Asian Journal of Medical Radiological Research <p><strong class="pull-left">Asian Journal of Medical Radiological Research (AJMRR)</strong>&nbsp;&nbsp; is an open-access; freely accessible, online and print Bi-annual peer-reviewed international journal publishes a wide spectrum of advanced research in radiology and medical imaging. <br> <strong>Online ISSN: 2347-338X | Print ISSN: 2347-3371</strong></p> en-US (Dr. Rohit Varshney) Sun, 03 Feb 2019 04:27:55 +0000 OJS 60 Salivary Gland Adenocarcinoma Metastasis to the Brain in an Adult: A Case Report <p>Salivary gland malignancies are a heterogeneous group of 24 tumours that have unpredictable clinical behaviours and predilections for metastasis. Although salivary gland metastasis is an uncommon finding, it comprises of only 1-6% of all malignancies in the head and neck region. It is a common clinical practice to surgically resect salivary gland tumours which is followed by radiation to the tumour bed. The overall combination of chemo-radiation approaches has helped clinically control the primary disease. However, many patients have presented with systemic metastasis including the brain. Long-term follow-up of such patients is an added value for radiologist and oncologists. We report an unusual case of salivary gland adenocarcinoma metastasis to the brain in an adult with a key focus on its radiological perspective.</p> Samadhan Pawar, Chaitanya Borde, Atul Patil, Rajnish Nagarkar ##submission.copyrightStatement## Tue, 15 Jan 2019 00:00:00 +0000 Idiopathic Hypertrophic Dorsal Pachymeningitis - Imaging Features <p>Idiopathic Hypertrophic Spinal Pachymeningitis (IHSP) is a rare disease causing chronic inflammatory hypertrophy of the dura mater. It may be idiopathic or secondary to other diseases. It is an extremely rare cause of spinal cord compression. This process can be present throughout the entire spine but is commonly reported in the cervical and dorsal spine. IHSP is a diagnosis of exclusion since it is associated with trauma, infection, and autoimmune diseases. We describe a rare case of Idiopathic Hypertrophic Dorsal Pachymeningitis (IHDP) in a 42 -year -old woman presenting with progressive weakness of both lower limbs for the past 2 years and outline the important clinical and radiographic features of the disease.</p> Krishna Kumar, R. Rajalakshmi Preethi ##submission.copyrightStatement## Tue, 15 Jan 2019 00:00:00 +0000 Role of Transcerebellar Diameter Measurement with Ultrasonography in Evaluation of Gestational age in Normal and Growth Restricted Fetuses <p><strong>Background: </strong>To study the usefulness of&nbsp; transcerebellar diameter measurement ultrasonographically for the detection of gestational age in normal and intra uterine growth restricted fetuses and compare the gestation age determined by transcerebellar diameter with that determined by other parameters i.e. biparietal diameter, head circumference, abdominal circumference and femur length. <strong>Subjects and Methods: </strong>A prospective study with ultrasonographic evaluation of five hundred antenatal patients in gestational age of 14-39 weeks. The transcerebellar diameter was measured and the corresponding gestational age determined. The gestational age was also determined with other parameters such as biparietal diameter, head circumference, abdominal circumference and femur length. Transcerebellar circumference to abdominal circumference ratio was calculated. <strong>Results:</strong> There is statistically significant relationship between Transcerebellar diameter and gestational age in normal and intra uterine growth retarded pregnancies. Transcerebellar diameter showed good correlation with gestational age (correlation coefficient=0.979) in case&nbsp; of normal pregnancies and( correlation coefficient=0.942 )in cases of intra uterine growth retarded pregnancies Gestational age estimated by transverse cerebellar diameter measurements correlated well with gestational age estimated by biparietal diameter, head circumference, abdominal circumference and femur length. Transcerebellar circumference to abdominal circumference ratio remained fairly constant. <strong>Conclusion: </strong>Transcerebellar diameter can be used as a independent growth parameter to predict the gestational age in normal and in intrauterine growth retarded pregnancies cases. Transcerebellar diameter to abdominal circumference ratio is fairly constant throughout gestation and thus it is a useful gestational age independent parameter.</p> Amandeep Singh, CL Thukral, Jasmeet Singh, Kamlesh Gupta, Sangeeta Pahwa ##submission.copyrightStatement## Tue, 15 Jan 2019 00:00:00 +0000 Intestinal Obstruction: Role of MDCT with Surgical Correlation <p><strong>Background: </strong>To evaluate efficacy of CT (computed tomography) in diagnosis of the presence and cause of obstruction along with correlation of CT findings with the operative findings. <strong>Subjects and Methods: </strong>This prospective study included evaluation of forty patients, clinically suspected of intestinal obstruction by CT examination whose surgical follow up data&nbsp; was available. All patients (age &gt;18yrs) clinically suspected for intestinal obstruction were included. <strong>Results:</strong> Highly significant correlation was found between CT and operative findings in diagnosis of the cause of obstruction with p value of &lt;0.01 and cohen’s kappa value ranging from 0.8 to 1 (highly significant correlation). <strong>Conclusion: </strong>MDCT (Multi detector computed tomography) by using its multiplanar and 3D capabilities is highly accurate and specific in detecting the presence of intestinal obstruction and it can demonstrate the exact site of obstruction in high percent of cases, hence is helpful for appropriate treatment plan and management of the patient.</p> Amandeep Singh, Indreet Kaur Makkar, CL Thukral, Kamlesh Gupta, Manjit Singh Uppal ##submission.copyrightStatement## Tue, 15 Jan 2019 00:00:00 +0000 Role of CT scan in Diagnosis of Patients with Suspected Subacute Intestinal Obstruction <p><strong>Background: </strong>Intestinal obstruction is defined as mechanical or functional obstruction of the intestines which prevents the normal passage of the products of digestion. Present study was performed to study the role of Computerized Tomography (CT) in Diagnosis of patients with suspected subacute intestinal obstruction (SAIO), to find out site &amp; cause of obstruction and to diagnose complications of obstruction. <strong>Subjects and Methods: </strong>This study was conducted at Department of Radiodiagnosis, Gujarat Adani Institute of Medical Science, Bhuj, Kutch, Gujarat. Total number of 15 patients with SAIO having equivocal findings on USG was included in this study. All the statistical tests were performed in SPSS version 15 software. <strong>Results:</strong> Age of the patients in the study range between 14 to 70 years. Out of 15 were 8 male &amp; 7 female patients. On CT scan all 15 patients were found to have obstruction with 12 patients having mechanical obstruction &amp; 3 patients having pseudo obstruction secondary to appendicitis, jejunal perforation. CT scan correctly diagnosed intestinal obstruction with its cause in 14 out of 15 patients. Most common cause of SAIO was ileal stricture followed by intussusceptions. <strong>Conclusion: </strong>The findings of the study show that CT is a valuable diagnostic procedure in patients with subacute intestinal obstruction with high sensitivity. It is a problem-solving tool in equivocal cases.</p> Archana Salvi, Ashok Hadiya ##submission.copyrightStatement## Tue, 15 Jan 2019 00:00:00 +0000 Study on Doppler Findings and Neonatal Outcome in Fetal Growth Restriction: A Teaching Hospital Based Study <p><strong>Background: </strong>Intrauterine growth restriction (IUGR) is defined as sonographic estimated fetal weight &lt;10th percentile for gestational age.&nbsp; Intrauterine growth retardation (IUGR) is associated with an increased risk of perinatal mortality, morbidity, and impaired neurodevelopment. <strong>Subjects and Methods: </strong>A total of 65 women with singleton pregnancies of 28 weeks and above, who were diagnosed with fetal growth restriction and were evaluated by Doppler studies according to inclusion and exclusion criteria. <strong>Results:</strong> On analysing the antenatal Doppler studies, abnormal CP ratio, elevated umbilical artery PI and reduced MCA PI were found in 12, 16 and 32 fetuses respectively. CP ratio showed a sensitivity of 19.61 % and specificity of 85.71 % with a positive predictive value of 83.33 % and negative predictive value of 22.64 %. Pulsatility index of umbilical artery showed sensitivity of 23.53 % and specificity of 71.43 %, with Positive predictive value of 75.00 % and Negative predictive value of 20.41 %. Pulsatility index of MCA showed a sensitivity of 52.94 % and specificity of 64.29 % with PPV of 84.38 % and NPV of 27.27 %. <strong>Conclusion: </strong>The IUGR is an important cause of perinatal morbidity and mortality. Antenatal Doppler analysis of UA and MCA can predict neonatal outcome in FGR foetuses. The fetal growth restriction has considerable perinatal and long term effects on the neonate. Once it is suspected careful Doppler evaluation can identify fetuses at risk for poor neonatal outcome.</p> Kiran Kumar Neelapu ##submission.copyrightStatement## Tue, 15 Jan 2019 00:00:00 +0000 Correlation of Ultrasound with MRI for the Evaluation of Meniscal Tears <p><strong>Background: </strong>Objective: To see the diagnostic value along with the sensitivity and specificity values of ultrasound in comparison to MRI for the evaluation of meniscal tears. <strong>Subjects and Methods: </strong>The study examined 70 patients who presented with history of trauma and suspected injury to the menisci. Patients were examined initially with ultrasound followed by non-contrast magnetic resonance imaging (MRI), with MRI used as a reference standard. <strong>Results:</strong> A total of 52 medial meniscal tears were detected on MRI out of which 42 cases were detected correctly on ultrasound giving a specificity of 80.8%; likewise, a total of 51 patients were detected with lateral meniscal tears on MRI out of which 38 cases were detected correctly on ultrasound giving a specificity of 74.5%. <strong>Conclusion: </strong>Ultrasound is a reliable imaging modality in identifying medial and lateral meniscal tears.</p> Suresh A, Aishwarya Shetty, Prachi Kala ##submission.copyrightStatement## Tue, 15 Jan 2019 00:00:00 +0000 Correlation of Sonographic Grading of Renal Cortical Echogenicity with Serum Creatinine in Patients with Chronic Kidney Disease <p><strong>Background: </strong>Ultrasound Imaging can be used as a painless, non-invasive modality for the grading of renal echogenicity in chronic kidney disease (CKD). Aims: To determine the association of renal echogenicity in persons with CKD using ultrasound and serum creatinine Settings and Design:&nbsp; Retrospective observational study design at a single center. <strong>Subjects and Methods: </strong>The study included 112 subjects aged 18 to 90 years with CKD, with grades of renal echogenicity and renal length estimates based on ultrasound findings and biochemical test results of serum creatinine profile. Renal size was categorized as optimal or small or enlarged and renal echogenicity graded from 1 to 4. Statistical Analysis used: A one way Analysis of Variation test (ANOVA) was used to compare the renal echogenicity and renal length with serum creatinine. Pairwise correlations were estimated and a p value of &lt;0.05 was considered as statistically significant. <strong>Results:</strong> The study included 112 subjects with a mean age (SD) of 54.37 (17.29 years) and 81 (72.32%) subjects were males. The majority of patients (n=51, 45.54%) in the study were aged 60 years or older. Sixty eight subjects (60.71%, 95% CI: 51.45, 69.43) subjects had optimal sized kidneys and 8 (7.14%, 95% CI: 3.66, 13.46) subjects had significant discrepancy in renal size. The majority of subjects (n=43, 38.74%, 95%CI: 29.73, 47.64) in the study had Grade 1 renal echogenicity. Serum creatinine values increased significantly with increasing grades of renal echogenicity (F=9.58, p&lt;0.001, one way ANOVA test). The grade of echogenicity and serum creatinine levels showed a statistically significant correlation (p&lt;0.001) on pairwise correlation test. The mean longitudinal renal length was significantly associated (F=14.07, p&lt;0.001) with renal echogenicity. <strong>Conclusion: </strong>Serum Creatinine levels and renal echogenicity were significantly associated in this study. Ultrasound imaging studies can be a painless non-invasive alternate in the evaluation of CKD.&nbsp;</p> Chidananda Murthy. M, Bharath Kumar Shettty K, Ganesh K, Francis N. P. Monteiro ##submission.copyrightStatement## Sun, 03 Feb 2019 00:00:00 +0000