Visualization of the pancreas was far better by CT than by ultrasound. Ultrasound had certain limitation. Due to bowel gas the pancreas may not be visualized. Extra pancreatic spread of inflammation and vascular complications was not always picked up by Ultrasonography. These limitations were overcome with the use of CT which yielded more diagnostic information in the evaluation of acute pancreatitis. CT is a confirmative investigation in diagnosis and staging of acute pancreatitis. MCTSI is a very useful tool for the screening of patients with acute pancreatitis for the classification of severity accurately and to predict the clinical outcome. OBJECTIVES OF STUDY: To determine the value of computed tomography in evaluation of early diagnosis of acute pancreatitis. To evaluate the complications using computed tomography severity index. MATERIAL AND METHODS: The study was conducted on 100 patients with clinical suspicion of acute pancreatitis, altered biochemical parameters (Serum amylase, Serum lipase) in favor of acute pancreatitis, ultrasonography suggestive of acute pancreatitis and complications known case of chronic pancreatitis with features of acute symptoms who were referred to the department of Radiodiagnosis, Basaveshwar teaching & General Hospital, Kalaburagi. Before evaluating a patient by CT imaging, informed consent was obtained from the patient or guardian. The patient were informed about the radiation exposure in the examination. CT was carried out using Philips 6 slice scanner. Scan was obtained with both plain and contrast study. RESULT: 100 patients were included in the study. 83% patients were males and 17% patients were females. Majority of patients belonged to 31-40 yrs. of age group. Alcohol was the most common cause of acute pancreatitis. 73 patients had positive ultrasound finding while CT was positive in all cases. According to, MCTSI 63 patients had moderate, 26 patients had mild and 11 patients had severe pancreatitis.
Cerebrovascular stroke is defined as a focal or global deficit of brain function lasting for more than 24 hours which had occurred within 2 weeks of the patient's presentation and which was considered on admission to be of vascular cause. Computed tomography with its widespread availability and cost effectivity has greatly helped in the early diagnosis and further management of stroke. The purpose of the study is to document the presence or absence of infarct or hemorrhage to determine, the location, territory of blood vessels involved and evaluate age and sex incidence, and various risk factors predisposing to stroke and to reasonably assess the clinical outcome of these patients. INTERPRETATION AND CONCLUSION: Computed tomography is a simple, inexpensive, highly effective imaging modality, to rapidly evaluate patients with symptoms of stroke. CT is one of the most comprehensive diagnostic modality for accurate localization of site and type of stroke, thereby aiding in the accurate line of treatment.
Brain tumours represents 1.7% of all cancers and contributes 1.8% of all cancer deaths. Of all the brain tumours 80% are supratentorial. 1 Magnetic Resonance Imaging is an important modality, having higher sensitivity for detecting intracranial pathology. Multiplanar imaging is possible with MRI which helps in detection, localization and characterization of the lesion. The MRI examination has helped in early diagnosis, accurate localization of the tumour with prompt initiation of appropriate medical or surgical therapy. Recent advances like Magnetic Resonance (MR) spectroscopy, MR fluoroscopy with stereotactic guided biopsy have revolutionized the role of MRI in study of intracranial tumours. AIMS AND OBJECTIVESThe objective of the present study is to assess diagnostic ability of MRI in characterizing various supratentorial tumours using T1 and T2 weighted and contrast enhanced image. MATERIALS AND METHODSThe present study was conducted in the Department of Radio-diagnosis, Basaveshwar Teaching and General Hospital attached to Mahadevappa Rampure Medical College, Gulbarga, during the period of Oct 2014 to Oct 2015. Source of dataAll clinically suspected supratentorial brain tumour cases undergoing MRI at Basaveshwar Teaching and General Hospital attached to Mahadevappa Rampure Medical College, Gulbarga, are taken. Inclusion CriteriaCases referred for MRI with clinically suspected supratentorial brain tumours. Exclusion CriteriaAll patients having cardiac pace makers, prosthetic heart valves or any metallic orthopaedic implants. Supratentorial pathology due to infections Trauma or cerebrovascular accidents will be excluded. RESULTSThe present study was conducted in the Department of Radio-diagnosis. BTGH attached to MR Medical College Gulbarga patients were studied and the observations and findings were noted as below. In the present study, Majority of the patients belonged to the age group of 11 to 20 years, 23 patients were males and 27 were females, males majority had glioma of low-grade variety. In females glioma followed by pituitary adenoma. Headache and vomiting most common presentations. Majority of the supratentorial tumors had intra-axial location. Mass of effect and hydrocephalus is present in majority of patients.
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