Ş. Alçiçek, B. Yazıcı, A. Oral, I. Şimşir, S. Tatlıdil, A. Akgün
{"title":"The Value of F18-FDG PET/CT in Medullary Thyroid Cancer Patients with Persistent Elevated Calcitonin Levels","authors":"Ş. Alçiçek, B. Yazıcı, A. Oral, I. Şimşir, S. Tatlıdil, A. Akgün","doi":"10.4172/2155-9937.1000149","DOIUrl":"https://doi.org/10.4172/2155-9937.1000149","url":null,"abstract":"Purpose of the Study In this retrospective study, we reported our experience with FDG-PET/CT in evaluation of medullary thyroid cancer (MTC) patients with persistent elevated calcitonin levels. Materials and Methods A total of 33 F-18 FDG PET/CT scans and 9 somatostatin receptor imaging (SRI) (6 In-111 octreotide and 3 Ga-68 DOTATATE PET/CT) of 25 MTC patients with persistently elevated calcitonin levels, performed for staging and restaging, were analyzed retrospectively. The scans were compared lesion by lesion with histopathological data and other imaging methods. Because all patients had abnormally high calcitonin levels defined as persistent disease, negative F-18 FDG PET/CT scans accepted as false negative. Because there was no true-negative study, only sensitivity and positive predictive value (PPV) were calculated. Calcitonin levels and SUVmax values were assessed by Mann- Whitney U test and the ROC curve analysis. Results There were 11 true-positive, 11 false-positive and 11 false-negative F-18 FDG PET/CT scans. Sensitivity and PPV were 50% and 50% respectively. Difference of mean calcitonin level between true-positive cases and the others was nonsignificant. SUVmax of true-positive lesions were significantly higher than of the others. All 9 SRIs were negative. Conclusions FDG PET/CT scan appeared to be less sensitive. However, it should be considered that F-18 FDG PET/CT was performed to the patients with only no lesion had been detected by the other imaging modalities in this group. Because F-18 FDG PET/CT was not performed when a residual or recurrent lesion had clearly been detected before, sensitivity of 50% was considered to be acceptable.","PeriodicalId":89157,"journal":{"name":"International journal of molecular imaging","volume":"41 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81181394","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}
K. Mustafa, Y. Gokhan, S. Suha, C. Bahadır, P. Ismet
{"title":"Verification of Endotracheal Intubation with Ultrasonography in Emergency Medicine Clinic","authors":"K. Mustafa, Y. Gokhan, S. Suha, C. Bahadır, P. Ismet","doi":"10.4172/2155-9937.1000141","DOIUrl":"https://doi.org/10.4172/2155-9937.1000141","url":null,"abstract":"Introduction and Aim: Endotracheal intubation (EI) is vital in emergency medicine where airway management is critical. In literature haven't got any gold standard method for endotracheal tube (ET) confirmation. Aim of our study is to compare sensitivity and specificity of ultrasonography (USG) that has become widespread in emergency medicine, in confirmation of ET with other methods. Materials and Methods: This study is a clinical observational prospective single-centered and conducted at Emergency Department of A°zmir Bozyaka Training and Research Hospital in September – November 2014. All the patient above 18 years old who had been intubated because of medical indications and cardiac arrest are included. End-tidal waveform capnograph and oscultation were used. We used Ultrasonography (USG) just after incubation for confirmation of tube placement. During ventilation, both hemithorax and epigastric area were auscultated. Simultaneously, we used USG for lung sliding bilaterally. After six ventilations, we recorded value of partial pressure of carbon dioxide (pCO2) on capnograph and whether waveform was present, or not. Results: 37 patients were included to the study. 19 (51.4%) were men. 21 (56.8%) of the patient were intubated due to cardiac arrest, 2 (5.4%) of them due to low Glasgow coma scale (GCS), 12 (32.4%) of them too difficult intubation, 1 (2.7%) of them due to low partial pressure of oxygen (pO2), 1 (2.7%) of them to change ET. Sensitivity of USG for confirmation of tube placement is 100% (CI 95%; 40.23-100%), specificity is 96.97% (95%CI; 84.18-99.49%), positive predictive value (PPV) 80% (CI 95%; 28.81-96.70%), negative predictive value (NPV) 100% (CI 95%; 89.01-100%). Kappa value of USG is 0,87. Conclusion: USG is being largely used in emergency departments and shows high sensitivity and specificity to confirm ET placement. USG can be used to confirm endotracheal tube placement; so, complications of esophageal intubation can be avoided.","PeriodicalId":89157,"journal":{"name":"International journal of molecular imaging","volume":"56 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2018-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87179665","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}
Kasmika Ghimire Kasmika, P. Peng, Min Guo, Delin Zhong
{"title":"Computed Tomography: A Reliable Modality for the Assessment of Bowel Wall Thickening to Categorize Benign and Malignant Lesions of Bowel Wall","authors":"Kasmika Ghimire Kasmika, P. Peng, Min Guo, Delin Zhong","doi":"10.4172/2155-9937.1000145","DOIUrl":"https://doi.org/10.4172/2155-9937.1000145","url":null,"abstract":"Presently, CT is considered a first-line modality for evaluation of a variety of small and large bowel diseases. A wide spectrum of intestinal wall morphologic and enhancement abnormalities can be seen with bowel disorders. Once an abnormality is detected, the radiologist needs a systematic approach for determining the specific cause of the intestinal abnormality. Bowel wall thickening may be related to several entities, including normal variants, inflammatory conditions, and neoplastic disease.","PeriodicalId":89157,"journal":{"name":"International journal of molecular imaging","volume":"17 4 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78366869","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":"Preliminary Study of the Location of the Her2 Proteins by Molecular Imaging (MALDI-IMS) in a Histological Section of the Breast","authors":"L. Cantero, L. Valero, M. S. D. Pino, L. Bernet","doi":"10.4172/2155-9937.1000i111","DOIUrl":"https://doi.org/10.4172/2155-9937.1000i111","url":null,"abstract":"Subsequent staining of the slice with eosin/hematoxylin indicates that the peptide signal is in a cell proliferation zone in the tissue. Figure 1: (A) Peptide identification of Her2 by LC/MS (715.4 Daltons) (B) Molecular imaging of the 715.4 peptide distribution of Her2 protein in breast biopsy tissue (C) Subsequent staining of the EH slice. Image 1 mm (D) Eosyn Hematoxylin image with microscope (90 μm)","PeriodicalId":89157,"journal":{"name":"International journal of molecular imaging","volume":"94 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83912342","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":"Complex Sigmoid Diverticulitis Presenting as Tubo-Ovarian Abscess and Developed Iliopsoas Abscess as Complications","authors":"P. Balaji","doi":"10.4172/2155-9937.1000146","DOIUrl":"https://doi.org/10.4172/2155-9937.1000146","url":null,"abstract":"Introduction: This case report illustrates complex sigmoid diverticulitis presenting as tubo-ovarian abscess and developed iliopsoas abscess as complications. Case description: A 37-year-old female presented with lower abdominal pain, fever and diarrhoea. Initial clinical assessment and CT imaging diagnosed tubo-ovarian abscess. She underwent laparoscopic drainage. Patient represented with similar complaints. Further imaging visualised persistent tubo-ovarian abscess with a new iliopsoasabscess. Her disease progression and initial treatment failure led to clinical diagnosis of sigmoid diverticulitis. The patient underwent Hartmann’s procedure and radiological drainage and has been asymptomatic since then. A Hartmann reversal is planned. Discussion and Conclusion: First, it demonstrates the potential for sigmoid diverticulitis to present as tuboovarian abscess and develop iliopsoas-abscess complications. Second, it signifies prudence of high degree suspicion when evaluating female patients with pelvic abscesses and gastrointestinal symptoms. Finally, it shows the value of the MDT-approach in providing optimal care.","PeriodicalId":89157,"journal":{"name":"International journal of molecular imaging","volume":"27 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78791540","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":"In Silico Study of miR-132 with mRNA of Acetylcholinesterase to Investigate the Binding Affinity for Interaction","authors":"Sabahat Sohail","doi":"10.4172/2155-9937.1000144","DOIUrl":"https://doi.org/10.4172/2155-9937.1000144","url":null,"abstract":"Acetylcholinesterase (AChE) is a key enzyme in central nervous system which hydrolaze neurotransmitter acetylcholine (ACh) at cholinergic brain synapses. High expression of AChE in brain and muscles is responsible for diverse neurological conditions leading from neuromuscular, neurodegenerative and neuropsychological diseases. miRNA-132 is a non-coding RNA molecule which help to regulate the expression level of number of genes involved in neurological development, angiogenesis and synaptic transmission. However, miR-132 is the only miR so far that has been experimentally validated as targeting AChE, with consequences on inflammatory responses. Various bioinformatics tools like MODELLER, I-Tasser, ModeRNA, 3D-Dart, ERRAT, ProSA and Rampage were employed for AChE, miR-132 and mRNA model building and their validations. The binding affinities of these macromolecules were also investigated. The results revealed that the miR-132 binds to 3'-UTR region of AChE. The catalytic triad Ser-203, His-447 and Glu-334 found in active site gorge of protein binds to the ligand. Thus, the models of proteinligand and mRNA-miR-132 complexes proved miR-132 as an inhibitor of Acetylcholinesterase. Therefore miR-132 can be a potent inhibitor for Acetylcholinesterase and further analysis of this inhibitor could be helpful for exploration of ligand binding pockets and designing of a novel therapeutic target to cure central nervous system disorders.","PeriodicalId":89157,"journal":{"name":"International journal of molecular imaging","volume":"9 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81893774","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":"A Terrifying Drug Threats the Streets: Flakka - A Case Report","authors":"Ş. Atiş, G. Yilmaz, Oner Bozan, B. Çekmen","doi":"10.4172/2155-9937.1000142","DOIUrl":"https://doi.org/10.4172/2155-9937.1000142","url":null,"abstract":"Flakka, also scientific named alpha-pyrrolidinopenthophenone, is a synthetic drug substance that gives the person who uses it more self-confident, agitation, completely closes the consciousness. It has attracted attention in recent years due to the social destruction and become medical pathological condition in worldwide. We present a case who admitted using powdery drug, with similar sign and symptoms with Flakka, in which toxicological screening tests are normal to create awareness.","PeriodicalId":89157,"journal":{"name":"International journal of molecular imaging","volume":"3 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85285219","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":"The Role of PET/CT in the Diagnosis of Kikuchi-Fujimoto Disease: A Case Series and Review of the Literature","authors":"F. P. Mghanga, K. Bakari, H. Mayala","doi":"10.4172/2155-9937.1000139","DOIUrl":"https://doi.org/10.4172/2155-9937.1000139","url":null,"abstract":"Introduction: Kikuchi-Fujimoto disease (KFD), also known as Kikuchi’s disease or histiocytic necrotizing lymphadenitis, is a self-limiting case of non-cancerous lymphadenopathy. Although previous reports have demonstrated its physical findings and traditional imaging characteristics, few studies mentioned the application of 18fluorodeoxyglucose positron emission tomography-computed tomography (18F-FDG PET/CT) imaging in the diagnosis and follow-up of this disease. Here, we present three cases of KFD, describe the findings from PET/CT images and review the relevant literature to improve the diagnosis of this rare disease. \u0000Case presentation: Three patients, two females (15 and 16 years old) and one male (28 years old), with KFD were diagnosed by biopsy. All patients presented with bilateral cervical lymph nodes and no history of fever, and underwent multiple physical examinations, conventional imaging (Ultrasonography, CT and MRI) and 18F-FDG PET/CT. The images from 18F-FDG PET/CT revealed increased FDG uptake in all three patients. We also observed that the maximum standardized uptake value (SUVmax) in the affected lymph nodes in our patients ranged from 4.85 to 21.1 (mean ± SD, 10.53 ± 3.02) and the mean of SUVmax values ranged from 3.5 to 17.3 (mean ± SD, 7.35 ± 4.13), while 12 out of 16 large nodes with the maximum values of SUVmax were located in the cervical region. All patients presented with splenomegal which showed low affinity to FDG. \u0000Conclusion: Our study showed that 18F-FDG PET/CT imaging of KFD was mainly characterized by mild-tomoderate FDG uptake on the affected lymph nodes with maximum diameter of less than 35 cm and no or mild lymph node fusion and rarely extra-nodal infiltration. Moreover, 18F-FDG PET/CT may be a useful tool in the diagnosis of KFD prior to biopsy; where location, size and the response to FDG may be the important and useful factors for making clinical decision for biopsy.","PeriodicalId":89157,"journal":{"name":"International journal of molecular imaging","volume":"18 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2017-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80710831","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":"A Case of Severe Nephroptosis with Complete Tracer Retention at Standing Position Nuclear Renal Scan","authors":"R. Bertolo, F. Porpiglia, T. Angusti","doi":"10.4172/2155-9937.1000i108","DOIUrl":"https://doi.org/10.4172/2155-9937.1000i108","url":null,"abstract":"Nephroptosis is the increased mobility of the kidney moving \u0000downward out of its normal position when the patient stands up. The \u0000condition can lead to intense abdominal pain, nausea, and vomiting \u0000when standing, but it may also cause no symptoms at all. \u0000In case of suspected nephroptosis, diagnosed should be based on \u0000imaging with the patient both lying down and standing up. The images \u0000should reveal the kidney descending down by some centimetres. \u0000We present the case of a forty years old female with right severe \u0000flank pain and feeling of heaviness in the abdomen associated with \u0000nausea and vomiting when standing only and symptoms relief when \u0000lying down.","PeriodicalId":89157,"journal":{"name":"International journal of molecular imaging","volume":"73 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2017-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83094530","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":"The Efficiency of Applying the Radiology Technologist of the Radiation Dose Monitoring Technique During the Fluoroscopy Procedures for Oncology in Paediatrics Care Aged Between 4 to 7 Years","authors":"Hissa Mohammed","doi":"10.4172/2155-9937.1000140","DOIUrl":"https://doi.org/10.4172/2155-9937.1000140","url":null,"abstract":"Fluoroscopy is one of the radiation sources used in diagnostic processes in radiology. Owing to the diagnostic approach that entails observation of the affected anatomy using radiation in real time, harmful effects may potentially occur. Therefore, safety measures in the radiographer's use of equipment and effective monitoring and management are essential in diagnostic processes. Additionally, patients in the age group of four to seven years have less anatomy and tissue development, which presents higher levels of health risks. The study will focus on analyzing the pre-procedure requirements and the set of guidelines, which enable the enforcement of the safety of the concerned patients within the paediatric practice. For example, the study will observe the potency of undertaking the reduction of the fluoroscopic times and improving the communications between the health specialists. The study will also evaluate methods and techniques employed in achieving efficiency in fluoroscopy radiation dose management. Direct and indirect methods will be employed to monitor the dosage effects. Direct methods would entail performing a skin dose test on the target area of fluoroscopic radiation. Detectors would be employed, for example the photographic films and thermo-luminescent dosimeters. The indirect methods will employ the use of the dose area product meter to ascertain the effects of radiation on the patients. Some of the dose reduction techniques involve the manipulation of equipment operation, for example beam quality adjustment, dose level setting, and dose spreading. The results used to evaluate the dosage level will entail analyzing measurements of the skin exposure unit of the fluoroscopic equipment. These results will be achieved through the use of different operational voltage levels on the fluoroscopic equipment. Skin dose will be determined through a combination of several measurable factors in fluoroscopic equipment operation.","PeriodicalId":89157,"journal":{"name":"International journal of molecular imaging","volume":"25 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2017-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80988643","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}