International Journal of Anatomy Radiology and Surgery最新文献

{"title":"Diagnostic Accuracy of the RIPASA Score in Suspected Acute Appendicitis in Adults: A Cross-sectional Study Comparing it with Histopathological Findings from Bagalkot, India","authors":"C Shobha, G Sushrutha, Bhimanagouda V Goudar","doi":"10.7860/ijars/2023/65210:2932","DOIUrl":"https://doi.org/10.7860/ijars/2023/65210:2932","url":null,"abstract":"Introduction: Acute appendicitis remains the most commonly occurring surgical emergency, with a prevalence rate of approximately 8% among individuals aged 10-30 years. The Raja Isteri Pengiran Anak Saleha for Appendicitis (RIPASA) scoring system appears to be an accurate, simple, and rapid parameter for predicting Acute Appendicitis (AA). Aim: To determine the validity and diagnostic efficiency of the RIPASA scoring system for acute appendicitis and compare it with histopathology. Materials and Methods: A cross-sectional study was conducted on patients admitted to Nijalingappa Medical College in Bagalkot, Karnataka, India, from January 2020 to June 2021. The study included patients of both genders above 18 years of age, presenting with right iliac fossa pain. Detailed history was obtained, and a thorough clinical examination was performed. Appropriate investigations were conducted, and the RIPASA score was calculated. Qualitative data were represented as frequency and percentage. Sensitivity, specificity, positive predictive values (PPV), negative predictive values (NPV), and diagnostic accuracy were calculated to assess the validity of the tool. An ROC curve was plotted to determine the area under the curve. Results: A total of 90 patients had RIPASA scores of ≥7.5, and the majority of them (75.6%) were under the age of 40 years, with a mean age of 39.9 years. The male-to-female ratio was 48.9:51.1, approximately 0.95. The sensitivity, specificity, and diagnostic accuracy of the RIPASA scoring system were 82%, 100%, and 82%, respectively. Conclusion: The RIPASA scoring system demonstrates good applicability and efficiency in diagnosing acute appendicitis. It is easily accessible and non-invasive, thereby reducing the cost of radiological investigations and unnecessary economic burden.","PeriodicalId":56235,"journal":{"name":"International Journal of Anatomy Radiology and Surgery","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134981458","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}

{"title":"Outcome of Limberg Flap Reconstruction in the Management of Pilonidal Sinus Disease: A Retrospective Study","authors":"S Pradeep, V Kalaivani, K Anupama Pujar, Bhavyadeep Korrapati","doi":"10.7860/ijars/2023/60931.2930","DOIUrl":"https://doi.org/10.7860/ijars/2023/60931.2930","url":null,"abstract":"Introduction: Pilonidal Sinus Disease (PSD) is a tract or cavity commonly seen in the sacrococcygeal region, usually containing a tuft of hair. It is mostly observed in drivers who have excessive hair in the natal cleft region. Although several surgical procedures have been described for the management of PSD, none have been universally accepted as the gold standard. Limberg flap reconstruction, following wide excision, offers a tension-free repair using a well-vascularised flap. This technique flattens the natal cleft, avoiding a midline scar and reducing the chance of recurrence. Aim: The aim of this study was to determine the outcomes of Limberg flap reconstruction in sacrococcygeal PSD. Materials and Methods: A retrospective descriptive study was conducted in the Department of General Surgery at M S Ramaiah Medical College, Bangalore, Karnataka, India. The study duration was six years, from January 2011 to January 2017. The study included a total of 40 patients aged between 15-70 years, with Tezel type III sacrococcygeal Pilonidal Disease (PND), who underwent the Limberg flap procedure. Data was collected and analysed from January to June 2021. Outcome measures such as duration of hospital stay, time required to return to work, and procedure-related complications associated with procedure were analysed and entered into an Excel sheet. Results: The mean age of the study participants was 18.02±6.87 years. Out of the 40 patients, 4 (10%) developed complications. Superficial wound infection was observed in 1 (2.5%) patient, which healed within two weeks. Minimal flap necrosis was observed in 2 (5%) patients, who underwent debridement and dressings on an outpatient basis. The wounds healed within three to four weeks. Recurrence was reported in 1 (2.5%) patient. The mean time to return to work was 18.7±4.88 days. Conclusion: Limberg flap reconstruction for sacrococcygeal PSD is a simple technique with a lower complication rate, faster return to normal activity, and a low recurrence rate.","PeriodicalId":56235,"journal":{"name":"International Journal of Anatomy Radiology and Surgery","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135446152","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}

{"title":"Mylohyoid Bridging of the Mandible and its Clinical Importance in Dry Mandibles: A Cross-sectional Study","authors":"P. Samanta, A. Priya","doi":"10.7860/ijars/2023/53104.2860","DOIUrl":"https://doi.org/10.7860/ijars/2023/53104.2860","url":null,"abstract":"Introduction: Mylohyoid Bridging (MB) is a hyperostotic variation in the mandible. On the inner aspect of the ramus of the mandible, the Mylohyoid Groove (MG) is observed. The content of this groove is the mylohyoid nerve and vessels. The mylohyoid bridging can compress these neurovascular structures. Aim: To determine the incidence of mylohyoid bridging and to determine, whether it is complete/incomplete or proximal/distal or unilateral/bilateral. Materials and Methods: The present cross-sectional study was conducted in the Department of Anatomy, School of Medical Sciences and Research, Sharda University, Greater Noida, Uttar Pradesh, India, in July 2022. The study was conducted on 60 dried human mandibles (120 sides). The mandibles were collected from the Department of Anatomy. The mandibles were observed for the presence of a mylohyoid bridge on the inner aspect of its ramus on both sides. Results were expressed using descriptive statistics and were expressed in terms of frequency and percentage. Results: Mylohyoid bridge was observed in three out of 120 (2.5%) mylohyoid grooves. All the observed mylohyoid bridges were incomplete types (one each of proximal type, intermediate type, and distal type). In one of the mandible, a triangular bony spicule was noted at the proximal end of the mylohyoid groove, in a close approximation of the mandibular foramen on the right-side, whereas in one of the mandible, the mylohyoid groove was very deep, and communication between the mylohyoid groove and mandibular canal was noted. Conclusion: Knowledge regarding mylohyoid bridging will help in the successful administration of inferior alveolar nerve block.","PeriodicalId":56235,"journal":{"name":"International Journal of Anatomy Radiology and Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71263125","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}

{"title":"Association between American College of Radiology Thyroid Imaging Reporting and Data System and Bethesda Scoring System in Assessment of Thyroid Nodule: A Prospective Cross-sectional Study","authors":"Rithi Melissa Dsilva, HB Suresh, C. Jayaprakash","doi":"10.7860/ijars/2023/55447.2853","DOIUrl":"https://doi.org/10.7860/ijars/2023/55447.2853","url":null,"abstract":"Introduction: In view of increased detection of incidental thyroid nodules on ultrasonography, there is a need for standardising the reporting system of thyroid nodules for better patient management. Aim: To assess concordance between two classification systems of thyroid nodules: American College of Radiology (ACR) Thyroid Imaging Reporting and Data System (TIRADS) 2017 criteria on sonography and Bethesda categories on cytology. Materials and Methods: A prospective, cross-sectional validation study was conducted in Department of Radiology in collaboration with the Department of Pathology at a tertiary care hospital in Dakshina Kannada district, Karnataka, India, over a period of 12 months between October 2017 to September 2018. A total of 175 thyroid nodules detected on Ultrasonography (USG) were categorised based on ACR TIRADS 2017 criteria. Ultrasound guided Fine Needle Aspiration Cytology (FNAC) was performed on the nodules and were scored on the basis of Bethesda categories. Nodules were categorized into benign and malignant under TIRADS and Bethesda and their concordance was assessed. Sensitivity, specificity, positive and negative predictive value were assessed. Pearsons Chi-square test statistical method and kappa values were used in analysis. Results: Solid composition, hypoechoic echotexture, taller than wide shape, irregular margin and microcalcification descriptors of ACR TIRADS 2017 system were features more in favour of a malignant nodule. With FNAC as gold standard, TIRADS had a sensitivity, specificity, positive and negative predictive value and diagnostic accuracy of 91.7 %, 86.3%, 63.5%, 97.6% and 87.4% respectively (p-value <0.001). Conclusion: The stratification of risk among thyroid nodules as benign or malignant using ACR TIRADS 2017 criteria yielded good result in our study. With careful examination of nodules, TIRADS can be used to select appropriate nodules for further evaluation with cytology.","PeriodicalId":56235,"journal":{"name":"International Journal of Anatomy Radiology and Surgery","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71263294","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}

{"title":"Luminal and Extraluminal Factors in Normal and Pathological Appendix- A Cadaveric Study from Central Kerala, India","authors":"Palaniappan Gajapriya, Sathappan Sivaraj, MB Prasanna","doi":"10.7860/ijars/2023/56903.2852","DOIUrl":"https://doi.org/10.7860/ijars/2023/56903.2852","url":null,"abstract":"Introduction: Appendicitis is the most common clinical entity among the acute abdominal emergencies. Variations in the position of appendix along with degree of inflammation makes the clinical presentation of the condition notoriously inconsistent. Anatomical knowledge about the organ is thereby mandatory for the clinical assessment and to make a confident diagnosis. Obstructive causes have been found to be responsible in 50-80% cases of acute appendicitis. The way in which the inflammatory process proceeds, still remains a topic of debate. Aim: To study the luminal and extraluminal factors in both normal and pathological appendices. Materials and Methods: This was a cross-sectional descriptive study on gross morphological parameters like frequency of various positions, blood supply of appendix, length of appendix and mesoappendix, gross luminal content conducted on 50 normal and 53 pathological appendices collected from the Departments of Forensic Medicine, Anatomy and Pathology in the Government Medical College, Kottayam, Kerala, India, for a period of one year from April 2013-March 2014. Data entered in the excel sheet was further analysed using Statistical Package for Social Sciences (SPSS) software. Continuous variables were summarised as mean and Standard Deviation (SD) and the significance between their mean variables were analysed using t-test. Results: The most common age group presenting with appendicitis was 15-30 years with male incidence more than female. Appendices were supplied by single artery in 64% and by dual arteries in 36% samples. The average length of normal appendix was 7.8±2.33 cm and pathological appendix was 6.05±1.83 cm. Total 34 (77%) of normal appendices and 9 (81.81%) of pathological appendices showed shortening in length of mesoappendix from the tip of appendix. Common positions in normal and pathological appendices were retrocaecal and pelvic respectively. The most common complication presented in this study was perforation (n=7). Appendices were fixed in 16 (32%) of normal and 12 (22.6%) of pathological appendices. Fixity and complication were commonly associated with retrocaecal position. Conclusion: Appendicitis was more common among the younger age groups. The positions of appendix had no role in initiating the appendicitis. But fixity in particular position played an important role in late presentation thereby favouring complications.","PeriodicalId":56235,"journal":{"name":"International Journal of Anatomy Radiology and Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71263689","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}

{"title":"Association between Main Pulmonary Artery Diameter and COVID-19 Severity- A Cross-sectional Study","authors":"Aysha Abna, A. Braggs, Soujanya Mynalli","doi":"10.7860/ijars/2023/59317.2911","DOIUrl":"https://doi.org/10.7860/ijars/2023/59317.2911","url":null,"abstract":"Introduction: Long-term consequences of the Coronavirus Disease 2019 (COVID-19) pneumonia infection, like lung vessel thrombosis and pulmonary hypertension, require prompt diagnosis and management. Hence, measurement of Main Pulmonary Artery Diameter (MPAD) in patients with moderate to severe Computed Tomography (CT)-based severity scoring helps detect the possibility of complication early. In this study, Coronavirus Disease 2019 Reporting and Data System (CO-RADS) scoring for suspected patients were done. Aim: To measure MPAD in Reverse Transcription-Polymerase Chain Reaction (RT-PCR) COVID-19 positive (CO-RADS 6) and highly COVID-19 pneumonia suspicious patients (CO- RADS 4, 5) and then to associate with CT Severity Score (CTSS). Materials and Methods: This cross-sectional, retrospective study was conducted in the Department of Radiodiagnosis, Father Muller Medical College, Mangalore from January 2020 to January 2022. Total of 200 patients, including 141 males and 59 females, who were highly suspicious and positive for COVID-19 pneumonia were studied. CT findings were noted, and CTSS was calculated. This was used to categorise the study sample into mild, moderate, and severe categories. MPAD was then measured for the corresponding patients. The measurement was then associated with the COVID-19 CTSS scoring using the Chi-square test, and p-value<0.05 was considered significant. Results: Considering various parameters like age, gender, co- morbidities, and CTSS with MPAD, there was no statistically significant association between the former three parameters. Considering CTSS with MPAD, there were 72 mild, 92 moderate, and 36 severe cases. The study found a highly significant association between co-morbidities and CTSS (p-value=0.009) and a significant association between MPAD and the CTSS (p-value=0.024). Conclusion: MPAD could be used to predict the possibility of future complications like lung vessel thrombosis and pulmonary artery hypertension in patients highly suspicious and positive for COVID-19 pneumonia.","PeriodicalId":56235,"journal":{"name":"International Journal of Anatomy Radiology and Surgery","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71264111","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}

{"title":"Factors Affecting Wound Healing after Laparotomy at a Tertiary Care Hospital, Odisha, India: A Prospective Interventional Study","authors":"Sucheta Panigrahi, Sudarsan Sethy, Kishan Bhoi, Supreet Saurav, Manish Panigrahi","doi":"10.7860/ijars/2023/59903.2885","DOIUrl":"https://doi.org/10.7860/ijars/2023/59903.2885","url":null,"abstract":"Introduction: Wound healing after the injury occurs after various phases and is affected by multiple factors. It plays a psychological role for the surgeon and patients, influencing morbidity and hospital stay. Factors like age, nutrition, use of steroids, type of incision, diabetes and infection plays an essential role in wound healing. Aim: To assess the factors influencing patients and affecting wound healing after laparotomy. Materials and Methods: This prospective interventional study was carried in the Department of General Surgery, Veer Surendra Sai Institute of Medical Sciences and Research, Burla, Sambalpur, Odisha, India, between October 2019 and September 2021 on 100 patients undergoing laparotomy, admitted in the surgical ward. Data was collected regarding clinical history including co-morbid conditions (diabetes, hypertension, anaemia), general physical and systemic examination and relevant diagnostic investigations. The collected data was tabulated as mean±Standard Deviation (SD), frequency (n) and percentage (%) for proper analysis, represented in form of pie-charts and bar diagrams. Results: A total of 100 patients undergoing laparotomies were studied, with maximum participants in 61-70 years of age. Out of these, 40 patients were found to have delayed wound healing (mean age: 62.2 years), 10 (25%) were females and 30 (75%) were males. Wound infection was most common (n=38) factor for delayed healing followed by diabetes (16 patients out of 30 known diabetics), and consumption of alcohol (14 patients out of 24 known alcoholics) and smoking (20 out of 25 known chronic smokers). Conclusion: The incidence of delayed healing was higher in the present study with an increased incidence of wound infection. Clinical factors of low haemoglobin, low serum albumin, history of diabetes mellitus, alcohol and smoking, were observed to be associated with delayed wound healing along with physiological predisposing factors of increasing age and gender. These factors should be considered, and efforts can be made to manage these risk factors for proper care of patients.","PeriodicalId":56235,"journal":{"name":"International Journal of Anatomy Radiology and Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71264462","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}

{"title":"Morphometric Study of Sulci Tali and Calcanei and its Clinical Significance: A Cross-sectional Analytical Study","authors":"Sulekha Mangesh Kolap, Siddhesh Prakash Prabhu, Uday Narayan Kudalkar","doi":"10.7860/ijars/2023/60821.2933","DOIUrl":"https://doi.org/10.7860/ijars/2023/60821.2933","url":null,"abstract":"Introduction: Knowledge of the vascular anatomy of the talus and calcaneus, particularly the sinus tarsi in the foot, is important for orthopaedic and vascular surgeons performing surgical procedures. Aim: The aim of this study was to measure and compare the dimensions of the right and left tali and calcanei, as well as the right and left sulci tali and calcanei. Materials and Methods: A cross-sectional analytical study was conducted at the Department of Anatomy, Goa Medical College, Bambolim, Goa, India, from March 2020 to August 2022. The study included 62 calcanei (32 left, 30 right) and 50 tali (26 left, 24 right) of unspecified gender/age. Measurements of the length and width of the tali and calcanei, as well as the dimensions of the sulci tali and calcanei, were obtained using digital Vernier calipers. The number of vascular foramina was also recorded. Statistical analysis including mean, standard deviation (SD), and p-values was performed using Statistical Package for the Social Sciences (SPSS) software version 22.0. Results: The length of the right and left tali was measured as 50.85±3.44 mm and 51.87±3.86 mm, respectively (p-value=0.32), while the width of the right and left tali was measured as 36.92±4.0 mm and 38.51±2.65 mm, respectively (p-value=0.10). The length of the right and left sulcus tali was measured as 31.44±2.82 mm and 32.01±2.78 mm, respectively (p-value=0.47), with the width of the right and left sulcus tali measured as 10.08±3.47 mm and 10.9±3.45 mm, respectively (p-value=0.40), and the depth of the right and left sulcus tali measured as 4.65±0.82 mm and 5.01±1.33 mm, respectively (p-value=0.24). The length of the right and left calcanei was measured as 72.58±5.77 mm and 72.75±5.44 mm, respectively (p-value=0.90), with the width of the right and left calcanei measured as 28.56±2.52 mm and 27.76±2.42 mm, respectively (p-value=0.21). The length of the right and left sulcus calcanei was measured as 34.62±2.59 mm and 34.8±3.3 mm, respectively (p-value=0.81), with the width of the right and left sulcus calcanei measured as 10.85±2.12 mm and 10.69±2.07 mm, respectively (p-value=0.75), and the depth of the right and left sulcus calcanei measured as 2.64±0.77 mm and 2.93±0.83 mm, respectively (p-value=0.17). A total of 232 and 335 vascular foramina were found in the sulci tali on the right and left sides, respectively. A total of 172 and 168 vascular foramina were found in the sulci calcanei on the right and left sides, respectively. Conclusion: The dimensions of the left side were generally higher compared to the right for most of the measured variables. This study provides valuable insights for clinicians from a surgical perspective and in the context of fracture healing and foot rehabilitation procedures.","PeriodicalId":56235,"journal":{"name":"International Journal of Anatomy Radiology and Surgery","volume":"364 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135445795","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}

{"title":"Utility of Diffusion-Weighted MRI with ADC Values in the Characterisation of Endometrial Lesions: A Prospective Cohort Study","authors":"Amandeep Singh, Parmeet Kaur, Amitojveer Singh, Gursangeet Singh, Arvinder Singh, Vijinder Arora","doi":"10.7860/ijars/2023/62440.2926","DOIUrl":"https://doi.org/10.7860/ijars/2023/62440.2926","url":null,"abstract":"Introduction: Endometrial lesions are a diagnostic dilemma for both radiologists, as well as, gynecologists. Characterising these lesions is crucial for effective management. The Apparent Diffusion Coefficient (ADC) reflects the molecular translational movement of water molecules. Malignant tumours, with higher cellularity than benign tumours, exhibit decreased ADC values compared to benign lesions. Aim: This study aimed to evaluate the diagnostic accuracy of ADC in conjunction with Diffusion-weighted Images (DWI) for differentiating malignant and benign endometrial lesions. Materials and Methods: A prospective cohort study was conducted at the Outpatient Department (OPD) of Radiodiagnosis at Sri Guru Ram Das Charitable Hospital in Amritsar, Punjab, India. The study spanned one year and seven months, from February 2020 to October 2021. A total of 100 female patients across all age groups with clinically suspected gynecological complaints related to the endometrium were included. Magnetic Resonance Imaging (MRI) was used to the examine the patients with endometrial lesions, and the results were compared with histopathology. The ADC values of benign and malignant lesions were statistically analysed using Student's t-test. Statistical significance was defined as a p-value < 0.05. Results: The mean age of participants with benign lesions was lower than that of those with malignant lesions (53.47±8.75 years and 60.00±13.93 years, respectively). The 100 individuals were divided into two groups: group I included individuals with benign lesions (58%), and group II comprised patients with malignant lesions (42%). Conventional MRI demonstrated a sensitivity of 86.2%, specificity of 91.8%, Positive Predictive Value (PPV) of 91.6%, and Negative Predictive Value (NPV) of 100% in lesion detection and differentiation. Combining DWI and ADC value mapping at a high b-value (b=800) in MRI significantly increased sensitivity (92.1%), specificity (97.9%), PPV (97.9%), and NPV (92.3%). Conclusion: The addition of DWI and ADC values to conventional MRI significantly improved the ability to distinguish malignant endometrial lesions from benign ones. However, histopathology remains the gold standard investigation as MRI inference cannot differentiate low-grade endometrial carcinoma from hyperplasia.","PeriodicalId":56235,"journal":{"name":"International Journal of Anatomy Radiology and Surgery","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135446653","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}

{"title":"Morphometric Study of Different Orbital Dimensions in Dry Skull in Eastern India- A Cross-sectional Study","authors":"P. Chakraborty, Alipta Bhattacharya, Anamika Ghosh, A. Bhattacharya, A. K. Ghosal","doi":"10.7860/ijars/2023/55329.2878","DOIUrl":"https://doi.org/10.7860/ijars/2023/55329.2878","url":null,"abstract":"Introduction: Existing data regarding the relative position of the various bony landmarks of the orbit suggest that the position of these landmarks may vary depending on the racial population studied. The present study will provide useful baseline orbital morphometric data in Eastern Indian population. Aim: To study the morphometric data of the different orbital dimensions, fissures and foramens of dry skulls in Eastern Indian region. Materials and Methods: This cross-sectional study was done in the department of Anatomy, of a Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India from January 2016 to June 2020. Total 101 adult dry skulls (71 male and 30 female) collected from the departments of Anatomy of four medical colleges were included in the study. Orbital height, breadth, index, distance between Supraorbital Notch/foramen (SON) to Superior Orbital Fissure distance (SOF), the Anterior Lacrimal Crest (ALC) to Posterior Lacrimal Crest (PLC), ALC to the medial border of the optic canal, orbital floor and lateral wall were measured. Results: Based on Orbital Index (OI) 39.12% skulls were found to be in mesoseme, 50.5% in microseme and 10.4% in megaseme category, both genders taken together. The mean SON to SOF distance was 42.48 mm in males and 41.52 mm in females. Mean Infraorbital Foramen (IF) to Inferior Orbital Fissure (IOF) distance was 22.4 mm in males and 22.26 mm in females. Average Frontozygomatic Suture (FZ) to Inferior Orbital Fissure (IOF) was 24.35 mm whereas it was 32.97 mm for the ALC to Optic canal (OC) distance. Conclusion: Most of the skulls studies belonged to the microseme category. Orbital height and breadth were significantly higher in males compared to females.","PeriodicalId":56235,"journal":{"name":"International Journal of Anatomy Radiology and Surgery","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71263193","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}