Asymmetric closure of ischiopubic synchondrosis

Lucency in relation of right ischipubic ramus. This likely represents asymmetrically enlarged ischiopubic synchondrosis is a well-known and frequent finding on radiologic workup of prepubertal children, and is a normal variant which can be misinterpreted.

 Reference - Am J Roentgenol. 2004 Feb;182(2):361-5. Asymmetric closure of ischiopubic synchondrosis in pediatric patients: correlation with foot dominance.

Basilar Artery Dissection-MRI

The MRI findings of dissection include an intramural hematoma, an intimal flap, and the enhancement of the artery wall and septum. MRA can clearly show abrupt luminal stenosis and the disappearance of flow signal at end distal to the dissection. This is 35 year old male with sudden onset posterior circulation infarct seen on DWI and intimal flap in the course images. Note the distal tapering in the basilar artery.

Quality Control in Radiology Department

In this issue of Radiographics, Lane F. Donnelly and co-authors have discussed a method for departments quality control. They have created a scorecard that is presented quarterly to the institutional leadership and is available to all radiology employees on the institutional intranet. The scorecard currently has 33 measures in six areas: clinical services (safety, quality, timeliness); education; research; professionalism, communication, and user satisfaction; finances and administration; and staffing.


Seems like all our departments in India desperately need something like this to ensure quality control in terms of all parameters mentioned.

Gold Nanoparticles for Vulnerable Plaque-Radiology Update

"Researchers at Mount Sinai School of Medicine have used gold nanoparticles to visualize plaque which they believe will revolutionize cardiac imaging. They have for the first time developed a way to visualize coronary artery plaques vulnerable to rupture using multi-color computed tomography (CT), an innovation that will lead to better and earlier diagnosis of cardiovascular disease. The data are published in the September issue of Radiology."

Full report on Mount Sinai Website

Posterior Shoulder Dislocation-3D CT

Posterior Shoulder Dislocation- posterior dislocation is rare & should raise possibility of seizure as cause; other causes include an electric shock or ECT without muscle relaxants. Radiographs may reveal Reverse Hill Sach Lesion - compression fracture of the anteromedial portion of the humeral head is produced by the posterior cortical rim of the glenoid as in this case of 28 year old male, with posterior dislocation seen on 3D CT images.

Teleradiology Providers-India

Again another animated FAQs on Teleradiology Services, specially created to answer the queries for our prospective clients.

PG MEDICAL ENTRANCE-DAMS

This is a video clip simulating basic information on our insitute DAMS regarding PG medical entrance. We used basic animation to cover the FAQs asked by students.

Persistent Hyperplastic Primary Vitreous-MRI

The appearance of persistent hyperplastic primary vitreous on MR images varies from a well-defined tubular process coursing from the posterior retina to the posterior lens to a triangular “wine glass” shape to an irregular retrolental mass with posterior excrescences. Also noted is T1 hyperintense haemorrhage in the posterior globe in this 2month old infant with leukocoria.

Carotico Cavernous Fistula (CCF) Treatment

A 45/F coming with pulsatile proptosis, rapidly loosing vision diagnosed to have carotico cavernous fistula (Left). She was successfully treated with endovascular coiling.

Please click the link below to see the procedure video.

http://www.youtube.com/watch?v=nDAOTJheOyE

Case submitted by

Dr. Sibasankar Dalai, MD, FACP

Consultant Interventional Radiologist & Neuroradiologist,

Seven Hills Hospital, Vizag, India, Pin: 530002

Flexion & Extension Cervical MRI

This is young female with chronic neck pain which was previously undiagnosed in recumbent MRI. On flexion sagittal images a grade anterior slipping of C3 over C4 was noted which was not diagnosed before, highlighting the importance of upright MRI in musculoskeletal cases.

Launch of Journal of Surgical Radiology

Journal of Surgical Radiology

J Surg Rad is a peer-reviewed publication for surgeons, radiologists, cardiologists, and other physicians. J Surg Rad is an open access journal that publishes original articles, reviews, case reports, and technology updates in all areas of surgery and radiology. J Surg Rad is available in a variety of formats. The interactive, digital issue is available for no charge at http://www.SurgRad.com. The print edition is available for a nominal printing and shipping charge.

 

Table of Contents

 

1. Lo D, Shapiro M. Extrathoracic lung herniation from blunt trauma. J Surg Radiol. 2010 Jul 1;1(1). Duke University Medical Center, Durham, North Carolina, USA
2. Miller S, Causey MW, Cahanding N, Brown T, Smith D. Impact of preoperative breast MRI in breast cancer. J Surg Radiol. 2010 Jul 1;1(1).Madigan Army Medical Center, Tacoma, Washington, USA
3. Boughey JC, Tortorelli C, Hruska C, O’Connor M, Rhodes D. Molecular breast imaging in pseudoangiomatous stromal hyperplasia. J Surg Radiol. 2010 Jul 1;1(1).Mayo Clinic, Rochester, Minnesota, USA
4. Micallef CJ, Pasley J, Saxe JM, Williams PC, and Wick C. Iliac-Enteric Fistula: A Case Series. J Surg Radiol. 2010 Jul 1;1(1). Wright State University, Dayton, Ohio, USA
5.  Raad WN, Shaban NM, Moneley DS, Given MC, McGrath FJ, Kelly CJ. Endotension following endovascular aneurysm repair. J Surg Radiol. 2010 Jul 1;1(1).  Royal College of Surgeons, Dublin, Ireland.
6. Eigenberg M, Arrangoiz R, Nigliazzo A, Morrison C, Mosher B, Kepros J. Nonoperative management of an esophageal perforation following Combitube placement. J Surg Radiol. 2010 Jul 1;1(1).  Michigan State University, Lansing, Michigan, USA
7. Schroeder R. Massive thromboembolism captured by real-time echocardiography. J Surg Radiol. 2010 Jul 1;1(1). Duke University Medical Center, Durham, North Carolina, USA
8. Leventi A, Christodoulakis M, Taflapmas P, De Bree E, and Melissas J. Mesenteric Cystic Lymphangioma: A Case Report and Literature Review. J Surg Radiol. 2010 Jul 1;1(1). University of Crete, Crete, Greece.
9.  Ben-Jacob TK, Gordon CR, and Koniges F. Krukenberg Tumors: A Review. J Surg Radiol. 2010 Jul 1;1(1). UMDNJ / Cooper University Hospital, Camden, New Jersey, USA