J. Plessis, L. Gloan, J. Gueffet, F. Lerat, P. Guérin
{"title":"When Heart Failure has to do with Past Abdominal Surgery","authors":"J. Plessis, L. Gloan, J. Gueffet, F. Lerat, P. Guérin","doi":"10.4172/2167-7964.1000233","DOIUrl":"https://doi.org/10.4172/2167-7964.1000233","url":null,"abstract":"A 70-year-old woman, with a past medical history of permanent atrial fibrillation, cholecystectomy for symptomatic gallstones and obesity (54 kg/m² body mass index), was admitted to the hospital for rapidly increasing dyspnea (NYHA class III). At admission, heart rate was 110 beats per minute (bpm) and blood pressure was 125/73 mmHg. Physical examination revealed clinical signs of right heart failure including major peripheral oedema, hepatomegaly, bilateral pleural effusion, and ascites with no signs of portal hypertension or hepatocellular insufficiency.","PeriodicalId":90030,"journal":{"name":"OMICS journal of radiology","volume":"2016 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-7964.1000233","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70850010","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":"Is There A Role for Radiotherapy In Experimental Therapeutic Drug Development","authors":"C. Kunos, B. Vikram","doi":"10.4172/2167-7964.1000e140","DOIUrl":"https://doi.org/10.4172/2167-7964.1000e140","url":null,"abstract":"Charles A Kunos1* and Bhadrasain Vikram2 1Investigational Drug Branch, Cancer Therapy Evaluation Program, USA 2Radiation Research Program, National Cancer Institute, Bethesda, Maryland, USA *Corresponding author: Charles Kunos, Investigational Drug Branch, Cancer Therapy Evaluation Program, Division of Cancer Treatment and Diagnosis, National Cancer Institute, National Institutes of Health, 9609 Medical Center Drive, Room 5W-446, Rockville, MD 20892-9760, USA, Tel: 240 276 6939; Fax: 240 276 7894; Email: charles.kunos@nih.gov","PeriodicalId":90030,"journal":{"name":"OMICS journal of radiology","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-7964.1000e140","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70852473","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":"Diagnosis and Treatment of Radiation Therapy induced Ocular SurfaceDisorders","authors":"Turaka Kiran, T. Aruna","doi":"10.4172/2167-7964.1000E138","DOIUrl":"https://doi.org/10.4172/2167-7964.1000E138","url":null,"abstract":"","PeriodicalId":90030,"journal":{"name":"OMICS journal of radiology","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-7964.1000E138","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70852881","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":"Duplication of Gall bladder: Review of Literature and Report of a Case","authors":"H. Darwish","doi":"10.4172/2167-7964.1000226","DOIUrl":"https://doi.org/10.4172/2167-7964.1000226","url":null,"abstract":"The gallbladder duplication consider a rare anatomic malformation, it can now be detected by preoperative multiple imaging study. The preoperative diagnosis is very important to avoid potential damage to the duct system during surgery. We preferred Ultrasound which is modality of imaging. Surgical treatment consists of the removal of both gallbladders to prevent later complications. We report one case of congenital double gall-bladder as it is very rare which were demonstrated radio logically and proved at surgery.","PeriodicalId":90030,"journal":{"name":"OMICS journal of radiology","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-7964.1000226","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70850233","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}
F. Macrì, E. Khasanova, J. Greffier, G. Gualdi, J. Beregi
{"title":"Facing Radiologists' Reluctance of a Degraded although Diagnostic Image Quality of Low/Ultra-low-dose CT: Our Experience","authors":"F. Macrì, E. Khasanova, J. Greffier, G. Gualdi, J. Beregi","doi":"10.4172/2167-7964.1000224","DOIUrl":"https://doi.org/10.4172/2167-7964.1000224","url":null,"abstract":"The radiological community is endeavouring to raise the awareness about the radiation-induced cancer. Computed Tomography (CT) is the main source of medical irradiation. Manufacturers provided efficient technological tools on CT to achieve a significant radiation dose reduction while maintaining a diagnostic quality of the image. Yet, the implementation of all these improvements allowing the low-dose (LD) and ultra-low-dose (ULD) CT imaging has difficulty to take hold. Radiologists do not easily accept to read images with a degraded image quality although diagnostic. As every cultural change, even in a radiological department the acceptation of the LD/ULD-CT imaging requests time. Constant meetings with substantial exempla and constructive discussions among radiologists, without abrupt modifications to the CT protocols in clinical practice, are the key to the success.","PeriodicalId":90030,"journal":{"name":"OMICS journal of radiology","volume":"2016 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-7964.1000224","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70850157","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":"Radiophilia: A Common Case of Excessive Radiation Exposure inHealthcare","authors":"H. Abdollahi, M. Malekzadeh","doi":"10.4172/2167-7964.1000E139","DOIUrl":"https://doi.org/10.4172/2167-7964.1000E139","url":null,"abstract":"Medical imaging using ionizing radiation is an increasing activity that brings tremendous benefits to the patients. But stochastic and deterministic effects of radiation, make it necessary to protect patients from potential harm. In this study, we report a common case of excessive radiation exposure in healthcare. We named it “Radiophilia”. It can be defined as “unnecessary radiation exposure due to misunderstanding and underestimation of risk perception, risk conception and risk communication among healthcare employees involved in medical radiation imaging”. Radiophilia is not a term to describe a phenomenon, but it is an inconvenient truth that is not justified any way. We discus more on Radiophilia and address main reasons that may lead to this truth.","PeriodicalId":90030,"journal":{"name":"OMICS journal of radiology","volume":"2016 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70852888","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}
Xiaonan Liu, Jing Li, Teresa Wu, Steven E Schild, Michael H Schild, William Wong, Sujay Vora, Mirek Fatyga
{"title":"Patient Specific Characteristics Are an Important Factor That Determines the Risk of Acute Grade ≥ 2 Rectal Toxicity in Patients Treated for Prostate Cancer with IMRT and Daily Image Guidance Based on Implanted Gold Markers.","authors":"Xiaonan Liu, Jing Li, Teresa Wu, Steven E Schild, Michael H Schild, William Wong, Sujay Vora, Mirek Fatyga","doi":"10.4172/2167-7964.1000225","DOIUrl":"https://doi.org/10.4172/2167-7964.1000225","url":null,"abstract":"<p><strong>Aim: </strong>To model acute rectal toxicity in Intensity Modulated Radiation Therapy (IMRT) for prostate cancer using dosimetry and patient specific characteristics.</p><p><strong>Methods: </strong>A database of 79 prostate cancer patients treated with image guided IMRT was used to fit parameters of Lyman-Kutcher-Burman (LKB) and logistic regression Normal Tissue Complications Probability (NTCP) models to acute grade ≥ 2 rectal toxicities. We used a univariate regression model to find the dosimetric index which was most correlated with toxicity and a multivariate logistic regression model with machine learning algorithm to integrate dosimetry with patient specific characteristics. We used Receiver Operating Characteristics (ROC) analysis and the area under the ROC curve (AUC) to quantify the predictive power of models.</p><p><strong>Results: </strong>Sixteen patients (20.3%) developed acute grade≥2 rectal toxicity. Our best estimate (95% confidence interval) of LKB model parameters for acute rectal toxicity are exponent n=0.13 (0.1-0.16), slope m=0.09 (0.08-0.11), and threshold dose TD50=56.8 (53.7-59.9) Gy. The best dosimetric indices in the univariate logistic regression NTCP model were D25% and V50Gy. The best AUC of dosimetry only modeling was 0.67 (0.54, 0.8). In the multivariate logistic regression two patient specific variables were particularly strongly correlated with acute rectal toxicity, the use of statin drugs and PSA level prior to IMRT, while two additional variables, age and diabetes were weakly correlated. The AUC of the logistic regression NTCP model improved to 0.88 (0.8, 0.96) when patient specific characteristics were included. In a group of 79 patients, 40 took Statins and 39 did not. Among patients who took statins, (4/40)=10% developed acute grade ≥2 rectal toxicity, compared to (12/39)=30.8% who did not take statins (p=0.03). The average and standard deviation of PSA distribution for patients with acute rectal toxicity was <i>PSA<sub>tox</sub></i> = 5.77 ± 2.27 and it was <i>PSA<sub>notox</sub></i> = 9.5 ± 7.8 for the remainder (p=0.01).</p><p><strong>Conclusions: </strong>Patient specific characteristics strongly influence the likelihood of acute grade ≥ 2 rectal toxicity in radiation therapy for prostate cancer.</p>","PeriodicalId":90030,"journal":{"name":"OMICS journal of radiology","volume":"5 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-7964.1000225","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34331180","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}
I. López-García, A. Escoresca-Ortega, Isabel Gutiérrez-Jarrín
{"title":"Injury of the Artery Epigastrica Low after Channeling of VascularAccesses","authors":"I. López-García, A. Escoresca-Ortega, Isabel Gutiérrez-Jarrín","doi":"10.4172/2167-7964.1000223","DOIUrl":"https://doi.org/10.4172/2167-7964.1000223","url":null,"abstract":"Channelling femoral vascular access (arterial and venous) is a common technique in our daily practice. These techniques are not without complications, which may go unnoticed initially and as in the case presented manifests with symptoms of hypovolemic shock in previously stable patient. One of these complications is injury to the inferior epigastric artery is rare but must be suspected in a patient with a history of femoral vascular access channel that begins with symptoms of hypovolemia. It is crucial to perform appropriate diagnostic techniques (CT angiography and arteriography) and urgent treatment (therapeutic arteriography) as its diagnosis and treatment may be critical in the patient's prognosis.","PeriodicalId":90030,"journal":{"name":"OMICS journal of radiology","volume":"2016 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-7964.1000223","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70849981","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}
Jingjing Fu, Jun Zhao, Xiaochun Zhang, Xuesong Li, L. Xiaoming, Lin Zhang
{"title":"Staging Hepatocellular Carcinoma with Gadolinium EthoxybenzylDiethylenetriaminepentaacetic Acid -Enhanced Magnetic ResonanceImaging: A Comparison with Multi-Detector Row Computed Tomography","authors":"Jingjing Fu, Jun Zhao, Xiaochun Zhang, Xuesong Li, L. Xiaoming, Lin Zhang","doi":"10.4172/2167-7964.1000222","DOIUrl":"https://doi.org/10.4172/2167-7964.1000222","url":null,"abstract":"Aim: To explore if gadolinium-ethoxybenzyl-diethylenetriaminepentaacetic acid (Gd-EOB-DTPA)-enhanced MRI provides more accurate information than multi-detector row computed tomography (MDCT) for staging hepatocellular carcinoma (HCC). \u0000Methods: We retrospectively investigated 112 patients with HCC who underwent MDCT and Gd-EOB-DTPA enhanced MRI within one month before treatment. Two experienced radiologists reviewed the size, number, and boundaries of the HCC lesions, portal invasion, and tumor metastasis on MDCT and MRI images in consensus. Then the performance of Gd-EOB-DTPA-enhanced MRI and MDCT on staging HCC lesions was compared through statistical analysis. The classification of the Barcelona Clinic Liver Cancer (BCLC) stage was also evaluated. \u0000Results: HCC lesions in five patients were detected on Gd-EOB-DTPA-enhanced MRI only. Of the other 107 patients, 21 (19.6%) were in BCLC stage 0, 49 (45.8%) in BCLC stage A, 14 (13.1%) in BCLC stage B, and 23 (21.5%) in BCLC stage C on MDCT. On Gd-EOB-DTPA-enhanced MRI, 12 (11.2%), 48 (44.9%), 17 (15.9%), and 30 (28.0%) patients were classified as BCLC stages 0, A, B, and C, respectively. The two methods differed significantly in staging HCC patients (χ2=16.444, P=0.006). \u0000Conclusion: This study suggests that Gd-EOB-DTPA-enhanced MRI provides more accurate information than MDCT for characterizing and staging HCC which will help to choose accurate treatment strategy.","PeriodicalId":90030,"journal":{"name":"OMICS journal of radiology","volume":"2016 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2016-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-7964.1000222","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70849693","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":"Atypical Radiographic Appearance in Cleidocranial Dysplasia","authors":"Prabhath Ramakrishnan, Smruthi Valambath","doi":"10.4172/2167-7964.1000221","DOIUrl":"https://doi.org/10.4172/2167-7964.1000221","url":null,"abstract":"Prabhath Ramakrishnan1* and Smruthi Valambath2 1Department of Oral Medicine and Radiology, Kannur dental college, Anjarakandy, Kannur, Kerala 2Department of Physiology, Kannur Medical college, Anjarakandy, Kannur, Kerala *Corresponding author: Prabhath Ramakrishnan, Department of Oral Medicine and Radiology, Kannur Dental College, Anjarakandy, Kannur, Kerala, Tel: 00919746556779; E-mail: prabathrk@gmail.com","PeriodicalId":90030,"journal":{"name":"OMICS journal of radiology","volume":"5 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2016-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-7964.1000221","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70849619","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}