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معايير المفراس الحلزوني في توقع كون اورام الكلية الصلدة خبيثة == CT criteria in predicting malignancy in solid renal mass

اسم المؤلف: عمار ياسر حسين
اسم المشرف: محمد عبد كاظم الجبوري
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الاشعة التشخيصية
الدرجة: دبلوم عالي
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:

تقييم السونار في التهاب الزائدة الدودية الحاد مع الاخذ بنظر الاعتبار تقييم الفارادو المعدل == Value of ultrasonography in acute appendicitis in correlation with modified Alvarado scoring system

اسم المؤلف: زياد غانم محمد
اسم المشرف: وسن اسماعيل السعدي | حيدر عبد الحسين
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الاشعة التشخيصية
الدرجة: دبلوم عالي
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:

THE VALUE OF CAROTID DOPPLER ULTRASOUND & BRAIN CT SCAN IN ISCHEMIC STROKE

اسم المؤلف: Ammar Muslim Kadhim
اسم المشرف: Wasan Ismail Majeed
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الاشعة التشخيصية
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:

كتلة الثدي الغير واضحة وتقييمها بالتصوير الشعاعي الموجات فوق الصوتية والفحص الخلوي الدقيق == NONPALPABLE BREAST MASS MAMMOGRAPHY ,ULTRASONOGRAPHY AND CYTOLOGICAL EVALUATION

اسم المؤلف: اسراء قادر احمد
اسم المشرف: وسن اسماعيل السعدي | يعرب ادريس
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الاشعة التشخيصية
الدرجة: دبلوم عالي
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:

نتائج التصوير المقطعي المحوسب للمريض الذي يعاني من اصابة الدماغ الرضية وعلاقته مع مقياس غلاسكو للغيبوبة == CT SCAN FINDINGS IN PATIENT WITH TRAUMATIC BRAIN INJURY CORRELATION WITH GLASGOW COMA SCALE

اسم المؤلف: هاشم حسن عبد التميمي
اسم المشرف: وسن اسماعيل مجيد السعدي | احسان صبحي نعمة
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الاشعة التشخيصية
الدرجة: دبلوم عالي
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:

Peritoneal Complications Of Ventriculo - Peritoneal Shunt

اسم المؤلف: Ali Abdulhussain Hassan
اسم المشرف: Mohammed A. K. Al-Jiboori | Abdulameer J. Mohammad
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الاشعة التشخيصية
الدرجة: دبلوم عالي
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:

دور انتشار الصور ومعامل الانتشار الواضح الخرائط في توصيف الورم السحائي == Role of Diffusion-weighted Images and apparent diffusion coefficient maps in characterization of meningioma

اسم المؤلف: شيماء احمد جاسم
اسم المشرف: ياسر محمد حسن | محمد عبد الكاظم
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الاشعة التشخيصية
الدرجة: دبلوم عالي
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:

تاثير الفحص بالموجات فوق الصوتية في التنبؤ بصعوبة استئصال المرارة بالمنظار == ULTRASOUND FINDINGS IN PREDICTING DIFFICULT LAPAROSCOPIC CHOLECYSTECTOMY

اسم المؤلف: ريم عبد الجليل خليل
اسم المشرف: محمد عبد كاظم الجبوري | ساجد حميد عبد
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الاشعة التشخيصية
الدرجة: دبلوم عالي
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:

A Comparison of the Accuracy of Ultrasound and Computed Tomography in Acute Abdominal Pain

اسم المؤلف: Amany ismael khalel
اسم المشرف: Laith Ahmed
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الاشعة التشخيصية
الدرجة: دبلوم عالي
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:

تقييم عدم فعالية الكليه المزروعة عن طريق التصوير بالموجات فوق الصوتية ودوبلر الموجات فوق الصوتية == Evaluation of Renal Allograft Dysfunction by Ultrasonography and Doppler Ultrasound

اسم المؤلف: مشتاق عوفي قاسم
اسم المشرف: ليث احمد خلف | ضياء حسين لفته
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الاشعة التشخيصية
الدرجة: دبلوم عالي
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:
المستخلص: Different complications may occur within months or years following kidney transplantation such as Renal artery thrombosis, Arterial stenosis which associated with the abrupt onset of hypertension, venous thrombosis, infection ureteral obstruction, fibrosis and nephrolithiasis. Ultrasound is the most valuable noninvasive imaging modality used in monitoring renal transplant. Duplex Doppler ultrasound is of particular value in detecting early signs of rejection and may be preceding the deterioration of the renal function estimated by serum creatinine by two days. Resistive Index (RI) obtained by Doppler spectral waveform analysis might give an important idea about the function of the transplanted kidney.Aims of the study : 1.To correlate between the serum creatinine level and the Resistive Index .2. Estimate a reliable and applicable way in the assessment and follow up of transplanted kidney function by gray scale ultra sound and Doppler ultrasound.Patients and Methods : A cross sectional study conducted at the radiology department of Al - Shaheed Ghazy Al - Hariri teaching hospital and the kidney transplantation center, during the period from 17th of August 2013 to the 30th of June 2014. A total of 45 patients with renal transplant of less than one year duration, and agreed to participate were recruited in this study regardless their age and gender and should have a recent serum creatinine test report prior to inclusion. Data were collected via direct interview with the patients using a data collecting sheet including ; the age, sex, duration of transplantation, laboratory data, including blood urea and serum creatinine, Ultrasonography and Doppler examination findings. All patient were examined, through aXIItransabdominal approach and in supine position for estimation of the resistive index of the transplanted kidney. The study protocol was approved and all official agreement were obtained in addition to the verbal consent of the patients. Statistical analysis was performed by using the statistical package for social sciences version 18, and the appropriate statistical tests were applied accordingly.Results : The mean age of the patients was 38 ± 9years (range, 17 to 65 years). The mean of RI was (.88 ± .96), it was normal in (33.3%) of the patients and high in (66.7%). The mean serum creatinine was 2.5 ± .47 and mean blood urea was 96 ± 8.6. Resistive index correlate significantly with serum creatinine , bloodurea, kidney size ,echogenicity and cortical thickness; P<0.05.Conclusion : A significant correlation had been found between Resistive index and each of serum creatinine and blood urea levels in transplanted kidney. There is a significant relationship between Resistive index value and duration of renal transplantation in transplanted kidney. Introduce the Doppler ultrasonography in the assessment of renal transplants as routine postoperative examination beside the lab renal function test and further prospective studies including larger number of patients are suggested

مشاهدات مفراس تلوين الاوعية الدموية ذي 46 مقطع لمرضى نزف ماتحت العنكبوتية == Sixty - Four Multi Slice Computed Tomographic Angiography Findings in Early Non - Traumatic Subarachnoid Hemorrhage

اسم المؤلف: باسمة كاظم عبود
اسم المشرف: مظفر بالي مهدي | عبد اللطيف علي اصغر
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الاشعة التشخيصية
الدرجة: دبلوم عالي
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:
المستخلص: Spontaneous SAH is sub type of hemorrhagic stroke with extremely poor prognosis. It’s a medical emergency and can lead to death or severe disability - even when recognized and treated at an early stage .CTA is frequently become the initial step in detecting intracranial aneurysms and planning therapeutic interventions.Objectives : To study the findings and the underlying causes of non traumatic SAH in CTAPatients and methods : This descriptive study was done on 62 patients with non traumatic SAH who underwent CTA in Baghdad Teaching Hospital in medical city - Baghdad from August 2012 - august 2013 with patients with highly clinical suspicion of SAH or those who were diagnosed by native CT or MRI, the sample of study was consist of 37 males and 25 females , age of patients ranged from 1 - 70 years .all patients examined by CTA using 64 MDCT.Results : From 62 patients in our study ,10 patients have negative finding ,38 have aneurysm,7 have AVM , 5have cavernoma and 2 patients have venous angioma, the aneurysms were 81.6 % saccular. 18.4% fusiform shape and mostly located supra tentorially 89.5% , 10.5% infratentorially single in384.2% more than one 15.8%, and the most frequent types of AVM were parenchymal 71.4%, from which the size 3 - 6 cm most frequent 60% , while Dural AVM 28.6% from which size 3cm most frequent size 66.6% and no cases reported with mixed types.Conclusion : CTA can provide rapid , minimally invasive evaluation of broad spectrum of cerebrovascular disorders and CTA adequate for detecting aneurysms in symptomatic SAH patients especially when conjoinded with native CT, also CTA is helpful in intervention planning and post - intervention evaluation.

مقارنة المقاطع السهمية لسلسلتي الرنين المغناطيسي : استرداد الانقلاب قصير T1 وT2 الموزونة ذوات صدى الانفتال السريع في الكشف عن افات الحبل الشوكي الناجمة عن تصلب الاعصاب المتعدد == A Comparison of Sagittal Sections of Short T1inversion Recovery and T2 Weighted Fast Spin Echo Magnetic Resonance Sequences for Detection of Multiple Sclerosis Spinal Cord Lesions

اسم المؤلف: شيماء فاضل عبيد
اسم المشرف: امير شاكر هادي
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الاشعة التشخيصية
الدرجة: دبلوم عالي
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:
المستخلص: Background : Multiple sclerosis (MS) is a chronic autoimmune inflammatory demyelinating disease of the CNS of unknown etiology. Age of onset is 20 - 50 years in 50 - 60% of cases, with female propensity. MRI of the spinal cord is thought reliable for investigation lesions. Different techniques and MRI sequences are widely used and compared to each other to improve the detection of MS lesions in the spinal cord. Objective : To evaluate the ability of MRI STIR sequences in improvement of MS spinal cord lesion detection when compared to T2 WI sequences.Patients and Methods : A cross sectional study conducted during the period from 15th of August 2013 to 30th of June 2014. A total of 22 MS patients who had clinically definite MS with clinical features suggestive of spinal cord involvement, and had no contraindication for MRI examination were included. Spinal cord lesions which had artifacts significantly reduce the reading confidence of the images or those which did not show the typical characteristics of MS spinal cord plaques and lesions due to spondyloticmyelopathy were excluded. Patients were imaged with unified MRI protocol for all patients and two MRI sequences were used in imaging; sagittal STIR sequences and sagittal T2 weighted. All images were read by the same radiologist. The study protocol was approved by the ethical committee and the data of the patients were kept confidentially.Results : The mean age of the patients was 32.5 ± 6.7 (range : 23 - 45) years and 54.5% of the patients aged 30 - 39 years. Females were the dominant and represented 72.7% with a female to male ratio of 2.7 : 1. The total number of spinal cord MS lesions was 44,of them 86.4% in the cervical spine, 68.2% of the lesions had less than one vertebra extension,79.6% of the lesions did not associated with changes in the spinal cord morphology. There was a significant upgrading in the lesions conspicuity at STIR sequence comparingto T2 WI, P<0.001. A significant difference had been found in artifact grading between both sequences; P<0.001.Conclusions and Recommendations : STIR MRI sequence improves detection of MS spinal cord plaques compared with T2 WI and it increases the conspicuity of the visualized T2 WI lesions, but also it accentuates the artifacts more than T2WI. The STIR sequence should be included in the standard spinal cord MR imaging protocols and should be obtained routinely with T2 WI. Further studies are suggested.

العلاقة بين النتائج السريرية ونتائج التصوير بالرنين المغناطيسي في عينة من المرضى العراقيين الذين لديهم تدلي القرص بين الفقرات القطنية == Correlation Between Clinical Finding And Magnetic Resonance Imaging In a sample of Iraqi patients with Lumbar Disc Prolapse

اسم المؤلف: نورس نوري كعيد
اسم المشرف: خضير زغير معيوف البدري | ليث احمد خلف
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الاشعة التشخيصية
الدرجة: دبلوم عالي
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:
المستخلص: Lumbar disc prolapse is one of the common causes of low back pain seen in the working population. There are contradictory reports regarding the clinical significance of various magnetic resonance imaging (MRI) findings observed in these patients.Objective : To find out the correlation of clinical features and magnetic resonance imaging (MRI) findings in determining the level of lumbar disc herniation.Patients and Methods : This study was conducted in department of radiology Baghdad teaching hospital from15thaugust 2013 to 15th august 2014 , the total number of patients with prolapse intervertebral disc was 100, the clinical level of disc herniation was determined depending on clinical findings (dermatomal distribution, pin - prick test , SLR Test , knee reflex And Ankle reflex ) and correlated with MRI findings (direction and location of disc herniation and nerve root compression).For both data entry and data analysis Statistical package for social science version 18 (SPSS18) was used. P - value of < 0.05 considered significant.11AbstractResults : Total 100 patients were studied during the12 months period. Out of 100 patient (52%) were male while (48%)were female. Age range was from 17 - 70 years, mean age was 38.9 ±11.4 .Maximum patients were in the age group range from17 - 34 (37%) followed by 35 - 45 years (33%).The duration of symptoms was ranging from 2 months to 2 years. The duration of symptoms was less than 1 year in 57% of patients and while 43% in 1 - 2 years group. The average duration in female patients was 1.1 years and in male patients was 11.23 monthon MRI the commonest nerve compression grade was grade 1 (contact) , when we comparing clinical test grade with nerve compression grade it was found that clinical test grade show very strong association with nerve compression grade .on MRI most disc herniation direction was posterolateral (61%)and (39%)central direction , when we test if there is association between the direction of disc herniation and whether there is nerve root compression we found strong relationship with p - value equal 0.003 .The level of disc herniation was determined on clinical basis as well as on MRI. These findings were compared and correlated for single level disc like L4 - L5 and L5 - S1 and for multiple levels. We found out the sensitivity, specificity and predictive values of clinical features and applied chi square test.In case of L4 - L5 level disc herniation, the sensitivity of all clinical features was 70.5% and positive predictive value was 80%, while the specificity was12Abstract62.5% and negative predictive value was 50%. The chi square value was significant with P value of 0.001.In case of L5 - S1 level disc herniation, the sensitivity and specificity of clinical features as a whole were 71.7% and 62% respectively. The positive predictive value was 55% and negative predictive value was 77.5% with significant chi square test of P value of 0.001.In case of L4 - L5 &L5 - S1 levels disc herniations the sensitivity and specificity of clinical features as a whole were 43% and 91.05% respectively. The positive predictive value and negative predictive value were 27% and 95.5% respectively with significant chi square test of P value of 0.028.Conclusion : This study shows that the lower lumbar discs are affected more than other disc site. In addition, there are strong association between nerve compression grade with severity of symptoms and signs so as the grade increase so also symptoms and signs increase.Also we found strong relationship between the direction of herniation and nerve root compression, so the posterolateral herniation direction compress root more often than central one .Finally, the clinical features should be correlated with MRI findings in determining the level of disc herniation. There is excellent correlation between the clinical features and MRI findings in case of single and multiple level disc herniation, when it is lying posterolaterally at L4 - L5 level or L5 - S1 level.

دور التصو ر المقطعي عديم التباين منخفض الجرعة في توقع نجاح علاج تفتيت حصاة الكلية بالموجات الصادمة من خراج الجسم == Role of Low Dose Noncontrast Computed Tomography in Predicting the Success of Extracorporeal Shock Wave Lithotripsy Treatment of Renal Stone

اسم المؤلف: احمد عباس محمد
اسم المشرف: ليث احمد خلف | عادل حفظي حمودي
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الاشعة التشخيصية
الدرجة: دبلوم عالي
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:
المستخلص: Currently, extracorporeal shock wave lithotripsy (ESWL) is the most common mode of therapy for small renal stones. Many studies have attempted to correlate the radiographic findings of non - contrast computed tomography (NCCT) with ESWL success and prospective assessment of patients with renal calculi.Objective : To assess the role of low dose non - contrast computed tomography in predicting the success of extracorporeal shock wave lithotripsy for renal stone treatment.Patients and Methods : A prospective study was conducted at Al - Shaheed Ghazi Al - Hariri teaching hospital in Baghdad medical city during the period from the 15th of December 2013 to the 30th of July 2014. Fifty patients who met the inclusion criteria and agreed to participate in this study were recruited . Data collected using a pre constructed data collection form in which the demographics and clinical data were reported. Stone characteristics were based on the pre - treatment non - contrast CT scanning reviewed and reported by one urologist and one radiologist. Diagnosis of renal stone was made by a specialist urologist depending on the clinical features and proved by urinalysis , KUB, Ultrasound and the non - contrast CT images. The SSD was calculated by measuring the 90° distance from the center of the stone to the skin .Patients received one session of ESWL and followed up for two weeks. Successful treatment considered if there was complete clearance of the stone with no residual fragments (stone - free) or presence of gravels less than 4 mm . Those who failed received another session 2 week after the first one. Data wereXIIanalysed using the statistical package for social sciences (SPSS) version 21, and appropriate statistical tests were used to assess the significance which set at ≤ 0.05 to be significant.Results : The age of the studied group ranged (23 - 74) years with a mean of (41.5± 12.5) years. Only 20% of the patients aged 30 years or less. Male to female ratio was (2.3 : 1). After the 1st session , 40% of patients had successful treatment and they became stone free. After the second session, the overall response rate (successful ESWL) was (66%). Success of treatment was significantly affected by the initial stone size . patients with successful treatment had the lower stone area (96.4 ± 34.4 mm2) compared to (150.8 ± 81.2 mm2) in those with unsuccessful treatment , (P=0.016). Stone density showed an inverse correlation with the success rate, the mean stone density was the lower among those with successful treatment (640.3 ± 301.2) HU , (P<0.001). Multiple logistic regression showed that stone size and density were the most significant predictors for successful treatment. Patients characteristics (age and sex), site of the stone and SSD didn’t reach the statistical significance for prediction (P>0.05) .Conclusion : Non - contrast Computed Tomography (NCCT) is a noninvasive and useful for obtaining a lot of information about the patient and renal calculi and can predict the success of ESWL. Stone density and size were significant predictors of the outcome of ESWL . Lower stone density and size predicted by NCCT associated with higher success rate of ESWL.