ABSTRACT
Background: MRI examination is a useful modality for staging and evaluation of gynecologic malignancy. The diffusion-weighted MR imaging [DW-MRI or DWI] method has been introduced to cancer diagnostics, and has widened the diagnostic capabilities of MRI. Functional information from DWI and DCE-MRI can supplement morphologic information obtained with conventional cross-sectional imaging methods
Aim of the Work: The aim of the present study is to evaluate the role of MRI in the diagnosis and staging of uterine cervical cancer and to assess the value of apparent diffusion coefficient [ADC] in the studied individuals
Patients and Methods:This prospective study included twenty two patients with clinically suspected cervical cancer and twenty two apparently healthy women with normal MRI appearance of the cervix. It was conducted in El-Demerdash Hospital. The patients were referred from the Gynecology Department to the Radiology Department [Women's Imaging Unit] for further MRI assessment with DWIs. Ten patients were followed up after receiving chemo-radiotherapy
Results: There was a high statistical difference between cervical cancer patients [Before-treatment] and control group according to ADC Value. There was a high statistical difference between cervical cancer patients [post-treatment] and control group according to ADC Value. In addition, there was a high statistical difference between cervical cancer patients [pre-treatment] and [post-treatment] according to ADC Value. The comparative study between ADC values versus tumor size and between ADC values versus histopathological result [types and grading] of the tumor was statistically non-significant
Conclusion: DWI serves as a functional technique, which provides information about water mobility, tissue cellularity, and stability of membrane integrity that can discriminate cervical carcinoma from healthy tissue, and increasing the radiologist's confidence in image interpretation. Therefore, it implies a non-invasive technique, which can be used especially if contrast intake is avoided as in pregnancy. ADC values are reliable for differentiating cervical cancer from normal cervix with higher diagnostic accuracy when added to DWI interpretation
Recommendations: Further studies on a larger scale of patients are needed to confirm the results obtained by this work
ABSTRACT
Objective: The aim of this study was to evaluate the effectiveness and safety of minimally invasive surgical procedure trans-obturator vaginal tape [TOT] in the treatment of female stress urinary incontinence and follow up these cases for 24 months regarding effectiveness, safety and possibility of complications
Patients: 30 women with genuine stress urinary incontinence [SUI] demonstrated by history, clinical examination and urodynamic study
Methods: 30 patients diagnosed with SUI underwent transobturator sling [inside-out technique] [TVT-O Gynecare ®, Johnsonand Johnson, USA.] The patients were followed up for 24 - months regarding subjective and objective cure rates
Results: The mean operative time [min.] was 19.67 [+/-8.06]. The mean intraoperative blood loss [ml] was 80+/-30.52. There was no case complicated by intraoperative bleeding [mild or severe], bladder, urethral, vascular injuries and anesthetic complications. Subjective and objective cure rates of these patients were [95%] both
Conclusion: The results of this study concluded that management of genuine stress urinary incontinence by transobturator vaginal tape [TVT-O] is an easy and safe method with low complications and high success rate
ABSTRACT
Background: Trans-catheter renal arterial embolization [RAE] has emerged as a possible alternative to surgery in the management of iatrogenic renal arterial injuries. Objective: To discuss the role of renal arterial embolization in patients with iatrogenically-induced renal arterial injuries
Methodology: All cases were done at the Interventional Radiology Unit, Ain Shams University Hospital
Results: Technical and Clinical success rates of the RAE reached 90% for each, with post procedural complications that only amounted up to 30%, half of which was the post embolization syndrome that presents as fever, leukocytosis and pain and is treated conservatively
Conclusion: Renal artery embolization has proven to be a safe, minimally invasive option in the treatment of iatrogenic renal arterial injuries achieving high technical and clinical success rates
ABSTRACT
Aim of the work: to compare the role of ultrasonography and magnetic resonance imaging in the diagnosis of wrist joint affection in patients with rheumatoid arthritis
Patients and methods: this study included 50 patients diagnosed as rheumatoid arthritis [41 females and 9 males] with mean age 43 years; they were subjected to high resolution ultrasound and MRI of the wrist joint for the dominant affected wrist clinically. Comparison and correlation between both modalities was done
Results: our results showed agreement between ultrasound and MRI in the assessment of synovial inflammation, activity and bone erosions in wrist joint in rheumatoid arthrtis patients
Conclusion: we concluded that both modalities were comparable and close to each others as regards the bony erosions and synovial hypertrophy and inflammation in the wrist joints in patient with rheumatoid arthritis and the ultrasound was useful tools in detection of erosions and synovial inflammation so can be used in patients without erosions on conventional x ray and also can be used in follow up and monitoring the patients with established diagnosis of rheumatoid