optical coherence tomography angiography (OCTA) is a noninvasive method to assess these changes. This study analyzes changes in retinal microcirculation in prediabetic patients during short-term increases in blood glucose using OCTA.</p><p><strong>Aim: </strong>To investigate the changes in retinal microcirculation in prediabetic patients experiencing short-term increases in blood glucose levels using OCTA.</p><p><strong>Methods: </strong>Fifty volunteers were divided into three groups: Group 1 [impaired fasting glucose (IFG) or impaired glucose tolerance (IGT)], Group 2 (both IFG and IGT), and a control group. Retinal microcirculation parameters, including vessel density (VD), perfusion density (PD), and foveal avascular zone (FAZ) metrics, were measured using OCTA. Correlations between these parameters and blood glucose levels were analyzed in both the fasting and postprandial states.</p><p><strong>Results: </strong>One hour after glucose intake, the central VD (<i>P</i> = 0.023), central PD (<i>P</i> = 0.026), and parafoveal PD (<i>P</i> < 0.001) were significantly greater in the control group than in the fasting group. In Group 1, parafoveal PD (<i>P</i> < 0.001) and FAZ circularity (<i>P</i> = 0.023) also increased one hour after glucose intake. However, no significant changes were observed in the retinal microcirculation parameters of Group 2 before or after glucose intake (<i>P</i> > 0.05). Compared with the control group, Group 1 had a larger FAZ area (<i>P</i> = 0.032) and perimeter (<i>P</i> = 0.018), whereas Group 2 had no significant differences in retinal microcirculation parameters compared with the control group (<i>P</i> > 0.05). Compared with Group 1, Group 2 had greater central VD (<i>P</i> = 0.013) and PD (<i>P</i> = 0.008) and a smaller FAZ area (<i>P</i> = 0.012) and perimeter (<i>P</i> = 0.010). One hour after glucose intake, Group 1 had a larger FAZ area (<i>P</i> = 0.044) and perimeter (<i>P</i> = 0.038) than did the control group, whereas Group 2 showed no significant differences in retinal microcirculation parameters compared with the control group (<i>P</i> > 0.05). Group 2 had greater central VD (<i>P</i> = 0.042) and PD (<i>P</i> = 0.022) and a smaller FAZ area (<i>P</i> = 0.015) and perimeter (<i>P</i> = 0.016) than Group 1. At fasting, central PD was significantly positively correlated with blood glucose levels (<i>P</i> = 0.044), whereas no significant correlations were found between blood glucose levels and OCTA parameters one hour after glucose intake.</p><p><strong>Conclusion: </strong>A short-term increase in blood glucose has a more pronounced effect on retinal microcirculation in prediabetic patients with either IFG or IGT.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":"16 9","pages":"407-417"},"PeriodicalIF":1.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11440280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362134","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}

{"title":"<i>Pneumocystis</i> pneumonia in stage IIIA lung adenocarcinoma with immune-related acute kidney injury and thoracic radiotherapy: A case report.","authors":"Ya-Wen Zheng, Jia-Chao Pan, Jin-Feng Wang, Jian Zhang","doi":"10.4329/wjr.v16.i9.482","DOIUrl":"10.4329/wjr.v16.i9.482","url":null,"abstract":"<p><strong>Background: </strong>Immune checkpoint inhibitors (ICIs) are therapeutic agents for advanced and metastatic non-small cell lung cancer (NSCLC) with high clinical antitumor efficacy. However, immune-related adverse events occur in 20% of these patients and often requiring treatment with immunosuppressive agents, such as corticosteroids. Consequently, this may increase the risk of patients to opportunistic infections. <i>Pneumocystis jirovecii</i> pneumonia (PJP), a rare but serious opportunistic infection typically observed in patients with human immunodeficiency virus, can also occur in cancer patients undergoing long-term glucocorticoid treatment.</p><p><strong>Case summary: </strong>We report a case of a 56-year-old male with squamous NSCLC treated with triplimab combined with paclitaxel, carboplatin, and radical thoracic radiation therapy. Following this regimen, he developed acute kidney injury (AKI) with elevated creatinine levels. After concurrent radical chemoradiotherapy ended, he developed a grade 3 immune-related AKI. High-dose corticosteroids were administered to treat AKI, and renal function gradually recovered. Corticosteroids were reduced to a dose of 10 mg prednisone equivalent daily eight weeks later; however, he developed severe pneumonia with spontaneous pneumothorax. Next-generation sequencing of the bronchoscopic lavage revealed PJP co-infection with herpes simplex virus 1 and cytomegalovirus. The inflammation was more severe in areas exposed to radiation. Piperacillin-tazobactam, acyclovir, sulfamethoxazole, and trimethoprim were used to control the infection. The patient recovered, and immunotherapy was terminated.</p><p><strong>Conclusion: </strong>PJP is rare but can occur in patients with ICI adverse events and should be differentiated from tumor progression or immune-related adverse events. Thoracic radiation may increase risk, necessitating careful monitoring and prevention.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":"16 9","pages":"482-488"},"PeriodicalIF":1.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11440279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362112","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}

{"title":"Radiological findings of February 2023 twin earthquakes-related spine injuries.","authors":"Ayşenur Bolukçu, Ahmet Gürkan Erdemir, İlkay Sedakat İdilman, Adalet Elçin Yildiz, Gökçen Çoban Çifçi, Mehmet Ruhi Onur, Erhan Akpinar","doi":"10.4329/wjr.v16.i9.398","DOIUrl":"10.4329/wjr.v16.i9.398","url":null,"abstract":"<p><strong>Background: </strong>The February 6, 2023, twin earthquakes in Türkiye caused significant structural damage and a high number of injuries, particularly affecting the spine, which underscores the importance of understanding the distribution and nature of vertebral injuries in disaster victims.</p><p><strong>Aim: </strong>To investigate the distribution of radiological findings of vertebral injuries in patients referred to a major tertiary center during the February 6, 2023 twin earthquakes in Türkiye.</p><p><strong>Methods: </strong>With the approval of the institutional ethics committee, 1216 examinations of 238 patients transferred from the region to a tertiary major hospital after the twin earthquakes of February 6, 2023, were retrospectively analyzed for spine injuries.</p><p><strong>Results: </strong>Spine computed tomography (CT) scans were performed in 192 of 238 patients with a suspected spinal injury, 42 of whom also had an magnetic resonance imaging (MRI). In 86 of 192 patients (44.79%; M:F = 33:53) a spinal fracture was detected on CT and in 33 of 42 patients (78.57%; M:F = 20:13) a spinal injury was found on MRI. Of the 86 patients in whom vertebral injury was detected, fractures were detected in the Denis-B group in 33, Denis-C in 4, Denis-D in 20 and Denis-E in 11 patients. Among the vertebral bodies: 40 \"compression fractures\", 17 \"burst fractures\", 5 \"translational dislocation fractures\", 5 \"flexion-distraction fractures\" and 58 \"prolonged forced fetal posture fractures\" were detected. In addition, isolated transverse or spinous process fractures were found in eighteen vertebrae.</p><p><strong>Conclusion: </strong>Our study highlights the prevalence and diverse spectrum of spinal injuries following the February 6, 2023 twin earthquakes in Turkey underscoring the urgent need for effective management strategies in similar disaster scenarios, and emphasizing the \"prolonged forced fetal posture\" damage we encountered in earthquake victims who remained under the collapse for a long time.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":"16 9","pages":"398-406"},"PeriodicalIF":1.4,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11440272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362133","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}