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Article
Distinguishing Benign and Malignant Breast Mass using kinetic Curve of Dynamic contrast Enhanced MRI Scanning in Comparison with Histopathological Results

Authors: Ban Abbas Semander Al-Maammory --- Huda Ali Rasool Hussain
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2017 Volume: 14 Issue: 3 Pages: 450 -460
Publisher: Babylon University جامعة بابل

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Abstract

MRI is now emerging as a very exciting and potentially powerful tool for the imaging of breast abnormalities in addition to the conventional modalities such as mammography and sonography. MRI imaging with its rich soft-tissue contrast and excellent tissue differentiation, thin-section, multiplanar capability, with no ionizing radiation, offers the possibility of better lesion characterization than can be obtained with conventional imaging methods. This study was conducted to assess the accuracy & the diagnostic value of the TSI - curve (kinetic curve) of DCI MRI in distinguishing benign and malignant breast mass in comparison with histopathological results. Sample of 40 female patients aged from 30-70 years with a mean age of 49 year having breast mass with clinical suspicion were subjected to mammographic and ultrasonic classification after clinical examination in the breast clinic and referred to the MRI unit. MRI were done and breast masses assessed according to their shape, pattern of enhancement and kinetic curve. Histopathological confirmation was obtained for all patients .twenty nine cases show kinetic curve of type 3 while type 2 curve in 9 cases and 2 cases revealed type 1 curve.by histopathological study, 28 case of type 3 curve are malignant, one case is benign. 4 case of type 2 are malignant and 5 cases are benign . Two cases of type 1 curve are benign . So MRI is good technique for assessment of breast masses and extension to other tissue and sensitive for detection of multifocal breast lesions and bilateral breast masses and local recurrence.


Article
Burning Mouth Syndrome in an Iraqi Sample of Patients: a preliminary study of 52 Cases

Author: Dr. Munir Y. AL – Kotany. د.منير كوتاني
Journal: MUSTANSIRIA DENTAL JOURNAL مجلة المستنصرية لطب الاسنان ISSN: 18138500 Year: 2011 Volume: 8 Issue: 3 Pages: 310-321
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

AbstractEvaluation of the clinical characteristics of burning mouth syndrome in a sampleof Iraqi patients referred to a large teaching dental clinic in Baghdad.Fifty two patients with burning mouth syndrome were followed up through aprospective study ,investigating the clinical characteristics of using pre- establishedcriteria’s and tests for each feature .Forty four women and 8 men with burning mouth syndrome ranging in age from46 – 72 years. Their cause of attendance was disturbed sleep (46.1%), fear of seriousdisease (44.2%) and anxiety (36.5%). The pain duration since it started ranged from3 – 48 months (Mean 18.17 ± 12.78) months.Twenty six patients (50%) reported precipitating event and 32 (61.9%) reported achange in taste sensation of which (56.25%) had a bitter taste. VAS pain levels were(6.13±0.02 for females and 6± 0.91for males). 25%of the patients had medicalcomorbidities that were under control.The location of pain was mostly on the tongue (76.9%) and mainly on its margins(57.7%) unilaterally. And only 25% of the patients had subjective xerostomia withstimulated parotid salivary flow rate less than 0.5 ml/ min.Estradiol levels among females were (68.18%) below 15 pg/ml and (31.72%)above that in spite of 75% of them were post–menopause. And these patients weresubject to stress ranging from 35-146 (L. c. u's) with a mean of 2.73 ± 1.28 events perpatient and about 7.69% of them had one severe stress accident .The classification of psychiatric comorbidities occurring among the patientssample were (17.3% = free), (40.38% = Depressive neurosis) and (20.08% = Anxietyneurosis) and none of the patients reached the level of psychosis.Burning mouth syndrome is possibly of high prevalence and with high range ofetiologies that should be more investigated including its relation with psychologicalstress and neurosis.

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