Coil Migration to Pulmonary Vasculature: Case Report and Review

Breast PET imaging can be carried out by using dedicated breast PET (dbPET) scanners. These novel scanners consist of small ring detectors around of breast with the patient in prone position, thus facilitating breast elongation and providing higher sensitivity and better spatial resolution, which leads to a reduction of injected dose. In this work, we are aimed at studying the correlation between dbPET images and pathological studies

Chondromyxoid fibroma-like osteosarcoma is a rare type of osteosarcoma with only a handful of cases reported in the literature. We report a case of chondromyxoid fibroma-like osteosarcoma involving the sinonasal region in a 13-month-old girl, with discussion of its radiological and pathological features and differentials.

We report the case of a 47 year old without drugs allergies and hypertension, presented to the emergency department with symptoms of low back pain about 3 weeks of evolution, together for 48 hours of oliguria and fever.

Low Back Pain (LBP) also called lumbago affects nearly 40% of people at some point in their lives resulting in large economic cost such as loss of income and productivity [1]. New research f indings raise concerns about the causes of law back pain in young athletes and adults, and the appropriateness of the imaging methods used to detect the pars inter articularis

Tumor is one of the most serious diseases that threaten human health. The traditional therapeutic methods for tumors include surgical resection, radiotherapy, and chemotherapy. However, even if the application of the method above mentioned, some kinds of tumor are easy to relapse or metastasis

Background: Previous meta-analyses have confirmed the high diagnostic performance of Computed Tomography Perfusion (CTP) for detecting coronary artery disease, which, nevertheless, was compared with Quantitative Coronary Angiography (QCA).

Methods: We searched PubMed for all published literature for all published studies that evaluated the consistence between catheter Fractional Flow Reserve (FFR) and CTP. The studies were included if the coherence between FFR and CTP was investigated. The basic information and numbers of true-positive, true negative, false-positive, and false-negative values were extracted by two investigators independently.

Results: Five studies were finally identified. Among the included references, 4 studies included data with hybrid CTP and CT angiography (CTA). The publication biases were not significant for studies with CTP (P = 0.88) and hybrid CTP/CTA (P= 0.21). The pooled positive likelihoods were 5.39 (95%CI 2.65-10.99) and 13.97 (95%CI, 9.62-20.30) for CTP and CTP/CTA, respectively, and negative likelihoods were 0.30 (95%CI, 0.19-0.49) and 0.23 (95%CI, 0.15-0.34). With hybrid imaging, the overall accuracy increased (P<0.05, the area under the summary ROC curve was 0.88 for CTP and 0.95 for hybrid CTP/CTA, respectively). The sensitivity analysis indicated that no study influenced the pooled results significantly.

Conclusion: With FFR as standard reference, CTP cannot be applied as an effective tool for diagnosing suspected coronary ischemic disease alone. Rather, hybrid CTP/CTA is suggested to improve the overall accuracy.

An 85-year-old male patient presented at age 83 with acute onset pain in his left elbow without previous trauma

Isocitrate dehydrogenases IDH1 and IDH2 are closely-related metabolic enzymes which catalyze the conversion of isocitrate to α-ketoglutarate (α-KG) by oxidative decarboxylation and simultaneously generate NADPH in cells

An 59 year-old patient complaining of progressive worsening of lower back pain with new bilateral leg weakness limiting mobility. Physical examination showed paraesthesia localising to L5/ S1 dermatomes bilaterally. Patient has no previous injury or co-morbidities.

Background: The lateral femoral notch sign is associated with roughly 25% of acute ACL tears with increasing incidence in younger athletes with high impact or pivot injuries. It is described as a deeper vertex than the normal terminal sulcus or exaggerated posterior extension of the terminal sulcus.

Case report: A 13 year old male athlete presented to clinic 7 days following a knee injury at football practice. His physical exam wasequivocal, notable for a mild effusion and a trace lachman maneuver. Radiographs revealed a lateral notch sign, increasing suspicion for an ACL tear. Complete ACL tear was confirmed by MRI and the patient proceeded with reconstruction.

Conclusion: Radiographs should be performed on young athletes with an acute knee injury and should be scrutinized for a lateral notch sign. The presence of a pathological lateral notch should increase the clinical suspicion for an ACL tear as well as warrant further evaluation with an MRI. Distinguishing a pathological lateral notch from a normal terminal sulcus is an important skill for every clinician. In cases with an unclear physical exam and borderline measurements of the lateral notch, clinicians should consider obtaining radiographs of the contra lateral side for comparison.