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Article
CT Evaluation of Patients with Hemoptysis and Normal Chest Radiograph
التصوير المقطعي للمرضى الذين يعانون من نفث الدم والأشعة السينية العادية

Author: Saeed Nadhim Younis
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2011 Volume: 15 Issue: 3 Pages: 44-49
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objectives: to study the diagnostic accuracy of Computed Tomography in evaluation of various etiologies of hemoptysis with normal chest radiographs.Methods: Two hundred patients with hemoptysis and normal chest radiograph were evaluated with computed tomography from the period of December 2008 to October 2009. The patients were categorized according to the primary etiology and severity of hemoptysis.Results: of the 200 patients with hemoptysis included in this study, 121 males and79 females. Majority of patients had mild hemoptysis and pulmonary tuberculosis was the leading cause of hemoptysis( 73.3% .). CT showed diagnostic accuracy of 75%.Conclusion: computed chest tomography plays an important role in assessing patients with hemoptysis.

Keywords

CT --- hemoptysis


Article
Traumatic Rupture of the Left Main BronchusCase report & review of the literatures

Author: Waleed M.Hussen
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2010 Volume: 52 Issue: 4 Pages: 484-486
Publisher: Baghdad University جامعة بغداد

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Abstract

Rupture of the trachea or main bronchus can occurs during severechest trauma and this event has been reported since more than acentury. This is a report of a 19 year old male patient sustained car accident leading to loss of consciousness due to multiple trauma ,involving specially the head and the chest that he needs assisted ventilation in an intensive care unit and later a tracheostomy .The patient regain his consciousness gradually , and a late diagnosis of traumatic rupture of the left main bronchus , which was approved by bonchoscopy and CT chest .Surgical repair of the ruptured left main bronchus was accomplished sixty days from the admission with the lung fully expanded on a post operative chest X-ray . The patient referred later to the ENT Department , thereafter a successful weaning from the tracheostomy was performed .The patient discharged well , but he was in need for regular bronchoscopic dilatation for a tracheal stricture as a complication of tracheostomy .The patient is still well during the follow up period .The report will includes a review of the literatures about thisrelatively uncommon post traumatic condition.

Keywords

Bronchoscopy --- CT chest.


Article
The role of CT scan in the diagnosis of epilepsy

Authors: Muna A.G. Al-Rawi --- Amal B. Mohamad --- Faris M. Saeed --- Sahar B. Ahmad --- et al.
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2012 Volume: 11 Issue: 1 Pages: 16-19
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Neuroimaging has an important application in the diagnosis and treatment of patients with seizures and epilepsy.Aims: To determine the diagnostic yield of CT scan in children with Epilepsy and recurrent seizures.Patients and Methods: A total of 100 patients with epilepsy referred for CT scan of the brain in Al-Yarmouk general hospital in Baghdad from November 2008 to January 2010, with an age of patients in between 2 days to 15 years. (M 68: F32).Results: Fifty one (51%) had abnormal neuro imaging of which 13 (13%) were found to have possible treatable causes and lesions requiring intervention.A high yield of positive scans distained in children with the presence of abnormal neurological examination focal EEG abnormalities and a history of neonatal seizures.Conclusions: Computed tomography is the standard clinical practice for a child with recurrent seizures, especially with the presence of abnormal neurologic examination and focal EEG changes.

Keywords

Epilepsy --- CT scans --- children


Article
ABDOMINAL CT FINDINGS IN PATIENT WITH ASCITES

Authors: Riyadh Adel Abdulazeez رياض عادل عبدالعزيز --- Zaid Khdher Ahmmad زيد خضير احمد
Journal: Thi-Qar Medical Journal مجلة ذي قار الطبية ISSN: 19929218 Year: 2012 Volume: 6 Issue: 1 Pages: 63-78
Publisher: Thi-Qar University جامعة ذي قار

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Abstract

Back ground and purposes: Ascites is the collection of free fluid in the peritoneal cavity , normally the peritoneal cavity contain small amount of serous fluid for lubrication (less than 100 ml), free fluid exceeding this amount ,considered ascites .Ascites may result from variety of medical & surgical causes , clinically detectable ascites when its amount exceeding 1500 ml ,and when it is clinically important to confirm the presence of suspected ascites, ultrasonography (US) or computed tomography (CT) of abdomen is advisable , and the different CT signs of ascites depend on the amount and distribution of the ascetic fluid .The Aim: is to study the early and the late signs of ascites on abdominal CT , and to estimate the sensitivity of abdominal CT in diagnosing the cause of ascites Patients and methods: Eighty five patients of mean age 52.2±13.8 years had ascites ,diagnosed either clinically or by US (all of them had an US examination ), been referred for spiral CT-scan of abdomen as a further diagnostic step to confirm &identify the possible underlying cause of ascites (patients with medical causes of ascites “heart failure, renal failure ” had been excluded ), abdominal spiral CT scan has been done using 8mm slice thickness (patient took oral diluted gastrografin 1.5-2hrs prior to the examination ) & two sets of CT examinations had been done ( without I.V & with I.V omnipaque “350mg/ml.Results: This study showed that CT was as sensitive as US in detection of ascites , and the different signs of ascites on CT images depended on the amount of ascetic fluid producing either (early )or( late) signs , the late signs were more frequently seen in this study .This study also showed that CT was more useful in identifying the underlying cause of ascites (especially when related to the peritoneum , momentum or to the bowel ) and the extent of the pathology and its proper staging .The frequency of the underlying causes of ascites were as follows: 62% due to underlying neoplasm ,15.5%due to underlying liver cirrhosis , 8.6% due to underlying inflammatory conditions & 3.4 % were post traumatic , however ,there were 10.3% of cases for which the CT scan didn’t give us an idea about the underlying cause . Conclusion: CT was as sensitive as US in detection of ascites, and more useful in identifying the underlying cause of it , but still about 10% of patients requires further investigative steps .

Keywords

Abdomen --- ascites --- CT --- spiral


Article
Avoiding the Impacted Supernumerary Teeth Complications by Its Early Evaluation, Using Dental Three Dimensional Computed Tomography

Author: Nazhat Mahmood Abdlkareem نزهت محمود عبد الكريم
Journal: Tikrit Journal for Dental Sciences مجلة تكريت لعلوم طب الاسنان ISSN: 20731213 Year: 2016 Volume: 4 Issue: 2 Pages: 90-101
Publisher: Tikrit University جامعة تكريت

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Abstract

Early diagnosis of unerupted supernumerary teeth is veryimportant. Detailed examinations and evaluations of these teethwith Three-Dimensional (3D) images are very beneficial in termsof treatment planning and avoiding complications, which mayoccur. 3D imaging in Dentistry offers many advantages withrespect to diagnosis and treatment planning. The applications ofsoftware-3DCT images for detailed evaluation of impactedsupernumerary teeth: location, number, morphology and positionalarea, to avoid their possibility complications by early choosing theproper surgical treatment. A descriptive study including 98unerupted supernumerary teeth from 75 healthy patients between10 and 43 years of age. Reasons for patients attendance included :malocclusion ,lack of eruption of permanent teeth ,prominence ofgingival ,diastama, ,cystic lesion, caries and pain in differentregions of dental arches, taking into account the variables ofpersonal data, gender, age, location, morphology, number andpositional area, related complications,3DCT scans study andcorrelated with surgical approaches and treatment. Incidence inimpacted supernumerary teeth is higher among male patients (ratioM: F of 1.8:1) .They are most frequently located in the maxilla(64.28%) mainly in the premaxilla within the central incisors –mesiodens (40.82 %) were detected by 3DCTscans ,most of themclassified under Type III ( 72.5%). Most cases present only singleunerupted supernumerary teeth (77.33%). The conical shape isthe commonest morphology (34.69%).The diastema registered thegreatest proportion (40.81%) of complications cases .Surgicalremoval of these teeth was done by labial or buccal approaches in(45.91%) of cases. 3DCT radiographies achieved to diagnosisand determine the exact situations, identified morphology,determined number presented and determined the position types ofwhole impacted supernumerary teeth that they were provedsurgically to be in the same locations, similar shapes, right numberand correct anatomical positions. With less invasive surgicalinterventions and less operation time. Early treatment planning ofthe impacted supernumerary teeth, the exact diagnosis ofanatomical location, shape, number, position of mentioned teeth isan important issue to avoid their complication in the future.

Keywords

3d CT --- sapemumerary --- impaction.


Article
PREDICTORS OF SUCCESSFUL URINARY STONE TREATMENT BY EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY

Author: Uday H. Mohammad عدي هاني محمد
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2013 Volume: 11 Issue: 3 Pages: 243-249
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background:In spite of the recent advances in the endoscopic treatment of urinary stones, extracorporeal shock wave lithotripsy (ESWL) is still the treatment of choice for most renal and upper ureteric stones; however the outcome depends on multiple factors.Objective:To investigate the effects of stone density, as measured by Hounsfield Units (HU) by non-contrasted computerized tomography (CT), stone size and stone location on ESWL treatment outcome of urinary calculi.Methods:A prospective study that included 65 patients. Data collection and patient evaluation were performed in Al-Salam Teaching Hospital in Mosul, in the period from March 2012 to December 2012. Patients were submitted to clinical, biochemical and radiological assessments followed by ESWL treatment. Statistical analyses using chi-square, analysis of variance (ANOVA), correlation, regression were performed for statistical significance between ESWL treatment, stone fragmentation and stone density, size and location in the renal pelvicalyseal system.Results:ESWL success rate was high (92%) for low density stones (< 500 HU). ESWL treatment outcome and stone size were inversely related. CT stone densities of 700 HU or less were almost always successfully treated by ESWL. CT stone density and stone size combined account for nearly 74% of the variation in the number of shock waves required to attain fragmentation. Stones located in lower calyceal area had less success rates.Conclusion:Stone density measurement is helpful to predict the success of ESWL for urinary stones, stones with higher density, large size and lower location may better be managed by percutaneous nephrolithotomy or endoscopic procedures.Key words:CT stone density, ESWL, none contrasted CT scan (NCCT).


Article
Performance of computed tomography indiagnosis and evaluation oftraumatic intracerebral hemorrhage

Author: Haider Q. Hamood حيدر حمود
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2011 Volume: 53 Issue: 2 Pages: 156-159
Publisher: Baghdad University جامعة بغداد

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Abstract

Background:The intracerebral hemorrhage (ICH) can be classified as traumatic and spontaneous. The frontal and temporal lobes are classic sites for traumatic ICH, which are less commonly affected by spontaneous episodes. Computed tomography (CT) scanning is the most accurate radiological method for demonstrating the acute lesion of intracerebral hemorrhage (ICH). Both types are of high density, but traumatic bleeding is more frequently multifocal, in this study we are dealing with traumatic type of intracerebralhematoma. Aim of the study is to identify the accuracy and performance of CT scan in diagnosis and evaluation of intracerebralhemorrhage.
Patients and methods: 60 patients were examined, their agesrange from 30-70 years with means age 48 years old, they were 36males (60%), and 24females (40%).
Results: Our study reveals, the male patients (36 patients) were more affected than femalepatients (24 patients). Most affected age group in our study was 60-70 years old, 18 patients (30%) with no gender difference. Acute ICH was more than other ICH types, patients with acute ICH were 24 patients (40%) 15 male patients and 9 female patients, patients with subacute ICH were 20 patients (33%) and patients with chronic ICH were 16 patients (27%). In our study, the RTA was the most causative mechanism of ICH, 27 patients with RTA were seen in our study (45%), followed by shell injury which were 24 patients (40%) and then the fall from hight (FFH)which were 9 patients (15%). The most common CT feature noted in our study is the brain edema and it is seen in 27 patients (45%). Basal ganglia were most affected brain region (45%) of cases.
Conclusion:CT is available,rapid imaging modality in the diagnosis of ICH, so it is suitable for diagnosis and evaluation of ICH as emergency cases in casualty department and it is valuable in evaluation of traumatic I.C.H. especially in acute stages.


Article
Malignant features of Meningioma CT scan Study.

Author: Ali K. AL-Shalchy
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2010 Volume: 52 Issue: 3 Pages: 266-267
Publisher: Baghdad University جامعة بغداد

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Abstract

CT scan features of Malignant Meningioma
Objective: Meningioma which is a common benign Brain tumor can be malignant, but the final decision is by biopsy. However CT. Scan features can help to evaluate malignancy of a lesion. The aim of this retrospective study is to look for the malignant features of a malignant meningioma .
Patients and Methods: This is a retrospective study of 50 malignant meningiomas in the neuro-surgical unit in the specialized surgical hospital (previously AL-Shaheed Adnan hospital), for the period from March 1992 to March 2007. We search specially for Malignant features on the CT scan study of the patients.
Results: 94%of the patients had different features of malignant meningioma, only 6% CT scan did not show any malignant features, we also evaluated the results of surgery .
Conclusion: CT scan is one of the most important diagnostic procedures for diagnosis of brain tumor; however final diagnosis can only be emphasized by the histo-pathological studies.


Article
Clinical Presentations and CT Scan Findings in Children with Cerebral Palsy
الخصائص السريرية ونتائج مفراس الدماغ للاطفال المصابين بشلل الدماغ

Author: Mohammed Jalal Hussein Al-Khalidi محمــد جــلال حسيــن الخالــدي
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2009 Volume: 22 Issue: 1 Pages: 40-47
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Cerebral palsy is non- progressive disorder of posture or movement due to a lesion of the developing brain. It is the commonest physical disability in childhood.Objective: To study the clinical, neurological abnormalities, prevalence of convulsion (epilepsy) & to asses the value of CT scans of brain in patients with cerebral palsy.Patients& Methods: It is a cross-sectional hospital based study, carried at Al-Kindy Teaching hospital out-patient pediatrics unites for the period from first of January through June 2005.A total of 91 cases (52 boys, 39 girls) with over all mean age 25.6-month range (1 month-84 month) were collected. Data were collected from their parents about age, sex, main clinical presentation, and prenatal, perinatal, postnatal history, history of convulsion. They all had clinical examination.All patients were sent to radiology department at same hospital for CT scan of brain.Results: The study revealed that boys affected more than girls (52 boys, 39 girls) with male to female ratio 1.33:1,thecommonest age group affected between 7 month-12 month (30.8%), followed by the age group between 13-24 month (20.9%). delayed milestone with hypertonia & convulsion was the commonest clinical presentation, each represent (48.3%) followed by delayed milestone with hypotonia (34.0 %), microcephaly (29.6%) & speech delay (27.4%). The commonest type of cerebral palsy was spastic form (53. 9%), followed by hypotonic form (34.0%). Convulsion was predominant in quadriplegic cerebral palsy (50%). cortical brain atrophy was commonest CT scan finding (41.7%), followed by sub cortical brain atrophy (28.6%). Cortical brain atrophy was predominant in quadriplegic cerebral palsy (27.5%).CT scan was normal in (19.8%), predominantly in hypotonic cerebral palsy (13.2%).Conclusion: The pattern of clinical presentation & prevalence of convulsion in patients with cerebral palsy in the present study are comparable to the result from studies in other clinical settings with slight variation. CT scan of brain is highly valuable in patients with cerebral palsy.Key Words: Cerebral palsy, Convulsion, CT scan

خلفية الدراسة :- شلل الدماغ هو عوق حركي وموضعي ثابت سببه خلل في تركيب الدماغ النامي . وهو من أكثر الأمراض التي تسبب عوقاً حركياً وعقلياً عند الأطفال .هدف الدراسة :- هو دراسة الخصائص السريرية والعصبية الغير الطبيعية ومدى مصاحبتها بنوبات الصرع .ولتقييم مدى أهمية مفراس الدماغ في تشخيص المرض .طريقة الدراسة :- شملت الدراسة مرضى شلل الدماغ المراجعين للعيادة الاستشارية لطب الأطفال في مستشفى الكندي التعليمي للفترة من الأول من كانون الثاني ولغاية نهاية شهر حزيران عام 2005 . لقد تم جمع 91مصاباً بالمرض (52 ولد ، 39 بنت )، معدل عمرهم 25,6 شهر ويتراوح بين (1 شهر– 48 شهر ) جمعت معلومات من الأبوين حول العمر ،الجنس ، العلامات السريرية ،معلومات ما قبل الولادة (فترة الحمل)، فترة الولادة , فترة ما بعد الولادة ، معلومات عن الصرع او الاختلاجات .تم فحص المرضى سريرياً وأرسل جميع المرضى إلى شعبة الأشعة في المستشفى لإجراء فحص مفراس الدماغ .النتائج : بينت الدراسة ان الأولاد مصابون بالمرض اكثر من البنات (52 ولد ،39 بنت) ونسبة اصابة الولد إلى البنت هي 1,3 :1 . أكثر الأعمار المصابة بالمرض كانت بين عمر 7-12 شهراً وبنسبة (8 و30 % ) ويليه العمر بين 13-24 شهر بنسبة (20,9 % ) . تأخر التطور الحركي مع تشنج الأطراف ،والصرع كانت أكثر العلامات السريرية شيوعاً وتمثل كل واحدة منها نسبة (48,3 % ) يليه تأخر التطور الحركي مع رخاوة الأطراف بنسبة (34%) ، صغر حجم الرأس بنسبة (29,6 % ) وتأخر النطق بنسبة(27,4%).أكثر أنواع شلل الدماغ كان النوع التشنجي وبنسبة (53,9 % ) يليه شلل الدماغ الرخوي وبنسبة (34%) . الصرع كان أكثر شيوعاً عند المرضى المصابين بتشنج الإطراف وبنسبة (50%) . إن نتائج فحص مفراس الدماغ بينت أن ضمور الدماغ القشري هو أكثر الأنواع شيوعاً وبنسبة (41,7 % ) . يليه ضمور الدماغ تحت القشري وبنسبة ( 28,6 %) . إن معظم حالات ضمور الدماغ القشري كانت عند المرضى المصابين بتشنج الأطراف الرباعي وبنسبة( 27,5%) .كان مفراس الدماغ سالباً بنسبة( 19,8% ) . ومعظم الحالات السالبة كانت عند المرضى المصابين بشلل الدماغ الرخوي وبنسبة (13,2%) .الاستنتاجات:- الصفات السريرية والعصبية لمرضى شلل الدماغ في هذه الدراسة مشابهة لبحوث سريرية في أماكن مختلفة في العالم مع اختلافات بسيطة وان لمفراس الدماغ قيمة عليا في تشخيص المرض .

Keywords

Cerebral palsy --- Convulsion --- CT scan


Article
Craniometric asymmetry assessment in class I and class II skeletal relationship patients using helical computed tomography sample aged between 18-35 years

Authors: Uday A. Taha --- Lamia H. Al-Nakib لمياء حامد النقيب
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2013 Volume: 25 Issue: 4 Pages: 60-65
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Asymmetry assessment is an important component of orthodontic diagnosis and treatment planning.Several studies attempted to find the relationship between craniometric asymmetry and skeletal jaws relationshipand many authors found some extent of asymmetry in individuals with normal jaws relationship. The use of Computedtomography (CT) allows for the assessment of asymmetry on a dimensionally accurate volumetric image, aim of thestudy is to determine if there are differences in craniometric asymmetry between patient with skeletal class I andpatients with skeletal class II relationship using Helical CT scan.Materials and Methods: Ninety individuals with clinically symmetrical faces were imaged with Helical CT scan, andaging 18-35 years, divided into two groups, class Ι group consisted of 31 individuals and class ΙΙ group consisted of59individuals. Anatomical landmarks were defined and reference planes were established to determine thevariance of the landmarks using a coordinate plane system. Sagittal radiographs were used to determine theamount of the ANB angle. Asymmetry was analyzed by calculating the linear measurements and asymmetry indicesof the anatomical landmarks by using coronal and axial radiographs in both classes.Results: Clinically symmetrical faces demonstrated a computed tomographic significant asymmetry with the verticaldimensions being significantly larger than the bilateral dimensions and the amount of asymmetry was more at thelevel of the mandible and less at the maxillary area.Conclusions: The craniometric structures in terms of size and shape were larger in males than in females. The amountof asymmetry was independent on gender and skeletal jaws relationship and age

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