Background: Hepatocellular carcinoma makes up 75%-85% of all primary liver cancers and is the fourth most common cause of cancer related death worldwide.The aim of this study was to screen for hepatocellular carcinoma in hepatic patients who received direct acting antiviral drugs using different imaging modalities. Methods:This was a cross sectional study included 50 patients who were hepatic and received Direct Acting Antiviral '' DAA'' and were carried out at radiology department in Elobour Hospital for Health Insurance after obtaining written informed consent from all patients. Results:There were 31(62%) male, 19(38%) female, the mean age 52.28 years old with range (39-65), 35(70%) urban, 15(30%) rural. There were (70%) with duration of illness ≤ 5 years, (30%) with > 5 years, (100%) with DAA, (90%) easy to treat, (10%) difficult to treat. There were 35(70%) with average liver, 14(28%) with shrunken liver, 1(2%) with enlarged liver, 13(26%) with Bright pattern, 34(68%) with cirrhotic, and 3(6%) with coarse bright, the mean P.V diameter 14.68 mm (± 2.51 SD) with range (9-17 mm).There were (100%) with single focal lesion in RT lobe, the mean size was 4.47 mm with range (3.6-5.6), (33.3%) isochoric, (33.3%) with hypo echoic, (33.3%) with hyper echoic, and (66.7%) with malignancy. There were 3(100%) with typical CT enhancement, 1(33.3%) with P.V thrombosis. None were with affection on liver vascular, no one with intrahepatic biliary radicles, no one with L.N in porta hepatis. Conclusion: Based on our findings, we recommend for close imaging evaluations after DAA in cirrhotic patients.
Accurate staging of gastric cancer is clinically important because the prognosis and choice of an optimal therapeutic approach are directly related to the stage of a neoplasm at time of presentation. The tumor-node metastasis (TNM) staging system is one of the most commonly used staging systems. Multi-detector CT (MDCT) is a powerful test for non-invasive evaluation of gastric cancer. MDCT not only detect primary tumors but also provide comprehensive staging, with accurate assessment of the neoplastic mass, regional and distant lymphadenopathy, and distant metastasis. to evaluate & comparison the role of multidetector CT with MPR images & upper endoscopy in the staging of gastric carcinoma. Inclusion criteria were patients who had histologically proven adenocarcinoma of the stomach based upon an upper gastrointestinal endoscopic biopsy. Water might have been utilized to gastric extension for 18 patients (10 men Also 8 women). On 2 patients, gas might have been utilized for gastric extension (1 mamoncillo Also 1 woman). MDCT for MPR might have been exceptionally of service in figuring out those profundity from claiming Attack of gastric tumor for generally correctness about 90. 9% to assessing serosal inclusion with/ without contiguous organ Attack. MDCT will be a handy device for TNM organizing for gastric carcinoma. S were as from claiming MPR pictures need enhanced those symptomatic precision about MDCT. Arranging about gastric malignancy empowers the Choice of the more effective What's more safer medication methodologies. Though whatever imaging technobabble may be recognized in the preoperative work-up, ct examine ought further bolstering be viewed Similarly as those modality from claiming decision.
Background: Osteochondral lesions of the knee-a lesion of the subchondral bone that may involve partial or total separation of a fragment of the articular cartilage and the subchondral bone from the articular surface -is an increasingly recognized cause of knee pain and joint dysfunction. The aim of this study is to discuss the highresolution MRI with its new evolving sequences, highlighting its pivotal role in evaluation and characterization of different morphological patterns, and pathological types of osteochondral lesions around the knee joint. Methods: This study included 50 patients, all were subjected to full history taking, complete clinical assessment and MRI assessment. Results: This study included 32 (64%) males and 18 (36%) females. According to age there were 13 (26%) with age less than 30, 7 (14%) with age ranged from 30 to 40, 12 (24%) from 40 to 50 and 18 (36%) with age more than 50 years with mean age 42.96 (±17.29) and range . The sensitivity of MRI in diagnosis of Osteochondral Lesions around the Knee was 95%, specificity was 76.7%, PPV was 86.3%, NPV was 96.4% and accuracy was 92%, Conclusion: MRI has the advantage of not utilizing ionizing radiation and gives a superior detail state of cartilage, the underlying bone plates, associated edema, signs of instability. This could be guide for treatment as well as the diagnosis, and could be used as prognostic indicator for the disease process. In our opinion, MRI is golden tool for diagnosis, classification and follow up of osteochondral lesion.
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