SM Journal of Radiology

Archive Articles

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Coil Migration to Pulmonary Vasculature: Case Report and Review

Coil migration to systemic circulation during coil embolization is a rare and potentially fatal complication. We present a case of asymptomatic coil migration to a pulmonary artery during embolization of accessory veins to salvage an Arteriovenous Fistula (AVF). The patient was managed conservatively and has remained asymptomatic after one and half years of follow up. We also identified the available literature for coil migration to the cardiopulmonary system and conducted a review pertaining to the symptom profile, factors predisposing to migration, management and long term complications.

Swati Gulati¹ and Anup Kumar Singh²*


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Submillimeter Correlation Between Dedicated Breast PET Image and Pathologic Anatomy Dimensions

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

Michel Herranz¹,², Ines Domínguez-Prado², Pablo Aguiar²,³*, Sonia Argibay² and Alvaro Ruibal²,³,⁴


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A Case of Chondromyxoid Fibroma-Like Osteosarcoma in a 13-Month-Old Girl

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.

Hong Ching Lee¹*, Wing Hang Luk², Adrian Lo³ and Louis Tsun Cheung Chow⁴


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Adult with A Primary Refluxing Megaureter

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.

Felipe Saez Barranquero¹*, Sergio Del Rio Gonzalez³, María Jose Regaña Feijoo², María Jose Garcia del Pino³, Juan Andres Cantero Mellado³, Bernardo Herrera Imbroda³, Cristobal Marchal Escalona³ and Francisco Javier Machuca Santa Cruz³


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Burden of Low Back Pain in Human Being

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

Eugene Stephane Mananga1,2* 


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Therapeutic Ultrasound on Tumors

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

Zhi-yong Shen 


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Diagnostic Performance of Combination Cardiac Computed Tomography Angiography with Perfusion with Fractional Flow Reserve as Standard Reference: Systematic Review and Meta Analysis

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.

Yang Z¹*, Xin-bo L¹*, Zhou T², Bei-cheng W¹, Li T¹, Lin-feng Y³, Li M¹* and Sun G¹*


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Pathologic Fracture of Humerus as the Initial Manifestation of Metastatic Thyroid Carcinoma

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

Andres Gonzalez-García¹, Walter Alberto Sifuentes-Giraldo²* and Jose Luis Patier-de la Pena¹