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1.
Egyptian Journal of Hospital Medicine [The]. 2018; 72 (4): 4230-4235
em Inglês | IMEMR | ID: emr-197444

RESUMO

Background: Recent developments in diagnostic imaging techniques have magnified the role and potential of MRI in female pelvic imaging. Functional imaging by means of diffusion weighted magnetic resonance imaging [DW-MRI] is now part of the standard imaging protocols for evaluation of the female pelvis


Objective: This study aimed to highlight the role of Diffusion Weighted MRI in tumor grading noninvasively prior to surgery


Methodology: This study carried out in Radiology Department of Ain Shams University Hospitals. This study included 20 patients. All patients were subjected to careful history taking, Histologic diagnosis of endometrial carcinoma and pelvic MRI was done


Result: The difference between the mean ADC values of high grade and low grade endometrial carcinoma was significant


Conclusion: MRI is accurate in assessing the depth of myometrial invasion and cervical extension, allowing for selective lymphadenectomy, with higher accuracy measures for Diffusion Weighted MRI than for Dynamic Contrast Enhanced MRI in both lesion characterization and staging

2.
Egyptian Journal of Hospital Medicine [The]. 2018; 72 (10): 5505-5512
em Inglês | IMEMR | ID: emr-200027

RESUMO

Background: the role of MRI in female pelvic imaging has been magnified nowadays by the aid of diffusion weighted magnetic resonance imaging [DW-MRI] and contrast enhanced imaging for better assessment of endometrial cancer


Aim of the Work: this study aimed to show MRI role in diagnosis of female patients with endometrial cancer for better evaluation, prognosis and treatment strategies according to preoperative MRI staging


Patients and Methods: this study carried out in Radiology Department of Ain Shams University Hospitals. This study included 25 patients. All patients were subjected to careful history taking, histologic diagnosis of endometrial carcinoma and pelvic MRI was done


Results: the diagnosis capability of the MRI in comparison to histopathology in patients with endometrial carcinoma was significant


Conclusion: MR imaging with the aid of contrast enhanced images, diffusion weighted images and ADC mapping, had a great role in diagnosis of endometrial cancer as part of pre-operative assessment for lesion characterization and staging of the disease, that improve overall survival rate of patients by choosing better treatment plan

3.
Egyptian Journal of Hospital Medicine [The]. 2018; 73 (1): 5807-5812
em Inglês | IMEMR | ID: emr-200069

RESUMO

Background: Percutaneous embolization of the internal spermatic vein to treat varicoceles is a minimally invasive outpatient procedure that, when performed by experienced interventional radiologists, has high technical success rates, low recurrence rates, very low morbidity and minimal radiation. It has been demonstrated to be equal to surgical ligation in clinical results and as or more cost effective. Its minimally invasive nature allows it be well tolerated with shorter recovery times and less discomfort relative to surgery. When skilled and experienced vascular and interventional radiology services are available, embolization is an effective alternative to surgery and should be offered as such or as primary therapy for varicocele treatment


Objective: The aim of this study is to discuss the role of N-buty cyanoacrylate for gonadal vein embolization in treatment varicocele causing testicular pain or infertility


Methodology: this study was carried out in Radiology Department of Ain Shams University Hospitals. This cross sectiona. descriptive study included 20 patients with varicocele presented by pain, infertility or recurrence after surgery and diagnosis was confirmed by ultrasound


Result: varicocele embolization has significant role in improving scrotal pain and infertility

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