A rare case of epidermoid cyst in urinary bladder
Sirisha N Puppala, Ajit Mahale, Sonali UllalIndian Journal of Radiology and Imaging 2019 29(3):324-326 Epidermoid cyst in urinary bladder is a rare pathology with only one known case published prior to this study. In this article, we described imaging findings of epidermoid cyst in the urinary bladder and other parts of urogenital system. Plain CT KUB was performed on Multidetector 16 slice computed tomography scanner-GE Bright speed Elite and plain magnetic resonance imaging on 1.5 T Siemens Magnetom Avanto. (Source: Indian Journal of Radiology and Imaging)
Source: Indian Journal of Radiology and Imaging - October 30, 2019 Category: Radiology Authors: Sirisha N Puppala Ajit Mahale Sonali Ullal Source Type: research

Left atrial isomerism associated with aneurysmal enlargement of right atrial appendage: A case report with literature review
We present a prenatally diagnosed case of heterotaxy syndrome (HS) in which left atrial isomerism (LAI) was associated with an aneurysmal enlargement of the right atrial appendage (RAA). Although LAI is usually associated with complex cardiac and extracardiac anomalies, the association of LAI and right atrial appendage aneurysm (RAAA) is exceptional. Congenital RAAA itself is an idiopathic, very rare cardiac anomaly characterized by the enlargement of the appendage in the absence of any other cardiac or extra-cardiac defect. The prognosis of the heterotaxy is poor with associated major cardiac malformations and even cases ...
Source: Indian Journal of Radiology and Imaging - October 30, 2019 Category: Radiology Authors: Prateek Agarwal Rajesh Kumar Agarwal Source Type: research

A rare case of bleeding duodenal varices from superior mesenteric vein obstruction -treated with transhepatic recanalization and stent placement
Ambarish P Bhat, Ryan M Davis, William D BryanIndian Journal of Radiology and Imaging 2019 29(3):313-317 Ectopic varices are complex and highly variable entities that are not fully understood. Duodenal varices from pancreatitis have rarely been reported. Ectopic varices have much higher bleeding rates than the more common gastro-esophageal varices, and are associated with higher mortality. The ideal management of this difficult problem is not only to ensure prompt hemostasis, but also address the etiology or hemodynamics of the ectopic varices. We discuss the endovascular management of bleeding duodenal varices, which dev...
Source: Indian Journal of Radiology and Imaging - October 30, 2019 Category: Radiology Authors: Ambarish P Bhat Ryan M Davis William D Bryan Source Type: research

Bilio-cutaneous fistula obliteration with NBCA
We present the case of a male patient who underwent right hepatectomy with bilio-digestive anastomosis for a cholangiocarcinoma which developed a bilo-cutaneous fistula through the path of a previously inserted percutaneous transhepatic drainage. Sealing of bilo-cutaneous fistula was obtained using N-butil-Cyanoacrylate. This technique has already been reported in some papers as a useful tool for biliary tree obliteration; however, to our knowledge, no cases describing the use of glue to seal a sub-cutaneous route are available in literature. (Source: Indian Journal of Radiology and Imaging)
Source: Indian Journal of Radiology and Imaging - October 30, 2019 Category: Radiology Authors: Antonio Bottari Salvatore Silipigni Alberto Stagno Simona Caloggero Source Type: research

Postmortem CT scan in intoxication cases: A necessity or just an indulgence
Conclusion: The findings of postmortem CT scan bladder distension and pulmonary edema could possibly identify intoxication cases but not conclusive. (Source: Indian Journal of Radiology and Imaging)
Source: Indian Journal of Radiology and Imaging - October 30, 2019 Category: Radiology Authors: Lai Poh Soon Kunasilan Subramaniam Nor Fadhilah Madon Mohamad Helmee Mohamad Noor Mansharan Kaur Chainchel Singh Mohd Shah Mahmood Source Type: research

Artifacts in cranial MRI caused by extracranial foreign bodies and analysis of these foreign bodies
Conclusions: Artifacts caused by extracranial FBs containing metal/metal oxide components are directly associated with their chemical composition and the artifact size are also related to element composition and magnetic susceptibility. (Source: Indian Journal of Radiology and Imaging)
Source: Indian Journal of Radiology and Imaging - October 30, 2019 Category: Radiology Authors: Selim Kayaci Ahmet Tabak Irmak Durur-Subasi Tugba Eldes Vaner Koksal Murat Sirin Yusuf Kemal Arslan Source Type: research

Applications of dual energy CT in clinical practice: A pictorial essay
Parang S Sanghavi, Bhavin G JankhariaIndian Journal of Radiology and Imaging 2019 29(3):289-298 In dual-energy CT (DECT), two different x-ray spectra are used to acquire two image datasets of the same region, to allow the analysis of energy-dependent changes in the attenuation of different materials. Each type of material demonstrates a relatively specific change in attenuation between images obtained with a high-energy spectrum and those obtained with a low-energy spectrum. Based on the relatively specific change in attenuation with two different energies, material composition information can be obtained to allow tissue ...
Source: Indian Journal of Radiology and Imaging - October 30, 2019 Category: Radiology Authors: Parang S Sanghavi Bhavin G Jankharia Source Type: research

MR-guided focused ultrasound surgery: A novel non-invasive technique in the treatment of adenomyosis & #8211;18 month & #39;s follow-up of 12 cases
Conclusion: MRgFUS can be used in successful treatment of adenomyosis/focal adenomyoma by careful selection of the participant, good planning, and proper monitoring of the technique during ablation. (Source: Indian Journal of Radiology and Imaging)
Source: Indian Journal of Radiology and Imaging - October 30, 2019 Category: Radiology Authors: Bhawna Dev Sameera Gadddam Mitesh Kumar Suresh Varadarajan Source Type: research

Role of MRI in staging and surgical planning and its clinicopathological correlation in patients with renal cell carcinoma
Conclusion: MRI staging of RCC is an accurate predictor of the surgical and pathological stage and has the potential to become a useful tool for preoperative identification of patients with RCC who can undergo NSS. (Source: Indian Journal of Radiology and Imaging)
Source: Indian Journal of Radiology and Imaging - October 30, 2019 Category: Radiology Authors: Hira Lal Paritosh Singh Manoj Jain Uday Pratap Singh Sanjoy Kumar Sureka Rajanikant R Yadav Raghunandan Prasad Pragati Verma Anuradha Singh Priyank Yadav Source Type: research

Solid variant ABC of long tubular bones: A diagnostic conundrum for the radiologist
We describe the distinctive MRI features of sABC of long bones from a series of four cases and briefly review the literature. We hope this review will educate all radiologists about this rare entity increasing their diagnostic confidence while formulating differentials for similar appearing lesions. (Source: Indian Journal of Radiology and Imaging)
Source: Indian Journal of Radiology and Imaging - October 30, 2019 Category: Radiology Authors: Adarsh Ghosh Anuradha Singh Richa Yadav Shah A Khan Venkatesan S Kumar Shivanand Gamanagatti Source Type: research

MR neurography in Parsonage-Turner syndrome
Conclusion: Most of the patients in this study had unilateral involvement on MRN. The roots were the commonest site of involvement followed by the trunks, cords and terminal branches. C5 was the most commonly involved root. (Source: Indian Journal of Radiology and Imaging)
Source: Indian Journal of Radiology and Imaging - October 30, 2019 Category: Radiology Authors: Vaishali Upadhyaya Divya Narain Upadhyaya Richa Bansal Tarun Pandey Ashok Kumar Pandey Source Type: research

Current review with evolving management strategies in critical limb ischemia
Arun SharmaIndian Journal of Radiology and Imaging 2019 29(3):258-263 Critical limb ischemia represents the end stage of peripheral artery disease, which is associated with impaired quality of life and considerable morbidity and mortality. Economical impact of the disease is huge with a substantial burden on patients, healthcare providers, and resources. Varied therapeutic strategies have been employed in the management of these patients. These patients usually have complex multilevel occlusive arteriopathy with significant comorbidities, rendering surgical interventions undesirable in many cases. Recent therapeutic advan...
Source: Indian Journal of Radiology and Imaging - October 30, 2019 Category: Radiology Authors: Arun Sharma Source Type: research

Computed tomography guided radio-frequency ablation of osteoid osteomas in atypical locations
Conclusion: RFA has been proven to be an effective and safe option for treatment of OOs in the common locations. It is generally recommended to have a 1 cm safety margin between the RF probe and any critical structures in the vicinity. However, with OOs in atypical locations this may not be always possible and hence additional techniques may be needed to ensure protection of the surrounding sensitive structures and also allow for effective ablation. (Source: Indian Journal of Radiology and Imaging)
Source: Indian Journal of Radiology and Imaging - October 30, 2019 Category: Radiology Authors: Julie Senne Ryan Davis Junaid Yasin Olubusola Brimmo Andrea Evenski Ambarish P Bhat Source Type: research

Radiation dose reference card for interventional radiology procedures: Experience in a tertiary referral centre
Conclusion: The patient radiation dose reference card is valuable to the medical community and can aid in patient counselling on radiation induced risk from radiological interventions. (Source: Indian Journal of Radiology and Imaging)
Source: Indian Journal of Radiology and Imaging - October 30, 2019 Category: Radiology Authors: Anna Varghese Shyamkumar N Keshava Vinu Moses George Koshy Suraj Mammen Munawwar Ahmed Roshan S Livingstone Source Type: research

Imaging protocols for CT chest: A recommendation
Ashu Seith Bhalla, Abanti Das, Priyanka Naranje, Aparna Irodi, Vimal Raj, Ankur GoyalIndian Journal of Radiology and Imaging 2019 29(3):236-246 Computed Tomography (CT) is the mainstay of diagnostic imaging evaluation of thoracic disorders. However, there are a number of CT protocols ranging from a simple non-contrast CT at one end of the spectrum, and CT perfusion as a complex protocol available only on high-end scanners.With the growing diversity, there is a pressing need for radiologists, and clinicians to have a basic understanding of the recommended CT examinations for individual indications. This brief review aims t...
Source: Indian Journal of Radiology and Imaging - October 30, 2019 Category: Radiology Authors: Ashu Seith Bhalla Abanti Das Priyanka Naranje Aparna Irodi Vimal Raj Ankur Goyal Source Type: research