Ovarian torsion is the fifth most common gynecological emergency in the world. The numerous imaging characteristics and nonspecific symptoms of ovarian torsion can lead to a delay in detection, with misdiagnosis being prevalent. To avoid irreversible ovarian damage, early detection and restoration of blood flow are essential. For timely intervention, however, increased knowledge and suspicion of this condition is needed.
Endometriosis is a chronic gynaecological condition that can cause pelvic pain and infertility, affecting women of reproductive age. It has three distinct manifestations: ovarian endometriomas, peritoneal implants and deep pelvic endometriosis. Here we present a case of bilateral ovarian endometrioma with a classic sign called kissing ovaries.
Antepartum foetal surveillance is the cornerstone of management
aimed at reducing maternal and perinatal mortality and morbidity. Doppler velocimetry of
the uteroplacental and fetoplacental circulation can be used to further evaluation in such
complications of pregnancy as foetal growth restriction. Aims and Objectives: To study the
Systolic / Diastolic ratio (S/D ratio), pulsatility index (PI) and resistance index (RI) of the
umbilical artery and middle cerebral arteries in high-risk pregnancies. The ratio of middle
cerebral to umbilical artery blood velocity in high-risk pregnancies. Also, to evaluate the
role of these blood flow indices in the prediction of adverse foetal outcome. Materials and
Methods: This prospective study included 90 pregnant patients with high-risk factors in the
III trimester after 30 weeks who got admitted to Department of OBG, Mamata Academy of
Medical Sciences, Bachupally, Hyderabad, from October 2018 to November 2019.
Results: Total number of 90 high-risk cases were studied. In these 46 cases had intrauterine
growth retardation. A ratio of Middle cerebral artery RI / Umbilical artery RI shows more
sensitivity and specificity than MCA RI (60% Vs 28%) and (75% Vs 67%) respectively. It
was also more sensitive and specific than Umbilical artery RI (61% Vs 50%) and (75% Vs
&72%) respectively. However, the most sensitive parameter was Middle Cerebral Artery PI
(95%), and the most specific parameter was Umbilical artery PI (81%). Conclusion: It has
been proved that Doppler technology has a significant impact on our ability to assess the
physiological status of the foetus. It can help in evaluating the changes in the foetal
circulation. This study suggests that ..................
Background: Localizing and repairing CSF leaks needs robust radiological work up. HRCT & CT Cisternography are the routinely used investigations, sometimes complimented with heavily T2W MRI in localizing the bony / dural defects. The sensitivity and specificity of HRCT, CT Cisternography and MRI needs further validation. Aims & objectives: To evaluate the utility of HRCT, CT Cisternography and MRI, individually and in combination, in localizing CSF fistula and compare the results with intra-operative findings. Materials and Methods: Retrospective evaluation of radiological procedures of 40 patients with clinically suspected CSF rhinorrhea / otorrhea was carried out in JSS hospital, JSSAHER Mysore. HRCT was done in all 40 patients, while CT cisternography in 38 patients and MRI in only 18 patients. Endoscopic evaluation / repair were carried out on 38 patients and was used as gold standard for statistical analysis. Results: Among 40 patients evaluated for CSF leak by radiological imaging, total of 38 patients underwent surgical / endoscopic exploration. Most common presenting symptom was CSF rhinorrhoea with cribriform plate and lateral lamella showing maximum number of defects. Sensitivity and specificity of imaging techniques improved significantly when used in combination. Conclusion: HRCT of skull base is simple, fast, noninvasive and cost effective choice of examination in the workup of CSF leak. However when used in adjunct with CSF cisternography and heavily T2W MRI the accuracy improves significantly, justifying the additional efforts and cost.
Background: Developmental delay denotes an extensive delay in one or more developmental domains. It has an estimated occurrence of 1-3% worldwide. Magnetic resonance imaging of the child's brain appears to be the most assuring neuroimaging technique in the evaluation and diagnosis of patients with the developmental delay disorders. Aims and Objectives: Our aim was to identify the spectrum of abnormalities in the brain by using MR imaging in children with developmental delay and also categorize all the morphological abnormalities. Secondly, the role of MR spectroscopy (MRS) to evaluate the severity and magnitude of different neurometabolite ratios in children with normal brain imaging were also studied. Materials and Methods: Our study involves the examination of 120 children presenting with developmental delay to the Department of Radiodiagnosis, Mamata Academy of Medical Sciences, Bachupally, Hyderabad, between July 2018 to June 2019. The children were examined with a standard MRI protocol. Clinical and demographic features and parameters were noted. The different brain structures involved were studied systematically, and the morphological abnormalities were categorized. Results: The occurrence of abnormal MRI findings was 78% among the evaluated children. Our study showed predominant involvement of the ventricles, white matter and corpus callosum. The marginal proportion of various morphologic abnormalities was Non-specific findings (11%), Neoplastic and cystic lesions (3%), Neurovascular diseases (50%), Congenital and developmental (12%) and combined aetiology (2%). Ten children with a normal MRI were subjected to MR Spectroscopy which revealed no significant difference in the neurometabolite ratios among the patients. Conclusion: MR imaging has good specificity and sensitivity in diagnosing various disorders of developmental delay. Careful evaluation of the MRI helps to identify the probable aetiology in most of the cases. Proton MR Spectroscopy is an advanced
Background: The radiation risks to workers, public and to the environment that may arise from unsafe practices have to be assessed and, if necessary, controlled. Objective: The study is aimed to assess procedural radiation protection measures and to explore challenges faced by radio-diagnostic centres on safety operations of radiation protection practices. Method: A prospective cross-sectional survey was conducted among 26 radio-diagnostic workers in some centres in Gombe State, Nigeria. The questionnaire consists of three sections which include socio-demographic and work related information, procedural safety and safety operations. The data were analyzed using SPSS version 20.0 and descriptive statistics such as frequency and percentage were obtained. Results: More than two-third of the respondents, 61.5% (n=16) closed their x-ray room door during exposure and majority of the respondents, 92.3% (n=24) always move the patient’s feet away from the couch or table during positioning of the ambulant patient for upper extremity. Those respondents that use gonadal shield on patient’s were 26.9% (n=7). Majority of the respondents 76.9% (n=20) don’t have a radiation safety officer/radiation safety adviser (RSO/RSA) at their facility. More than two-third of the respondents, 80.8% (n=21) have never attended any training. All the participants 100% (n=26) have no radiation exposure monitoring device at their facility. Conclusion: Procedural safety was adequate in all the facilities, except for the non-usage of the gonad shied by almost all of the respondents, while safety operations are poor in most of the radio-diagnostic centres.
The move towards a de-carbonised world, driven partly by climate science and partly by the business opportunities it offers, will need the promotion of environmentally friendly alternatives, if an acceptable stabilisation level of atmospheric carbon dioxide is to be achieved. The use of natural resoucses that have not any air pollution or greenhouse gases and provides comfortable coexistence of human, livestock, and plants. The greenhouses require air conditioning process to control their temperature and relative humidity to suit specific plants. To achieve this goal, a novel air humidifier and/or dehumidifier systems using mop fans had been designed and employed in an experimental greenhouse to evaluate its performance under a controlled environment. The mop fan help to reduce the energy consumption of the greenhouse whilst providing a pleasant environment for the plants inside the greenhouse. The system was designed taking into account the meteorological conditions, which affect the environment inside the greenhouse. The performance of the system was monitored over a period of time by measuring the temperature and relative humidity of the greenhouse. Results of the monitoring have shown that the system was able to provide comfortable conditions (temperatures of 16-26oC and relative humidity of 65%) suitable for the plants grown in the experimental greenhouse. This device enable to minimse the temperature variation and, hence, avoided the hazard of any sudden climatic change inside the greenhouse.