Integrating Ultrasound Teaching into Preclinical Problem-based Learning
Conclusion: Posttest knowledge of the basics of ultrasound improved significantly over the pretest in the experimental group. In addition, students' overall satisfaction of the ultrasound module was shown to be higher for the PBL compared to the LGT groups. Small groups in an interactive and PBL setting along with opportunities for hands-on practice and simultaneous visualization of findings on a high definition screen should enhance preclinical student learning of the basics of ultrasound. Despite the potential of ultrasound as a clinical, teaching and learning tool for students in the preclinical years, standardiz...
Source: Journal of Clinical Imaging Science - September 19, 2016 Category: Radiology Authors: Eli Tumba Tshibwabwa Jenifer Cannon James Rice Michael G Kawooya Reza Sanii Robert Mallin Source Type: research

Effects of Neoadjuvant Chemotherapy on Benign Breast Lesions Compared to Cancers: Should an Additional Lesion on Magnetic Resonance Imaging Responding Similar to Cancer after Neoadjuvant Chemotherapy be Viewed with Suspicion ?
Conclusion: Similar to cancers, benign breast lesions also show a significant decrease in size and enhancement after NAC; however, the decrease in size is less compared to cancers. (Source: Journal of Clinical Imaging Science)
Source: Journal of Clinical Imaging Science - September 19, 2016 Category: Radiology Authors: Rebecca Leddy Abid Irshad Lara Hewett Heather Collins Frank Vento Susan Ackerman Madelene Lewis Source Type: research

Post biopsy Liver Hemorrhage Successfully Controlled by Ultrasound-guided Percutaneous Microwave Ablation
Ophelia Ka Heng Wai, Lawrence Fung Him Ng, Peter San Ming Yu, James Chi Sang ChanJournal of Clinical Imaging Science 2016 6(1):34-34Percutaneous microwave coagulation therapy has been one of the major new developments in tumor ablation. Microwave ablation has also been used intraoperatively to achieve hemostasis at surgical margins in laparotomy. However, the use of microwave ablation for coagulation and hemostasis through percutaneous approach has not been described in the literature. Here, we report a case of hepatic amyloidosis with massive post biopsy liver hemorrhage, which could not be by transarterial embolization, ...
Source: Journal of Clinical Imaging Science - September 18, 2016 Category: Radiology Authors: Ophelia Ka Heng Wai Lawrence Fung Him Ng Peter San Ming Yu James Chi Sang Chan Source Type: research

Radio-anatomical Study of the Greater Palatine Canal and the Pterygopalatine Fossa in a Lebanese Population: A Consideration for Maxillary Nerve Block
Conclusion: Within the limits of this study, we concluded that throughout the Lebanese population, the GPC-PPF path is variable with a predominance of curved one (77.21% [122/158] in both the right and left sides); however, the GPC-PPF length does not significantly vary according to gender and side. (Source: Journal of Clinical Imaging Science)
Source: Journal of Clinical Imaging Science - September 18, 2016 Category: Radiology Authors: Georges Aoun Ibrahim Nasseh Sayde Sokhn Source Type: research

Unexpected Angiography Findings and Effects on Management
Matthew Neill, Hearns W Charles, Jonathan S Gross, Sean Farquharson, Amy R DeipolyiJournal of Clinical Imaging Science 2016 6(1):33-33Despite progress in noninvasive imaging with computed tomography and magnetic resonance imaging, conventional angiography still contributes to the diagnostic workup of oncologic and other diseases. Arteriography can reveal tumors not evident on cross-sectional imaging, in addition to defining aberrant or unexpected arterial supply to targeted lesions. This additional and potentially unanticipated information can alter management decisions during interventional procedures. (Source: Journal of...
Source: Journal of Clinical Imaging Science - August 31, 2016 Category: Radiology Authors: Matthew Neill Hearns W Charles Jonathan S Gross Sean Farquharson Amy R Deipolyi Source Type: research

Tuberculosis-associated Fibrosing Mediastinitis: Case Report and Literature Review
We present a case of fibrosing mediastinitis in a man with a prior history of TB, who presented with progressive dyspnea and was found to have chronic mediastinal soft tissue opacities and pulmonary hypertension. His diagnosis was delayed due to the lack of recognition of this clinical/radiographic entity. Fibrosing mediastinitis is a rare entity usually caused by granulomatous disease. Most cases develop as a late complication of histoplasmosis or TB. The presence of calcified mediastinal soft tissue infiltrates on advanced chest imaging can be diagnostic of fibrosing mediastinitis in patients with a prior history of a gr...
Source: Journal of Clinical Imaging Science - August 22, 2016 Category: Radiology Authors: Ronald Tan Joanne Martires Nader Kamangar Source Type: research

Acute Calculous Cholecystitis Missed on Computed Tomography and Ultrasound but Diagnosed with Fluorodeoxyglucose-Positron Emission Tomography/Computed Tomography
We present a case of a 69-year-old patient who underwent ascending aortic aneurysm repair with aortic valve replacement. On postsurgical day 12, he developed leukocytosis and low-grade fevers. The chest computed tomography (CT) showed a periaortic hematoma which represents a postsurgical change from aortic aneurysm repair, and a small pericardial effusion. The abdominal ultrasound showed cholelithiasis without any sign of cholecystitis. Finally, a fluorodeoxyglucose (FDG)-positron emission tomography (PET)/CT examination was ordered to find the cause of fever of unknown origin, and it showed increased FDG uptake in the gal...
Source: Journal of Clinical Imaging Science - August 15, 2016 Category: Radiology Authors: Carina Mari Aparici Aung Zaw Win Source Type: research

Focal Hepatic Fluorodeoxyglucose Uptake Mimics Liver Metastasis Following External Beam Radiation for Gastroesophageal Cancers: A Case and Review of the Literature
Randy Wei, Avinash Chaurasia, Suhong Yu, Chandana Lall, Samuel J KlempnerJournal of Clinical Imaging Science 2016 6(1):30-30Patients with locally advanced gastroesophageal cancers frequently undergo concurrent chemotherapy and radiation (CRT). 18-fluorodeoxyglucose-positron emission tomography ( 18 FDG-PET) in combination with computed tomography is used for disease staging and assessing response to therapy. 18 FDG-PET interpretation is subject to confounding influences including infectious/inflammatory conditions, serum glucose, and concurrent medications. Radiotherapy induces tissue damage, which may be associated with F...
Source: Journal of Clinical Imaging Science - August 8, 2016 Category: Radiology Authors: Randy Wei Avinash Chaurasia Suhong Yu Chandana Lall Samuel J Klempner Source Type: research

Transjugular Intrahepatic Portosystemic Shunt Dysfunction: Concordance of Clinical Findings, Doppler Ultrasound Examination, and Shunt Venography
Conclusion: Clinical findings and the US had low concordance rates with TIPS venography, with acceptable sensitivity but poor specificity. These findings suggest the need for improved noninvasive imaging methods for stent-graft TIPS surveillance. (Source: Journal of Clinical Imaging Science)
Source: Journal of Clinical Imaging Science - July 17, 2016 Category: Radiology Authors: Joshua M OwenRon Charles Gaba Source Type: research

Erratum: Percutaneous CT Guided Ablation in the Hepatic Dome: Artificially Induced Pneumothorax for Safe Transpleural Access
Journal of Clinical Imaging Science 2016 6(1):28-28 (Source: Journal of Clinical Imaging Science)
Source: Journal of Clinical Imaging Science - July 3, 2016 Category: Radiology Source Type: research

Principles and Clinical Application of Dual-energy Computed Tomography in the Evaluation of Cerebrovascular Disease
Charlie Chia-Tsong Hsu, Gigi Nga Chi Kwan, Dalveer Singh, Jit Pratap, Trevor William WatkinsJournal of Clinical Imaging Science 2016 6(1):27-27Dual-energy computed tomography (DECT) simultaneously acquires images at two X-ray energy levels, at both high- and low-peak voltages (kVp). The material attenuation difference obtained from the two X-ray energies can be processed by software to analyze material decomposition and to create additional image datasets, namely, virtual noncontrast, virtual contrast also known as iodine overlay, and bone/calcium subtraction images. DECT has a vast array of clinical applications in imagin...
Source: Journal of Clinical Imaging Science - June 28, 2016 Category: Radiology Authors: Charlie Chia-Tsong HsuGigi Nga Chi KwanDalveer SinghJit PratapTrevor William Watkins Source Type: research

Thoracic Presentations of Small Round Blue Cell Tumors
We present a pictorial essay of common and uncommon subtypes of small round blue cell tumors in the chest illustrating the characteristic radiologic findings of each lesion. In addition, we review the pathologic findings of each tumor subtype with characteristic hematoxylin- and eosin-stained photomicrographs and immunohistochemical and molecular studies. Represented tumors include small cell carcinoma, Ewing sarcoma, extranodal marginal zone B-cell lymphoma, embryonal rhabdomyosarcoma, desmoplastic small round cell tumor, and posttransplant lymphoproliferative disorder. Understanding and ability to recognize these lesions...
Source: Journal of Clinical Imaging Science - June 22, 2016 Category: Radiology Authors: Annalice ChangKyle PfeiferPeter ChenVivek KalraMyung Soo Shin Source Type: research

Viable Intrauterine Pregnancy and Coexisting Molar Pregnancy in a Bicornuate Uterus: A Rare Presentation
We report a case of a 40-year-old female with a known bicornuate uterus presenting at 13 weeks gestation with vaginal bleeding. Ultrasound findings showed a healthy viable pregnancy in the right horn with complete molar pregnancy in the left horn. After extensive counseling, the patient desired conservative management, however, was unable to continue due to profuse vaginal bleeding. The patient underwent suction dilation and curettage under general anesthesia and evacuation of the uterine horns. Postoperatively, the patient was followed until serum beta-human chorionic gonadotropin (&#946;-hCG) level dropped to <...
Source: Journal of Clinical Imaging Science - June 22, 2016 Category: Radiology Authors: Kavitha KrishnamoorthySabrina GerkowiczUsha Verma Source Type: research

Fungal Infections of the Central Nervous System: A Pictorial Review
Jose Gavito-Higuera, Carola Birgit Mullins, Luis Ramos-Duran, Cristina Ivette Olivas Chacon, Nawar Hakim, Enrique PalaciosJournal of Clinical Imaging Science 2016 6(1):24-24Fungal infections of the central nervous system (CNS) pose a threat to especially immunocompromised patients and their development is primarily determined by the immune status of the host. With an increasing number of organ transplants, chemotherapy, and human immunodeficiency virus infections, the number of immunocompromised patients as susceptible hosts is growing and fungal infections of the CNS are more frequently encountered. They may result in men...
Source: Journal of Clinical Imaging Science - June 16, 2016 Category: Radiology Authors: Jose Gavito-HigueraCarola Birgit MullinsLuis Ramos-DuranCristina Ivette Olivas ChaconNawar HakimEnrique Palacios Source Type: research

Sinonasal Fungal Infections and Complications: A Pictorial Review
Jose Gavito-Higuera, Carola Birgit Mullins, Luis Ramos-Duran, Hugo Sandoval, Nassim Akle, Ramon FigueroaJournal of Clinical Imaging Science 2016 6(1):23-23Fungal infections of the nose and paranasal sinuses can be categorized into invasive and non-invasive forms. The clinical presentation and course of the disease is primarily determined by the immune status of the host and can range from harmless or subtle presentations to life threatening complications. Invasive fungal infections are categorized into acute, chronic or chronic granulomatous entities. Immunocompromised patients with poorly controlled diabetes mellitus, HIV...
Source: Journal of Clinical Imaging Science - June 13, 2016 Category: Radiology Authors: Jose Gavito-HigueraCarola Birgit MullinsLuis Ramos-DuranHugo SandovalNassim AkleRamon Figueroa Source Type: research