ystic lesions of pancreas are common and challenge more difficulty to detection. Computed tomography (CT) is the best radiology tool for the primer evaluation and follow-up of pancreatic cysts. Purpose. To determine the role of CT scan in the diagnosis of pancreatic cystic lesions, and differentiate weather lesions are malignant or benign. Materials and methods.A prospective study with total of 58 patients were enrolled in the study during the period from 12th June 2021 to 20th May 2022. The study sample consisted of 19 (32.8%) male and 39 (67.2%) female. CT scan features include: lesion sites, parenchymal atrophy, number of cystic lesion, diameter of largest cyst, calcification, ductal dilation, solid components, cyst contour, contrast enhancement, type of cyst, thickness of wall, lymphovascular invasion and communication were collected. CT scan was performed utilizing the Siemens system (SOMATOM Definition AS VA44A; Siemens, Somaris/7 syngo CT 67002-2012B, Germany) and 64-slice (multi-detector) CT system (Philips).Results. The mean age was 41.59±11.9 years. The majority of cysts were situated in head of pancreas (21, 36.2%). About 33 (56.9%) of cases detected one cyst on CT scan. The CT scan detected 47 (81.1%) of non-calcified cysts. Only six-scan showed dilation of duct and 6 (10.3%) cases had cyst with solid component. The cyst contour presented as round in 50 (86.2%) of patients. The majority appear to be homogeneous in 45 (77.6%). About 39 (67.2%) cases detected unilocular cysts. Kappa statistic was revealed that cyst location (P=0.036), number of cyst (P=0.048), ductal dilation (P=0.022), solid component (P=0.003) and type of cyst (P=0.013) had significantly perfect agreement signals. Solid components of cyst showed statistically significant difference in malignant pancreatic cyst more than benign cyst (P=0.004). Furthermore, types of cyst in benign pancreatic tumor were detected significantly different from malignant lesion (P=0.016).Conclusions. CT scan is the easy applicable non-invasive tool of choice for assessment of cystic lesions of pancreas. Round, homogeneous enhancement, oligo-unilocular, non-calcified, nondilated duct, non-solid and thin wall head cyst are the prevalent features detected by CT scan. The most common diameter measured of pancreatic cyst is more than 30 mm. Lymphovascular invasion, solid component and communicated cyst-duct are mostly features of malignant lesions. Detection of cyst site, number, ductal dilation, solid component and type of cyst are significantly helpful to differentiated between malignant and benign pancreatic cysts.
nkle is a complex mechanism consisting of two joints: the true ankle joint and the subtalar joint. MRI is increasingly being utilized in assessing patients with residual symptoms after initial conservative treatment because of its superior soft-tissue resolution. Purpose. To highlight on useful role of MRJ in investigation about ankle ligaments injuries.Materials and methods. A cross sectional study was carried out in Babylon teaching hospital from l st August 2021 to 1st September 2022. the study enrolled patients with ankle sprain. was performed with GE general electric 1.5 Tesla. For this purpose, the patients were positioned in a powerful magnetic field in supine position with feet first, ankle angle of 90 degrees. Data was collected and analyzed using SPSS 23.Results. The study enrolled 40 patients with ankle pain the 26 female and 14 male with age range 20-50 years (mean age 36.1±8.4 year). Ligaments injuries by MRJ study revealed: 40% anterior talo-fibular ligament, 17.5% posterior talo-fibular ligament, 20% calceneo-fibular ligament, 15% deltoid ligament, 5%, anterior tibio-fibular ligament and 2.5% posterior tibio-fibular ligament were affected. Regarding to pathological finding, ligament sprain was seen in 16 patients, partial tear were found in 10 patients and complete tear of ligament present in 14 patients.Conclusions. MRI is vitally significant in diagnosing abnormalities of ligaments and tendons of ankle trauma and plays a significant role in detecting lesions of tendons and ligaments.
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