Benha University, Faculty of MedicineBenha Medical Journal1110-208X39Special issue (Radiology)20220501Role Of Positron Emission Tomography/Computed Tomography In The Initial Staging And Evaluation Of The Therapeutic Response In Patients With Non-Hodgkin Lymphoma11318946810.21608/bmfj.2021.83781.1438ENHesham ELsheikhRadio Diagnosis& Medical Imaging
Faculty of medicine – Benha UniversityYasser AttiaRadio Diagnosis& Medical Imaging
Faculty of medicine – Benha UniversityAdel KotbMBBCHJournal Article20210703Background: Malignant lymphoma is the most common hematological malignancy accounts for approximately 8% of all adult malignancies. The aim of this work is to study the role of PET/CT in the diagnosis and follow up of Non-hodgkin lymphoma. Methods: The study was conducted on eighty patients where the diagnosis of non-hodgkin lymphoma have been pathologically confirmed, 50 males (62.5%) and 30 females (37.5%), their ages are ranged between 14 to 81 years old. All patients were examined using Siemens Bio-graph true point PET/CT scanner. These dedicated systems integrate a PET scanner with a multi-slice helical CT scanners permit the acquisition of co-registered CT and PET images in one session. Results: among the 40 patients referred for follow up assessment, their SUVmax of the initial PET/CT examination ranged from 3 – 49.0 with a mean value of 17.05 ± 11.86 SD, with a significant change (p ≤ 0.046) in their follow up examination with SUVmax ranged from 0.0 – 28.0 with a mean value of 11.73 ± 9.25 SD, There were statically significant difference between (PET/CT) staging and CECT scan staging (p < 0.001). Conclusion: PET/CT proved statistically to be more efficient in follow up studies after chemotherapy using the standard uptake value (SUV) being more related to the functional activity of the residual tumor cells rather than to the size of the tumor itself.https://bmfj.journals.ekb.eg/article_189468_18f161907a1cec85d438c9ae8a9785e0.pdfBenha University, Faculty of MedicineBenha Medical Journal1110-208X39Special issue (Radiology)20220501The Prognostic Value of DWI MRI in The Diagnosis Of Soft Tissue Sarcomas142418798810.21608/bmfj.2021.45987.1328ENMedhat MohammedRefaatHead of radiology departement , Faculty of medicine , Benha universityShorouk ZakyAbdel Azizradiology departement,faculty of medicine, benha university, Egypt0000-0001-8283-2553Asmaa HamdiDiagnostic &amp; Interventional Radiology Department, Faculty of medicineJournal Article20201012Background: DWI is beneficial in evaluation of soft tissue sarcomas, thus improving the diagnostic accuracy, characterization and response to treatment.<br />Purpose: The aim of this study was to evaluate the benefit of using quantitative diffusion weighted imaging (DWI) with apparent diffusion coefficient (ADC) mapping in the diagnosis of soft tissue sarcoma, with emphasis on its prognostic value. <br />Patients and Methods: This study included 50 patients with pathologically proven soft tissue sarcoma. The DWI was obtained with 3 b values, including 0, 400, and 800 s/mm². Calculation of the ADC value of the lesion was done by placing the region of interest (ROI) to include the largest area of the lesion. ADC values were compared with the histopathology. <br />Results: The most frequent site was thigh (48.0), followed by shoulder, forearm, arm and foot (8.0% for each). The most frequent pathology was synovial sarcoma (32.0%) followed by spindle cell sarcoma (28.0%) then liposarcoma (12.0%). 80% of lesions showed restricted diffusion. Median ADC value was 0.7 and ranged from 0.5 to 2.4. All patients underwent surgery. 48.0% of patients received chemotherapy and 52.0% received radiotherapy. 56.0% of patients showed recurrence. 44.0% showed metastasis. Mean follow up duration was 13 months with standard deviation of 5 months. Median ADC value was significantly higher in patients with no recurrence (0.9) compared to those with recurrence (0.7). P value was 0.016. <br />Conclusion: DWI with ADC mapping of soft tissue sarcoma has additive role to anatomic sequences for lesion characterization and grading as well as treatment response.https://bmfj.journals.ekb.eg/article_187988_08ee5a94f1351e4af1897f1724f8aaa0.pdfBenha University, Faculty of MedicineBenha Medical Journal1110-208X39Special issue (Radiology)20220501Role Of Direct Magnetic Resonance Arthrography In Evaluation Of Wrist Joint Instability253618988510.21608/bmfj.2021.75312.1416ENAyman HelmyRadiology Department, El-Sahal Teaching Hospital, Cairo, EgyptMedhat RefatProfessor &amp; Head of Radiodiagnosis department
Faculty of Medicine &ndash; Zagazig UniversityMohamed MontaserOrthopedic Surgery Department, Faculty of Medicine, Benha UniversityMohamed YoussefRadiology Department, Faculty of Medicine, Benha UniversityJournal Article20210505Background: Magnetic resonance imaging (MRI) is an effective method for helping determine the cause of wrist pain by demonstrating a broad spectrum of abnormalities, including those of bone, cartilage, ligaments, and tendons.<br />Aim: To assess the role of direct MR arthrography imaging in the diagnosis of tear and cartilaginous abnormalities of the triangular fibrocartilage and intrinsic ligaments of the wrist joint.<br />Methods: A prospective cohort study conducted on 50 patients with chronic refractory unexplained wrist pain. All patients underwent initially a conventional MRI exam followed by conventional arthrography then MR arthrography while 20 patients only with suspected TFCC or ligamentous injuries clinically and radiologically underwent to MR arthroscope.<br />Results: We compared MRI, MRA and arthroscopic findings of 20 patients, there were high statistically significant differences between the groups in terms of distal avulsion and LT ligament tear. As regarding central and peripheral TFCC tears; sensitivity, specificity, PPV, and NPV of MRI and MRA respectively were 82.4%, 87.8%, 80.5%, and 84.2% and 63.2%, 66.7%, 71.1%, and 68.5%.<br />Conclusion: MR arthrography should be a fundamental part of the imaging protocol when wrist ligament injuries are suspected, as it achieves the highest level of diagnostic confidence especially for inconclusive cases, and also accurately delineates the location and type of the tear in conclusive ones.https://bmfj.journals.ekb.eg/article_189885_b3d98a7786401e384cd17a6f814bd55c.pdfBenha University, Faculty of MedicineBenha Medical Journal1110-208X39Special issue (Radiology)20220501Role of magnetic imaging resonance imaging in ebstein anomaly375419140910.21608/bmfj.2021.17048.1063ENEman AhmedIbrahimRadiodiagnosis benha, Benha universityYasser MohamedAbdelhadyLecturer of Radiology,
Faculty Of Medicine, Benha UniversityIbrahim MostafaHelmyradiology department ,national heart institute,gizaMedhat MohammedReffatradiology department banha universityMary RabeaMahrousradiology,national heart institute,giza , cairoJournal Article20190921Abstract: <br /> Background: Ebstein’s anomaly is an uncommon clinical syndrome accounting for approximately 0.5% of congenital heart disease(CHD) patients. It is defined as a congenital displacement of the posterior and septal leaflets of the tricuspid valve towards the right ventricular apex whichresults in atrialization of a part of the right ventricle. Aim andobjectives: Review the pathological spectrum of Ebstein´s Anomaly inadults, illustrate by MR the morphologic aspects of EA. Discuss MR Findings of right ventricular overload including right ventricular dimension, paradoxical ventricular septal motion.Emphasize the role of MR in the assessment of ventricular and valvular function. Demonstrate the use of delayed contrast-enhanced MR to rule out segments of myocardial dysplasia, Subjects and Methods: The present study involved twenty patients who were previously diagnosed for assessment and treatment of Ebstein anomaly . The clinical records and surgical details of all identified patients were examined, and Participants were selected from the outpatients in National Heart Institute, Giza, Egypt. Results: results of the study revealed that Ebstein`S anomaly severely affecting tricuspid regurge since 75% of patients (15 of 20) were affected while only one patient (5%) suffered of mild regurge and four patients (20%) suffered of moderate regurge, Conclusion: The diagnosis of Ebstein's anomaly is usually based on echo findings; however, cardiac magnetic resonance imaging(CMR) can add useful information enabling a detailed visualization of cardiac abnormality, as well as a method of accurate physiological evaluation. CMR, in conjunctionwith echocardiography,offers a comprehensive non-invasive evaluation either for surgical management or ongoing follow-up of these patients.https://bmfj.journals.ekb.eg/article_191409_1c0478dfc589ff7b086d611b18d3cbb2.pdfBenha University, Faculty of MedicineBenha Medical Journal1110-208X39Special issue (Radiology)20220501Role of Ultrasound in diagnosis of fetal cardiac anomalies556719210610.21608/bmfj.2021.32798.1274ENMedhat RefatProfessor & Head of Radiodiagnosis department
Faculty of Medicine – Benha UniversityHamada KhaterRadiodiagnosis department
Faculty of Medicine – Benha UniversityAbdelrahman TantawyFaculty of Medicine - Benha UniversityJournal Article20200615Background: Congenital cardiac disease is seen in 2–6.5 of 1000 live births and is a major cause of morbidity and mortality, with half of these cases being lethal or requiring surgical correction. Environmental, genetic, and chromosomal abnormalities are believed to be causes of congenital cardiac defects, with a higher incidence among infants with affected siblings or mother. Extra-cardiac abnormalities are associated with 25% of these cases, Aim and objectives: The aim of the present study is to assess the role of ultrasound in diagnosis of fetal cardiac anomalies, Subjects and methods: This was a cross sectional study that was conducted on 100 pregnant ladies between 18 and 40 weeks gestation dated by last menstrual period (LMP) referred to fetal echocardiography unit of radiology department of kasr El Ainy from Banha university hospital and other private clinics with suspected cardiac anomalies by routine obstetric ultrasound, Results: the results that sensitivity of U/S in detection of paediatric heart disease was 100%, specificity was 96.1%, PPV was 96%, NPV was 100%, accuracy was 98% with area under ROC curve 0.99, Conclusion: Prenatal diagnoses of fetal cardiac anomalies made by morphological ultrasonography exhibited good sensitivity, specificity, prenatal to postnatal concordance, and diagnostic validity.https://bmfj.journals.ekb.eg/article_192106_1da243d01a2499216437d64f258e32b9.pdfBenha University, Faculty of MedicineBenha Medical Journal1110-208X39Special issue (Radiology)20220501State of the art of magnetic resonance imaging ( MRI ) in evaluation of focal hepatic lesions687719210710.21608/bmfj.2021.49593.1342ENAhmed YoussefRadio diagnosis& Medical Imaging, Benha University Faculty of MedicineAmany ElkharbotlyRadio diagnosis& Medical Imaging, Benha University Faculty of MedicineHamada KhaterRadio diagnosis& Medical Imaging, Benha University Faculty of MedicineMagdy AwadRadiodiagnosis, Faculty of Medicine, Benha UniversityJournal Article20201112Background: The recent developments in (MRI) sequences for the upper abdomen comprise unenhanced diffusion-weighted imaging (DWI), and (DCE) MRI. DWI allows improved detection of small (< 10 mm) focal liver lesions and useful as a road map sequence. The aim of this work was to study recent and advanced magnetic resonance imaging (MRI) techniques in the evaluation of focal hepatic lesions. Methods: this study included 40 patients, patients underwent assessment with recent MRI sequences (DWI), DCE MRI, T2-weighted imaging, steady-state free precession (SSFP) imaging and T1 in-phase/out-phase imaging. Results: Half of the studied patients were females. Age ranged from 30 to 67 years with mean 48.825 years. Forty percent of patients had right-side lesion while 22.5% had left side lesion. On HPE of the studied patients, 52.5% had malignant growth while the remaining 47.5% had benign lesions. About 23% had HCC. One fifth had hemorrhagic cyst and the same percentage had metastatic lesion. Adenoma was present in 7.5%, There is statistically significant relation between nature of foci and ADC value (significantly higher in benign lesions). ROC curve of ADC in diagnosis of benign nature of focal hepatic masses among the studied patients; area under curve 0.945, (p < 0.05). Conclusion: diffusion-weighted MRI sequence with quantitative ADC measurements should be used as an additional sequence to supplement conventional MRI protocol studies for proper detection (using low b values) and characterization (using high b values) of focal liver lesionshttps://bmfj.journals.ekb.eg/article_192107_04969f8cd0d2231a9375c9efab44c915.pdfBenha University, Faculty of MedicineBenha Medical Journal1110-208X39Special issue (Radiology)20220501The Role of ultrasound in evaluation of antenatal complications related to previous Cesarean section788819237610.21608/bmfj.2021.50176.1346ENHend FouadElwelilyDepartment of radiology faculty of medicine Benha universityHesham El Sayed El SayedEl SheikhProfessor of diagnostic and interventional radiology Faculty of Medicine-Benha University.Shorouk ZakyAbdelaziz AbdelshafyLecturer of Diagnostic &Interventional Radiology Faculty of medicine University of BenhaJournal Article20201121Abstract<br />Background: Pregnant females with prior Cesarean section (CS) are at risk of multiple complications that depend on the number of previous CS. Problems of placenta are the most common complications related to previous CS. Ultrasound (US) is requested for routine screening obstetric examination in all patients. Purpose: The aim of the study is to highlight the risks of repeated CS on the future pregnancy and the severity of elective CS for atrial hoping to decrease this trend specially if non indicated. Also, to show the helpful role of US in detection of these complications during antenatal period. Materials and methods: This retrospective study included 100 pregnant females. Patients attended for sonographic examination at the radiology department of Belbeis general hospital with history of previous CS during the period between December 2018 till February 2020. All patients were scanned by US. Results: 51 patients proved to have complications related to previous CS and diagnosed by US. The complications included Placenta Previa (PP), Intra uterine growth restriction (IUGR), Oligohydramnios, breech presentation and preterm labor. Placental problems were the commonest complication discovered in patients with repeated CS. Conclusion: Repeated cs is a risk factor for multiple complications expected to occur in the new pregnancy and US is accurate in detecting these complications.https://bmfj.journals.ekb.eg/article_192376_5ca37b89be50383648cf96ffb1ee287d.pdfBenha University, Faculty of MedicineBenha Medical Journal1110-208X39Special issue (Radiology)20220501Thoracic Extra cardiac complications detected in patients after GABG at multidetectorcomputed tomography coronary angiography899719986710.21608/bmfj.2021.19468.1161ENHesham FaroukRadiodiagnosis-Faculty Of Medicine-Benha UniversityIbrahim HelmyRadiodiagnosis-Faculty Of Medicine-Benha UniversityAhmed ShalaanRadiodiagnosis-Faculty Of Medicine-Benha UniversityMona RewishaRadiodiagnosis-Faculty Of Medicine-BenhaUniversityJournal Article20191113Backgroung: Postoperative complications significantly contribute to prolonged hospitalization and intensive care unit (ICU) stay following CABG surgery. Aim: To demonstrate the role and limitations of multi-detector computed tomography angiography in the accurate detetction and follow up of thoracic extra-cardiac complications of CABG. Methods: Patients undergone ECG gated MDCT coronary angiography in CT unit in radiology department of national heart institute will be analyzed from PACS (syngo.via acquisition system) and we will include patients with observing thoracic extra-cardiac complications post CABAG. Results: 20 patients aged from 37 to 85 with 60.55±10.94 (mean ± SD) of which 80.0% is male patient. All the studied group suffer from chest pain and about two thirds (70.0%) of them suffers from respiratory distress, while only 20.0% complains of fever, 20.0% complains dry cough and only 10.0% suffers from productive cough. Redu, pleural effusion and sternal diastasis occurs among 20% of cases, pericardial hematoma in 15.0% and each of sternal suture artefact and pneumonia constitute 10.0% of them. Each of sternal mediastinal infection, SCA thrombus, surgical emphysema, pneumothorax, retrosternal collection and pericardial effusion represents 5.0% of cases. Conclusion: Redu, pleural effusion and sternal diastasis were the commonest complications as occurred among 20% of cases, followed by pericardial hematoma in 15.0% and each of sternal suture artefact and pneumonia constitute 10.0% of themhttps://bmfj.journals.ekb.eg/article_199867_bdbcdedd09058de3122cad7f9f55cfc6.pdfBenha University, Faculty of MedicineBenha Medical Journal1110-208X39Special issue (Radiology)20220501Anatomical Variations of the Celiac Artery Detected by Multidecteor Computated Tomography9810620648910.21608/bmfj.2021.81963.1431ENMaha Redaradiology , banha university , zagazigMedhat Refaatdiagnostic and interventional radiology department , benha university , egyptShorouk ZakyAbdel Azizradiology departement,faculty of medicine, benha university, Egypt0000-0001-8283-2553Journal Article20210622Abstract<br /><br />Background: Multi detector computed tomography (MDCT) is form of computed tomography technology for diagnostic imaging for diagnosis of celiac trunk variations.<br />Purpose: This study aims to describe the main anatomical variations of the celiac artery and its branches using Multi detector computed tomography.<br />Patients and Methods: This study included 30 patients with signs and symptoms of various liver and other abdominal pathologies in which biphasic or triphasic contrast-enhanced CT was indicated (to study early arterial phase).<br />Results: The commonest variant in our study was Uflacker type II (hepato-splenic trunk) in which CHA and SA have common trunk and LGA arises separately from aorta representing 40% while Uflacker type V (gastro-splenic trunk) in which the origin of the CHA from either the SMA or the aorta was the second common variants representing 20% .<br />Conclusion: Knowledge of the celiac trunk anatomical variants is very important pre-surgical, pre-laparoscopic or even pre-interventional and this can be achieved using MDCT to minimize and avoid the major vascular complications and decrease the morbidity of patients , late arterial phase of computed tomography is sufficient for assessing celiac trunk variants.https://bmfj.journals.ekb.eg/article_206489_cef874269158c86d433ff9bf9fd8785c.pdfBenha University, Faculty of MedicineBenha Medical Journal1110-208X39Special issue (Radiology)20220501ROLE OF MULTI-DETECTOR CT IN DIAGNOSIS OF SPLENIC LESIONS10711820649010.21608/bmfj.2021.82063.1432ENMedhat RefatProfessor &amp; Head of Radiodiagnosis department
Faculty of Medicine &ndash; Zagazig UniversityOsama GalalLecturer of Radiology
Faculty of Medicine - Benha UniversitySara AlmoneebMBBCHJournal Article20210623Background: A wide range of splenic lesions may be encountered in clinical practice. The aim of the study is to highlight the role of MDCT in the differential diagnosis of splenic lesions. Methods: This retrospective study was carried out on 20 patients presented to radiology department at Benha University Hospitals for diagnosis, during the period from January 2019 to January 2020. Results: Among the 20 patients included in this study; 9 of them were males and the other 11 were females with no significant relation between the sex and the pathology, 5 of the patients were diagnosed as cystic lesions while 11 cases were diagnosed as solid lesions as follow; 4 patients were diagnosed as hemangioma, 6 patients were diagnosed as lymphoma, And one patient was diagnosed as splenic metastases, And 4 patients were diagnosed as others as follow; 3 patients were diagnosed as infarction, one patient was diagnosed as splenic lacerations. Conclusion: CT is a good screening modality for the spleen and its findings are useful to differentiate benign from malignant splenic lesions, which are characterized by mainly solid nature of the splenic mass and presence of underlying malignancy.https://bmfj.journals.ekb.eg/article_206490_590c170fea57ad3a3f6caa8d91aa3527.pdfBenha University, Faculty of MedicineBenha Medical Journal1110-208X39Special issue (Radiology)20220501Role of Ultrasound in Diagnosis of Common Shoulder Lesions.11913220652210.21608/bmfj.2021.83705.1436ENHesham ELsheikhRadio Diagnosis& Medical Imaging
Faculty of medicine – Benha UniversityAhmed ShalaanRadio Diagnosis& Medical Imaging
Faculty of medicine – Benha UniversityZeinab GadMBBCHJournal Article20210703Background: The advantages of USG include low cost, accessibility, and capability for real-time high-resolution imaging that enables a dynamic assessment. Dynamic examination of shoulder can be carried out in multiple planes and areas of concern can be focused promptly to make a diagnosis. The aim of this study was to evaluate the role of ultrasound in diagnosis of common shoulder joint lesions. Methods: Our cross sectional study was carried on 36 patients who were referred from outpatient clinics to the radiology department with shoulder complain, the first assessment done by US and finally confirmed by MRI as a gold standard. Results: US predicted patients with SSP tendinopathy, with accuracy, sensitivity, specificity, PPV and NPV was 55.6%,100%, 72.7%, 70% and 100% respectively (p < 0.001). US was able to predict patients with SSP partial tear, with accuracy, sensitivity, specificity, PPV and NPV was 88.9%,80%, 100%, 100% and 80% respectively (p < 0.001). US was able to predict patients with SSP full thickness tear, with accuracy, sensitivity, specificity, PPV and NPV was 100%,100%, 100%, 100% and 100% respectively (p < 0.001). US was able to predict patients with Biceps long head tenosynovitis with accuracy, sensitivity, specificity, PPV and NPV was 94.4%,100%, 91.7%, 85.7% and 100% respectively (p < 0.001). Conclusion: USG can be used as an initial line of investigation for evaluation of all patients who are clinically suspected to have rotator cuff disorders which are the most common cause of shoulder pain.https://bmfj.journals.ekb.eg/article_206522_67e2753565a113e4b6b922506acc11a9.pdfBenha University, Faculty of MedicineBenha Medical Journal1110-208X39Special issue (Radiology)20220501Role of 18FDG-PET/CT in evaluation of breast cancer metastasis13314820704210.21608/bmfj.2021.85158.1442ENMedhat MohammedRefaatHead of radiology departement , Faculty of medicine , Benha universityHany HafezLotfyHead of Diagnostic radiology department at Almaadi Armed Forces compound , Military Medical Academy , CairoAhmed LabibAhmed SalemDiagnostic radiology department , faculty of medicine , Benha universityJournal Article20210710Role of 18FDG-PET/CT in evaluation of breast cancer metastasis <br />Abstract: background: Worldwide breast cancer is the most frequently diagnosed malignancy among women and it is the most common leading cause of cancer death. Early detection of breast cancer is considered to be an essential milestone in the control of breast cancer. Early diagnosis is crucial in determining the choice of therapy, patient’s prognosis and chances for survival. PET/CT is a new imaging modality in oncology it has the gold standard role for oncologic imaging compared with other imaging modalities to demonstrate proper extent of the disease and metastatic spread within a single non-invasive investigation. PET/CT collect between the CT anatomical information and PET functional information leading to increase the ability in different types of clinical oncology and provides an effective and accurate imaging technique for a variety of diagnostic oncology. In breast cancer, main applications were detection of malignancy, re-staging , detection of metastatic disease and for monitoring treatment response.<br />Objective: This prospective study aimed to evaluate the role of (18FDG- PET/CT) in breast cancer metastasis. <br />Patients and methods: Fifty female patients with breast cancer were included in this study. <br />Results: PET/CT showed high sensitivity and specificity to detect breast cancer metastasis involving loco-regional metastasis (nodal) and distant metastasis. Bone is the most frequent site of distant metastasis in breast cancer patients. <br />Conclusion: PET/CT can detect metastatic spread in breast cancer and monitor therapy response.<br />Keywords: [18] fluorodeoxyglucose-positron emission tomography /computed tomography (18FDG - PET/CT); breast cancer; distant metastasis.https://bmfj.journals.ekb.eg/article_207042_a2ff57153019e01fe523bebd263c5f5d.pdfBenha University, Faculty of MedicineBenha Medical Journal1110-208X39Special issue (Radiology)20220501The Role Of Multidetector CT In Revised Atlanta Classification Of Acute Pancreatitis14916020704110.21608/bmfj.2021.91987.1467ENNesma SaiedEllithyRadiological department,Faculty of medicine .banha university0000-0002-0836-9035Eman FathyAbdelkhalikRadiological department,Faculty of medicine,banha universityHesham MohamedFaroukRadiology department, faculty of medicine, banha universityJournal Article20210822Abstract:<br />Background: CT has become the standard of choice and worldwide the most commonly used imaging modality for the initial evaluation of acute pancreatitis and its sequelae.<br /><br /> AIM: The aim of this study is to asses the role of multidetector CT in diagnosis of acute pancreatitis according to Revised Atlanta C la classification of acute pancreatitis.<br />Patients and Methods: This study included 30 Patients with Previously known acute pancreatitis attacks, clinically suspected acute pancreatitis, laboratory results suggesting acute pancreatitis to do multidetector Ct.<br /><br />Results: Our study confirms that contrast enhanced CT is a reliable and accurate technique to determine type of acute pancreatitis according to The Revised Atlanta classification.<br />Conclusion: Our data and in agreement with the previous studies has demonstrated that contrast enhanced CT is a reliable and accurate technique to determine type of acute pancreatitis according to The Revised Atlanta classification. and Treatment planning is based on severity of pancreatitis and presence or absence of infection combined with clinical signs. The revised Atlanta classification system with CT helps guide management and monitor the success of treatmenthttps://bmfj.journals.ekb.eg/article_207041_c973b768bdd1c1b871808cd38703f2f6.pdfBenha University, Faculty of MedicineBenha Medical Journal1110-208X39Special issue (Radiology)20220501ROLE OF HIGH RESOLUTION ULTRASOUND AND MAGNETIC RESONANCE IMAGING IN ASSESSMENT OF THE POSTERIOR ANKLE TENDONS LESIONS16117020762010.21608/bmfj.2021.88816.1451ENHesham MohamedFaroukRadiodiagnosis Department, Faculty of Medicine, Benha University.Ahmed HamzaٍSaberRadiology, Benha University, Benha, EgyptAlaa-Eldin AbdElhamidMohamedHead of Radiology Department
Ghamra Military Hospital
Professor at Military Medical AcademyJournal Article20210802Objectives: Ankle tendons may be affected by a variety of pathologic conditions, including trauma and overuse, inflammatory and metabolic disorders, or infections. Ultrasound is a very sensitive means of detecting tendinous pathology because of its spatial resolution and its comparative and dynamic capabilities. Its wide availability makes it the preferred first-line imaging modality in cases of ankle pain. Knowledge of the normal anatomy, the clinical symptoms and the setting may help in different diagnoses.<br /><br />Aim of study: this study aims to highlight the role of high-resolution Ultrasound Doppler and MRI in assessing posterior ankle tendons lesions. <br /><br />Patients and methods: Our study is a cross-sectional study, included 34 patients, referred to our radiology department at Benha University Hospital with unilateral painful ankles between 2020 and 2021. The study was accepted by the local ethical committee. <br /><br />Results: Ultrasound and MRI revealed nearly the same results in the evaluation of tendon abnormalities. Our study included 53 tendinous pathological entities detected by MR (standard reference imaging modality) which classified into; degenerative (17 lesions), inflammatory (25 lesions) and tears (partial: 7 or complete: 4 lesions). Two lesions are missed by Ultrasound.<br /><br />Conclusion: Ultrasonography is an accurate and sensitive modality in assessing the tendons around the ankle joint and can be used either as a primary tool of investigation or as a complementary tool with MRI and even in some cases may be used as a final method of diagnosis without the need for repeating both techniques.https://bmfj.journals.ekb.eg/article_207620_d0d8de8f114a4819f00be74489280528.pdfBenha University, Faculty of MedicineBenha Medical Journal1110-208X39Special issue (Radiology)20220501ULTRASOUND GUIDED HYDROSTATIC REDUCTION OF INTUSSUSCEPTION USING SALINE ENEMA IN PEDIATRIC POPULATION, DOES IT WORTH?17118620761810.21608/bmfj.2021.77129.1422ENHadeel BadreldeenAbdelmageedRadiology Department, Benha Childern HospitalShorouk Abdel AzizLecturer of Diagnostic and Interventional Radiology,
Faculty Of Medicine,
Benha University,
Egypt0000-0001-8283-2553Medhat RefaatProfessor Of Diagnostic And Interventional Radiology Department,
Faculty Of Medicine,
Benha University,
EgyptJournal Article20210530Background: Intussusception is an occlusive-strangulation form of intestinal obstruction, and all required precautions should be adopted as soon as possible to guarantee quick diagnosis and treatment in order to avoid intestinal ischaemia and necrosis. When facilities are available, nonoperative reduction is the first line of treatment; if that fails, operative management is the next logical step. <br />Aim of work: The purpose of this study is to see how successful and safe it is to reduce intussusception with normal saline enema under guidance of ultrasound. <br />Patients and methods: Our study comprised 37 children and was carried out at Benha Children's Hospital. Their ages varied from 4 to 36 months, with an 8-month median. Intussusceptions were diagnosed in all of them. Under ultrasound guidance, we used a sustained pressure of 100–120 cm H2O of saline enema per rectum and waited until the intussusceptum decreased or the retrograde movement ceased for up to 15 minutes. <br />Results: The successful reduction rate was 89.2%. However, the recurrence rate was 18.7%, with successful non-operative reduction of all recurred cases. Only two of them required additional scheduled surgery due to pathological lead points. In the series, no procedure-related problems occurred. There were also no deaths. <br />Conclusion: Because USGHR is a safe, effective procedure with a high success rate that does not require radiation exposure, we advocate it as the standard procedure and a suitable alternative to surgical surgery for managing paediatric intussusception.https://bmfj.journals.ekb.eg/article_207618_21d9891b23a004a20b3b0fe613691922.pdfBenha University, Faculty of MedicineBenha Medical Journal1110-208X39Special issue (Radiology)20220501The Role of MRI in Diagnosis and Management of Breast Cancer during Fertility Period18719320869810.21608/bmfj.2021.19286.1157ENManar KhaledAhmedradiology department, Elsahel teaching hospital, cairo, egyptJournal Article20191108Abstract:<br />Background:Breast MRI is no longer considered as an experimental modality,but has reached a solid position in the diagnosis and workup of breast lesions. <br />Aim:is to assess the impact of contrast enhanced MRI in the diagnosis and management of breast cancer in young female patients.<br />Patient & method:Retrospective descriptive study of imaging findings of pathologically proved breast cancer in young female patients, from Kasr Al Ainy hospital, National cancer institute and El Sahel teaching hospital.From Jan.2018 to June 2018.The patients were referred from general surgery department. <br />Approval of the local ethical committee were taken in consideration. Economic status of the patients have been considered.25 patients, Ages ranged between 20 and 40 years (mean age 30); the previous ultrasound and mammography scans done for the patients to assess the actual size,metabolic behaviour of the lesion and its relation to the surrounding structures.<br />Results: The current study showed that 18/25(72%) cases had multicentric breast cancer and 7/25 (28%) cases had single masses. 21/25 (84%) cases were missed by mammography. 14/25 (56%) cases were missed by ultrasound.<br />Conclusion:We concluded that DCE-MRI has a vital role in the diagnostic work up and management of breast cancer in young women.MRI revealed most specific criteria for malignancy and it has a great ability to detect both of main lesion and additional lesions(multicentric malignancy).MRI is a very important modality as it can assist in management by more accurate assessment of the extent of disease. <br />Key words: MRI, Breast cancer, fertility.https://bmfj.journals.ekb.eg/article_208698_9baeec75800614af2ddd902e9d54ba8d.pdfBenha University, Faculty of MedicineBenha Medical Journal1110-208X39Special issue (Radiology)20220501BENIGN VERSUS MALIGNANT CERVICAL LYMPH NODES; DIFFERENTIATION BY DIFFUSION WEIGHTED MRI19420920869710.21608/bmfj.2021.21437.1196ENMohammad SaadElbadrydepartment of radio diagnosis , Faculty of medicine , Benha universityMohammad AzzamMohammadSheikh Zayed, GizaJournal Article20191224Abstract: Background: Cervical adenopathy is a common problem and the differentiation of benign and malignant node is of crucial importance for therapy management.<br />Objective: This prospective study aimed to know if Diffusion weighted images (DWI) and apparent diffusion coefficient (ADC) can differentiate benign from malignant cervical lymphadenopathy.<br />Patients and methods: Thirty patients with cervical adenopathy were included in this study. Doppler ultrasound, DWI and ADC maps were automatically reconstructed and used for the measurement of ADC values.<br />Results: The sensitivity and specificity of the RI cut-off valuehttps://bmfj.journals.ekb.eg/article_208697_db6b3004063a271f6be686b774194515.pdfBenha University, Faculty of MedicineBenha Medical Journal1110-208X39Special issue (Radiology)20220501The role of IMP3 and BCL2 in differentiating between irritated seborrheic keratosis, insitu and invasive squamous cell carcinomas of the skin21021920875410.21608/bmfj.2021.87517.1446ENOmneya YoussefBassyonidepartment of pathology ,f aculty of medicine ,Benha univeristyNashwa MohamedEmaraDepartment of Pathology,Faculty of Medicine, BenhaUniversity, Egypt.Heba MohamedRashadlecturer at pathology department, Benha faculty of medicine, BenhaJournal Article20210725Introduction: The histological distinction between squamous cell carcinoma both in-situ and invasive from their benign mimic; irritated seborrheic keratosis is still a difficulty. The aim of this study is to invistigate the diagnostic utility of Insulin-like growth factor II mRNA-binding protein 3 (IMP3), and B-cell lymphoma 2 (BCL2 ) in differentiating forementioned cutaneous tumors.<br />Materials and Methods: This is a retrospective study to include 50 cases , 25(50%) cases of squamous cell carcinoma (SCC), 10 (20%) cases of squamous cell carcinoma in-situ (SCCIS), and 15 (30%) cases of irradiated seborrheic keratosis (ISK) . The immunohistochemical expression of IMP3and BCL2 was studied .<br />Results: BCL2 was expressed in 12/15(80%) ISK cases compared to 3/10 (30%) in SCCIS and 4/25 (16%) in invasive SCC cases (p < /p>https://bmfj.journals.ekb.eg/article_208754_2b4c4f967e1f92c5d6b3b9c9514d1af9.pdfBenha University, Faculty of MedicineBenha Medical Journal1110-208X39Special issue (Radiology)20220501Role of multislice CT in evaluation of traumatic hind-foot injuries22023320874910.21608/bmfj.2021.88788.1449ENMedhat RefatProfessor &amp; Head of Radiodiagnosis department
Faculty of Medicine , Benha universityAhmed ShalaanLecturer of Radiology, Faculty of medicine, Benha University.Esraa FawzyMBBCHJournal Article20210802Background: Injuries to the foot and ankle are often missed or underestimated during the initial care for poly-traumatized patients. The aim of this study was to assess the role played by the multi-slice CT in hind foot fractures evaluation. Methods: Our study was involve 30 patients suffering of foot trauma with hind foot fractures, Cases were selected randomly from patients referred to the department of Radio-diagnosis with history of trauma and clinically suspicious cases of hind-foot injuries. Results: There mean age of patients was 31 years . and 18 patients (60 %) were males and 12 patients (40 %) were female. the two main injury mechanisms were falling from a height (13 patients [43.4%]) and a traffic accident (17 patients [56.6%]). and included 7 ankle fractures, 5 talar fractures, and 18 calcaneal fractures. 6 patients (20%) had multiple fractures. Of which 4 patients (67.7%) had ankle and calcaneal fractures, two patients (33.3%) had calcaneal and talar fractures. Conclusion: In complex intra-articular distal tibial, calcaneal and talar fractures, MDCT demonstrates well the degree of articular surface depression, fragment size and position. Data obtained by from volume-rendered imaging may assist the clinician in planning the surgical approach. Computed tomography is valuable in the diagnosis of cases of occult syndesmotic injury, especially when the patient cannot tolerate stress radiographs.https://bmfj.journals.ekb.eg/article_208749_76b9a429a8f262d432a4c92c50ea5b0f.pdfBenha University, Faculty of MedicineBenha Medical Journal1110-208X39Special issue (Radiology)20220501Role of Ultrasonoraphy in Gall bladder Dyskinsia as a cause of Functional Dyspepsia Symptoms23424320875010.21608/bmfj.2021.89386.1454ENAyman AbdelmofeedProfessor of surgery, Faculty of medicine, Benha University.Mohamed AwaadLecturer of Radiology, Faculty of medicine - Benha UniversityFatma AtefMBBCHJournal Article20210809Background: Biliary dyskinesia (BD) is characterized by symptoms of biliary disease, no evidence of gallstones on ultrasonography (USG), and diminished gallbladder ejection fraction. Aim of the work: The aim of the current study is to evaluate the role of ultrasound in gall bladder dyskinesia. Patient and methods: 30 cases were referred from Tropical Medicine, All of these cases were complaining of generalized abdominal pain, heart burn, brubing and epigastric pain, Patients were asked about a history of endoscopic examination or any lab tests. Transabdominal ultrasound examination was carried out with the Patient lying flat using 3.5-5Mhz convex probe. Results: the US mean volume pre-meal of the studied cases was 18.27 (±2.16 SD) with range (14-21) ml, the mean volume post-meal of the studied cases was 9.53 (±4.38 SD) with range (3-17) ml and the mean ejection fraction was 47.19 (±24.21 SD) with range (15-85.7). Conclusion: ultrasound is valuable non-invasive tool in diagnosis of patients with dyskinesia symptoms. A skilled ultrasonographer can examine most abdominal organs and often detect lesions that are not demonstrated by radiography.https://bmfj.journals.ekb.eg/article_208750_104f17ba62259744d607d9b9cfe6fdd2.pdfBenha University, Faculty of MedicineBenha Medical Journal1110-208X39Special issue (Radiology)20220501Value of Ultrasound Examination of the Mastectomy Bed24425420762110.21608/bmfj.2021.91615.1460ENHesham El SheikhDepartments Of radiology , Benha faculty of medicine, Benha University, EgyptShorouk Abdel AzizDepartments Of radiology , Benha faculty of medicine, Benha University, EgyptRania Abdel RahmanDepartments Of radiology , Benha faculty of medicine, Benha University, EgyptJournal Article20210819Background: Mastectomy mean surgical removal of all breast tissue and used as surgical treatment of breast cancer patients, follow up after surgery is very important for detecting abnormalities at the mastectomy. Aim: value of ultrasound (U/S)examination at mastectomy bed . Patients and methods: A prospective study, included 100 female patients that underwent mastectomy and attended to Benha teaching hospital for follow up examination. 10 patients excluded (as 7 patient refused to participate , 3 patient not adherent to follow up),so the finally total 90 female patients were referred for, clinical examination following U/S examination, and the final result depend on histopathological correlation or follow up 6monthes for at least one year. Results: 10 patients out of 90 had US suspicious feature and after biopsy ,8patients of them proved as recurrence. Conclusion: patients after mastectomy had risk for recurrent breast cancer so reqular Follow-up U/S examination for early detecting abnormalities at the mastectomy site.https://bmfj.journals.ekb.eg/article_207621_7b5be906595d1ebb1ddcbb28bdb3f8fc.pdfBenha University, Faculty of MedicineBenha Medical Journal1110-208X39Special issue (Radiology)20220501Carotid Doppler as a screening tool for silent cerebral Stroke in hypertensive patients25526620778210.21608/bmfj.2021.93559.1473ENHesham FaroukRadiology
Faculty of medicine – Benha UniversityOsama GalalRadiology
Faculty of medicine – Benha UniversityNada NagyMBBCHJournal Article20210831Background: The concept of `silent stroke' or `asymptomatic cerebrovascular lesion' has been established by many investigations, and prevalence, risk factors, clinical outcome and associated pathological changes (WMCs and underlying vasculopathy) have been studied. The aim of the work is to use Carotid Doppler as a screening tool for silent cerebral Stroke with MRI imaging in hypertensive patients. Methods: This study included 50 hypertensive patients, All patients underwent magnetic resonance imaging of the brain searching for Asymptomatic cerebral infarction. Patients with silent brain stroke underwent Duplex sonography of carotid artery. Results: Normal MRI findings occurred in only 8% of patients. Lacunar infarction, ischemic changes and microbleeds occurred in 78%, 72% and 24% of patients. High PSV occurred in 48% of the studied patients and 90% of them had normal EDV, Normal Carotid findings occurred in only 10% of patients. Atherosclerosis without plaques were detected in 30% of patients while 60% of patients had combined atherosclerosis with plaques, Abnormal carotid Doppler findings detect 43 out of 46 patients with findings suggestive of silent stroke with sensitivity 93.5% and normal carotid Doppler occurred in 2 out of 4 patients with normal MRI study with specificity 50%. Positive predictive value (PPV) was 95.6% while negative predictive value (NPV) was 40% and accuracy 90%. There is significant agreement between presence of abnormal findings on carotid Doppler and findings of silent stroke by MRI, Conclusion: Carotid atherosclerosis can be proposed as a marker for susceptibility to ischemic cerebral damage.https://bmfj.journals.ekb.eg/article_207782_d257d38536bdf6996c823e1f58cf237d.pdfBenha University, Faculty of MedicineBenha Medical Journal1110-208X39Special issue (Radiology)20220501Role of Fluorine 18 Fluorodeoxyglucose (FDG) Positron Emission Tomography (PET)/Computed Tomography (CT) in Detection of Post-Thyroidectomy Recurrence in Differentiated Thyroid Cancer26727520778310.21608/bmfj.2021.96423.1486ENAmir FathyYounisDiagnostic and intervention radiology department, Naser institute for research and treatment , Cairo, Egypt.0000-0002-6305-5493Hamada MohamedKhaterRadiodiagnosis department, Faculty of Medicine, Benha University, Benha, Egypt.Ahmed FaridYousifRadiodiagnosis Department, Faculty of Medicine, Benha University , Benha, Egypt.Journal Article20210916Abstract:<br />Aim/ learning objective: <br />To demonstrate the role of 18F-FDG PET/CT for detection of post-thyroidectomy recurrence in differentiated cancer thyroid patients with negative radio-isotope iodine scan, yet showing elevated serum thyroglobulin level.<br />Procedure:<br />This is a prospective study which included 20 patients who had previous history of differentiated cancer thyroid.<br />All patients after history taking and revising the medical sheet underwent Serum Thyroglobulin level Estimation & entire body scan I-131 (WBS) examination and then 18F-FDG PET/CT study.<br />The findings of PET/CT imaging were compared with histopathology results or clinical follow-up results as a gold standard. <br />Results:<br />FDG PET/CT based analysis showed that 19 true positives and 1 was true negative as confirmed by the gold standard (Histopathology and clinical follow-up). <br />13 patients had either local recurrence or lymph node metastases without distant metastatic disease, 6 patients had different distant metastasis. 18F- FDG PET/CT based analysis showed that 19 true positives and 1 was true negative as confirmed by the gold standard (Histopathology and clinical follow-up).<br /> The sensitivity and accuracy of PET/CT (95%) were significantly better than those of the CT alone (84.2% and 80%, respectively) [P=0.03].<br />Conclusion: <br />Combination between positron emission tomography (PET) and computed tomography (CT) allow anatomic, functional & molecular information.<br />18F-FDG PET/CT provided a critical role in assessment and management of patients with suspected differentiated thyroid recurrence, presenting with high serum thyroglobulin level and negative radio-isotope scan. <br />The 18F-FDG PET/CT enhance diagnostic accuracy through giving exact anatomical localization of recurrent and/or metastatic tumor foci.https://bmfj.journals.ekb.eg/article_207783_251c12d5e3055219152fa211ded11ef3.pdfBenha University, Faculty of MedicineBenha Medical Journal1110-208X39Special issue (Radiology)20220501Value of Fetal Renal Artery Doppler Indices in Idiopathic Oligohydramnios and Polyhydramnios27628520906810.21608/bmfj.2021.67624.1397ENMedhat RefaatDiagnostic & Interventional Radiodiagnosis
Faculty of Medicine, Banha UniversityHamada KhaterDiagnostic & Interventional Radiodiagnosis
Faculty of Medicine, Banha UniversityMarian HelmyDiagnostic &amp; Interventional Radiodiagnosis
Faculty of Medicine, Banha UniversityJournal Article20210313Background: The advent of fetal hemodynamic studies performed in conjunction with Doppler velocimetry of the umbilical arteries enabled clinicians to detect abnormal fetal blood flow and evaluate perfusion of the fetal organs. Technological advances have permitted the study of other vessels, including the renal artery, thereby improving fetal surveillance. The aim of this work is to study the relation of renal artery flow velocity waveforms and amniotic fluid volume in normal pregnancies and those complicated by either polyhydramnios or oligohydramnios. Methods: this study included 60 women, into 3 groups; Group (I): included 20 women with normal amniotic fluid volume, Group (II): 20 women with oligohydramnios, Group (III): 20 women with polyhydramnios. Pulsed wave Doppler sonographic studies was performed on the participants placed in the left lateral position with a 3.5-MHz convex transducer. The wall filter will be set at the lowest available setting (50–75 Hz) to preserve the end-diastolic component of the waveform. Results and Conclusion: There is a relation between renal artery flow velocity waveforms and Amniotic fluid index , whether normal, oligohydramnios or polyhydraamnios, using Pulsed wave Doppler Ultrasonography. An increase in Renal Artery PI value develops in relation to decreased AFI (Oligohydramnios) especially in the third trimester, which may be an indicator for rapid delivery to save the life of the fetus. Oligohydramnios could be predicted according to changes in the Renal artery PI values. In pregnancies with increased AFI (Polyhydramnios) , Renal artery PI values were decreasedhttps://bmfj.journals.ekb.eg/article_209068_b305597986ffdd586519218c2c098ed7.pdfBenha University, Faculty of MedicineBenha Medical Journal1110-208X39Special issue (Radiology)20220501Role of MRI diffusion in evaluation the therapeutic response and prognostic outcome in pediatric patients with Rhabdomyosarcoma28630221959710.21608/bmfj.2021.84481.1440ENRehab IbraheemRadiodiagnosis,medicine,benha0000-0003-1996-0936Medhat MohammedRefaatHead of radiology departement , Faculty of medicine , Benha universityInas MohsenEl-nadioncology,medicine,benisuefTarek AhmedRaafatdiagnostic radiology,medicine,national cancer instituteJournal Article20210706Background: Childhood rhabdomyosarcoma accounts for about 3.5% of cancer cases among children 0 to 14 years of age. The most common sites are the head and neck. Early detection of treatment response might change therapeutic strategies and unnecessary toxicity might be avoided. The differentiation between post-therapeutic changes and recurrent tumors in RMS is a diagnostic dilemma. DWI helps predict and monitor treatment response in RMS, as changes in ADC precede changes in tumor size. For the differentiation between recurrent tumor and post-therapeutic changes, qualitative and quantitative assessment using DWI seems to be helpful.<br />Purpose: assess the accuracy of DW-MRI in evaluation, monitoring the treatment response in RMS and differentiation between recurrent tumor and post-therapeutic changes.<br />Data Sources: Previous literature, reviews, and studies as well as medical websites (PubMed, radiographic and Science Direct) and scientific journals databases were searched from the start date of each database. <br />Patients and methods: During the period between April 2017 to April 2019, 40 pediatric patients with rhabdomyosarcoma (24 male and 16 female) were enrolled prospectively. All patients underwent standard MRI protocol and DW-MRI. PET/CT was done and correlate the SUV/MAX value with the DWI results.<br />Results: Correlation between DW-MRI and PET/CT showing 100 % sensitivity and 82.14 % specificity with 87.50 % accuracy in differentiation between recurrent tumor and post-therapeutic changes.<br />Conclusion:<br />The DW-MRI allows accurate characterization of rhabdomyosarcoma, assessment of treatment response, and differentiation between recurrent tumor and post-therapeutic changes.<br />Keywords: DW-MRI, pediatric, rhabdomyosarcoma.https://bmfj.journals.ekb.eg/article_219597_f6fba3db8885928e63f60f8b908273ee.pdfBenha University, Faculty of MedicineBenha Medical Journal1110-208X39Special issue (Radiology)20220501The value of Artificial Intelligence on the detection of pathologies in chest radiographs compared with High Resolution Multi slice Computed Tomography30331422149710.21608/bmfj.2021.79899.1424ENDunia AlbadryM.B.Ch.BHamada MohamedKhaterLecturer of Radiodiagnosis
Faculty of Medicine, Benha UniversityMedhat ReffatProfessor and Head of Radiology Department
Faculty of Medicine-Benha UniversityJournal Article20210609Background: Over the last few years, there has been increasing interest in the use of deep learning algorithms to assist with abnormality detection on medical images. Aim of this study was to investigate the performance of Artificial Intelligence on the detection of pathologies in chest radiographs compared with High Resolution Multi slice Computed Tomography. Methods: this prospective study was done on 200 cases, who underwent automatic detection of chest disease based on chest radiography in a comprehensive survey on computer-aided detection systems, focuses on the artificial intelligence technology applied in chest radiography to detect the presence of different pathologies, including pleural effusion, pneumothorax, pneumonia, pulmonary masses, and nodules in AP and PA -view chest radiographs using modern digital radiography. Using High Resolution Multi slice Computed Tomography ( 16/64/128 detector ) for chest examination for abnormality detected by artificial intelligence technology. Axial scanning extending from base of the neck down below the diaphragm with coronal & sagittal reformate images. Results: The mean age of patients was 46.3 years and 123 patients (61.5 %) were males and 77 patients (38.5 %) were female. There was a statistically significant difference between CAD and MDCT diagnosed by radiologist according to Sensitivity, p < 0.001. Conclusion: Inspite CAD system has established fair accurancy , the need of more accurate algorithm is nessary to determine if it can replicate MDCT and radiologist observation of abnormality on chest X-rayshttps://bmfj.journals.ekb.eg/article_221497_c03d7d84f65b880f9726da8114365c91.pdfBenha University, Faculty of MedicineBenha Medical Journal1110-208X39Special issue (Radiology)20220501The impact of breast magnetic resonance imaging (MRI) on the therapeutic planning in women newly diagnosed with breast cancer31532522697410.21608/bmfj.2022.18520.1120ENAsmaa MohammedAbdel Samadradiology departement,faculty of medicine, benha university, Egypt0000-0003-1916-3232Shorouk ZakyAbdel Azizradiology departement,faculty of medicine, benha university, Egypt0000-0001-8283-2553Hesham ElsayedElsheikhradiology departement,faculty of medicine, Benha univerityGamal ElsayedSalehGeneral Surgery Department, Faculty of Medicine, Benha UniversityJournal Article20191021Objective: to determine the effect of preoperative MRI on the treatment plan in women newly diagnosed with breast cancer. Subjects: the study included 40 patients newly diagnosed with breast cancer who did not have any type of treatment or underwent any type of operation. Methods: This prospective controlled study included 40 patients newly diagnosed with breast cancer who did not receive any type of treatment or underwent any type of operation the plan of the therapy was compared before and after MRI examination to document the impact of MRI on the plan of therapy. Results: Only 10 patients of the included cases had the therapeutic plan significantly changed after MRI examination while the other 30 patients had the same therapeutic plan pre and post MRI examination. Conclusion: Breast MRI proved to be the best imaging modality for pre-operative evaluation of breast cancer for proper determination of the therapeutic plan in patients newly diagnosed with breast cancer.https://bmfj.journals.ekb.eg/article_226974_0c1456f270bd284d646f50bc0aa0fecb.pdfBenha University, Faculty of MedicineBenha Medical Journal1110-208X39Special issue (Radiology)20220501Role of Contrast-Enhanced Computed Tomography in Assessment of Mesenteric Ischemia32633522698410.21608/bmfj.2022.96048.1484ENMedhat RefatProfessor &amp; Head of Radiodiagnosis department
Faculty of Medicine &ndash; Zagazig UniversityIslam MahmoudElshazlyRadiodiagnosis department , faculty of medicine , Benha university.Shaimaa HamdyMBBCHJournal Article20210914Background: Ischemia of the intestines can be defined as inadequate perfusion through the mesenteric vasculature to meet the demands of downstream organs. The purpose of this study was to highlight the role of Contrast-enhanced CT in assessmentof mesenteric ischemia. Methods: This cross-sectional study included 20 patients present with severe abdominal pain, in addition to a variety of non-specific abdominal complaints including nausea, vomiting, and diarrhea. Patients presented with septic shock secondary to ischemic or necrotic bowel. Results: In this study, 80% of Cases were males and 20% of Cases were Females, The Age ranged from 50 years to 85 years with Mean 69.8 ± 11.68. 90% from the studied group suffering from abdominal pain, 70% from the studied group suffering from Vomiting, 70% from the studied group suffering from Diarrhoea, 20% from the studied group suffering from Bleeding per rectum. According to CT findings; 60% from the studied group suffering from Bowel dilatation, 50% from the studied group suffering from Bowel wall thickness, 50% from the studied group suffering from Intramural gas, 50% from the studied group suffering from Mesenteric fat. Conclusion: the contrast Enhanced CT is the first line imaging modality when mesenteric ischemia is suspected.https://bmfj.journals.ekb.eg/article_226984_1a377741a0da9139e2ecd7700c6a30b0.pdfBenha University, Faculty of MedicineBenha Medical Journal1110-208X39Special issue (Radiology)20220501Role of Multidetector Computed Tomography in Evaluation of Renal Trauma Cases33634822698910.21608/bmfj.2022.111144.1521ENMedhat RefatHead of Radiodiagnosis department
Faculty of Medicine; Benha UniversityIslam El-ShazlyLecturer of Radiodiagnosis
Faculty of Medicine &ndash; Benha UniversitySally KadryMBBCHJournal Article20211214Background: Kidneys are the third most common solid organ injury in blunt abdominal trauma. Objectives: to assess the impact of different MDCT phases in diagnosis and staging of renal trauma after either blunt or penetrating trauma and management of lesions. Methods: This study carried on 20 patients with renal trauma . The cases are attending to Al ahrar education hospital & referred to the radiology department from the Urology and General Surgery Departments .The patients’ ages ranged between 8 and 64 years .The patients were presenting with hematuria after blunt or penetrating trauma . Renal injuries were graded according to the last modification of AAST grading system from grade I to grade V. Results: This study included 20 patients, among the 20 patients included in our study, As regard to grades of trauma there were (9) Patients (45%) had grade 4 and 6 patients had grade 3 (30%) each of grade one and two present (2) patients 10% ,and grade 5 were in only one patient (5%). Conclusion: CT become the imaging modality of choice for the evaluation of renal trauma and other associated injuries, providing the essential anatomic and functional information necessary to determine the type and extent of parenchymal, vascular, or collecting system injuries with high sensitivity (90–100%). Improvements in CT technology are advantageous for the patient selection for the best treatment and thus to prevent failure of non-operative management.https://bmfj.journals.ekb.eg/article_226989_7f4ec128bcdb599d7247e6da9e7106f3.pdfBenha University, Faculty of MedicineBenha Medical Journal1110-208X39Special issue (Radiology)20220501Description of the CT chest findings in COVID-19 infection and validation of CORADS criteria in establishing diagnosis.34935723122410.21608/bmfj.2022.113050.1522ENRagab RamadanMohammedRadiology, Benha UniversityMohammed HosnyRadiology ,Benha University, EgyptTarek SamyChest Disease and Tuberculosis, Benha University, EgyptJournal Article20211225Introduction: Coronavirus disease 2019 (COVID-19) first emerged in China and rapidly spread in the world causing a pandemic. The pandemic of COVID-19 has caused a major global crisis and continues to put tremendous stress on health-care systems worldwide. It is essential to detect the disease at an early stage to isolate infected persons from the healthy population and give them appropriate treatment. Because most patients infected with COVID-19 had characteristic CT imaging patterns, radiologic examinations have become vital in early diagnosis of disease course. For standardization, Dutch Radiological Society developed CO-RADS criteria.<br />Aim: to describe the spectrum CT findings in COVID-19 and to validate CORADS system, using the RT-PCR for COVID 19 as gold standard.<br />Methods: A group of 195 patients proved to have COVID-19 infection (by positive RT-PCR) and underwent CT chest studies were recruited excluding patients who had negative RT-PCR test or whom CT chest exams were technically insufficient. CT images were reviewed for: presence of lesions, types of lesions, and distribution of lesions. The CORADS score were assigned for each case. Then the classification of the lesions and CORADS score were compared to the RT-PCR test results. <br />Results: Lesions were present in 166 patients while 29 patients had normal CT chest. Median CO-RADS score was 5. Compared to PCR, CO-RADS sensitivity was 72.7%, with a false-negative rate of 27.3%. <br />Conclusion: CORADS system is no so sensitive and we cannot depend on it alone to exclude the possibility of COVID-19 infection.https://bmfj.journals.ekb.eg/article_231224_f148c4766513e678a347c5c927740c62.pdf