ABSTRACT
Beyond fifth generation (5G) communication systems aim towards data rates in the tera bits per second range, with improved and flexible coverage options, introducing many new technological challenges in the fields of network architecture, signal pro- cessing, and radio frequency front-ends. One option is to move towards cell-free, or distributed massive Multiple-Input Multiple-Output (MIMO) network architectures and highly integrated front-end solutions. This paper presents an outlook on be- yond 5G distributed massive MIMO communication systems, the signal processing, characterisation and simulation challenges, and an overview of the state of the art in millimetre wave antennas and electronics.
ABSTRACT
BACKGROUND: Cerebrospinal fluid pseudocysts in the peritoneal cavity following ventriculoperitoneal shunt are relatively uncommon. In these complications, perforation of solid organs is unusual. CASE DESCRIPTION: A case of subcapsular hepatic pseudocyst is described. A 48-year-old man treated by ventriculoperitoneal shunt presented with abdominal pain. Laboratory examinations revealed hepatic cytolysis. The CT-scan of the abdomen demonstrated a small ovoid non-enhanced cystic collection in the subcapsular area of hepatic segment V. Percutaneous hepatic fine-needle aspiration of the cyst guided by abdominal ultrasonography showed no abnormal findings. Peritoneal reimplantation at a different site was performed. The clinicopathological features of this entity are described and treatments are discussed. CONCLUSION: Reinsertion of the catheter at a different abdominal site is effective in non-infections cases. In contrast, a temporary external drainage with adequate antibiotic treatment followed by shunt reinsertion is necessary to treat a documented infection of CSF collections.
Subject(s)
Cysts/pathology , Liver Diseases/pathology , Ventriculoperitoneal Shunt , Abdominal Pain/etiology , Biopsy, Fine-Needle , Cysts/cerebrospinal fluid , Cysts/complications , Humans , Hydrocephalus/surgery , Liver Diseases/cerebrospinal fluid , Liver Diseases/complications , Male , Middle Aged , Reoperation , Tomography, X-Ray ComputedABSTRACT
Twinkling artifact characterized by a rapidly fluctuating mixture of Doppler signals occurs behind a strongly reflecting granular interface such as urinary tract stones or gallstones. It may occurs in association with several clinical situations, and may sometimes be helpful for diagnosis while it may sometimes be a pitfall that must be recognized by the sonographer. After reviewing the technical nature of this artifact, several cases will be presented to illustrate the advantages and pitfalls related to this artifact.
Subject(s)
Artifacts , Ultrasonography, Doppler , HumansSubject(s)
Fistula/diagnostic imaging , Mesentery , Peritoneal Diseases/diagnostic imaging , Umbilicus , Humans , Infant , Male , UltrasonographySubject(s)
Intestinal Perforation/etiology , Pneumatosis Cystoides Intestinalis/complications , Sigmoid Diseases/etiology , Female , Humans , Intestinal Perforation/diagnostic imaging , Intestinal Perforation/surgery , Middle Aged , Pneumatosis Cystoides Intestinalis/diagnostic imaging , Pneumatosis Cystoides Intestinalis/surgery , Radiography , Sigmoid Diseases/diagnostic imaging , Sigmoid Diseases/surgeryABSTRACT
Epithelioid hemangioendothelioma of the liver is a rare primary malignant tumor of vascular origin. It most frequently occurs in middle age adults and clinical findings are non-specific. Histological diagnosis may be difficult to achieve with lesions containing a large myxoid component, and immunohistochemical staining is required. A few imaging features may suggest the correct diagnosis, and radiologists should be familiar with these findings. We will illustrate the potential role of PET-CT at the time of initial presentation. Prognosis is variable and optimal management is based on a case by case analysis, ranging from clinical and imaging follow-up to liver transplantation.
Subject(s)
Hemangioendothelioma, Epithelioid/diagnosis , Liver Neoplasms/diagnosis , Adolescent , Adult , Biopsy, Needle , Female , Fluorodeoxyglucose F18 , Follow-Up Studies , Hemangioendothelioma, Epithelioid/diagnostic imaging , Hemangioendothelioma, Epithelioid/pathology , Humans , Immunohistochemistry , Liver/pathology , Liver Neoplasms/diagnostic imaging , Liver Neoplasms/pathology , Magnetic Resonance Imaging , Middle Aged , Positron-Emission Tomography , Prognosis , Radiography, Abdominal , Radiopharmaceuticals , Time Factors , Tomography, X-Ray Computed , UltrasonographySubject(s)
Antineoplastic Agents/therapeutic use , Gastrointestinal Hemorrhage/etiology , Gastrointestinal Stromal Tumors/diagnostic imaging , Gastrointestinal Stromal Tumors/secondary , Gastrointestinal Stromal Tumors/therapy , Ileal Neoplasms/diagnostic imaging , Ileal Neoplasms/therapy , Ileum/surgery , Liver Neoplasms/diagnostic imaging , Liver Neoplasms/secondary , Liver Neoplasms/therapy , Piperazines/therapeutic use , Pyrimidines/therapeutic use , Tomography, X-Ray Computed , Aged, 80 and over , Benzamides , Combined Modality Therapy , Contrast Media/administration & dosage , Female , Follow-Up Studies , Gastrointestinal Hemorrhage/diagnostic imaging , Gastrointestinal Stromal Tumors/pathology , Humans , Ileal Neoplasms/pathology , Ileum/pathology , Imatinib Mesylate , Liver Neoplasms/pathologySubject(s)
Cerebrospinal Fluid Rhinorrhea/diagnostic imaging , Dura Mater/diagnostic imaging , Ethmoid Bone/diagnostic imaging , Image Processing, Computer-Assisted , Radiographic Image Enhancement , Tomography, X-Ray Computed , Cerebrospinal Fluid Rhinorrhea/surgery , Diagnosis, Differential , Dura Mater/surgery , Ethmoid Bone/surgery , Female , Humans , Middle Aged , Pneumocephalus/diagnostic imaging , Pneumocephalus/surgery , Rupture, SpontaneousABSTRACT
PURPOSE: To determine the value of Power Doppler US for the diagnosis of prostate cancer and in the prediction of cancer aggressiveness. PATIENTS AND METHODS: One hundred and five consecutive patients with PSA>4 ng/ml and/or abnormal digital rectal exam underwent power Doppler US prior to biopsy. In addition to biopsies directed to suspiscious lesion on US, 10 to 12 standard sextant biopsies were obtained. Histologic results were correlated to imaging findings. RESULTS: A hypervascular lesion (enlarged, irregular, serpentine or disorganized vessels) was present at power Doppler US in 34 patients and corresponded to cancer in 28 cases. Nineteen cancers showed no detectable abnormality on power Doppler US. Cancer was present in 271 of 1093 cores. After correlation with results from sextant prostate biopsy, power Doppler showed a sensitivity of 44%, specificity of 96%, positive predictive value of 84% and negative predictive value of 80%. Positive results on power Doppler US were strongly cotrrelated with higher Gleason scores. CONCLUSION: Power Doppler US may contribute to the evaluation of prostate cancer aggressiveness and direct biopsies to more aggressive foci.