SA Journal of RadiologyPub Date : 2023-10-26eCollection Date: 2023-01-01DOI: 10.4102/sajr.v27i1.2706
Peter Mercouris, Matthew Mercouris
{"title":"Superior labrum anterior to posterior lesions: Part 1 - Imaging and anatomy with arthroscopic classification.","authors":"Peter Mercouris, Matthew Mercouris","doi":"10.4102/sajr.v27i1.2706","DOIUrl":"https://doi.org/10.4102/sajr.v27i1.2706","url":null,"abstract":"<p><p>The glenoid labrum deepens the glenoid fossa and allows for the attachment of the long head of the biceps tendon and the glenohumeral ligaments, contributing to the stability of the glenohumeral joint. The superior labrum is a common site of labral injury, especially in athletic activities involving overhead activity. The acronym SLAP (superior labrum anterior to posterior or anteroposterior) lesion was introduced by Snyder and colleagues in 1990 to describe superior labral tears. The article will review the optimal technique to image the glenoid labrum, covering normal labral anatomy with special emphasis on the anatomic variants of the labrum that can be mistaken for SLAP tears by means of colour illustrations, magnetic resonance imaging and correlative arthroscopy images.</p><p><strong>Contribution: </strong>The illustrated review functions as a crucial radiological guide for both radiologists and orthopaedic surgeons. The combination of illustrations, MR and correlative arthroscopic images enhances the comprehension of normal labral anatomy and its variants. The review underscores the significance of understanding anatomic variations that may be misinterpreted as pathology. This understanding is vital in guiding orthopaedic management for patients, ensuring appropriate treatment strategies.</p>","PeriodicalId":43442,"journal":{"name":"SA Journal of Radiology","volume":"27 1","pages":"2706"},"PeriodicalIF":0.9,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10623653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487169","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":"Cystic lung tuberculosis in children: A series of five cases.","authors":"Chetna Mishra, Pooja Abbey, Rama Anand, Varinder Singh, Ravinder Kaur","doi":"10.4102/sajr.v27i1.2725","DOIUrl":"https://doi.org/10.4102/sajr.v27i1.2725","url":null,"abstract":"<p><p>Frequent imaging manifestations of pulmonary tuberculosis are airspace or interstitial nodules with or without tree-in-bud nodules, consolidation, cavitation, ground glass opacity, miliary nodules, lymphadenopathy and pleural effusion. It is unusual to encounter cystic changes in patients with pulmonary tuberculosis, and these findings should be differentiated from other cystic lung diseases. This case series describes five cases of cystic lung disease in children with tuberculosis (TB) with illustrative chest radiography and CT findings.</p><p><strong>Contribution: </strong>The manuscript highlights the need to consider tuberculosis as a possible cause of acquired cystic lung disease in appropriate clinical settings, particularly in endemic regions.</p>","PeriodicalId":43442,"journal":{"name":"SA Journal of Radiology","volume":"27 1","pages":"2725"},"PeriodicalIF":0.9,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10546250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41142920","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}
SA Journal of RadiologyPub Date : 2023-09-27eCollection Date: 2023-01-01DOI: 10.4102/sajr.v27i1.2730
Tanusha Sewchuran, Joel M Kabeya
{"title":"Calcinosis circumscripta of the breasts: The deeper meaning.","authors":"Tanusha Sewchuran, Joel M Kabeya","doi":"10.4102/sajr.v27i1.2730","DOIUrl":"10.4102/sajr.v27i1.2730","url":null,"abstract":"<p><p>Calcinosis circumscripta involving the breasts usually hints at an underlying systemic cause, most commonly connective tissue disorders such as scleroderma or dermatomyositis. Localised scleroderma, also known as morphoea, is not usually associated with the systemic anomalies affecting the lungs and gastrointestinal system, but does manifest as calcified dermal and subdermal sclerotic plaques. Histological confirmation with skin biopsy is diagnostic.</p><p><strong>Contribution: </strong>Recognition of the atypical, bizarre, linear dystrophic calcifications on mammography should direct appropriate systemic investigations.</p>","PeriodicalId":43442,"journal":{"name":"SA Journal of Radiology","volume":"27 1","pages":"2730"},"PeriodicalIF":0.9,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10546231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41172317","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}
SA Journal of RadiologyPub Date : 2023-09-26eCollection Date: 2023-01-01DOI: 10.4102/sajr.v27i1.2700
Anagha R Joshi, Mridula M Muthe, Sheethal Gonapati, Mehak R Agarwal, Pareekshith R Rai
{"title":"Ipsilateral renal dysgenesis or agenesis with tubulocystic anomalies of the mesonephric duct.","authors":"Anagha R Joshi, Mridula M Muthe, Sheethal Gonapati, Mehak R Agarwal, Pareekshith R Rai","doi":"10.4102/sajr.v27i1.2700","DOIUrl":"https://doi.org/10.4102/sajr.v27i1.2700","url":null,"abstract":"<p><p>Tubulocystic anomalies of the mesonephric duct (MND) are a rare group of related entities with a perplexing clinical presentation. Ultrasound is a useful screening investigation, which can help identify a dysplastic kidney or point to renal agenesis and identify cystic or tubulocystic changes in the structures derived from the ureteric bud or MND. Further evaluation with MRI can help in characterisation and direct management. The presence of a dysplastic kidney or absence of a kidney should prompt further evaluation for associated ureteric abnormalities such as ectopic insertion or ureterocoele, which could lead to a diagnosis of tubulocystic anomaly of the MND.</p><p><strong>Contribution: </strong>The authors describe two cases, briefly outline the diagnostic approach and summarise the literature on management. Reporting radiologists should be aware of these entities.</p>","PeriodicalId":43442,"journal":{"name":"SA Journal of Radiology","volume":"27 1","pages":"2700"},"PeriodicalIF":0.9,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10546241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41158615","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}
SA Journal of RadiologyPub Date : 2023-07-21eCollection Date: 2023-01-01DOI: 10.4102/sajr.v27i1.2684
Varsha Rangankar, Anmol Singh, Sanjay Khaladkar
{"title":"Pictorial review of the post-operative cranium.","authors":"Varsha Rangankar, Anmol Singh, Sanjay Khaladkar","doi":"10.4102/sajr.v27i1.2684","DOIUrl":"10.4102/sajr.v27i1.2684","url":null,"abstract":"<p><p>Imaging evaluation of the brain and cranium after cranial surgery is a routine and significant part of the workflow of a radiology department. Various normal expected findings and early and late complications are associated with the post-operative cranium. In this pictorial review, the authors describe the typical imaging features of the spectrum of various conditions associated with cranial surgery with illustrative cases.</p><p><strong>Contribution: </strong>A good knowledge and understanding of the spectrum of imaging appearances in the post-operative cranium is vital for the radiologist to accurately diagnose potential complications and distinguish them from normal post-operative findings, improving patient outcomes and guiding further treatment.</p>","PeriodicalId":43442,"journal":{"name":"SA Journal of Radiology","volume":"1 1","pages":"2684"},"PeriodicalIF":0.9,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10696547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42502599","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}
SA Journal of RadiologyPub Date : 2023-04-20eCollection Date: 2023-01-01DOI: 10.4102/sajr.v27i1.2592
Marara N Sondezi, Ines Buccimazza, Ntombizakhona B Madlala
{"title":"Outcomes of breast conserving therapy: Recurrence, imaging findings and histological correlation.","authors":"Marara N Sondezi, Ines Buccimazza, Ntombizakhona B Madlala","doi":"10.4102/sajr.v27i1.2592","DOIUrl":"10.4102/sajr.v27i1.2592","url":null,"abstract":"<p><strong>Background: </strong>Breast conserving therapy (BCT) is the mainstay therapy in patients with early breast cancer and selected patients with locally advanced breast cancer. No formal audit has been performed on BCT at our institution.</p><p><strong>Objectives: </strong>To determine the incidence and risk factors for ipsilateral breast tumour recurrence (IBTR). Study the imaging features of IBTR. Determine adherence to the proposed annual mammographic surveillance schedule.</p><p><strong>Method: </strong>Clinical, radiological and histopathological records of patients who underwent BCT from 01 January 2011 to 31 December 2015 were reviewed. Patients were followed up for at least 5 years.</p><p><strong>Results: </strong>Ninety-two patients were included in the study with a mean age of 54.3 years. Eighty of the 92 (87.0%) patients were imaged within 1-year post-BCT. Ipsilateral breast tumour recurrence was 6/92 (6.5%) with mean time to IBTR of 34.4 months. One of the 92 (1.0%) patients had a contralateral metachronous recurrence with no IBTR and 11/92 (12.0%) had distant metastases only. Pathological tumour size and extent (pT2) (68.5%) and pathological lymph node (pN0) (65.2%) were the most common locoregional staging. Infiltrating ductal carcinoma was the most common histological type (88%). Age < 35 years was associated with breast cancer recurrence (<i>p</i> < 0.01). Imaging findings of recurrence were microcalcification (odds ratio [OR]: 4), asymmetric density (OR: 4) and skin thickening (OR: 2.5).</p><p><strong>Conclusion: </strong>The occurrence of IBTR following BCT in our unit is acceptable and comparable to local and international units. The accuracy of assessing the post-BCT breast for IBTR is in keeping with international standards.</p><p><strong>Contribution: </strong>Improved radiological imaging interpretation of the post-BCT breast.</p>","PeriodicalId":43442,"journal":{"name":"SA Journal of Radiology","volume":"27 1","pages":"2592"},"PeriodicalIF":0.7,"publicationDate":"2023-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10157414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9485177","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}
Tineke van Zyl, Leon Janse van Rensburg, Komeela Naidoo, Marc Merven, Johan F Opperman
{"title":"Correlative imaging and histopathology of a complicated sinonasal teratocarcinosarcoma.","authors":"Tineke van Zyl, Leon Janse van Rensburg, Komeela Naidoo, Marc Merven, Johan F Opperman","doi":"10.4102/sajr.v27i1.2548","DOIUrl":"https://doi.org/10.4102/sajr.v27i1.2548","url":null,"abstract":"<p><p>Sinonasal teratocarcinosarcoma (SNTCS) is a highly malignant and rare tumour characterised by a complex admixture of teratomatous and carcinosarcomatous components. In the head and neck area, it almost exclusively occurs in the sinonasal cavities; however, rare instances of nasopharyngeal and oral cavity involvement have been reported, with fewer than 100 cases reported in the literature.</p><p><strong>Contribution: </strong>The contributed case involves the correlative CT, MRI and histopathology of a sinonasal teratocarcinosarcoma with intracranial involvement.</p>","PeriodicalId":43442,"journal":{"name":"SA Journal of Radiology","volume":"27 1","pages":"2548"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9900289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10742083","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}
Leoni de Man, Mari Wentzel, Cornel van Rooyen, Edwin Turton
{"title":"Comparison between ultrasound and chest X-ray to confirm central venous catheter tip position.","authors":"Leoni de Man, Mari Wentzel, Cornel van Rooyen, Edwin Turton","doi":"10.4102/sajr.v27i1.2587","DOIUrl":"https://doi.org/10.4102/sajr.v27i1.2587","url":null,"abstract":"<p><strong>Background: </strong>Mechanical central venous catheter (CVC) placement complications are mostly malposition or iatrogenic pneumothorax. Verification of catheter position by chest X-ray (CXR) is usually performed postoperatively.</p><p><strong>Objectives: </strong>This prospective observational study assessed the diagnostic accuracy of peri-operative ultrasound and a 'bubble test' to detect malposition and pneumothorax.</p><p><strong>Method: </strong>Sixty-one patients undergoing peri-operative CVC placement were included. An ultrasound protocol was used to directly visualise the CVC, perform the 'bubble test' and assess for the presence of pneumothorax. The time from agitated saline injection to visualisation of microbubbles in the right atrium was evaluated to determine the correct position of the CVC. The time required to perform the ultrasound assessment was compared to that of conducting the CXR.</p><p><strong>Results: </strong>Chest X-ray identified 12 (19.7%) malpositions while ultrasound identified 8 (13.1%). Ultrasound showed a sensitivity of 0.85 (95% confidence interval [CI]: 0.72 to 0.93) and a specificity of 0.5 (95% CI: 0.16 to 0.84). The positive and negative predictive values were 0.92 (95% CI: 0.80 to 0.98) and 0.33 (95% CI: 0.10 to 0.65), respectively. No pneumothorax was identified on ultrasound and CXR. The median time for ultrasound assessment was significantly shorter at 4 min (interquartile range [IQR]: 3-6 min), compared to performing a CXR that required a median time of 29 min (IQR: 18-56 min) (<i>p</i> < 0.0001).</p><p><strong>Conclusion: </strong>This study showed that ultrasound produced a high sensitivity and moderate specificity in detecting CVC malposition.</p><p><strong>Contribution: </strong>Ultrasound can improve efficiency when used as a rapid bedside screening test to detect CVC malposition.</p>","PeriodicalId":43442,"journal":{"name":"SA Journal of Radiology","volume":"27 1","pages":"2587"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10319935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9807399","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":"Radiologists' experiences and perceptions regarding the use of teleradiology in South Africa.","authors":"Renata Schoeman, Mario Haines","doi":"10.4102/sajr.v27i1.2647","DOIUrl":"https://doi.org/10.4102/sajr.v27i1.2647","url":null,"abstract":"<p><strong>Background: </strong>Teleradiology was implemented in South Africa in 1999, but the subsequent uptake was low and slow. The onset of the coronavirus disease 2019 (COVID-19) pandemic catapulted South African healthcare into the arena of teleradiology. This created the environment for re-examining the factors that enable or inhibit the uptake of teleradiology in both the public and private sectors.</p><p><strong>Objectives: </strong>This article reports on a study of a select sample of private and public sector radiologists' experiences with, and perceptions of, the benefits, opportunities, challenges and barriers to the implementation of teleradiology in the South African context.</p><p><strong>Method: </strong>Qualitative data on the perceived benefits and challenges of teleradiology, as well as on its enablers and the barriers to its implementation, were collected and analysed.</p><p><strong>Results: </strong>The uptake of teleradiology in the sample increased by 15.9% during the COVID-19 pandemic. The results demonstrated that teleradiology was perceived to have clear benefits on operational, personal and societal levels.</p><p><strong>Conclusion: </strong>It is important to address structural barriers to the implementation of teleradiology. Clear communication strategies and multistakeholder engagement are also required.</p><p><strong>Contribution: </strong>By investigating radiologists' experience with teleradiology, this study provides an understanding of the benefits, opportunities, challenges and barriers to implementation of services. These insights enable informed decision-making and stakeholder engagement and provide a foundation for establishing recommendations for the viable implementation of teleradiology in South Africa and other lower- and middle-income countries to promote access to healthcare.</p>","PeriodicalId":43442,"journal":{"name":"SA Journal of Radiology","volume":"27 1","pages":"2647"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10476222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10170199","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}
Lene Merbold, Chané Smit, Jason Ker-Fox, Andre Uys
{"title":"The radiologic progression of ameloblastomas.","authors":"Lene Merbold, Chané Smit, Jason Ker-Fox, Andre Uys","doi":"10.4102/sajr.v27i1.2668","DOIUrl":"https://doi.org/10.4102/sajr.v27i1.2668","url":null,"abstract":"<p><strong>Background: </strong>In developing countries, many diagnosed cases of ameloblastoma (AB) have a significant delay in receiving treatment because of patient factors and healthcare facility constraints.</p><p><strong>Objectives: </strong>The radiologic progression of ABs with delayed treatment was analysed using panoramic radiographs and cone-beam computed tomography imaging.</p><p><strong>Method: </strong>Histopathologically confirmed cases of AB with follow-up radiographs indicating no treatment were retrospectively reviewed over a study period of 10 years. Fifty-seven cases with 57 initial and 107 follow-up radiographs were included. Each follow-up radiograph was analysed for changes in borders, locularity, effects on surrounding structures and lesion size.</p><p><strong>Results: </strong>There was a general increase in poorly-demarcated lesions, with seven cases transforming from an initial unilocular to a multilocular appearance. At follow-up, there was an increase in cortical thinning and cortical destruction. Ameloblastomas presented with a three-fold increase in average size from the initial to follow-up visits. Regression analysis showed a statistically significant relationship between lesion duration and length (<i>p</i> = 0.001). A statistically significant relationship existed between duration and overall lesion dimensions when only the first and last observations per patient were used (<i>p</i> = 0.044).</p><p><strong>Conclusion: </strong>Considering the aggressive nature and unlimited growth potential, ABs with delayed treatment may show extensive growth, complicating their eventual management.</p><p><strong>Contribution: </strong>This study aimed to raise awareness of the importance of the timeous management of patients with AB by highlighting the detrimental effects of delayed treatment.</p>","PeriodicalId":43442,"journal":{"name":"SA Journal of Radiology","volume":"27 1","pages":"2668"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10244951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9612957","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}