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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
Computed Tomography Performance in Renal Cystic Diseases

Author: Haider Qasim Hamood
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2009 Volume: 8 Issue: 4 Pages: 368-374
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Renal cysts represent notably dilated nephrons or collecting ducts. A cystic kidney is a kidney with three or more cysts. The accuracy of CT diagnosis of typical simple renal cyst approaches 100% but many renal cysts do not fulfill the criteria for simple renal cyst, such lesions vary from simple renal cysts which do not require surgery to renal neoplasms with cystic component that need surgical resection. Contrast-enhanced helical CT scanning has 96% sensitivity and 95% specificity in detecting carcinoma in acquired renal cystic diseases.AIM OF STUDY:To confirm the sensitivity, specificity and performance of the spiral computed tomography (CT) in diagnosis and evaluation of the renal cysts and to study the CT criteria which categorize and separate the renal cystic lesions that require surgery (malignant neoplasm) from those that do not.METHODS:Fifty patients were scanned with spiral CT, 22 of them were males and 28 were females, their ages ranging from 20-70 years with mean age 50 yeas old, these patients undergo CT examinations with and without contrast enhancing material. All the patients were proved to have renal cysts radiologically and symptomatically.RESULTS:The patients presented with cortical simple renal cysts were 16 patients (32% of all the cases). Medullary simple renal cyst were found in 9 patients (18% of the total number of cases). 3 patients presented with autosomal recessive and dominant poly cystic kidney disease (8% of total cases). 1 case found with cystic kidney associated with tuberous sclerosis (2% of total cases). Para-pelvic renal cysts are seen in 7 patients (14% of total cases). Cystic angiomyolipoma (fat density) are seen in 3 patients (6% of total cases). Acquired renal cystic disease is found in 1 patient (2% of total cases). Complicated renal cysts (hemorrhagic) are seen in 2 patients (4% of total cases). Medullary cystic diseases were found in 2 patients ( 4% of total cases). Multicystic dysplastic kidney was found in 1 patient (2% of total cases). Malignant Cystic kidney lesion (cystic renal cell carcinoma) was found in 1 patient (2% of total cases). Females are more affected than the male, 28 females (56%) while the affected males were 22 (44%). The more involved age group was between 50-59 years old, they were 15 patients (9males and 6 females). The left kidney (34%) is more involved than the right kidney (32%), while both kidneys were involved in (34%) of the cases.CONCLUSION:The spiral CT scan is the most sensitive imaging modality useful in diagnosis of cystic kidney and it is of valuable importance in evaluation and categorization of cystic renal masses in attempt to separate the lesions that require surgical resection from those do not

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