bluuebunny/crossref_metadata_2025_split huggingface dataset:
An Unusual Complication Of Selective Renal Angiography A case presentation
Authors: Engberg Anders , Erikson Uno , Killander Andreas , Persson Rune , Wicklund Harriet 
Published: March 2008

SUMMARYAn unusual intimal injury occurring in a renal artery at selective renal angiography is described. The examination was performed as part of the routine investigation of hypertension in a 33‐year‐old otherwise healthy para‐II woman. The injury was repaired surgically. Repeated follow‐up isotope scintigraphy examinations and intravenous urography show that function in the affected kidney has probably returned.
Larsen's Syndrome Congenital Dislocation Of Multiple Large Joints Of The Extremities Associated With An Unusual Flat Fades
Authors: Azimi Farhad , Edeiken Jack , Macewen G. Dean 
Published: March 2008

SUMMARYLarsen's syndrome, first reported in 1950, is characterised by a flattened fades, congenital dislocation of multiple large joints and foot deformities. The mental development is normal. A child who fulfills the criteria for this diagnosis is reported. This is a rare congenital disorder of unknown etiology, although its clinical recognition is rather easy.
Radiographic Findings In Larsen's Syndrome
Authors: Kozlowski K. , Robertson F. , Middleton R. 
Published: March 2008

SUMMARYRadiographic changes in four cases of Larsen's syndrome have been described. This is a rare syndrome characterised by multiple bilateral joint dislocations, positional deformities of the feet and hands, finger abnormalities, scoliosis and peculiar facies. The disease should be recognised on the basis of clinical findings. The radiographic examination is highly diagnostic.
Selective Renal Angiography in Renal Failure Due to Infection
Authors: Arthachinta Sillawat , Sitprija Visith , Kashemsant Udomporn 
Published: March 2008

SUMMARYSelective renal angiography was carried out in 9 patients with renal failure due to infection. Six patients had leptospirosis, two had E. coli septicemia and one had falciparum malaria. In all cases the pathological diagnosis was tubular necrosis. Evidence of cortical ischemia, characterized by distinct visualization of fine vascular distribution without veiling of the nephrographic effect, loss of the normal zone of corticomedullary distinction and poor maximum nephrographic density, was demonstrated in all cases. Proximal renal arterial constriction was shown in cases of septicemia, while in leptospirosis and malaria the proximal arterial trees appeared normal. These changes were reversible in 6 cases which were followed. In each case there was positive correlation between the creatinine clearance and nephrographic density.
Solitary Gastric Varix
Authors: Williams D. R. , Paull A. , Grant A. Kerr , Tucker W. G. 
Published: March 2008

SummaryA case of bleeding from an isolated gastric varix is described in a patient with chronic alcoholic liver disease but without splenomegaly or demonstrable oesophageal varices. The value of splenoportography in the diagnosis of gastric varices is emphasised.
Angiographic Findings in Cerebrovascular Accidents Complicating Congenital Heart Disease
Authors: Ng. K.K. , Singham K. T. 
Published: March 2008

SUMMARYCerebral arteriographic findings in three patients with congenital heart disease complicated by cerebrovascular accidents are presented. As the series is small, it is not possible to show predilection of occlusion of any particular cerebral vessel. It is postulated that slowing of the cerebral circulation as well as polycythaemia and hypoxia were responsible for the cerebrovascular occlusion in one of our patients. The pathogenesis of the cerebrovascular occlusion in the other two patients with left‐to‐right shunt is not clear as none of these three factors was present.
Angiographic Features of Congenital Aortic Stenosis
Authors: Hoeffel J.C. , Gengler L. , Henry M. , Mentre B. , Pernot C. 
Published: March 2008

SUMMARYSelective left ventriculography is essential in making the diagnosis of valvular aortic stenosis and discrete subvalvular stenosis. Selective aortography gives further information about these stenoses and defines the anatomy of the sinuses of Valsalva and the aortic valves.It is also essential to investigate multiple aortic stenosis and obstructive cardiomyopathy of the left ventricle which is a frequent associated anomaly whose prognostic significance is difficult to evaluate.
Oral Radiological Evaluation of the Biliary Tract
Authors: Jones Brian E. 
Published: March 2008

SUMMARYIn 134 examinations the author compared three oral cholecystcholangiographic methods:

The fractionated method. Biloptin 12 hours prior and solu biloptin 3 hours prior to the examination.
Telepaque. 12 hours prior to the examination.
Solu Biloptin (double dose). 12 hours prior to the examination.

All three methods gave satisfactory gallbladder visualisation. However, the following advantages of the fractionated method became evident:

Lower incidence of non opacifying gallbladders (patent gallbladder with damaged mucosa will now show).
Higher incidence of delineation of hepatic bile flowing down the common duct thus increasing the diagnostic significance of non visualised gallbladders.
Higher incidence of record of common duct calibre–useful evidence of partial obstruction if dilated and of possible future use in the event of recurrence of symptoms post‐operatively.

Whiteside (1961) emphasised visualisation of the duct calibre. For this purpose 10 mm diameter was taken as the upper limit of normality (Le Quesne, Whiteside and Hand).
Roentgenographs Features in Antibiotic‐Associated Pseudomembranous Colitis
Authors: Cho Kyung J. , Ting Y. M. , Chuang Vincent P. , Lee Inkyu 
Published: March 2008

SUMMARYFour patients with pseudomembranous colitis, related to antibiotic therapy, had a wide spectrum of radiographic features. These ranged from mild, focal areas of mucosal irregularity to widespread involvement of the colon. The extensive mucosal irregularity at barium enema is caused by plaque‐like elevated pseudomem‐branes studding the mucosal surface and aopears to be a specific radiographic finding. Dissection of barium under the pseudo‐membranes and intramural gas was observed in these patients. Case 2 had a complicated, massive colonic bleeding, unresponsive to pitressin infusion. Although pseudomembranous colitis is a well established pathological entity, the precise pathogenesis is still uncertain. Recently, an increasing number of patients have been described with antibiotic‐associated pseudomembranous colitis. The disease is also known to occur as a complication of colonic obstruction, staphylococcal overgrowth, following abdominal surgery and in generalized debilitating diseases, such as uremia, lymphoma and leukemia.We have examined four patients with pseudomembranous colitis associated with antibiotic therapy. A wide range of roentgenographs abnormalities was observed in these patients.
Barium Enema Study in Pelvic Abscess
Authors: Piyachon Chaliow , VAjaraponse Kaesorn , Chienpradit Kalaya 
Published: March 2008

SUMMARYBarium enema examination of 9 patients with pelvic abscess reveals characteristic findings: 1. Compression of the rectum and sigmoid colon, causing narrowing in the antero‐posterior dimension. Severe compression occurs at the pelvic brim where the sigmoid lies over the promontory of sacrum and the left sacro‐iliac wing. 2. No elevation of the sigmoid loop, but superior stretching of the distal sigmoid may be observed. 3. Presence of transverse mucosal folds and serrated margins. Longitudinal folds due to pleating and stretching may be seen at the maximum compression site over the promontory of sacrum. The involved segment is not less than 5 cm in length and shows limited collapsibility and distensibility. In most cases, after treatment, the colonic changes return to normal within 2 to 4 weeks. Barium enema has proved to be helpful for correct diagnosis and proper management in these patients.
Renal Echography
Authors: Duffy Peter , Ryan James , Aldous Wendy 
Published: March 2008

AbstractEchography is complementary to conventional uroradiological examination. Mass lesions should be examined by ultrasound to discover their nature–cystic or solid–and to determine which definitive diagnostic examination (cyst puncture or angiography) will be indicated. Multiple cystic and polycystic kidneys, hydronephrosis and renal transplants have been demonstrated. Such examinations have been fitted into the routine workload of an obstetrics unit.
Ultrasonic Evaluation of Pelvic Masses
Authors: Curran John E. , Maklad Nabil F. , III Enrique V. Bouffard 
Published: March 2008

AbstractSeventy‐two patients with pelvic mass lesions were examined by B‐mode ultrasonic scanning. In 30 of these patients, a specific diagnosis was obtained either by operation, biopsy or laparo‐scopy, and the present study is based on these patients. Echographic features of various pelvic mass lesions are described. The procedure is safe, non‐invasive and universally acceptable to the patients referred for examination.
Rupture of the Knee Joint in Rheumatoid Arthritis A Reminder in Differential Diagnosis
Authors: Smurthwaite W. A. 
Published: March 2008

SUMMARYThe causes of rupture of the knee joint into the tissues of the calf are reviewed with a demonstration of the appearances at arthrography. Evidence of knee joint pathology does not appear to be necessary. The best way to diagnose this cause of painful calf is to remember that the possibility exists.
Radioisotope Perfusion and Ventilation Studies in Bronchial Hilar Neoplasia
Authors: Grant R. W. , Ackery Duncan , Ameratunga Bertie 
Published: March 2008

SUMMARYA patient with unexplained haemoptysis for one year was eventually shown to have a hilar bronchial carcinoma. The radioisotope scan showed a marked loss of regional perfusion in the affected lung when the radiograph was still almost normal. The value of the scan in the early diagnosis of bronchial hilar neoplasia is discussed.
Achondrogenesis A clinical and radiological report
Authors: Ho Nai‐Kiong , Tan Grace 
Published: March 2008

SUMMARYAchondrogenesis is a rare form of short‐limbed dwarfism which is invariably lethal. This is the first reported case of achondrogenesis in Singapore. As most newborns with a large head and short limbs were assumed to have achondroplasia, the importance of radiological studies of short‐limbed dwarfism is stressed. Recognition of achondrogenesis has also an important implication in genetic counselling as present evidence suggests that it is an autosomal recessive disorder.
A Case of Spinal Arteriovenous Malformation: The Value of Selective Spinal Angiography in its Management
Authors: Ng K. K. , Vignaendra Velupillay 
Published: March 2008

SUMMARYA 39‐year‐old male presented with progressive lower limb weakness and “pins and needles” sensations in his buttocks for 1 year. On examination he had weakness and impaired sensation in both lower limbs, absent lower limb tendon reflexes and bilateral extensor plantar responses. Selective spinal arteriography revealed an extensive spinal arteriovenous malformation on the dorsal surface of the cord extending from the upper lumbar to the thoracic region with a feeder vessel at T12 vertebral level. We discuss the value of selective spinal arteriography in the diagnosis and management of a spinal arteriovenous malformation.
Hodgkin's Disease: An Evaluation of Staging Laparotomy in 82 Patients
Authors: Roberts S. J. , Roeser H. P. , Kynaston B. , Whitaker S. V. , Hocker G. A. , Battersby A. C. 
Published: March 2008

SummaryThe findings of staging laparotomies in 82 patients with Hodgkin's Disease are presented. Sub‐diaphragmatic disease was discovered in 30 patients, the spleen being the most common site of involvement (26 patients). Staging was advanced in 23 patients and reduced in 3, with consequent changes in the treatment plan of these patients. In a further 4 patients, treatment was altered by the distribution of the subdiaphragmatic disease discovered, without any change in stage.Lymphangiography was found to be an unreliable staging procedure. This was largely due to the frequent presence of disease in areas outside the lymphangiographic field spleen, mesenteric and coeliac nodes) rather than to inaccuracy of the procedure itself.Correlation of laparotomy findings with presenting sites of disease failed to identify any patient group which, on clinical grounds, had a low probability of abdominal involvement and might thus be spared a laparotomy.No patient died as a result of the operation. Post‐operative morbidity (3 major, 8 minor complications) was considered acceptable in view of the value of the information obtained to patient management.
The Radiological Features of Brain Abscess in Congenital Heart Disease
Authors: Ng K. K. , Wong W. K. , Raju L. 
Published: March 2008

SummaryThe radiological diagnosis and localisation of nine cases of brain abscess complicating congenital heart disease is presented. The pathogenesis of brain abscess in congenital heart disease is briefly discussed. The need to have a high index of suspicion of brain abscess in all cases of congenital heart disease with focal neurological signs or clinical evidence of raised intracranial pressure is emphasised. The importance of early radiological diagnosis and localisation of brain abscesses followed by early treatment is stressed. The ideal surgical management of all cases of congenital heart disease which may or may not have had complicating brain abscess, is total correction of the underlying cardiac defect, thereby preventing this serious cerebral complication as well as improving the circulatory efficiency.
Radiological Changes in the Chest in Malignant Trophoblastic Disease
Authors: Ang A. H. , Chan W. F. 
Published: March 2008

Summary18 of 22 patients with malignant trophoblastic disease had radiological evidence of intrathoracic metastases. Of these 18 patients, 10 presented with pulmonary symptoms, 1 with cerebral symptoms, 1 with pulmonary and cerebral symptoms. 3 patients were asymptomatic and were discovered to have pulmonary metastases on the chest radiograph in the course of follow‐up for recent molar pregnancy. Only three patients presented with gynaecological symptoms.The findings on the chest radiograph included discrete intrapulmonary nodules in 15 patients, pleural elfusions in 2 patients, a hilar mass in 1 patient, confiuent opacities in 1 patient and miliary mottling in 1 patient.Other radiological features reported in the literature are those of pulmonary hypertension, pulmonary infarction, paramediastinal mass and pulmonary calcification.In view of the success of chemotherapy in some of these advanced cases, the possibility of trophoblastic malignancy should be borne in mind whenever these radiological appearances are encountered in young female patients, especially those presenting with haemoptysis or cerebral symptoms, even in the absence of overt pelvic disease.
Pneumothorax as a Complication of Radiation Therapy for Primary Lung Cancer
Authors: Hay Michael R. , Cho Kyung J. , Shin Hyunchul 
Published: March 2008

AbstractA case of spontaneous pneumothorax complicating irradiation for bronchogenic carcinoma is presented. Pneumothorax developed in a collapsed lung caused by a central bronchogenic carcinoma. The cause is presumably secondary to either a bronchopleural fistula by tumour or sudden expansion of the lung following irradiation.Various tumours of the lung have been associated with spontaneous pneumothorax, including metastatic osteogenic sarcoma12, eosinophilic granuloma4, teratoma11, other metastatic sarcomas3, lymphoma following radiation therapy8, and primary bronchogenic carcinomas1,2,3,5,6,7,9,10.We have encountered a case of spontaneous pneumothorax complicating irradiation for bronchogenic carcinoma. To our knowledge, this is the first report in the English radiologic literature, and the second, in the English literature, of a case of spontaneous pneumothorax following radiation therapy for proven bronchogenic carcinoma.
Metatropic Dwarfism and its Variants (Report of six cases)
Authors: Kozlowski K. , Morris L. , Reinwein H. , Sprague P. , Tamaela L. A. 
Published: March 2008

SummarySix cases of METATROPIC DWARFISM or its VARIANTS–four which are the first Australian cases and one which is the first Indonesian case–are reported. Four of the cases had characteristic clinical and radiographic appearances whereas two, who died in early infancy, showed some variability in radiographic features. In one of the variants microscopy showed histologic features consistent with metatropic dwarfism.Microscopic, ultrastructural and biochemical studies of cartilage should be performed in all the cases of bone dysplasias in which the radiographic diagnosis is unknown or uncertain.
Liver Studies with Radioisotopes
Authors: Dugdale L. M. 
Published: March 2008

SummaryRadionuclide scanning of the liver is both sensitive and non‐traumatic and has become a widely accepted method of investigation of the hepatobiliary system. It is essential to understand the anatomical, physiological and pathological basis of liver scanning using various techniques and radiopharmaceuticals. This paper reviews the methodology and results in light of both literature and personal experience.
A Radiochromatographic Method for Biliary Contrast Agent Metabolites
Authors: Varga D. 
Published: March 2008

AbstractThis paper describes a method which may be used to determine conjugation of iodipamide and ipodate in plasma, bile and urine. Using ‘“I‐labelled contrast agents, conjugation was determined by thin‐layer chromatography, before and after beta‐glucuronidase incubation of samples. This method achieves a high degree of sensitivity. It was found that ipodate is excreted in dog bile principally as the glucuronide conjugate. Excretion of a small amount of iodipamide as a glucuronide conjugate was also detected.
NISBET SYMPOSIUM “Current Medical Politics and Peer Review”
Authors: BAUME PETER 
Published: March 2008

SUMMARYAustralia's resources are finite and limited. Cash outlays by the government for health care have risen at a rate which cannot continue indefinitely as an increasing share of the national purse. It follows that as a profession, medical practitioners cannot do everything scientifically possible for everyone everywhere. New advances are seen to require new skills and techniques as much as new high cost gadgets.Radiology is a particularly costly sub‐speciality which is almost uniquely capital intensive. The present danger is that radiologists are coming to be viewed as professionals engaged in a conspicuous consumption of scarce national resources while morbidity and mortality figures are not showing an improvement remotely proportionate to the increased expenditure. Examples of over use of resources together with private investment in high cost technology are outlined, and issues of accountability and of the need for clearly stated goals are discussed.A role for the Royal Australasian College of Radiologists in monitoring the efficiency, diagnostic yield and the general effectiveness of radiological examinations is considered. If organised medicine is found unequal to the task of rationalising the use of resources, then this role may come to be assumed by others.
Anterior Intervertebral Disc Herniations in Children Unrecognised Chronic Trauma to the Spine
Authors: KOZLOWSKI K. 
Published: March 2008

SUMMARYFive new cases of Anterior Intervertebral Disc Herniations are reported.Anterior intervertebral disc hemiation is a common complication of chronic spinal trauma. It is often accompanied by vertebral fractures which present as localised, mild platyspondyly or as frank vertebral body fractures.Two groups of children are prone to develop the disease. I‐Healthy boys active in sport and II ‐Children with osteoporosis.The differential diagnosis includes discitis, tuberculosis, eosinophilic granuloma and specifically Scheuermann's disease.
American Burkitt's Lymphoma: Diagnosis by Ultrasonography and Arteriography
Authors: WOODRING JOHN H. , FRIED ANDREW M. , CHUANG VINCENT P. 
Published: March 2008

ABSTRACTA case of American Burkitt's lymphoma in a 10‐year‐old white male is described. The child presented with an abdominal mass without associated symptoms. Conventional studies including intravenous urography, barium enema, an upper gastrointestinal series and small bowel follow‐through were unrewarding. Synthesis of information obtained from gray‐scale ultrasonography and abdominal angiography provided the correct preoperative diagnosis. The role of special procedures in the diagnosis of this entity is discussed.
Radiation Treatment of Hepatoma in Papua New Guinea (Pilot Study — 1974–1975)
Authors: NIBLETT J. S. 
Published: March 2008

SUMMARYIn part I P.N.G. Clinical Trial (Pilot Study), six cases of primary hepatocellular carcinoma were treated with telecobalt therapy.A simple and easily reproducible method was developed using 6,000 rads high dose split‐course technique. Side effects evident during treatment were relatively minor. All cases responded to radiotherapy and five showed rapid regression of massive tumours. Raised AFP levels, when present, tended to fall during and after radiotherapy. Average survival was 6.3 months, with one case surviving 18 months.A 4,000 rad, two phase, split‐course regime is recommended for the future. (Part II P.N.G. Clinical Trial.)
Progressive Osteosclerosis Associated with Renal Failure Due to Primary Oxalosis A Case Report
Authors: FONG P. L. , JACKSON B. , TUCKER W. G. , LAWRENCE J. R. , DYMOCK R. B. 
Published: March 2008

ABSTRACTA 22 year old woman with Primary Oxalosis was dialysed for four years before renal transplantation. This failed acutely from graft rejection although there was evidence of oxalosis in the graft. Dialysis was continued until the time of death a year later.Over the period of dialysis progressive and extensive osteosclerosis developed. This was confirmed at autopsy to be related to widespread oxalate deposition.
Diagnosis of Renal Mass Lesions
Authors: LAU S. W. L. 
Published: March 2008

ABSTRACTThere has been a marked change in the diagnostic approach to renal mass lesions over the last decade with advances in the fields of ultrasound and computed tomography. The relative frequency of such masses, as outlined in our flow chart, helps in restricting the use of more invasive procedures to those cases where they are really necessary.
The Use of Radionuclide Angiography in the Non‐Invasive Assessment of Left Atrial Myxoma — A Case Report
Authors: KALFF VICTOR , KELLY MICHAEL J. , MIDDLEBROOK KEN , ANDERSON STANLEY T. , HARPER RICHARD W. , PITT AUBREY 
Published: March 2008

SUMMARYThis case report demonstrates the use of ECG gated first pass and equilibrium gated radionuclide cineangiography in the non‐invasive diagnosis of a left atrial myxoma. It also shows that the ECG gated first pass method in the left posterior oblique projection may be more sensitive than previously described radionuclide techniques in the diagnosis of this condition because it enables visualisation of tumour motion in profile during the entire cardiac cycle and is unimpeded by tracer activity from other cardiac structures.
Alkaline Encrusted Cystitis
Authors: CHERIAN M. JOSEPH , MOHAN V. , GUPTA S. K. , TRIPATHY V. N. P. 
Published: March 2008

SUMMARYA case of alkaline encrusted cystitis is reported not only because of the rare tuberculous etiology but also because of the presence of multiple calculi impacted in the encrusted bladder mucosa.