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Article
A Digital Photogrammetric Study of the Corpus Callosum Using MRI in Sulaimani Normal Individuals
دراسة تصويرية مساحية ضوئية رقمية لمساحة الجسم الجاسىء باستخدام التصوير بالرنين المغناطيسي للدماغ للأشخاص الطبيعيين في السليمانية

Author: Shilan H. Karim*Imad G. Qasim** Sameh S. Akkila*** شيلان حسين كريم* عماد غانم قاسم** سامح سمير موسى***
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2012 Volume: 25 Issue: 3 Pages: 236-238
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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AbstractBackground: Corpus callosal anatomy and physiology have been the interest of many studies due to the influence of this commissural structure on the performance of the brain in patients with intractable epilepsy undergoing callosotomy. Numerous conflicting studies have been published with respect to variations in the size of the corpus callosum relative to handedness, gender and age. Aim: This cross sectional study was carried out to examine the morphometric influence of these factors (sex, age and handedness) on the corpus callosum in normal adults.Subjects and methods: One hundred normal individuals, 36 males and 64 females, divided into 3 age groups were subjected to magnetic resonance imaging study of the brain. Of the 100 subjects, 7 females and 1 male were left handed. The brain magnetic resonance images of all subjects were digitalized using Auto CAD computer software to estimate the statistical correlation and ratio between the surface area of the corpus callosum and the medial surface of the cerebral hemisphere. Results and Discussion: The results showed no statistical significance of the effect of sex, age or handedness on the surface area of the corpus callosum but there was a statistically significant sexual dimorphism in the medial surface of the cerebral hemisphere, being larger in males. We attributed these results to the fact that cerebral cortical atrophy starts earlier in females while the surface area of the corpus callosum remains normal leading to a relative increase in surface area of the corpus callosum / medial surface of the cerebral hemisphere ratio in females and a proportionally larger medial surface of the cerebral hemisphere area in males. We, however, recommend future studies to include a larger sample size, greater number of left handed subjects and probably other influencing physiological or pathological factors.

الخلاصةخلفية البحث: حظي تركيب الجسم الجاسىء التشريحي و وظيفته الفسلجية باهتمام العديد من الدراسات لما لهذا التركيب الصواري من تأثير مهم على أداء الدماغ في المرضى المصابين بالصرع المقاوم للعلاج و الذين يخضعون لعملية فصل الجسم الجاسىء، حيث نشرت العديد من الدراسات المختلفة النتائج و التي تربط الاختلافات في حجم الجسم الجاسىء بالجنس و العمر و التفضيل اليدوي.الأهداف: تهدف هذه الدراسة لتبيان التأثير الشكلي لعناصر العمر و الجنس و التفضيل اليدوي على حجم الجسم الجاسىء في البالغين الأصحاء في محافظة السليمانية شمال العراق.المنهجية: تم اختيار 100 بالغ (36 ذكر و 64 إناث) بشكل عشوائي و قسموا الى 3 مجموعات عمرية و خضعوا لدراسة مقطعية للدماغ باستخدام الرنين المغناطيسي حيث كانت جميع نتائجهم طبيعية، كان هناك 7 نساء و رجل واحد أعسري اليد من المئة الخاضعين للدراسة, تم تحويل الصور المقطعية الرنينية لجميع الأشخاص إلى صور رقمية و دراستها باستخدام برنامج أوتوكاد الحاسوبي لحساب الترابط الإحصائي بين المساحة السطحية المقطعية للجسم الجاسىء و السطح الأنسي لنصف كرة المخ.النتائج و التوصيات: لم تظهر النتائج تأثيرات إحصائية ذات أهمية للجنس أو العمر أو التفضيل اليدوي على المساحة السطحية المقطعية للجسم الجاسىء و لكن كان هناك اختلاف جنسي واضح للمساحة الأنسية لنصف كرة المخ حيث كانت أكبر في الذكور البالغين، و قد عزيت هذه النتائج لكون الضمور المخي القشري يبدأ في وقت أبكر في النساء منه في الرجال بينما تبقى المساحة السطحية القطعية للجسم الجاسىء ثابتة مما يؤدي الى زيادة نسبة مساحة الجسم الجاسىء بالنسبة لمساحة قشرة المخ عند النساء ووجود مساحة أكبر لقشرة المخ عند الرجال، و لذلك يوصي الباحثون بالمزيد من الدراسات في هذا المجال باستخدام عينة أكبر من الأشخاص و إدخال عناصر فسلجية أو مرضية مؤثرة أخرى في معايير البحث.


Article
Magnetic resonance imaging findings of knee injury

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Abstract

Background: Since its introduction to musculoskeletal imaging in the early 1980, magnetic resonance imaging (MRI) has revolutionized diagnostic imaging of the knee. It is therefore become the examination of choice in the evaluation of internal joint structures of the knee like menisci, cruciate ligaments, and articular cartilage.Objectives: to describe the MRI finding in various knee injuries.Patients and methods: A cross sectional study was done on 130 patients with history of knee injury in MRI unit at institute of radiology and al-Shaheed Ghazi Al-Hariri Hospital in medical city complex - Baghdad, from October 2011 to February 2013 includes 103 men, 27 women; the mean age was 33.86 years. MR imaging studies of the knee performed using a 1.5 T MR system. The sequences included coronal and sagittal PD, sagittal T2 FSE, fat suppressed T2 FSE, STIR axial and coronal. Knee MR studies were obtained to evaluate ligament, menisci, articular surface and bone pathologies of knee injuries.Results: MR images were normal in 15 patients; it was positive for meniscal tears in 59 patients and maximum involvement was in the medial meniscus and the posteriorhorn. These tears were classified into grade 1 (28.8%), grade 2 (11.5%), grade 3 (53.9%) and grade 4 (5.8%). Ligament tears were seen in 70 patients. Secondary signs associated with ligament tears were also assessed.Conclusions: MRI is an accurate, non-invasive technique for examination of the soft tissues and osseous structures of the knee. It has great capability in diagnosing meniscal tears and classifying them into grades and types, which would avoid unnecessary arthroscopic examination. It is a very good modality to diagnose complete tears of the anterior cruciate ligament (ACL).maging, meniscus.


Article
Incidental Finding during MRI Evaluation of Lumbosacral Disc Prolapse in Adults in Al- Hilla Teaching Hospital

Authors: Hadeel Abdul-Sattar Qasim --- Hassaneen Al-Bayati --- Nashwan Aziz Mahmood
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2017 Volume: 14 Issue: 3 Pages: 537 -549
Publisher: Babylon University جامعة بابل

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Abstract

Due to increasing number of MRI imaging , detection of incidental findings not related to main complain of patient were elevated. Aim of study to find the frequency and types of spinal and extra spinal incidental findings of lumbosacral spine MRI in adult patient with suspected intervertebral disc prolapse. Across sectional study conducted from 2016 – 2017 in Al-Hilla teaching general hospital on 805 adult patients with female–male ratio 460: 345, age range 18-90 years undergone lumbosacral spine MRI due to suspected intervertebral disc prolapse using 1.5 T MRI unit. Incidental finding not related to patient symptoms, evaluated by radiologist, Chi square test was used to find the relation between incidental finding and patient characteristics. Incidental findings found in 275 patients out of total 805 age range 18-90 years with percentage 34.2%. among this vertebral haemangioma was commonest forming (27%), then tarlov cyst forming (2.7%), ovarian cysts (0.87%), perineural cysts (0.74%), each one of intraspinal mass, renal cysts and nabothian cyst found (0.5%) for each , bone lesion form (0.37%), uterine masss form (0.37%), arachnoid cyst form (0.25 %) and meningocele formed (0.125%). There was significant correlation between occurance of these incidental findings in regard with patient’s age and sex, P-value < 0.001. So Incidental findings is common in clinical practice and increasing. Majorities are benign and it is associated with patient age and sex. Providing information on these findings help to manage and deal with them and it can affect patient health.


Article
Role of T1 Weighted and Diffusion Weighted Magnetic Resonance imaging application in the diagnosis of osteoporosis in lumbar spine in postmenopausal women
دور تطبيق الرنين الانتشاري الموزون والصورة المبنية على ( ت ١ ) لتشخيص مرض هشاشة العظام في العمود الفقري في النساء بعد انقطاع الطمث

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Background: Postmenopausal Osteoporosis is one of the most common causes of primary osteoporosis. For two decades, diffusion-weighted imaging (DWI) has been applied to the evaluation of intracranial diseases, but technical advancement make it possible to apply DWI measurements to extra cranial sites, including vertebral column. Objective: Using diffusion-weighted MR imaging technology to determine the DWI and ADC values of lumbar vertebral body in postmenopausal women in correlation with the DEXA t-scores.Patients and Methods: A cross sectional analytical studywas conducted at Al-Yarmouk Teaching hospital in Baghdad city. A total of 80 postmenopausal women, was recruited from subjects who underwent DEXA of the spine and categorized into three groups according to their t-score: Normal BMD, Osteopenia, and Osteoporosis. Then MRI study done for all of them including: T1, T2, DWI, and ADC value measurement. Results: The values of ADC at L3 vertebra were (0.46 ± 0.098) × 10-3 mm2/s, (0.42 ± 0.084) × 10-3 mm2/s, and (0.39 ± 0.052) × 10-3 mm2/s for the three groups: the normal, osteopenic, osteoporotic respectively. The values of the diffusion signal intensity values at L3 vertebra were 134.5 ± 5.7 mm2/s, 112.7 + 3.4 mm2/s, 101.3 + 4.4 mm2/s respectively. There was a significant difference among the three groups in both diffusion and ADC measurement. Conclusion: Both diffusion and ADC values are significantly lower in subjects with postmenopausal osteoporosis. There is a significant positive relationship between T score that was determined by DEXA, and the ADC value.


Article
Incidental findings on magnetic resonance imaging of lumbosacral spine in patients with back pain and/orradiculopathy
النتائج العرضية لتصوير بالرنين المغناطيسي للعمود الفقري القطني العجزي في المرضى الذين يعانون من آلام الظهر و / أو اعتلال الجذور

Authors: Haveen Azo Mohamedamin --- Hayam Yousif Odish --- Araz Rafiq Abdullah
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2018 Volume: 22 Issue: 3 Pages: 300-306
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Background and objective: An incidental lesion is an asymptomatic lesion found while examining a patient for an unrelated reason. Lumbar spine imaging may reveal either clinically insignificant spine incidental abnormalities and/or extra-spinal Incidental finding that, at times, may even explain the patient’s symptoms. This study aimed to evaluate the frequency and types of incidental findings in lumbosacral magnetic resonance examination and to find the correlation between the frequency distribution of findings in terms of age and sex.Methods: This cross-sectional study involved 1250 persons who were referred for lumbosacral spine magnetic resonance imaging because of low back pain and/or radiculopathy. The magnetic resonance images were viewed to evaluate the frequency of incidental findings which were divided into extra and intraspinal findings.Results: Incidental findings were noted in 332 (26.6%) patients of the 1250 comprising 94 (28.3%) males and 238(71.7%) females. Some of them had more than one incidental finding. Cortical and para pelvic renal cysts were the most common extra spinal incidental findings, while vertebral hemangioma was the most common intraspinal incidental finding.Conclusion: Incidental findings were common in magnetic resonance imaging examination of the lumbar spine, and most were clinically insignificant; however some of these findings may be more significant than the spinal problems being evaluated and can have a significant impact on patient management. Therefore, they should be included in the reports since they will give additional and valuable information.


Article
A comparative study of ultrasonography & magnetic resonance imaging with pathological results in diagnosis, localization & measurement of uterine leiomyomas

Journal: Muthanna Medical Journal مجلة المثنى الطبية ISSN: 2226146x Year: 2017 Volume: 4 Issue: 1 Pages: 8-19
Publisher: Al-Muthanna University جامعة المثنى

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Uterine leiomyomas (fibroids or myomas) are the commonest benign tumor of the pelvic organs in females, accurate mapping of myomas is essential for treatment. Many studies, used ultrasonography (US) and magnetic resonance imaging (MRI) to determine myomas localization, number and measurement, recently concern has been increasing rate of hysterectomy for myoma in women who have complete childbearing. The aim of the study is to compare US, MRI results with pathology that is regard as a gold standard in detection, localization and measurement of the uterine lieomyoma. A comparative study was done during the period from July 2012 to April 2016 in AL-Diawanyia general teaching hospital in Iraq all included female patients had uterine myomas and all of them had pelvic ultrasonography, MRI and hysterectomy, the results were compared with pathological results. Both US and MRI results were compared with pathology result and the correct detection rate of myoma in ultrasound was low (73.3%) if compare with MRI detection rate (98.1%) with significant P 0.001. Mean number of myomas in US was (1.62±1.07), in MRI was (2.14±149) and in pathology was (2.15±1.50), mean diameter of myomas in pathology was 3.49±2.21, in MRI was 3.58±2.21 with P value 0.360 while in US mean number was 4.37±1.73with P value 0.002. Regarding myomas’ localization, there is no significant difference between MRI & pathology (P =0.1573) but there is high significant difference in myomas’ localization in US and pathology(P=0.00889). In conclusions; MRI is indicated when exact myoma mapping is required.


Article
Role of MRI in acute lower back pain

Author: Najat Adel Hashim
Journal: Muthanna Medical Journal مجلة المثنى الطبية ISSN: 2226146x Year: 2017 Volume: 4 Issue: 2 Pages: 147-157
Publisher: Al-Muthanna University جامعة المثنى

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A group of 501 patient who referred unit from orthopedic were subjected to MRI examination and the MRI results were evaluated. All patients with radicular pain, neurological signs or traumatic patients were excluded from this study. A 501 patients complain from acute lower back pain , mean age 33.49+8.38 range (20-70), 229 (46%) male and 272 (54%) female, in combined MRI finding with age of patients, we found large number of patient have disk prolapsed (191), with mean age 36.50, while patient with normal MRI or just muscles spasm were mean age (31.79), so the MRI not effect in outcome of young patient (below 31 years old ) with a lower back pain. In conclusion; lumbo-sacral MRI exam have minimal effect in outcome of young patient with acute lower back pain (less than 3wks).


Article
Value of MRI in Brain Ring enhancing lesions
أھمیة الرنین المغناطیسي في آفات الدماغ حلقیة التلوین

Authors: Hayder K. Hussein --- Mahmmood Shukri --- Bassem Raekan
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2013 Volume: 3 Issue: 2 Pages: 47-56
Publisher: University of Kufa جامعة الكوفة

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Abstract

The aim of this study : to evaluate the role of contrast enhanced MRI to distinguish the ring enhancingbrain lesions with histological findings and clinical diagnosis as reference standardPatients and methods : This prospective study was done from may 2011 to may 2012. 20 patients withvarious ring enhancing lesions in the brain detected by MRI with different clinical conditions , fifteenmales and 5 females between 13-63years age MR imaging was performed with MRI of (Philips - achiva 1.5Tesla 16 channels). Routine sequences of T1, T2 and FLAIR spin echo sequences with IV contrast ,gadolinium were carried out .Statical analysis include sensitivity , specificity and accuracy accounting inthis studyResults : Contrast enhanced MRI revealed 4 cases of non neoplastic and 13 cases as neoplastic brainring lesions compared with histopathology which revealed 5 cases of non neoplastic and 15 cases ofneoplastic brain ring enhancing lesions. Sensitivity of MRI for non neoplastic lesions was 80% andspecificity is 86.6% .Sensitivity of MRI for neoplastic lesions was 86.6% and specificity was 80%.Accuracy of MRI in differentiation of ring enhancing brain lesion either neoplastic or non neoplastic was85%. MRI of neoplastic ring lesions revealed 4 cases as metastasis and 9 cases as primary tumor of highgrade astrocytoma(globlastoma multiforme ) while histopathology reveal 5 cases metastasis and 10 casesglioblastoma multiforme .Sensitivity of MRI for metastatic ring lesion was 80% and specificity was81.8% .Sensitivity of MRI for primary neoplastic tumor is 81.8% and specificity was 66.6% .MRI for non neoplastic ring lesions included 3 cases as abscess , on case resolving hematoma whilehistopathology revealed 5 cases of non neoplastic ring lesions , 3 cases pyogenic abscess , one caseresolving hematoma and one case radiation necrosisConclusion and recommendation : The accuracy of differentiation of the neoplastic from nonneoplastic ring enhancing lesions by MRI is 85%. In doubtful cases diagnosis improved by use offurther sequences like diffusion – perfusion studies and nuclear studies .

الخلاصة :الغرض من الدراسة : تقییم دور الرنین المغناطیسي باستخدام الصبغة الملونة لتمییز الافات الدماغیة ذات الصبغة الحلقیة التلوین بالمقارنةبالتشخیص السریري والفحص النسیجيالمرضى والطریقة : اجریت الدراسة لمدة سنة واحدة تم تتبع حالة 20 مریض ذوي افات دماغیة حلقیة التلوین ، خمسة عشر ذكرا وخمسةإناث و وبأعمار تتراوح بین 13 إلى 63 سنھ. اجري الفحص باستخدام الرنین المغناطیسي بقوة 1.5 تسلا وباستخدام الصبغة الملون(كادیلینیوم) وقورنت النتائج مع الحالة السریریة والفحص النسیجي واستخرجت النسب الإحصائیة : نسبة الحساسیة ،نسبة التخصیص والدقة .النتائج :باستخدام الرنین المغناطیسي والصبغة الملون كانت النتائج كالآتي : أربع حالات غیر ورمیة وثلاث عشرة حالة ورمیة بالمقارنةبالفحص النسیجي الذي اظھر خمس حالات غیر ورمیة وخمس عشرة حالة ورمیة . وكانت نسبة حساسیة الرنین المغناطیسي للحالات غیرالورمیة ھي 80 % ونسبة التخصیص ھي 86.6 %. اما نسبة حساسیة الرنین المغناطیسي للحالات الورمیة ھي 86.6 % ونسبة التخصیصھي 80 % .دقة الرنین المغناطیسي في التمییز بین الحالات الورمیة وغیر الورمیة كانت 85 %. كشف الرنین المغناطیسي عن وجود اربعحالات من الاورام المنتشرة و تسع حالات من الاورام الاولیة ذات المرتبة العالیة بینما بین الفحص النسیجي وجود خمس حالات من الاورامالمنتشرة وخمس عشرة حالة من الاورام الأولیة ذات المرتبة العالیة وكانت حساسیة الرنین المغناطیسي للكشف عن الاورام المنتشرة ھي.% %80 ونسبة التخصیص ھي 81.8 % ونسبة حساسیة الرنین المغناطیسي للاورام الأولیة ھي 81.8 % ونسبة التخصیص ھي 66.6كشف الرنین المغناطیسي عن وجود اربع حالات غیر ورمیة ،ثلاث حالات خراجات دماغیة وحالة واحدة تجمع دمویة دماغي متبدد بینماكشف الفحص النسیجي عن وجود خمس حالات غیر ورمیة ،ثلاث منھا خراجات دماغیة وحالة واحدة تجمع دموي دماغي متبدد وحالةواحدة تنخر شعاعي .الاستنتاج والتوصیات : دقة الرنین المغناطیسي في التمییز بین 85 % .یمكن تحسین ھذه النسبة باستخدامدراسات أخرى في الرنین المغناطیسي مثل دراسة الانتشار والاشباع وكذلك باستخدام الفحص بالعناصر المشعة .


Article
Salivary Cortisol Level Pre and Post MRI Scanning
مستوى هورمون الكورتيزول في اللعاب قبل وبعد إجراء فحص الرنين المغناطيسي

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The measurement of salivary cortisol level has become a reliable method for studying the adrenal cortical function and it is response to different intrinsic and extrinsic factors such as medications and stressful factors. The aims of this study is to investigate if there is difference between sex and the effect of time of testing on salivary cortisol level, pre and post was scanning, data for cortisol, Salivary Flow Rate (SFR) and PH of saliva were analyzed. Non-stimulated salivary samples from 24 subjects (8 males, 16 females) pre and post scanning with Magnetic resonance imaging (MRI) was collected and the diurnal variation was taken into consideration for that all the pre and post scanning samples collected at the morning. Salivary cortisol was measured by ELISA technique, PH of saliva was measured by PH meter and salivary flow rate by specific equation. The results shows there was significant difference in the level of salivary cortisol, SFR and PH of saliva pre and post examination and there was positive correlation with regard to cortisol level and PH of saliva pre and post scanning, just the salivary flow rate showed negative correlation, in addition the results revealed significant difference with regards to the sex of the participant as well as positive correlation between salivary PH and SFR in pretest phase and positive correlation between salivary cortisol level, SFR in post scanning phase. From the results of this study we can conclude that the exposure to MRI scanning have an effect on Hypothalamic pituitary –adrenal axes and predispose to significant changes in cortisol level post scanning and this difference must be taken into consideration in concern to effect of raising the level of cortisone on other variables.

أصبح قياس مستوى الكورتيزول في اللعاب طريقة موثوق بها لدراسة وظيفة الغدة الكظرية ومدى تأثرها بمختلف العوامل الداخلية والخارجية مثل الأدوية والعوامل المجهدة. الهدف من هذه الدراسة هو قياس مستوى هورمون الكورتيزول في اللعاب قبل وبعد إجراء فحص الرنين المغناطيسي ومدى اختلاف مستوى الكورتيزول بين الجنسين.تم إختيار (24) شخصا (8 ذكور، 16 إناث) وتم قياس مستوى هورمون الكورتيزول وكمية اللعاب وقاعديته قبل وبعد المسح بواسطة الرنين المغناطيسي وقد أخذ بعين الاعتبار تباين مستوى الكورتيزول خلال اليوم، وأن جميع العينات قد أخذت صباحا وتم قياس المتغيرات تحت الدراسة. تم قياس هورمون الكورتيزول بواسطة تقنية الإيلايزا وقياس مستوى درجة الحموضة بواسطة جهاز قياس الحموضة كذلك تم حساب كمية إفراز اللعاب وفق معادلة خاصة. أظهرت الدراسة وجود فروق ذات دلالة إحصائية في مستوى الكورتيزول ومستوى إفراز اللعاب وتغير حموضة اللعاب قبل وبعد إجراء فحص الرنين المغناطيسي كذلك إختلاف نتائج قراءات العوامل تحت الدراسة بين الجنسين كما أظهرت النتائج وجود إرتباط ذو دلالة إحصائية إما إيجابية أو سلبية بين بعض هذه المتغيرات.من خلال النتائج نستنتج أن إجراء فحص الرنين المغناطيسي يؤثر بصورة محسوسة على مستوى الكورتيزول وبعض المتغيرات الأخرى ويجب أن يؤخذ هذا المتغير بنظر الاعتبار بما يخص تأثير إرتفاع مستوى هورمون الكورتيزول على عوامل أخرى.


Article
Comparison between Transvaginal Sonography and Magnetic Resonance Imaging Study Findings in Patient with Endometrial Carcinoma

Authors: Fowz Adnan Yaser --- Ausama Ayaad Al-Bayati
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2017 Volume: 14 Issue: 4 Pages: 640-648
Publisher: Babylon University جامعة بابل

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Abstract

The main objective of this study is to compare between the findings that obtained from both TVS and MRI study in diagnosis of endometrial carcinoma and differentiate it from other endometrial pathology and to assess the accuracy of both techniques in evaluation and detection of myometrium invasion. This prospective study was done in AL- Hilla Teaching Hospital from August 2016 to August 2017 on (22) patients, their ages were from 46-79 years old, (18) of them are postmenopausal and (4) patients are premenopausal, all of them were suffering from recurrent dysfunctional vaginal bleeding. Patients are examined by both TVS and MRI study with contrast endometrial carcinoma is suggested and histopathology insisted the diagnosis, comparison between two techniques is reported.By TVS (7) of the patients have bulky size uterus with different endometrial masses size and texture, other (15) patients have just irregular increase in endometrial thickness. Myometrial invasion which is the most important prognostic factor was as follows: (2) patients have no distinct invasion, (7) patients have less than 1/3 myometrial invasion, (9) patients have more than 2/3 of myometrial invasion; in comparison with enhanced MRI study; findings were that (13) of patients have well defined different sizes and intensity masses, (9) patients have irregular increase in endometrial thickness with different degree of myometrial invasion, myometrial invasion was as follows: (9) patients with less than 1/3 of myometrial invasion, (9) patients with more than 2/3 of myometrial invasion, (2) patients the invasion reaching to serosa and involving the cervix. The conclusions from this imaging assumes increasing importance in the management of patients with endometrial carcinoma in recent years. Transvaginal sonography that performed by expert specialist can be consider a feasible, economic imaging modality with diagnostic accuracy comparable to that of MRI in preoperative local staging of endometrial cancer. Dynamic contrast enhanced MRI study is more accurate in diagnosis and evaluation of endometrial carcinoma and assessment of myometrial invasion. Early disease detection and accurate staging provide optimal management and minimize mortality and morbidity.

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