SA Journal of RadiologyPub Date : 2021-08-31eCollection Date: 2021-01-01DOI: 10.4102/sajr.v25i1.2164
Tengku A Raja Mamat, Khairil A Sayuti, Chandran Nadarajan, Mohd R Mohd Zain
{"title":"Unilateral opaque chest radiograph in paediatrics: A case series.","authors":"Tengku A Raja Mamat, Khairil A Sayuti, Chandran Nadarajan, Mohd R Mohd Zain","doi":"10.4102/sajr.v25i1.2164","DOIUrl":"https://doi.org/10.4102/sajr.v25i1.2164","url":null,"abstract":"<p><p>Pulmonary underdevelopment is a rare congenital disease which manifests as persistent hemithorax opacification at chest radiography. We present three patients with different types of pulmonary underdevelopment, their imaging features and associated anomalies. Case 1 is a premature neonate with persistent respiratory distress. Further imaging confirmed right pulmonary hypoplasia, associated with a patent foramen ovale, patent ductus arteriosus and vertebral anomalies. Case 2 is a 6-year-old child with corrected anorectal malformation, and recurrent pneumonia. Further imaging confirmed left pulmonary aplasia, associated with an aberrant right subclavian artery and vertebral anomaly. Case 3 is a full term neonate who developed excessive drooling of saliva and respiratory distress. Further imaging confirmed right pulmonary agenesis, associated with an atrial septal defect, patent ductus arteriosus and tracheo-oesophageal fistula. Pulmonary underdevelopment is classified into three types: hypoplasia, aplasia and agenesis. The majority of them have associated anomalies. This condition should be considered a differential diagnosis in paediatric patients with an opaque hemithorax on chest radiography.</p>","PeriodicalId":43442,"journal":{"name":"SA Journal of Radiology","volume":"25 1","pages":"2164"},"PeriodicalIF":0.9,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8424740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39418717","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 : 2021-08-30eCollection Date: 2021-01-01DOI: 10.4102/sajr.v25i1.2168
Efosa P Iyawe, Bukunmi M Idowu, Olasubomi J Omoleye
{"title":"Radiology subspecialisation in Africa: A review of the current status.","authors":"Efosa P Iyawe, Bukunmi M Idowu, Olasubomi J Omoleye","doi":"10.4102/sajr.v25i1.2168","DOIUrl":"https://doi.org/10.4102/sajr.v25i1.2168","url":null,"abstract":"<p><strong>Background: </strong>Radiology subspecialisation is well-established in much of Europe, North America, and Australasia. It is a natural evolution of the radiology speciality catalysed by multiple factors.</p><p><strong>Objectives: </strong>The aim of this article is to analyse and provide an overview of the current status of radiology subspecialisation in African countries.</p><p><strong>Methods: </strong>We reviewed English-language articles, reports, and other documents on radiology specialisation and subspecialisation in Africa.</p><p><strong>Results: </strong>There are 54 sovereign countries in Africa (discounting disputed territories). Eighteen African countries with well-established radiology residency training were assessed for the availability of formal subspecialisation training locally. Eight (Egypt, Ethiopia, Kenya, Morocco, Nigeria, South Africa, Tanzania, and Tunisia) out of the 18 countries have local subspecialist training programmes. Data and/or information on subspecialisation were unavailable for three (Algeria, Libya, and Senegal) of the 18 countries. Paediatric Radiology (Ethiopia, Nigeria, South Africa, Tunisia) and Interventional Radiology (Egypt, Kenya, South Africa, Tanzania) were the most frequently available subspecialist training programmes. Except Tanzania, all the countries with subspecialisation training programmes have ≥ 100 radiologists in their workforce.</p><p><strong>Conclusion: </strong>There is limited availability of subspecialist radiology training programmes in African countries. Alternative models of subspecialist radiology training are suggested to address this deficit.</p>","PeriodicalId":43442,"journal":{"name":"SA Journal of Radiology","volume":"25 1","pages":"2168"},"PeriodicalIF":0.9,"publicationDate":"2021-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8424752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39418718","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":"Angiosarcoma of the pulmonary artery mimicking pulmonary thromboembolism.","authors":"Sitang Nirattisaikul, Arunee Dechaphunkul, Keerati Hongsakul","doi":"10.4102/sajr.v25i1.2150","DOIUrl":"https://doi.org/10.4102/sajr.v25i1.2150","url":null,"abstract":"<p><p>Primary pulmonary angiosarcomas (PPAs) are rare, and often, their diagnosis is delayed because of insidious clinical symptoms and imaging findings mimicking pulmonary thromboembolism (PE). A 33-year-old female patient presented with chest pain and progressive dyspnoea. Her initial diagnosis, based on clinical symptoms and CT pulmonary angiography (PA) findings, was PE. However, after treatment with anticoagulants, the patient failed to improve. A follow-up CTPA and further CT-guided biopsy results were compatible with angiosarcoma.</p>","PeriodicalId":43442,"journal":{"name":"SA Journal of Radiology","volume":"25 1","pages":"2150"},"PeriodicalIF":0.9,"publicationDate":"2021-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8424761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39418715","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 : 2021-07-28eCollection Date: 2021-01-01DOI: 10.4102/sajr.v25i1.2153
Kakia A F Namugenyi, Ferdinand M Oompie, Kasandji F Kabambi
{"title":"Maximum intensity projection aids in diagnosing acute appendicitis and mobile caecum: A case report and literature review.","authors":"Kakia A F Namugenyi, Ferdinand M Oompie, Kasandji F Kabambi","doi":"10.4102/sajr.v25i1.2153","DOIUrl":"https://doi.org/10.4102/sajr.v25i1.2153","url":null,"abstract":"<p><p>Appendicitis is a common childhood condition requiring surgical intervention and delayed diagnosis can have serious consequences. This report describes the case of a child who presented with an acute abdomen and intestinal obstruction. Multidetector (MD) CT demonstrated a left-sided caecum and an inflamed appendix with a faecolith. Maximum intensity projection (MIP) post-processing was key in identifying the appendicular artery and determine the diagnosis. At surgery, however, a mobile caecum and the appendix were positioned on the right side.</p>","PeriodicalId":43442,"journal":{"name":"SA Journal of Radiology","volume":"25 1","pages":"2153"},"PeriodicalIF":0.9,"publicationDate":"2021-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8335754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39313523","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 : 2021-06-17eCollection Date: 2021-01-01DOI: 10.4102/sajr.v25i1.2122
Nicolò Brandi, Laura Bartalena, Cristina Mosconi, Rita Golfieri
{"title":"A unique case of miliary pulmonary tuberculosis induced by bacillus Calmette-Guérin intravesical instillation with COVID-19 superinfection.","authors":"Nicolò Brandi, Laura Bartalena, Cristina Mosconi, Rita Golfieri","doi":"10.4102/sajr.v25i1.2122","DOIUrl":"https://doi.org/10.4102/sajr.v25i1.2122","url":null,"abstract":"<p><p>Intravesical instillation of Bacillus Calmette-Guérin (BCG) is used as an adjuvant treatment of bladder cancer. Systemic BCG infection occurs in less than 1% of cases, and pulmonary involvement is even rarer (0.3% - 0.7%), with a favourable prognosis. A 78-year-old male developed miliary tuberculosis (TB) secondary to intravesical BCG treatment and subsequent coronavirus disease 2019 (COVID-19) superinfection that led to patient death. High awareness amongst clinicians is needed to proceed with immediate appropriate therapy in these patients, especially during the COVID-19 pandemic.</p>","PeriodicalId":43442,"journal":{"name":"SA Journal of Radiology","volume":"25 1","pages":"2122"},"PeriodicalIF":0.9,"publicationDate":"2021-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8252158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39159218","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 : 2021-06-01eCollection Date: 2021-01-01DOI: 10.4102/sajr.v25i1.2062
Robin Scott, Shalendra K Misser, Dania Cioni, Emanuele Neri
{"title":"PI-RADS v2.1: What has changed and how to report.","authors":"Robin Scott, Shalendra K Misser, Dania Cioni, Emanuele Neri","doi":"10.4102/sajr.v25i1.2062","DOIUrl":"https://doi.org/10.4102/sajr.v25i1.2062","url":null,"abstract":"<p><p>Multiparametric magnetic resonance imaging (MRI) of the prostate has become a vital imaging tool in daily radiological practice for the stratification of the risk of prostate cancer. There has been a recent update to the Prostate Imaging-Reporting and Data System (PI-RADS). The updated changes in PI-RADS, which is version 2.1, have been described with information pertaining to the recommended imaging protocols, the techniques on how to perform prostate MRI and a simplified approach to interpreting and reporting MRI of the prostate. Explanatory tables, schematic diagrams and key representative images have been used to provide the reader with a useful approach to interpreting and then stratifying lesions in the four anatomical zones of the prostate gland. The intention of this article is to address challenges of interpretation and reporting of prostate lesions in daily practice.</p>","PeriodicalId":43442,"journal":{"name":"SA Journal of Radiology","volume":"25 1","pages":"2062"},"PeriodicalIF":0.9,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8252188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39159217","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 : 2021-05-28eCollection Date: 2021-01-01DOI: 10.4102/sajr.v25i1.2042
Nompumelelo P Gumede, Sithembiso M Langa, Basil Enicker
{"title":"MRI characteristics of intracranial masses in the paediatric population of KwaZulu-Natal: A neuroimaging-based study.","authors":"Nompumelelo P Gumede, Sithembiso M Langa, Basil Enicker","doi":"10.4102/sajr.v25i1.2042","DOIUrl":"https://doi.org/10.4102/sajr.v25i1.2042","url":null,"abstract":"Background MRI is the imaging modality of choice for the assessment of intracranial masses in children. Imaging is vital in planning further management. Objectives The purpose of this study was to describe the common intracranial masses and their imaging characteristics in the paediatric population referred to Inkosi Albert Luthuli Central Hospital for MRI of the brain. Method We retrospectively reviewed the medical records of paediatric patients (aged from birth to 18 years) who underwent MRI investigations for intracranial masses between January 2010 and December 2016. Results A total of 931 MRI brain scans were performed. One hundred and seven scans met the inclusion criteria, of which 92 were primary brain tumours and 15 were inflammatory masses. The majority were females (56%). The mean age was 12 ± 4.52 (range of 3–18 years). The most common presenting symptom was seizures (70/107, 65.4%). We categorised the masses according to supra- and infratentorial compartments. The most common site for masses was the supratentorial compartment (n = 56, 52%). The most common masses in the supratentorial compartment were craniopharyngiomas (14/45, 31.1%), whilst in the infratentorial compartment, the most common masses were medulloblastomas (24/47, 51.1%). Conclusion In our series, the supratentorial compartment was the commonest site for intracranial masses. The most common tumour in the infratentorial compartment was medulloblastoma. This information is vital in formulating differential diagnoses of intracranial masses.","PeriodicalId":43442,"journal":{"name":"SA Journal of Radiology","volume":"25 1","pages":"2042"},"PeriodicalIF":0.9,"publicationDate":"2021-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8182454/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39124035","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 : 2021-05-26eCollection Date: 2021-01-01DOI: 10.4102/sajr.v25i1.2146
Bates Alheit
{"title":"Letter to the editor: Addressing radiological terminology of basal ganglia and thalamic injury in hypoxic ischaemic injury.","authors":"Bates Alheit","doi":"10.4102/sajr.v25i1.2146","DOIUrl":"https://doi.org/10.4102/sajr.v25i1.2146","url":null,"abstract":"I refer to the pictorial review by Misser et al. on the correlation of the pathophysiology and magnetic resonance imaging (MRI) patterns in children with HIBI that appeared in the South African Journal of Radiology (SAJR) in October 2020.1 In this article, the authors classify MRI patterns and ascribe pathogenetic mechanisms to each. They refer to classic bilateral hypoxic ischaemic insults of the posterior putamina and ventrolateral thalami as an ‘acute profound pattern’1 and specify that the description of acute profound injury links this particular diagnosis with sentinel events, which include ruptured uterus, abruption of the placenta and prolapsed cord.2,3,4 A large number of cases with the BGT injury pattern have no record of having suffered a sentinel event; that is, naming these as an acute profound hypoxic ischaemic injury is inappropriate.","PeriodicalId":43442,"journal":{"name":"SA Journal of Radiology","volume":"25 1","pages":"2146"},"PeriodicalIF":0.9,"publicationDate":"2021-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8182450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39124036","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 : 2021-05-12eCollection Date: 2021-01-01DOI: 10.4102/sajr.v25i1.2072
Anagha Joshi, Mridula M Muthe, Vikrant Firke, Harshal Badgujar
{"title":"Preliminary experience with 3T magnetic resonance elastography imaging of the liver.","authors":"Anagha Joshi, Mridula M Muthe, Vikrant Firke, Harshal Badgujar","doi":"10.4102/sajr.v25i1.2072","DOIUrl":"https://doi.org/10.4102/sajr.v25i1.2072","url":null,"abstract":"<p><strong>Background: </strong>Magnetic resonance elastography (MRE) is a promising non-invasive technique for the identification and quantification of hepatic fibrosis. This manuscript describes our early experience with MRE for the assessment of the presence and staging of liver fibrosis on a 3T magnetic resonance imaging (MRI) system.</p><p><strong>Objectives: </strong>The purpose of this study was to describe the MRE physics, procedure, interpretation and drawbacks, along with a few recommendations as per our experience.</p><p><strong>Method: </strong>Magnetic resonance elastography was performed on 85 patients with a 3T MRI and the images were analysed both qualitatively and quantitatively. Liver stiffness was assessed by drawing freehand geographic regions of interest on the elastograms to cover the maximum portion of the hepatic parenchyma within the 95% confidence maps on each slice. Correlation with histopathology was performed whenever available.</p><p><strong>Results: </strong>Of the 80 patients who met the inclusion criteria, 41 patients displayed a normal liver stiffness measurement (LSM) and 39 patients had a raised LSM. In the patients who had a raised LSM, 14 patients had Stage I-II fibrosis, 8 patients had Stage II-III fibrosis, 6 patients had Stage III-IV fibrosis, 4 patients had Stage IV fibrosis or cirrhosis and 7 patients had non-alcoholic steatohepatitis. The mean thickness of the waves increased with increasing stages of fibrosis. The waves became gradually darker medially in patients with normal LSM as compared to the patients with raised LSM. Histopathology with METAVIR scoring was available in 46 patients, which agreed with the MRE findings in all except two patients.</p><p><strong>Conclusion: </strong>Magnetic resonance elastography is a suitable non-invasive modality for the identification and quantification of hepatic fibrosis.</p>","PeriodicalId":43442,"journal":{"name":"SA Journal of Radiology","volume":"25 1","pages":"2072"},"PeriodicalIF":0.9,"publicationDate":"2021-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8182447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39124037","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 : 2021-05-06eCollection Date: 2021-01-01DOI: 10.4102/sajr.v25i1.2061
Vandana Jahanvi, Abhimanyu Kelkar
{"title":"Chemical shift imaging: An indispensable tool in diagnosing musculoskeletal pathologies.","authors":"Vandana Jahanvi, Abhimanyu Kelkar","doi":"10.4102/sajr.v25i1.2061","DOIUrl":"https://doi.org/10.4102/sajr.v25i1.2061","url":null,"abstract":"<p><p>Chemical shift imaging (CSI) is an important fat-suppression technique in magnetic resonance imaging (MRI); it is used routinely in abdominal imaging to detect the presence of intralesional fat. Its utility in musculoskeletal imaging has recently gained interest as a technique that is complementary to routine imaging. It is believed to aid in diagnosing and differentiating various osseous pathologies. This review describes the role of CSI as an imaging technique for diagnosing various osseous and periarticular pathologies in different clinical scenarios.</p>","PeriodicalId":43442,"journal":{"name":"SA Journal of Radiology","volume":"25 1","pages":"2061"},"PeriodicalIF":0.9,"publicationDate":"2021-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8111635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38996212","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}