How to cite this article: S. Fareed Ul Hameed, S. Habeeb Mohammed, P. Karuppasamy. Evaluation of peripheral lower limb insufficiency among patients with diabetes mellitus using doppler ultrasound -an prospective study. International Journal of Contemporary Medicine Surgery and Radiology. 2020;5(1):A1-A5. Results: The most common artery involvement was found to be dorsapaedalis artery in 26% of the cases followed by proximal femoral and distal femoral in 18% of the cases whereas there were 12% cases with popliteal artery and distal artery branches involvement. The most common site of lesion involved was proximal femoral artery and dorsapaedalis artery seen in 26% of the cases (both) whereas distal femoral artery (DFA) was found in 10% of the cases, poplitial artery (PA) in 18% of the cases followed by posterior tibial artery (PTA) and anterior tibial artery (ATA) in 8% and 12% of the cases respectively. Conclusion: Peripheral vascular insufficiency was a significant finding in patients having diabetes for 1-10 years. The dorsalispaedis artery was the commonest site of involvement. The normal Doppler study virtually rules out a haemodynamically significant lesion and helps to prevent unnecessary intervention.

Intrahepatic and extrahepatic anatomical knowledge is essential for pre procedural planning of liver transplantation, liver resection, complex biliary reconstruction and radiological biliary tree intervention. Indian data of biliary anatomy and its variation is scant in literature. The aim of our study is to find out the prevalence of common and uncommon pattern of biliary tree anatomy in magnetic resonance cholangiopancreatography (MRCP) in our population. A total of 1,038 cases of MRCP of population of Odisha were obtained from Picture Archiving and Communication System of the department and were reviewed by two senior radiologists for anatomical pattern and variations. The typical and most common pattern of right hepatic duct (RHD) branching was seen in 72.8% cases. The most common variant of RHD was trifurcation pattern of insertion of right anterior sectoral duct (RASD), right posterior sectoral duct and left hepatic duct (LHD) forming common hepatic duct (CHD) in 11.3% of cases. The common trunk of segment (SEG) II and III ducts joining the SEG IV duct was the most common LHD branching pattern in 90.3% of cases. The most common pattern of cystic duct was posterior insertion to middle third of CHD (42.8%). MRCP is the non-invasive imaging modality for demonstration of biliary duct morphology to prevent iatrogenic injury during hepatobiliary intervention and surgery.