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دور قياس مرونة الانسجة بالموجات فوق الصوتية في التفريق بين عقيدات الغدة الدرقية الحميدة والخبيثة == Real Time Ultrasound Elastography in the Differential Diagnosis of Benign and Malignant Thyroid Nodules

Author name: هديل قاسم خليل
Supervisor name: محمد عبد كاظم الجبوري
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

دور دراسة دوبلر الشريان الدماغي الاوسط والشريان السري في التنبؤ بنتائج الحمل السلبية في النساء الحوامل المصابات باضطرابات ارتفاع ضغط الدم في الثلث الثالث من الحمل == The Role of Doppler Study (Umbilical and Middle Cerebral Arteries) To Predict General Adverse Pregnancy Outcome In Patients with Hypertensive Diseases In Third Trimester

Author name: احمد ماجد سلمان
Supervisor name: محمد عبد كاظم الجبوري
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

دور فحص السونار الداخلي والملون في تفريق افات بطانة الرحم الحميدة عن الخبيثة عند النساء المصابات بنزف ما بعد سن الياس == The Role of Transvaginal and Doppler Ultrasound in Differentiating Benign from Malignant Endometrial Pathologies in Women with Postmenopausal Bleeding

Author name: زينب سامي ياسين
Supervisor name: نورة كاظم نعمة
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

قيمة المفراس الحلزوني عالي الدقة للرئتين في تقييم شدة مرض الانسداد الرئوي المزمن == Value of high resolution CT scan of the lungs in the assessment of severity of COPD

Author name: محمد عبد محمد
Supervisor name: محمد عبد كاظم الجبوري
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

قيمة الرنين المغناطيسي في تقييم تاخر مراحل التطور لدى الاطفال == The Value of Myelination Milestone on MRI in the Assessment of Developmental Delay in Pediatric Patients

Author name: الاء طارق شيت محمود
Supervisor name: نور عباس حمادي
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

تقييم اباحة قنوات فالوب باستخدام السونار الداخلي مع حقن محلول مائي في النساء عديمات الخصوبة == Assessment of tubal patency by Sonohysterography in infertile women

Author name: فرقان عبد الامير
Supervisor name: محمد عبد كاظم الجبوري | سحر هشام عبد الرزاق
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

دور التداخل البنائي ثلاثي الابعاد في الرنين المغناطيسي المستقر في تشخيص الم العصب الثلاثي التوائم == The ROLE OF 3D CISS MRI IN THE EVALUATION OF PRIMARY TRIGEMINAL NEURALGIA

Author name: رشا مزاحم رشيد
Supervisor name: محمد عبد كاظم الجبوري
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

قيمة التصوير بالرنين المغناطيسي في التمييز بين كتلة الثدي الحميدة والخبيثة == Value of MRI in Differentiation Between Benign and Malignant Breast Mass

Author name: زينا عدنان لايح
Supervisor name: نور عباس حمادي
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

العلاقة بين نشر التصوير المرجح في مرضى اعتلال الكلية السكري مع المراحل السريرية للمرض == The correlation of renal diffusion weighted imaging in diabetic nephropathy with clinical stages of disease

Author name: اسراء محي صالح
Supervisor name: محمد عبد كاظم الجبوري
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

زيادة كثافة الشريان الدماغي الاوسط : تحديد قيمة كثافة الشريان في التصوير المقطعي (المفراس) عند المرضى المصابين والمرضى غير المصابين بالجلطة الدماغية == Hyperdense Middle Cerebral Artery : Quantification of CT Density in Stroke and non – Stroke Patients

Author name: طارق سلمان فاخر
Supervisor name: وسن اسماعيل السعدي
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

دور التصوير المقطعي للمفراس لتمييز التكهف الرئوي الانفرادي == TheRole of MultisliceCT to Differentiate Solitary Pulmonary Cavitary Lesion.

Author name: سندس عبد الرزاق سلمان
Supervisor name: محمد عبد كاظم الجبوري
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

الموجات فوق الصوتية عن طريق المهبل والعجان لقياس زوايا الاحليل لمجموعة من النساء العراقيات السليمات == Transvaginal and Transperineal Ultrasonography for Measurement of Resting Urethral Angles in a Cohort of Continent Iraqi Women

Author name: رنا منصور فرحان
Supervisor name: وسن اسماعيل مجيد
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

اهميــة الرنين المغناطيسي في تقييم الانزلاق الغضروفي في الفقرات القطنية == MRI finding of cartilaginous endplates herniation of lumbar spine

Author name: منصور عيدان داود الزبيدي
Supervisor name: ياسر محمد حسن
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

دور سونار المرونة في التنبؤ بدرجة سرطان اقنية الثدي == The Role of Elastography Score and Strain Ratio in Predicting the Grade of Mammary Ductal Carcinoma

Author name: تيماء توفيق محمد سعيد
Supervisor name: وسن اسماعيل مجيد
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

سونار الرحمي الداخلي مع دفع سائل داخل بطانة الرحم ومقارنة النتائج مع فحص النسيج الخلوي للنزف الرحمي للنساء في سن الياس == Correlation between saline infusion sonohystrography and histophatholgical findings in patients with postmenopausal bleeding

Author name: امل حسين طياح ذرب
Supervisor name: وسن اسماعيل مجيد السعدي | ايناس عدنان
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

قيمة مفراس تصوير الاوعية الدموية في نقص التروية المزمن للاطراف السفلى بالمقارنة مع دوبلر بالموجات فوق الصوتية == Value of Multi-detector CT Angiography in Chronic Ischemia of Lower Limbs in Comparison with the Doppler ultrasound

Author name: سوسن جاسم محمد
Supervisor name: محمد عبد كاظم الجبوري
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

دراسة مرونة انسجة الثدي بواسطة سونار المرونة بالمقارنة مع كثافة الانسجة في الفحص الشعاعي == Ultrasound strain Elastography of Normal Breast Tissue in Correlation with Mammographic Breast Density

Author name: هدى فوزي صالح
Supervisor name: وسن اسماعيل مجيد
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

علامات تصوير الرنين المغناطيسي للقناة الصفراوية والبنكرياس في تشخيص وكشف حصى قناة الصفراوية الرئيسية في المرضى الذين يعانون من اليرقان الانسدادي == Magnetic Resonance Cholangiopancreatography signs in diagnosing and detecting common bile duct stones in patients with evidence of obstructive jaundice

Author name: فرح سعد احمد
Supervisor name: محمد عبد كاظم الجبوري
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

التصوير المغناطيسي ذات قوة 3 تسلا ضد التصوير المغناطيسي ذات قوة 1.5 تسلا في الكشف عن التجلد == 3-Tesla vs. 1.5-Tesla Magnetic Resonance Imaging in the Detection of Ischemic Deep White Matter Lesions

Author name: مياده فاضل حميد
Supervisor name: محمد عبد كاظم الجبوري
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

دور التصوير بالرنين المغناطيسي كمعيار الذهب لتقييم كريات الدم البيضاء بروتين سي التفاعلي ، معدل ترسب كريات الدم الحمراء والاشعة السينية في التنبؤ بالتهاب العظم والنقي في القدم السكرية == The role of Magnetic Resonance Imaging as a gold standard to evaluate WBC, CRP, ESR and X-ray in predicting osteomyelitis in diabetic foot

Author name: محمد عوني عبد الغني
Supervisor name: ليث احمد خلف
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

Role of computed tomography in differentiation of radio - lucent stones from radio - opaque stones in renal system depending on attenuation measurements (Hounsfield unit) == Role of computed tomography in differentiation of radio-lucent stones from radio-opaque stones in renal system depending on attenuation measurements (Hounsfield unit)

Author name: Sudad Razooqi Flayyih
Supervisor name: Mohammed Abd Kadhim
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

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

Author name: عمار ياسر حسين
Supervisor name: محمد عبد كاظم الجبوري
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

دور عامل الانتشار الرنيني في التمييز بين كتل المبيض الحميدة والخبيثة == Role of MRI Diffusion - Weighted Imaging in differentiation between benign and malignant ovarian masses

Author name: لينا سعد جعفر
Supervisor name: محمد عبد كاظم
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

Trans - vaginal ultrasound features that predict poor first trimester outcome

Author name: SUAD ABDUL KADHIM ABDUL HASAN
Supervisor name: WASAN ISMAIL Al-SAADI | HALA Al-MOAYED
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

دور الرنين المغناطيسي في تقييم المضاعفات بعد جراحة الفقرات القطنية == Role of MRI in the assessment of the post lumbar surgery complications

Author name: منى زامل محمد
Supervisor name: وسن اسماعيل مجيد السعدي | ياسر محمد حسن حميد
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

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

Author name: زياد غانم محمد
Supervisor name: وسن اسماعيل السعدي | حيدر عبد الحسين
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

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

Author name: Ammar Muslim Kadhim
Supervisor name: Wasan Ismail Majeed
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Master
Language: English
University location: Baghdad
First pages:

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

Author name: اسراء قادر احمد
Supervisor name: وسن اسماعيل السعدي | يعرب ادريس
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

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

Author name: هاشم حسن عبد التميمي
Supervisor name: وسن اسماعيل مجيد السعدي | احسان صبحي نعمة
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

Peritoneal Complications Of Ventriculo - Peritoneal Shunt

Author name: Ali Abdulhussain Hassan
Supervisor name: Mohammed A. K. Al-Jiboori | Abdulameer J. Mohammad
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

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

Author name: شيماء احمد جاسم
Supervisor name: ياسر محمد حسن | محمد عبد الكاظم
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

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

Author name: ريم عبد الجليل خليل
Supervisor name: محمد عبد كاظم الجبوري | ساجد حميد عبد
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

تغيرات الماده البيضاء الدماغية لدى مرضى الصداع النصفي وانواع الصداع الاوليه الاخرى بواسطة جهاز الرنين المغناطيسي == Cerebral White matter Brain Changes On Magnetic Resonance Image In Migraine And Other Primary Headaches Patients

Author name: سها سالم جعفر
Supervisor name: ايمان محسن اللامي
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Najaf
First pages:

Correlating CT findings of stroke with hyperglycemia in acute ischemic stroke patients

Author name: Mohammed Tuama Jebur
Supervisor name: Laith Ahmed Khalaf | Ameer shakir
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

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

Author name: Amany ismael khalel
Supervisor name: Laith Ahmed
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:

العلاقة النسبية بين جريان الدم لشريان الابهر النازل وشريان الحبل السري للجنين في الحمل الطبيعي للفترة من 36 - 40 اسبوع من عمر الحمل == Fetal Descending aorta / Umbilical Artery Flow Velocity Ratio in Normal Pregnancy at 36 - 40 weeks of gestational age

Author name: فاتن ناجي العبادي
Supervisor name: ازهار الطريحي | ندى الحارس
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Najaf
First pages:

Radiological Findings In Immigrants Attending The Institute Of Tuberculosis And Chest Diseases In Baghdad

Author name: Kareem Kulthoom Ridha
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
University location: Baghdad
Key words:
  • Chest - Radiography%Chest - Diseases%Thesis

التصوير بالموجات فوق الصوتية للبالغين العراقيين العاديين

Author name: احمد عبد الجبار الصباغ
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Iraqi Board
University location: Baghdad
Key words:
  • المستنصرية

دور سونار الرسغ في تحديد شدة متلازمة نفق الرسغ بين النساء ذوات تخطيط الاعصاب الموجب == The Role of Wrist Ultrasound in Assessing Carpal Tunnel Syndrome Severity among Female Patients with Positive Nerve Conduction Study

Author name: سوسن هادي عودة العارضي
Supervisor name: رائد حليم السعد | احسان محمد عجينة
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Najaf
First pages:

العلاقة بين موقع المشيمة ونوع جنس الجنين اعمار الامهات الحوامل , عمر الجنين ,ندبة الرحم للعمليات القيصريه السابقة ,عدد الولادات والاحمال السابقة == The relationship of placental site with fetal gender, maternal age ,gestational age, uterine scar, gravidity and parity

Author name: شيماء عبود نجم الوديس
Supervisor name: نورهان شاكر | ستار عبد الرزاق العيساوي
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Najaf
First pages:

دور النقص الوريدي المخي النخاعي المزمن في مرض تصلب الاعصاب المتعدد بواسطة السونار الملون (الدوبلر) == The Role of chronic cerebrospinal venous insufficiency in Multiple sclerosis assessed by Doppler Ultrasound

Author name: نغم عبد الزهرة الجصاني
Supervisor name: حيدر كاظم حسون | حسن النفاخ
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Najaf
First pages:

تقييم الفحص بالرنين المغناطيسي والامواج فوق الصوتية بالمقارنة مع الفحص النسيجي لورم الرحم الليفي == Evaluation of Uterine Fibroid Using MRI & U/S with Histopathological Correlation

Author name: زهراء هاشم محمود
Supervisor name: ليث احمد طعمة
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: Uterine fibroids, also known as leiomyomas, are the commonest uterine neoplasm's about 30% - 40% in the reproductive age , Although benign, they can be associated with significant morbidity and are the commonest indication for hysterectomy, they are often discovered incidentally when performing imaging for other reasons, usually first identified by USG which the cheapest, easiest, safe during pregnancy, they can be further characterized by MRI, they are usually easily recognizable, but degenerate fibroids can have unusual appearance, MRI is informative in excluding associated Adenomyosis. AimTo evaluate US &MRI sequences in patients with leiomyoma about detection, number, mapping, characterization &associated other lesions correlated with histopathological result after surgical treatment.Patients & methods A prospective study was done in the Radiological department of BAGHDAD teaching hospital from September 2012 through May 2013, about 65 females patients where imaged by MRI after physical examination & US, where 45 patients did operation myomectomy or hysterectomy.Resultsage of patients 19 - 69 years mean age 39.4y, The women presented with menorrhagia and a variety of symptomes,45 patients where followed up by hysterectomy & myomectomy which inter really in my study ,the remaining (20 patients) non operative treated medically and followed up by US, MRI detect more than US in 60 fibroids which not detected by US being MRI more sensitive 98%, specific93% &accurate 97% than US ,also MRI more specific (93.9%)&more accurate 97%in detecting single &multiple fibroids than us with low specificity (50%)&accuracy (63.9%), also MRI more sensitive in detecting smaller fibroid <1cm 95.2% compared with US sensitivity 15.5%, about mapping US was 89%agree with histopathology results while MRI was more agreement with histopathology 98%, about 7 patients from 45(15.6%) was found to have Adenomyosis with fibroids which all of them diagnosed by MRI, we depend on T2 sequence in detecting fibroids which show about 80%hypointense, MRI cannot differentiate between the type of degeneration which about 2/3 degenerated , 44%show contrast enhancement which is not important in detection and characterization , in most of cases fibroids are iso to hypointense in T1.Conclusion : Superior sensitivity and minimal measurement discrepancies suggest MR imaging superior to US in evaluation for uterine fibroid especially pre surgical study &to exclude other causes of large uterus & should be preferentially utilizedfor assessing fibroids .

مقارنة بين التصوير بالموجات فوق الصوتية والتصوير بالرنين المغناطيسي في وصف كتل ملحقات الرحم == Comparison of magnetic resonance imaging and Transvaginal ultrasound findings in evaluation of adnexal mass

Author name: اخلاص حميد علي
Supervisor name: ليث احمد خلف
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: دراسة مقارنة مكونه من 45 حالة مرضية اجريت في مستشفى بغداد التعليمي في مجمع مدينة الطب خلال الفترة من اغسطس 2012 والى اغسطس لسنة 2013 وقد قورنت نتائج التصوير بالرنين المغناطيسي والتصوير بالموجات فوق الصوتية لوصف كتل ملحقات الرحمالنتائج : ان معظم ملحقات كتل الرحم كانت تابعة لحلات حميدة شائعة وقد شكل الكيس الوظيفي البسيط اعلى نسبة( 20%)ويتبعه كل من الكيس النزفي بنسبة( 17.7%) ومرض هجرة بطانة الرحم بنسبة ( 13.3%)على التوالي .كانت نتائج التصوير بالموجات فوق الصوتية من ناحية تحديد موقع الورم متوسطة التوافق مع التشخيص النهائي مقارنة بالرنين المغناطيسي كان التوافق جيد جدا مع التشخيص النهائي. كانت نتائج التصوير بالموجات فوق الصوتية لتحديد كون الكتل خبيثة او حميدة حساسة بنسبة(100 %) وكانت خصوصية بنسبة(52%) وكانت درجة الدقة (62%) مقارنة بنتائج التصوير بالرنين المغناطيسي كانت حساسة بنسبة(100 %) وكانت خصوصية بنسبة(91%) وكانت درجة الدقة (93%)الاستنتاجات : ان ملحقات كتل الرحم الغير محددة عند الفحص بالموجات فوق الصوتية الغير موكدة الموقع والصلبة والكيسية المعقدة ستستفيد من الفحص الاضافي بالرنين المغناطيسي والذي كان على درجة عالية من الدقة في تحديد منشا الكتلة وخصائصها. | Aim : To compare the findings of transvaginal ultrasound and pelvic magnetic resonance imaging in patients with adnexal mass.Patient and method : Comparative cross sectional study was conducted in radiological department of Bagdad Teaching Hospital in the medical city center in period from August 2012 to August 2013 ,forty five female patient was examined by magnetic resonance imaging after physical examination and trans vaginal ultrasound examination, and the result was correlated with histopathology in 29cases only.The aged from 18 - 70 years old ,the women present with variety of symptoms include irregular cycle , abdominal pain, dysmenhorria and menorrhagia . Results : forty five patients enrolled in this study,33 patients (73.3%) were in reproductive age and 12 (26.7%) were post menopause, benign condition more than malignant ,simple follicular cyst was the higher percent consist( 20% ),followed by hemorrhagic cyst (17.7% ),followed by endometrioma( 13.3%)Regarding the origin of mass magnetic resonance imaging had(k0.89) almost perfect agreement with final diagnosis whereas the transvaginal sonography had (k o.42) moderate agreement with final diagnosis.Regarding tissue characterization magnetic resonance imaging had ( k = 0.83) almost perfect agreement . magnetic resonance imaging had sensitivity of 100%, specificity of 91% for identifying malignant and benign lesion Whereas transvaginal sonography had sensitivity of 100%, specificity of 52% Conclusion : sonograpgically vague adnexal mass of uncertain origin and solid or complex content will be benefit from further evaluation by magnetic resonance imaging,which highly accurate for identifying the origin of the mass and characterization of its tissue content.

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

Author name: مشتاق عوفي قاسم
Supervisor name: ليث احمد خلف | ضياء حسين لفته
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: 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

خزعة نخاع العظم مقارنة بالرنين المغناطيسي لنخاع العظم للورم السرطاني للعقد اللمفاوية في الفقرات القطنية == BONE MARROW BIOPSY VERSUS MRI IN LYMPHOMA OF LUMBAR SPINE

Author name: زينب ثامر عبد الحسن
Supervisor name: سلام محمد جوري | بسام فرنسيس متي
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: الخلفية : اصابة نخاع العظم هو نتيجة متكررة الحدوث في الورم السرطاني للعقد اللمفاوية ولتحديد درجة هذا المرض خزعة نخاع العظم من القمة الخلفية للعظم الحرقفي تنجز عادة لتقييم درجة الاشارة الغير طبيعية لتصوير الرنين المغناطيسي لنخاع العظم وقد ثبتت ايضا لتكون مؤشر لاصابة نخاع العظم .الهدف من الدراسة : لتقييم قابلية الرنين المغناطيسي لتوثيق تاثر واصابة نخاع العظم لمرضى الورم السرطاني للعقد اللمفاوية.الطريقة : نموذج دراستنا يتضمن 80 مريض بالغ محال الى قسم الاشعة في مستشفى بغداد التعليم ,العراق. مابين اب 2012 واب 2013 اللذين انطبقت عليهم المواصفات المشمولة وشخصوا كمصابين بالورم السرطان للعقد اللمفاوية واثبت ذلك بالفحص النسيجي لخزعة العقد اللمفاوية، كلا من خزعة نخاع العظم والرنين المغناطيسي اجريت لهم . النتائج : 48 من الذكور (60%) و32 من الاناث (40%) قد فحصوا ونسبة الذكر للانثى 1 : 1,5. في 78% من هؤلاء المرضى، خزعة نخاع العظم والرنين المغناطيسي كانتا متفقتان تماما. في مريض واحد فشل الفحص النسيجي في اثبات اصابة نخاع العظم بالرغم من الاشارة الغير طبيعية للرنين المغناطيسي المخمنة لاصابة نخاع العظم. في خمسة مرضى، الرنين المغناطيسي كان طبيعيا كاملة بالرغم من ان الخزعة اثبتت اصابة نخاع العظم وان معدل السلبية الخاطئة (5\16) والايجابية الكاذبة (1\62) كانت قليلة جدا . الخاتمة : في الورم السرطاني للعقد اللمفاوية، الخزعة السالبة لنخاع العظم مع النتيجة الموجبة للرنين المغناطيسي يجب ان لا تستثني اصابة نخاع العظم وتحتاج الى تقييم اكثر بواسطة خزعة نخاع العظم من كلا الجانبين ولذلك نحن نستنتج انه الرنين المغناطيسي لنخاع العظم هو شكلية حساسة غير متداخلة وممكن ان يكون ذو قيمة قويةفي ايجاد اصابة نخاع العظم بالورم السرطاني للعقد اللمفاويةاللذي من الممكن ان يستعمل كمساعد مفيد للطريقة المثالية لقياس الدرجة.التوصيات : الرنين المغناطيسي لكل الجسم، يوصى به ليساعد في تقييم اصابة نخاع العظم بالورم السرطاني للعقد اللمفاوية | Background : Bone marrow involvement is a frequent finding in lymphoma. For the staging of lymphoma, a bone marrow biopsy of the posterior iliac crest is routinely performed. An abnormal magnetic resonance imaging (MRI) signals of bone marrow was also reported to be indicative of bone marrow involvement.Aim of the study : To assess the ability of MRI to document bone marrow infiltration and involvement in patient with lymphoma.patients and Methods : Our study sample consisted of 80 adult patients referred to the radiology department in Baghdad teaching hospital, Iraq, between August 2012 to August 2013 who met the inclusion criteria were diagnosed as lymphoma and proved by histological examination of LN biopsy, both bone marrow biopsy and MRI were done for them.Results : 48 male (60%) and 32 female (40%) were examined, with male : female ratio was (1.5 : 1). With mean age was(52.25 ± 7.3)years. 67 patients of them have NHL and the remaining 13 patients have HD. Among 62 patients with MRI positive findings, 39 patients (63%) showed diffuse infiltration and 23 patients (37%) showed multifocal infiltration. In 78 % of patients bone marrow biopsy and MRI agreed completely. Only in one patient, histological sections of bone marrow biopsy failed to show any evidence of bone marrow involvement despite abnormal MRI signals suggestive of bone marrow involvement by lymphoma infiltration. In five patients, MRI was completely normal despite biopsy proven bone marrow infiltration .False negativity (5/16) and false positivity (1/64 ) rates were very low .Conclusion : In lymphoma, a negative bone marrow biopsy finding with positive MRI results should not exclude bone marrow involvement and needs further evaluation with bilateral bone marrow biopsy. Thus, we conclude that MRI of bone marrow is a fairly sensitive, non invasive modality and might be of potential value in detecting bone marrow infiltration in malignant lymphoid neoplasms which can be utilized as a useful adjunct to standard staging procedures. Recommendation : Total body MRI is recommended to help the assessment of bone marrow infiltration by lymphoma also bilateral biopsy is recommended in suspected cases that patients with positive MRI finding had negative biopsy results

الارتباط بين الموجات فوق الصوتية للوريد البابي الكبدي والنتائج التنظيرية في دوالي المرئ == Correlation between portal vein Doppler ultrasound and endoscopic findings in esophageal varices

Author name: اسراء مزاحم ذاكر
Supervisor name: ليث احمد خلف
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: خلفية عن الموضوع : دوالي المريء ، وهو احد المضاعفات الرئيسية لتليف الكبد ، يمكن ان يؤدي الى تهيدد للحياة نتيجة نزيف الجهاز الهضمي.الهدف من البحث : تقييم الاداة التشخيصية للكشف عن دوبلر الوريد البابي (سرعة ، قطر ، مؤشر الازدحام ، وحجم الطحال) للتنبؤ بدوالي المريء.الطرائق : تم تضمين 51 مريضا بالغا يعانون من تليف الكبد في الدراسة. خضع جميع الاشخاص الى الموجات فوق الصوتية في البطن وتنظير المريء. تضمنت مؤشرات الوريد البابي التي تمت دراستها مؤشر الاحتقان الكبدي ، وقطر الوريد البابي ، سرعة الوريد البابي وحجم الطحال. تم حساب حساسيتها ونوعيتها والقيم التنبؤية باستخدام التنظير المريء كمعيار ذهبيالنتائج : كانت الارتباط بين سرعة الوريد البابي ومؤشر الاحتقان الكبدي مع وجود دوالي المريء ذات دلالة احصائية (قيمة p <0.05). كان سرعة الوريد البابي اعلى حساسية 92.7 ٪ للكشف عن وجود دوالي المريء. وكان مؤشر الاحتقان الكبدي اعلى خصوصية من 99 ٪ واعلى قيمة تنبؤية ايجابية من 99 ٪. كانت القيمة التنبؤية السلبية اعلى سرعة الوريد البابي بنسبة 66.7 ٪.استنتاج : يمكن ان يكون دوبلر بالموجات فوق الصوتية بديلا سهلا ، رخيصا وامنا . حيث لا يتوفر تنظير المريء . مؤشرات دوالي الوريد البوابي مفيدة للكشف عن دوالي المريء وافضل مؤشرات الدوبلر سرعة الوريد البابي ومؤشر الاحتقان الكبدي ، في حين ان قطر الوريد البابي قد يكون لها قيمة محدودة للتنبؤ بدوالي المريء | Background : Esophageal varices, a major complication of liver cirrhosis, can lead to life threatening gastrointestinal bleeding.Objective : Evaluate the diagnostic utility of portal vein Doppler findings (velocity, diameter, congestion index ) and spleen size to predict esophageal varices.Methods : A cross sectional study of 51 adult patients with cirrhosis were included in the study. All of them underwent an abdominal ultrasound and esophageal endoscopy. The portal vein indices that were studied included hepatic congestion index, portal vein diameter portal vein velocity and splenic size. Their sensitivity, specificity and predictive values were calculated using esophageal endoscopy as a gold standard. Results : Association of PVV and HCI with presence of EV was statistically significant (p - value <0.05). PVV had the highest sensitivity 92.7% for detecting the presence of EV. HCI had the highest specificity of 99% and the highest positive predictive value of 99%. Negative predictive value was highest for PVV at 66.7%.Conclusion : Doppler Ultrasound can be an easy, cheap and safe alternative, where esophageal endoscopy is not available, available, for triaging patients for referral for esophageal endoscopy. Portal vein Doppler indices are useful for detecting esophageal varices, the best Doppler indices PVV and HCI, while PVD may have a limited value for predicting esophageal varices.

دور فحص المرونة وسرعة الموجات المقصوصة في التفريق بين الاورام الحميدة والخبيثة في الثدي == USE OF SHEAR WAVE ELASTOGRAPHY TO DIFFERENTIATE BETWEEN BENIGN AND MALIGNANT BREAST MASS

Author name: اوان حكمت محمد
Supervisor name: ليث احمد خلف
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: Shear wave elastography is a new method of obtaining elastography images based on the combination of a radiation force induced in a tissue by an ultrasonic beam and an ultrafast imaging sequence capable of catching in real time the propagation of the resulting shear waves.Aim of studyTo assess the performance of shear wave elastography in differentiating between the malignant and benign breast tumors. Patients and Methods A cross sectional study carried out in Breast Clinic at Oncology Teaching Hospital - Baghdad Medical city for period from 1st of November, 2015 to end of June, 2016 convenient sample of 80 women with suspected breast tumor. After full history and examination, enrolled women were examined with ultrasound by the researcher with help of Radiologist.ResultsA highly significant association was observed between women with BIRADS V and high shear wave elastography ratio (p<0.001). Women with BIRADS V had significantly malignant fine needle aspiration findings of breast (p<0.001) and women with high shear wave elastography ratio were significantly had malignant FNA findings (p<0.001). The cutoff shear wave elastography ratio of 3.75 had good validity results (87% sensitivity, 82.4 % specificity).Conclusions Shear wave elastography is non - invasive reliable diagnostic method facilitating characterization of breast tumor.

مشاهدات فحص الرنين المغناطيسي وتحديد دقتها بالاعتماد على ناظور الركبة في تشخيص اصابات الرباط الصليبي الامامي لمفصل الركبة == MRI FINDINGS VERSUS ARTHROSCOPY IN ANTERIOR CRUCIATE LIGAMENT TEAR INJURIES OF THE KNEE JOINT

Author name: لميس عبد الحسين عزيز
Supervisor name: ليث احمد خلف
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: فحص الرنين المغناطيسي لمفصل الركبه هومن الفحوص اليومية والمتكررة في قسم الاشعه .ان مفصل الركبة من المفاصل الكبيرة في الجسم ومع ذلك فان ثباته واستقراره يعتمد على مجموعه من الاربطه والعضلات لاسناده وخاصة الاربطه الصليبيه وتعد اصابات الرباط الصليبي الامامي اكثرها شيوعا خاصة في الحوادث الرياضية والتدريب العسكري وحوادث السيارات والدراجات النارية ومنها ما يترتب عليها من تعويضات مادية وقضائية.في الاونه الاخيرةان لفحص الرنين المغناطيسي دور متزايد في تشخيص امراض واصابات الجهاز العضلي الهيكلي نظرا لقدرته علي ابراز تباين الانسجة وتميزها عن بعضها وكونه خالي من مضار الاشعاع المؤين لذا فانه يشجعنا دراسة امكانيات استخدهمه في اصابات الرباط الصليبي الامامي. الهدف من الدراسة : لتحديد دقة فحص الرنين المغناطيسي في تشخيص اصابات الرباط الصليبي الامامي لمفصل الركبه بالاعتماد على ناظورالركبه التشخيصي والعلاجي .حيث ان اصابات اربطة الركبه تعتبر من الاصابات الشائعه التي توءثر على حياة ومماراسات المريض اليومية .لقد تم عمل هذه الدراسة خلال سنة 2014 - 2015 على 65 شخص متعرضين لاصابات في الركبه مع احتمال وجود تمزق في الرباط الصليبي الامامي تم فحصهم سريريا من قبل طبيب استشاري متخصص في امراض العضام والكسور بعد ذلك تم فحص الركبه باستخدام جهاز الرنين المغناطيسي في معهد الاشعة ثم تم التاءكد من نتيجة فحص الرنين باستخدام ناظورالركبه الذي يعتبر تشخيصا نهائيا وهو طريقة جراحية تتيح للطبيب المعالج مشاهدة ومعالجة الرباط الصليبي بشكل مباشر وباقل نسبة خطا ممكنه. الا ان الناظوريعد طريقة جراحية لها مخاطرها وغير سهلة للمرض مقارنة بالرنين المغناطيسي .وتم التوصل للاستنتاج التالي : لقد اظهرت الدراسة دقة عاليه لفحص الرنين المغناطيسي في تشخيص اصابات الرباط الصليبي الامامي (90.7 % ) وحساسية (91%) مما يمكن استخدامه كفحص اولي وبدقه عالية في اصابات اربطة الركبة ممه يغني عن دور التدخل الجراحي التشخيصي لناظور الركبة | Aim of the study : The study was done to analyze the validity of our MRI interpretation in the diagnosis of anterior cruciate ligament (ACL) tear injuries which is a common problem in many peoples impending their daily activities. Material and method : All patients presented to orthopedic consultation clinic with history of knee trauma and suspected anterior cruciate ligament tear injuries during 2014 - 2015 underwent knee joint MRI examination that followed by diagnostic and therapeutic arthroscopic knee surgery. The clinical diagnosis was confirmed during this procedure. From 65 patients MRI diagnose 58 patients as anterior cruciate ligament tears .The accuracy, sensitivity & specificity of MRI were calculated in correlation to arthroscopic finding. Results : our study showed high MRI accuracy (90.7%) , high sensitivity(91%) and specificity(100%) versus arthroscopy. Conclusion : Magnetic resonance imaging is an accurate non ionizing, multiplaner, non - invasive modality, it can be used as first line investigation in patient with soft tissue trauma to the knee & ligamentous injuries confidently that can replace diagnostic arthroscopy

مشاهدات الرنين المغناطيسي لدى المرضى المصابين بفرط هرمون الحليب في الدم == MRI FINDINGS OF PITUITARY GLAND IN HYPERPROLACTINEMIC PATIENTS

Author name: رنا علاء الدين حسين
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: تحليل مشاهدات الرينن المغناطيسي للغدة النخامية لدى المرضى المصابين بفرط هرمون الحليب (البرولاكتين)في الدم وايجاد توجيها ت عمل للحدود الدنيا لنسبة هرمون الحليب في الدم والتي على ضوئها تكون صورة الرنين المغناطيسي للغدة النخامية مطلوبة 0اساليب الدراسة قمنا بدراسة وصفية استطلاعية شملت ستون مريضا يعانون من فرط البرولاكتين وقمنا باخذ صورة الرنين المغناطيسي للغدة النخامية لهم للفترة من الاول من كانون الثاني ولغاية الثلاثون من شهر اب للعام 2015.النتائجتم فحص ستون مريضا, منهم ثمانية وعشرون اي مايعادل نسبة (46.7%) كان تصويرالرنين المغناطيسي طبيعيا للغدة النخامية, وخمسة عشراي مايعادل نسبة (25%)مر يض لديهم ورم غدة نخامية مايكروي و3منهم ورم غدة نخامية ماكروي. بالاضافة الى تسعة منهم كان لديهم تضخم الغدة النخامية بدون وجود لاي ورم.وقد وجدنا ان قطع القيمة الامثل المصاحب لورم الغدة النخامية (ميكروي /ماكروي )لهرمون الحليب هو (102.5)نانو غرام / ملليتر بمستوى حساسية (77.8%) ومستوى نوعية (95.2%).الاستنتاجاتكان هناك صلة ذات اهمية احصائية بين المرضى الذين يعانون من فرط هرمون الحليب وصورة الرنين المغناطيسي .هذا يدعو الى اجراء صورة الرنين المغناطيسي لجميع الحالات المصابة بفرط برولاكتين الدم عندما تكون نسبة الهورمون مساوية او اكثر من (102.5.نانوغم/مل)بعد استثناء اي سبب ثانوي ممكن يؤدي الى ارتفاع هرمون الحليب. | To analysis the MRI findings of pituitary gland in patients with hyperprolactinemia and establish guidelines for a minimal serum prolactin level for which pituitary MRI imaging is indicated .Methods : A descriptive study was conducted at of a AL - Shaheed Ghazi Hospital and Radiology Institute from 1st of January 30 of August 2015. Sixty patients with hyperprolactinemia underwent magnetic resonance imaging of brain for pituitary gland .Results : The result were based on the analysis of pituitary MRI findings for 60 patients , almost half of the sample were diagnosed as normal 28 (46.7%) ,18 (30%) as pituitary adenoma with macro adenoma being the smallest part 3(5% only).Pituitary hyperplasia account 9(15%) and empty sella 5(8.3%).there was significant statistically association between serum PRL and pituitary adenoma .The optimum cut - off value for serum PRL for any positive pituitary findings (adenoma , hyperplasia and empty sella) was 55.1ng/mL. While the optimum cut - off value of serum PRL for pituitary adenoma (micro/macro) was 102.5 ng/mL.Conclusion : MRI of the pituitary gland was significantly associated with serum PRL levels in patients with hyperprolactinemia .The optimum cut - off value of serum prolactin to predict pituitary adenoma (micro/macro) was 102.5 ng/mL. Therefore pituitary imaging should be obtained for all patients with serum PRL ( equal or higher than this value)after exclusion of any secondary causes of hyperprolactinemia.

نتائج الفحص بالرنين المغناطيسي لمرض سرطان المبايض بالارتباط مع الفحص النسيجي == Magnetic Resonance Imaging Findings Of Ovarian Malignancy In Correlation With Histopathology

Author name: صبا قيس عيسى
Supervisor name: خليل ابراهيم محسن
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: نبذة : التشخيص المبكر والعلاج من الاورام الخبيثة للمبيض مصحوبان بتنبؤات حياتية جيدة. التصوير بالرنين المغناطيسي له درجة عالية من الدقة في التصنيف المبكر لاورام المبيض.الهدف من الدراسة : لتحديد دقة التصوير بالرنين المغناطيسي في تشخيص الاورام الخبيثة في المبيض بالمقارنة مع التشريح المرضي كاختبار ذهبي.المرضى وطرق البحث : دراسة متابعة مستقبلية اجريت في وحدة التصوير بالرنين المغنطيسي في قسم الاشعة بمستشفى بغداد التعليمي في مجمع مدينة الطب في بغداد خلال الفترة من 1 فبراير 2017 الى 31 ديسمبر 2017 على عينة من 30 امراة مشتبهة بالاصابة بورم المبيض. تم فحص جميع المرضى مع التصوير بالرنين المغناطيسي الموزون الانتشار وتم جمع العينات لفحص التشريح المرضي.النتائج : كشف التصوير بالرنين المغنطيسي للنساء المصابات بورم خبيث في المبيض في 73.3٪ من النساء كما كشف تحليل الانسجة عن وجود ورم خبيث في المبيض في 73.3٪ من النساء. كانت نتائج صلاحية التصوير بالرنين المغنطيسي فيما يتعلق باورام المبيض الخبيثة حساسية (90.9٪) وخصوصية (75٪) وقيمة تنبؤيه موجبة (90.9٪) وقيمة تنبؤيه سالبة (75٪) ودقة (86.6٪). كانت قيمة القطع المناسبة لمعامل الانتشار الظاهر في التمايز بين الكتلة الضامة الخبيثة والحميدة 0.97 مع حساسية 100٪ وخصوصية 90.9٪.الاستنتاجات : ان التصوير بالرنين المغناطيسي الموزون الانتشار هو تقنية صالحة ويمكن الاعتماد عليها في تشخيص وتوصيف اورام المبيض. | Early diagnosis and treatment of adnexal malignancy is accompanied with good prognosis. The magnetic resonance imaging has high accuracy in early categorization of adnexal masses. Aim of study : To determine accuracy of magnetic resonance imaging in diagnosing ovarian malignancy in comparison to histopathology as golden test.Patients and methods : A prospective follow up study conducted in magnetic resonance imaging unit of Radiology Department in Baghdad Teaching Hospital in Baghdad Medical City Complex during the period from 1st of February, 2017 to 31st of December, 2017 on sample of 30 women with suspected adnexal masses. All patients were examined with diffusion - weighted magnetic resonance imaging and specimens were collected for histopathology examination.Results : The magnetic resonance imaging of women with adnexal mass revealed malignancy in (73.3%) of women and the histopathology revealed also malignancy in (73.3%) of women with adnexal mass. The validity results of magnetic resonance imaging regarding malignant adnexal mass were sensitivity (90.9%), specificity (75%), +ve predictive value (90.9%), - ve predictive value (75%) and accuracy (86.6%). The appropriate cut off value for apparent diffusion coefficient in differentiation between malignant and benign adnexal mass was 0.97 with (100%) sensitivity & 90.9% specificity.Conclusions : The diffusion - weighted magnetic resonance imaging among other MRI sequences that play valid and reliable role in diagnosis and characterization of adnexal masses. Keywords : Adnexal masses, Ovarian Malignancy Magnetic Resonance Imaging, Histopathology

نتائج فحص الدوبلر الملون لامراض الكلى المنتيه المزمنة ومقارنتها بنتائج الفحص النسيجي الخلوي == Significance of Doppler indices finding in renal parenchymal disease Correlated with histopathological findings

Author name: جنان حسين محمد
Supervisor name: طالب الزيدي | ليث احمد خلف
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: Renal Doppler ultrasound is increasingly used in assessment of renal parenchymal diseases as investigation and for evaluation of renovascular disease and allograft dysfunction. We compared intrarenal Doppler indices measurment to biopsy findings of Mesangial hypercellularity, Membranous glumerulopathy, Minimum change disease, Segmental glumeriolosclerosis, chronic glomerulonephritis, chronic rejection, acute rejection and interstitial nephritis in sample of 84 patient Patients and Method A study was conducted between 1st of Dec - 2016 to 1st of Oct - 2017 at radiological department of Al Shaheed Ghazi Hospital in the renal disease and transplantation center (Baghdad Medical city complex) on 84 patient who are suffering from renal disease manifestation in both native and transplanted kidneys. Doppler blood indices (Resistive index,Pulsatility index and Acceleration time) were measured at same day before renal biopsy. Renal biopsy finding and Doppler study indices were compared to asses' if there were a correlation between parenchymal renal changes and the Doppler indices changes. Aim of study to evaluate renal vascular Doppler indices (Resistive index , Pulsatility index and Acceleration time) as indicator of accuracy and prediction in renal parenchymal diseases,severity and grading Results RI, was significantly higher in patients group with renal diseases which in comparison to control group (0.70 ± 0.07vs. 0.55 ± 0.04),the accuracy was 72.9%,while P.I and AT show less significant changes P.I was (1.61 ± 0.25vs. 1.47 ± 0.06) and AT (0.086 ± 0.023vs. 0.024 ± 0.058). PI accuracy was 59.9 %and for AT was 54.2% .as consequence the mean value of RI was significantly differed among different renal pathologies (p=0.001) but the PI and AT were not differed significantly (p<0.05 for both).Conclusions Our results suggest that Renal Doppler indices ,as example (resistive index)was significantly increased in patients with renal parenchymal disease which confirmed by pathological examination and higher accuracy than other indices pulsatility index and acceleration time so we can use resistive index as good marker for parenchymal renal disorders while other indices can use as complimentary.

تحديد دقة فحص السونار في تشخيص انظغاط العصب الوسطي لليد بالمقارنة مع مشاهدات العملية الجراحية == Accuracy of ultrasound in diagnosis of Carpal Tunnel Syndrome in correlation with operative findings

Author name: ليث فاضل فرمان
Supervisor name: ليث احمد خلف
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: انظغاط العصب الوسطي لليد يعد من اكثر الحالات شيوعا لامراض انظغاط الاعصاب , فحص السونار يستخدم كبديل عن فحص الاعصاب لتشخيص هذه الحالات ويمكنه ايضا معرفة الخواص التشريحية للعصب الوسطي لليد والانسجة المحيطة به والامراض التي بدورها سببت انظغاط العصب , يمكن اعتبار فحص السونار حاليا وسيلة فحص اولية لتشخيص انظغاط العصب الوسطي لليد مع دقة تشخيصيه مقاربة لفحص الاعصاب واكثر تقبلا من المرضى ايضا متوفر ومتواجد بسهولة , اقل كلفة مع قابليته لتحديد الصفات التشريحية للعصب الوسطي والقناة الرسغية وتوجيه التداخل الابري بدون مضرة العصب الوسطي اذا احتيج لذلك .الهدف : تحديد دقة تشخيص السونار لنظغاط العصب الوسطي لليد بالمقارنة مع مشاهدات العملية الجراحية . المرضى والطرق : دراسة استطلاعية اجريت في مستشفى الشهيد غازي الحريري التعليمي ومستشفى بغداد التعليمي في مدينة الطب في بغداد خلال الفترة من 20 كانون الاول 2014 الى 30 ايلول 2015 . شملت 65 مريض يعانون من انظغاط العص الوسطي لليد مشخصين بواسطة فحص الاعصاب وكحالات موثقة , جميعهم وافقوا على المشاركة في هذة الدراسة , تم مقابلة المرضي مباشرة وفحصهم واخذ بياناتهم التي تم جمعها باستخدام نموذج جمع البيانات واشتمل على البيانات الديموغلرافية والسريرية للمرضى من حيث العمر والجنس واليد المصابة وتاريخ الفحص وجهة الارسال ومن ثم تسجيل مشاهدات فحص السونار واذا تم اجراء تحرير العصب الوسطي للمريض تسجل مشاهدات العملية الجراحية .تم فحص المرضى بواسطة جهاز سونار نوع فلبس ) Philips HD 11XE®)بذراع فحص مستقيم وبقدرة 7,5 ميغا هيرتز المستخدم لفحص الانسجة الرخوه والسطحية .تم تحليل البيانات باستخدام الحزمة الاحصائية للعلوم الاجتماعية (SPSS)النسخة 17 , واستخدمت الاختبارات الاحصائية المناسبة لتقييم الاهمية الاحصائية للفروقات .النتائج : تراوحت اعمار المرضى بين ( 19 - 74 ) عاما مع متوسط عمر ( 45.9 ± 13 ) عام , نسبة الاناث الى الذكور ( 9 اناث الى 1 ذكر ) وبنسب تقارب ( 90%) اناث الى ( 10 % ) ذكور ,كانت نسبة اصابة اليد اليمى ( 55 % ) الى اليد اليسرى ( 30 % ) وكلتا اليدين ( 15 % ) تقريبا , عدد المرضى الذين اجريت لهم العملية ( 52 ) مريض ( 13 ) بدون عملية , من العدد الكلي ( 65 ) .كانت دقة تشخيص السونار من حيث اكتشاف تورم العصب الوسطي عند دخوله القناة الرسغية ( 87% ) دقة و( 88% ) حساسية و( 85 % ) تخصيصا بمقدار معامل الخطا ( 0,001 ) او يدعى الاهمية الاحصائية للتنبوء.ودقة تشخيص السونار من حيث ( استواء = انظغاط ) العصب الوسطي في القناة الرسغية ( 76 % ) دقة و( 76% ) حساسية و( 100% ) تخصيصا بمقدار معمل الخطا ( 0,0017 ) او يدعى الاهمية الاحصائية للتنبوء.اما دقة تشخيص السونار( بواسطة فحص حركة اليد ) من حيث تثبت وتقييد حركة العصب الوسطي في القناة الرسغية ( 71% ) دقة و( 38% ) حساسية و( 100% ) تخصيصا بمقدار معامل الخطا (0,005) او يدعى الاهمية الاحصائية للتنبوء .تم تجاهل دقة السونار من حيث فحص الاوتار العضلية والانسجة المحيطة بالعصب الوسطي مثل السوائل او التليف والدهون في العلاقات الاحصائية لان معامل الخطا كان كبيرا في النتائج ( 0,803) او يدعى الاهمية الاحصائية للتنبوء.ايضا تم تجاهل دقة فحص السونار من حيث اندفاع الرباط الرسغي الى الامام من العصب الوسطي لانه يتم قطعه اثناء العملية الجراحية ولا يحصل من ذلك مشاهدات مفيدة .الاستنتاجات : دقة فحص السونار في تشخيص انظغاط العصب الوسطي كانت مرتفعة وعالية الاهمية وتقارب دقة فحص العصب حساسية , حيث بلغت ( 87% ) , وان هناك علاقة واضحة وحقيقية لمشاهدات فحص السونار ومشاهدات العملية الجراحية لتحرير العصب الوسطي لليد . | Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy, US can be used as an alternative to (NCS) for diagnosis of CTS.US can assess the anatomy of the carpal tunnel, median nerve and also identify pathology of the surrounding structures that may compress the nerve.US is proposed as the initial diagnostic test in CTS based on similar sensitivity and specificity to NC studies, higher patient acceptability, easy availability lower cost and additional capability to assess carpal tunnel anatomy and guide injection.Aims of the study : To assess the accuracy of US in the diagnosis of CTS in correlation with the operative findings.Patients and Methods : A prospective study was conducted at Al - Shaheed Ghazi Al - Hariri teaching hospital and Baghdad teaching hospital in Baghdad medical City, during the period from 20th of December 2014 to the 30th of September 2015. Total of 65 patients were enrolled in this study, all of them where already improved and documented to have CTS by NCS, appropriate statistical tests were applied to the data accordingly. X - square was used to test the relation between ultrasound and operative findings. P - Value of less than 0.05 was considered significant

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

Author name: باسمة كاظم عبود
Supervisor name: مظفر بالي مهدي | عبد اللطيف علي اصغر
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: 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.

نتائج التصوير بالرنين المغناطيسي لمرضى التنكس العظمي لمفصل الركبة بين السكان ممن لديهم نتائج سالبة بالتصوير بالاشعة السينية == MRI FINDINGS IN OSTEOARTHRITIC KNEE JOINT IN PATIENTS WITH NEGATIVE X - RAY FINDINGS IN IRAQI POPULATION

Author name: عوف عبد الرحيم حسين
Supervisor name: ليث احمد خلف
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: نبذة : مرض التنكس العظمي هو مرض المفاصل الاكثر شيوعا ويصيب في بدايته انسجة المفاصل قبل العظام التقدم في تكنولوجيا الرنين المغناطيسي ساعد كثيرا في الكشف المبكر عن الاصابة المبكرة بمرض التنكس الهدف من الدراسة : لتقييم نتائج التصوير بالرنين المغناطيسي لمرضى التنكس العظمي لمفصل الركبة بين السكان ممن لديهم نتائج الاشعة السينية السالبةالمرضى وطرق البحث : هذه الدراسة عبارة عن دراسة متابعة مستقبلية اجريت في العيادة الاستشارية للمفاصل في مستشفى بغداد التعليمي في مدينة بغداد الطبية على عينة من 50 مريضا يشتبه في اصابتهم بمرض التنكس العظمي لمفصل الركبة ز تم جمع المرضى الذين يعانون من نتائج الاشعة السينية السلبية واعطاء تاريخ بعد 1 - 3 اسابيع من قبل الباحث من اجل التصوير بالرنين المغناطيسيالنتائج : كان التصوير بالرنين المغناطيسي للمرضى ممن لديهم نتائج سلبية للاشعة السينية لالتهاب مفصل الركبة مؤثرا بنسبة 50%منهم وكانت النتائج الرئيسية هي ووذمة نخاع العظم 36%من المرضى الذين لديهم نتائج موجبة بالرنين المغناطيسي وبصورة رئيسية اللقمة الوحشية (16%) , ارتشاح مقصل الركبة الزليلي (68%),معتدل بشكل عام (88,2%) واقل شيوعا (متوسط)(11,8), تمزق القرن الخلفي للقرن الهلالي الانسي (48%),تمزق القرن الخلفي للقرن الهلالي الجنبي (16%), التمزق الجزئي للرباط الصليبي الامامي (52%),التمزق الجزئي للرباط الصليبي الخلفي (4%), وكيس بيكر (4%)وكانت نتائج التصوير بالرنين المغناطيسي مرتبطة بشكل كبير بزيادة العمر والجنس الانثوي والوظائف البدنية الشاقة وزيادة الوزن الاستنتاجات : ان التصوير بالرنين المغناطيسي هو طريقة تشخيص دقيقة وموثوقة لتشخيص وتصنيف تنكس العظم لمفصل الركبة | Background : OA is the most common disease of knee joint causes tissue destruction .Advanced technology of MRI help in early detection of OA Aim of study : to assess the MRI findings in OA of knee joint among population with negative x - ray findings.Patients and methods this study is cross - sectional study conducted in rheumatology consultation clinic in Baghdad Teaching Hospital in Baghdad medical city on sample of 50 patients suspected to have OA Results : the MRI of the patients with negative x - ray findings for knee OA was positive for 50% of them and the main findings were synovial joint effusion (68%) commonly mild (88.2%) and less common moderate (11.8%),Anterior cruciate ligament partial tear(52%),posterior horn of medial meniscal tear(48%),bone marrow edema in (36%) of patients with positive MRI, mainly of lateral condyle(16%),posterior horn of lateral meniscal tear (16%), Baker cyst(4%),and posterior cruciate ligament partial tear (4%). The MRI findings were significantly related to increase age ,female gender ,hard physical occupation and increase weight. Conclusion : The MRI is accurate and reliable diagnostic method for diagnosis and categorization of knee joint OA Keyword : A ,MRI ,negative x - ray

تاثير العلاج الشعاعي لمرضى سرطان الثدي على المنسوب القذفي لعضلة القلب

Author name: زينب محمد دخيل علي
Supervisor name: خضير جاسم صبيح الرواق
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: ان سرطان الثدي في الوقت الحالي يعتبر من اكثر انواع السرطانات شيوعا واصابة للنساء حول العالم وكذلك يعتبر السبب الرئيسي للموت للمراه بسبب السرطان حول العالم .في العراق يعتبر سرطان الثدي من اكثر انواع السرطانات انتشارا بين النساء , حيث تصل نسبة الحصائيات لسنه 2011 الى 18,96% , وان احد اهم الخطوات في علاجه هو العلاج بالاشعاع .الغرض من الدراسهتسليط الضوء على تاثير العلاج الشعاعي لسرطان الثدي في المنسوب القذفي لعضلة القلب .المرضى وطرق البحثان هذه الدراسه هي دراسه جدوليه منظوريه وان المعلومات الخاصه بمرضى سرطان الثدي وفحوصات القلب قد تم جمعها من مستشفى الاورام التعليمي منذ بداية شهر شباط/2016 ولغاية شهر كانون الثاني/2017.النتائجان هذه الدراسه التي تضمنت (50) مريضا جميعهم من النساء اللاتي تتراوح اعمارهم مابين 32 - 70 سنه , وقد اظهرت نتائجها وجود تاثر للمنسوب القذفي لعضل القلب بعد اربعة اشهر من العلادج الشعاعي مقارنة بنسبته ماقبل العلاج.حيث انه تم ملاحظة ان المريضات اللاتي يعانين من سرطان الثدي الايسر واللاتي قد استلمن جرعة من العلاج الشعاعي بمقدرا4260 سينتي غرايو لديهن النسبه الاعلى في التغير وبمعدل وسط حسابي مقداره 66% قبل العلاج و65,5% مابعد العلاج .و كذلك لاحظنا ان المريضات اللاتي استلمن جرعه شعاعيه مقدارها 5000 سينتي غراي سواء للثدي الايمن او الايسر , كان لديهن نسبة تغيير بمعدا حسابي للثدي الايمن ومقداره 66,3% قبل العلاج الشعاعي الى 64,3 % بعد العلاج الشعاعي , اما بالنسبه للثدي الايسر فكانت النسبه بمقدار 66,8% قبل العلاج الشعاعي الى 65,2% بعده . الاستنتاجاتان المرضات اللاتي يعانين من سرطان الثدي واللاتي عولجن بالعلاج الشعاعي ثلاثي الابعاد الموحد سواء كان لنسيج الثدي او لجدار القفص الصدري , وبعد المتابعه لفحوصات القلب التي تمت , قد لوحظ ان هناك تغيرا في المنسوب القذفي لعضلة القلب وخصوصا بين الثدي الايمن والثدي الايسر وكذلك بين مقدار الجرعه الشعاعيه المستلمه والسبب على الاغلب في الاشعاع المتطاير الواصل للشرايين المحيطه بالقلب اثناء العلاج | Breast cancer now represents the most common female malignancy in both developing and developed world, and is the primary cause of death in woman globally. In Iraq breast cancer constitute 18.96 % of all other types of cancers up to 2011. One of the main steps in the management of early breast cancer is radiotherapy.Aim of studyTo shade the light on the radiation therapy effect on the ejection fraction of the heart in breast cancer patients.Patients and methodsThis is a prospective observational study that was conducted in Radiotherapy and nuclear medicine center of the oncology teaching hospital/medical city complex using Echo cardiograph for following up the patients. Data recruitment included patients received Adjuvent 3D conformal radiotherapy as a whole breast irradiation or as a chest wall irradiation from August/2016 to January/2017 and followed with Echo study four months later until January/2017.ResultsIn our registry 50 patients were recorded; patient’s age was between 32 and 70 years old female gender. We found that there was a significant effect of radiation on the ejection fraction percentage of pre radiotherapy and post radiotherapy of both radiotherapy doses (P - value=0.001).2We noticed that patients with left sided breast whom received 4260 centigray had the highest significant result of a mean difference of pre - radiation =66%, and post radiotherapy =65.5 %.Also we noticed that patients whom had received 5000 centigray of either left or right sided breast cancer, have substantial difference between pre - radiotherapy of 66.3% and 66.8% to 64.3% and65.2% for right and left side respectively.ConclusionIn patients with breast cancer treated with adjuvant 3D conformal radiotherapy as a whole breast irradiation or as a chest wall irradiation, an evaluation for the cardiac ejection fraction after four months of completing their radiotherapy, to either right sided or left sided breast, there was a marked difference in the ejection fraction size between the left sided treated BC and right sided BC, and between different doses mainly due to scattered and transmitted irradiation to the coronary arteries.

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

Author name: شيماء فاضل عبيد
Supervisor name: امير شاكر هادي
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: 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.

دراسة مقارنة بين نتائج الدوبلر والاعراض السريرية في مرضى القدم السكري == CORRELATION STUDY OF TRIPLEX ULTRASOUND AND CLINICAL FINDINGS IN DIABETIC FOOT PATIENTS

Author name: رمزي حلوان طعين
Supervisor name: ليث احمد خلف | مؤيد عباس فاضل
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: Diabetes mellitus is a common ailment in our community, diabetes affects about 10% of our population and the prevalence of diabetes varies form 5.3% to 16.2%. Diabetic foot disease is a common cause of admission in the surgical wards and sometimes the first presentation of this debilitating disease. Foot ulcers carry a 25% risk of major amputation. The diabetic foot disease classified according to Wagner’s Classification, and to manage it according to the standard protocols. The ultrasound scanning for lower limb arteries clearly show that it can provide information about the vascularity of the lower limb arteries. It is established as a valuable noninvasive method to investigate lower limb arteries. Objective : Evaluation of Doppler ultrasound finding in correlation with clinical finding (Wagner's classification ) of diabetic foot. Patient and method : A cross sectional study from August 2012 to August 2013, for 58 patients referring to ultrasound unit for triplex ultrasound examination of lower limbs at medical city complex in Baghdad. Patient were randomly selected and consisted of 21 female and 37 male. Age ranged between 40 and 75 year. Result : The mean age of patients was 57.9±7.8 years with predominance ofIIImale gender (63.8%) and type II DM(8602%). Mean duration of DM for selected patients in our study was 12.33±6.2 years. . In the present study approximately half of the diabetic patients were in fourth Wagner grades. Doppler USG revealed a pathological finding of lower limbs arteries in 89.7% of the patients. The most frequent site of occlusion was found in the dorsalis paedis artery (12.1%). There is a significant association of impaired blood flow diagnosed by Doppler USG and clinical deterioration of DM detected by Wagner's grade (p<0.001).The normal blood flow in all arteries of lower limbs had been found in 10.3% with Wagner's grade II, III and IV. Conclusion : There is correlation between clinical finding of diabetic foot (Wagner grade ) and Doppler finding (degree of stenosis) which mean when increase Wagner's grade, this is associated with increase degree of stenosis, therefor lower extremity artery triplex US is an excellent method, which can monitor the grade of Diabetic foot. The normal blood flow in all arteries of the lower limbs was 10.3% in spite of patient present with Wagner grade II, III and IV, these should be remembered during management of diabetic foot.

دور فحص المرونة النسيجية للخصيتين لمرضى العقم والدوالي == The role of Testicular Elastography in patients with varicocele and infertility

Author name: بشارعبد الرزاق مولان
Supervisor name: سعد داخل فرحان | سلام محمد جوري
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: To assess the value of Real - time Elastography (RTE) in evaluation of the effect of varicocele on the elasticity of the testicular interstitium and ability to predict the effect of varicocele on the sperm motility.Methods : In total of 73 candidate. 50 patient with varicocele and 23 control normal volunteer were examined by ultrasound B mode gray scale, color Doppler and elastography . Elasticity images of the testicles were assigned the color - coded score of Itoh , according to the distribution of strain induced by light compression. RTE findings were analyzed and compare the result of affected patient with normal volunteer.Results : Most of the testicles of the varicocele patient showed elevated elastography ratio as compared with the same side of normal volunteer, also there was positive correlation between the varicocele grade and the elasto ratio. When I compared the percentage of active motile sperm with elasto ratio I found negative correlation.Conclusions : RTE is non - invasive, bed side test, useful technique in assessing the changes which happen in the interstitium of the affected testicles with varicocele and in the prediction of the active motile sperm status.This is relevant in clinical practice allowing expectant management according to elasto ratio in selected cases.(as the testicular elasto ratio will predict the outcome of varicocele operation in at the point of sperm quality improvement).

دوبلر الشريان السباتي للمرضى المرشحيه لعملياث تبديل الشراييه التاجية == Doppler of Carotid Artery Assessment in Evaluation of Patients indicated for Coronary Artery Bypass Graft

Author name: فرج عبد الخالق زكي
Supervisor name: ليث احمد خلف | علي محسن حسن
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: Atherosclerosis is a generalized disease, mainly manifested in all vascular trees. An association between carotid artery stenosis and coronary artery disease has been well established. Carotid artery stenosis is an important etiologic factor for cerebrovascular accidents, is associated with coronary artery disease .Methods;A prospective study of 86 patients, who were scheduled for CABG, was done at radiology department, Medical city Baghdad,Gazzi Al - Harirri hospital from Nov.2016 to July 2017. The majority were males, (73) and (13) were Females.All patients , after a clinical history was taken by the cardiac surgery team, they underwent a physical examinations ,and investigations ; chest x - ray , ECG , blood was taken for fasting blood suger and cholesterol study , Doppler ultrasonography for bilateral carotid arteries were performed by aspescailized radiologist for carotid artery atherosclerosis Results; The majority of the patients were above 50 years of age, 73 patients (84.45%) and only 15% were below the age of 50 years. Male affected by carotid artery atherosclerosis, (76.7%) more than females above the age of 50 years, while below the age of 50 years females (46.7%) more affected than males (9.58%). Risk factors were significantly correlated with both carotid and coronary artery stenosis like age, sex, smoking hypertension, cholesterol and diabetes mellitus.Doppler Ultrasonography was performed to screen the presence of carotid artery stenosis. Carotid artery atherosclerosis was present in 66 patients, (76.7%).Ten patients ( 15.1%) with one coronary artery disease , 17 (25.75%) with two coronary artery disease , and 39 patients ( 59.09%) with three coronary artery disease.The location of atherosclerosis is mostly in ICA, (53%), of which 15% in the bulb, in the CCA (32%) .Conclusions; Our finding indicated significant associations between carotid artery atherosclerosis and coronary artery disease.there is strong association between increase in intma media thickness of carotid arteries and the presence of coronary artery disease.

دقة فحص رنين قنوات الصفراء بالمقارنه مع ناظور قنوات الصفراء في تقييم انسداد قنوات الصفراء == ACCURACY OF MRCP VERSUS ERCP IN THEEVALUATION OF BILIARY OBSTRUCTION

Author name: ايمان سامي سوادي العطية
Supervisor name: ليث احمد خلف
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: ان انسداد قنوات الصفراء من الحالات المتكرر مشاهدتها في قسمي الجراحه والباطنيه وان تشخيصها يحتاج الى الكثير من الفحوصات المختبريه والشعاعيه للتمكن من معالجتها واصبح فحص الرنين المغناطيسي من الفحوصات الاساسيه لغرض التشخيص الدقيق لاسباب الانسداد لتسهيل العلاج وفي بحثنا هذا اجريت مقارنه لنتائج فحص قنوات الصفراء بالرنين مع نتائج الفحص الناظوري الارتجاعي لللقنوات الصفرايه والبنكرياسيه باعتباره المعيار الذهبي لقد تم اجراء هذه الدراسه خلال الفتره من شهر كانون الاول لسنة 2015 لغاية شهر ايلول 2016 واجريت على 50 مريض اجري لهم فحص رنين قنوات الصفراء بعد الشك بوجود انسداد قنوات الصفراء بالاعتماد على نتائج فحص السونار او ارتفاع نسبة الماده الصفراء في الدم بعد ذالك اجريت لهم عمليه فحص القنوات الصفراء بالناظورالهدف من الدراسه : لغرض اثبات مدى دقة فحص الرنين المغناطيسي في تشخيص وجود انسداد في القنوات الصفراويه فقد تم فحص المرضى من قبل استشاري الامراض الباطنيه تخصص دقيق في امراض الجهاز الهضمي واحيلوا لفحص الرنين المغناطيسي في قسم الاشعه في مستشفى بغداد التعليمي او في معهد الاشعه وتمت مراجعه الفحص من قبل اخصائي الاشعه وتحدد سبب الانسداد اعتمادا على نتائج الرنين المغناطيسي بعد ذالك اجريت لهم عملية ناظور القنوات الصفراويه في الطابق السادس في مستشفى بغداد التعليمي او في مستشفى امراض الجهاز الهضمي والكبد من قبل استشاري امراض الجهاز الهضمي ثم تمت مقارنة النتائج لكلا الفحصين وقد تم التوصل ال مايلي : ان فحص الرنين المغناطيسي ذو كفاءه تصل الى ( 97.6بالمائه) مقارنة بنتائج الناظور لذلك يمكن استغلاله للتشيخص بحساسيه وكفاءه عاليه وابقاء الناظور للحالات التي يتوقع احتياج تداخل كسحب الحصى من القنوات الصفراويه او اخذ خزعه للفحص النسيجي او لوضع عباره خاصه في حالات التضيق او تلك التي لا يمكن فيها سحب الحصى | Biliary obstruction is one of the common problems in both medical and surgical departments and its diagnosis needs many investigations and radiological in order to reach the correct giagonsis to arrange for possible treatment Aim of the study : To assess the accuracy of MRCP versus ERCP in the evaluation of biliary obstruction as the ERCP is a gold standard and to asses the validity of row data and MIP sequences for evaluation of the final results of MRCP study. Materials and method : During the period from December 2015 to September 2016, 50 patients with initial diagnosis of biliary obstruction based on ultrasound, and or clinical and biochemical evidence of cholestatic jaundice, were examined in the radiology department in medical city hospitals with MRCP to evaluate the cause and site of obstruction followed by ERCP done within few days.Results : By comparing the MRCP and ERCP findings in identifying the cause of obstruction reveals that .The sensitivity, specificity and accuracy of MRCP versus ERCP was found to be 97.6%, 66% and 92% respectively the major cause of biliary obstruction ound to be intraluminal CBD stone , luminal stricture and ampullary tumors are other causes of obstruction, according to the site 0f obstruction , distal obstruction found to be more common than mid or proximal. Conclusion : MRCP was found to be of high diagnostic accuracy in diagnosing biliary obstructionAnd ERCP should be reserved for therapeutic intervention since it was found that the sensitivity and specificity of MRCP were high and it can precisely define the site and cause of obstruction when compared to ERCP

اورام الدماغ الثانوية المنتشرة ضمن الاورام السرطانية الصلبة == Secondary brain metastasis in solid tumors

Author name: افيل نديم كاظم
Supervisor name: خضير جاسم صبيح الرواق
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: Title : Secondary brain metastasis in solid tumors.Background : Brain metastases are among the most feared complications of cancer because they often cause profound neurologic symptoms that severely impair the quality of life. They represent a common complication, occurring in 10 - 30% of cancer patients. The prevalence of brain metastases in cancer patients has been rising over the past three decades.Aims of the study : To investigate the distributions of secondary Brain metastases and their percentage of frequency among common solid tumors and to correlate the strength of the relationship with different prognostic criteria that are obtained from common primary diseases which ended up with secondary brain metastases in Al - Amal hospital for radiation oncology and nuclear medicine .Patients and methods : Clinical data of 40 patients with brain metastatic cancers were collected and analyzed for the relationship between survival time and age, gender, primary diseases, quantity of brain metastatic foci, their position, extra cranial lesions, and therapeutic regimens used before brain metastasis detection.Results : The average female to male ratio was 3.4 : 1, with highest frequency were among patients in the 4th and 5th decades, females with breast cancer showed the highest frequency to develop brain metastases. Highest frequency was seen at 1 - 5 years after diagnosis of the primary disease. Majority of patients were treated with surgery and chemotherapy showed a high frequency for brain metastases.Conclusion : Female gender 30 - 50 years age having breast cancer, between 1 - 5 years after the diagnosis of the primary disease are at high risk for secondary brain metastases.Keywords : Secondary brain tumor, brain metastases, cerebral cancer treatment, brain neoplasm, metastasis

مصاحبة الاختلافات التشريحية للجيوب الانفية مع امراض الجيوب الانفية في المفراس الحلزوني متعدد المقاطع == Co - existence of anatomical variations of paranasal sinuses and sinonasal abnormalities on multislice computed tomography

Author name: ميثاق محي عبد الله
Supervisor name: عبد اللطيف علي اصغر | محمد ضياء احمد
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: Background : Certain anatomic variations ( as concha bullosa and nasal septal deviation) are common in general population and are often predispose the patients to inflammatory diseases because they may obstruct the infundibulum or any part of the osteomeatal complex resulting in interference of air flow or mucociliary clearance. Computed tomography is the imaging modality of choice since the advent of functional endoscopic sinus surgery. It is now mandatory and a medicolegal requirement to evaluate the paranasal sinuses as this provide a road map with excellent details regarding anatomy, anatomical variants with type and extension of the pathology.Objectives : to identify the incidence of different types of paranasal sinus variants and their coexistence with sinonasal abnormalities by using multislice computed tomography.Patients and methods : This is a cross sectional study was done on 87 patients referred for computed tomography scan of the paranasal sinuses in Al - shaheed Ghazi Al.Hariri Teaching Hospital in medical city - Baghdad, from January 2013 to June 2013, patients were clinically suspected to have sinonasal diseases. The sample of this study was consist of 52 males and 35 females. The age of patients ranged from 12 - 60 years. All patients were examined by computed tomography scan of paranasal sinus protocol in axial sections with coronal reformat.Results : From 87 patients in our study, 76 patients were have diseased sinuses, we reported 5 mucosal abnormalities; mucosal thickening, opacification, air fluid level, mucosal polyp and cyst. The most commonly involved sinus was the maxillary (62 patients) followed by anterior ethmoid, and the commonest abnormality was mucosal thickening. Types of variations were seen in this study; nasal septal deviation(52.4%), concha bullosa(49%), enlarged ethmoidal bullae (15.9%), large Aggar nasi (15.9%), Haller cells(19.1%), bent uncinate process(11.4%),Onodi cells(11.4%), paradoxical middle turbinate(9.1%), maxillary sinus hypoplasia(7.9%), pneumatized crista galli(6.8%), and both pneumatized nasal septum and asymmetrical ethmoid roof were of (3.4%). the total number of patients having anatomical variants but with no associated sinonasal mucosal abnormalities were (17.1%), while (82.9%) of patients were associated with sinonasal abnormalities.Conclusion : by using multislice computed tomography we find correlation between certain anatomical variations and specific inflammatory sinonasal mucosal abnormalities due to defect in the drainage of the sinus secretions and secondary infection. Also there was another group of variants which may lead to intraoperative complications if surgery indicated.

الاستكشاف السريع للاسترواح الصدري بواسطة جهاز السونار في المريض المتعدد الاصابات == Rapid detection of pneumothorax by Ultrasonography in patient with multiple traumas

Author name: فاضل خليفة موسى
Supervisor name: قصي عبد فهد
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Master
Language: English
University location: Baghdad
First pages:
Abstract: الغرض من الدراسة هو لمعرفة قابلية طبيب الاشعة لاستكشاف الاسترواح الصدري في مرضى الاصابات المتعددة والطارئة في شعبة الطوارئ في جهاز السونار ومقارنة النتائج مع نتائج المفراس. تم البحث خلال فترة عشرة اشهر وتم اجراء فحص السونار الى 37 مصاب على شكل 30 (81%) منهم رجال و7(19%) نساء وباعمار تتراواح مابين 30 - 50 سنة. واظهرت النتائج انه يمكن فحص المرضى ذوات الاصابات المتعددة بجهاز سونار الطوارئ ومعرفة وجود الاسترواح الصدري حيث اظهرت النتائج ان دقة الكشف تتناسب مع كمية الهواء الموجود داخل غشاء الجنب. حيث كلمزاادت الكمية زادت قابلية الكشف وبتناسب طردي. الغرض من هذا البحث هو امكانية الاستغناء عن المفراس لبحلزوني واشعة الصدر في الكشف عن الاسترواح الصدري وخاص في الكميات المتوسطة والكبيرة من الهواء. | Early detection of pneumothorax in multiple trauma patients is critically important. It can be argued that the efficacy of ultrasonography (US) for detection of pneumothorax is enhanced if it is performed and interpreted directly by the clinician in charge of the patients.The aim of this study was to assess the ability of clinician to perform bedside US to detect and assess the size of the pneumothorax in patients with multiple trauma.MethodsOver a 10 month period, patients with multiple traumas treated in the emergency department were enrolled in this prospective study. Bedside US was performed in emergency department.Portable supine chest radiography (CXR) and computed tomography (CT) were obtained within an interval of three hours. Using CT and chest drain as the gold standard, the diagnostic efficacy of US and CXR for the detection of pneumothorax, defined as rapidity and accuracy (sensitivity, specificity, positive predictive value, negative predictive value), were compared. The size of the pneumothorax (small, medium and large) determined by US was also compared to that determined by CT.Results : The study included 37 patients 30 (81%) of them were males and 7 (19%) were females.The average age was 42 ± 11.6 years. All patients presented trauma, including explosives and missiles injuries (37.8%) RTA (24.3%), falls (16.2%), and others (21.6%).Out of the 37 trauma patients, 32 did had pneumothorax according to the gold standard (CT scanning) and five patients did not, according to the ultrasonography findings of those patients, 30 patients did had pneumothorax (true positive) and 2 patients missed by ultrasonography, while 5 patients did not have pneumothorax on CT, ultrasound correctly identify 4 of them as negative (true negative), so the sensitivity and specificity and accuracy of ultrasonography were 93.7%, 80% and 92% respectively.The size of pneumothorax which had been determined by ultrasonography (17) patient had identified as large pneumothorax, (9) patients as moderate and (4) patients as mild, while CT findings were (17,9 and 6) respectively, when a kappa agreement test had been performed, it had been significantly found that US agreement with the CT was directly associated with the size of pneumothorax, US has more agreement, more sensitivity and more specificity in large and moderate pneumothorax rather than mild pneumothorax in trauma patients, P< 0.05.Conclusion My US examination provides a reliable tool and has the advantages of being simple and rapid as compared with CT and CXR and having high sensitivity as compared to CXR for the detection of pneumothorax in patients with multiple trauma.

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

Author name: نورس نوري كعيد
Supervisor name: خضير زغير معيوف البدري | ليث احمد خلف
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: 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.

المقارنة بين المفراس الحلزوني باستخدام الصبغة والمشاهدات الجراحية في تشخيص اورام البنكرياس == Correlation of computed tomography angiographic findings and surgical findings in patients with pancreatic tumour

Author name: سندس صباح عبد الله
Supervisor name: مظفر بالي مهدي
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: الخلفية : سرطان البنكرياس هو ورم قاتل يظهر كسرطان منتشر او موضعيا محليا في كثير من المرضى. وتشير التقديرات الى ان حوالي 20٪ - 25٪ فقط من المرضى لديهم سرطان يحتمل ان يكون قابل للرفع. ورم البنكرياس هو السبب الرابع الاكثر شيوعا للوفاة من السرطان في الولايات المتحدة. معدل البقاء على قيد الحياة ل 5 سنوات اقل من 5٪. حوالي 60٪ من الاورام تقع في راس البنكرياس، 15٪ في الجسم، 5٪ في الذيل، في حين ان 20٪ منتشرة داخل البنكرياسالهدف من الدراسة : لتقييم قابلية فحص الاشعة المقطعية بتصوير الاوعية بتحديد ورم البنكرياس القابل للرفع جراحياالمرضى والطريقة : دراسة مقطعية اجريت في مستشفى الجهاز الهظمي والكبد التعليمي في مجمع مدينة الطب للفترة من 1 يناير 2017 وحتى نهاية يوليو 2017. تم تسجيل 43 مريضا في الدراسة الحالية (29 من الذكور و14 من الاناث) مع نسبة الذكور الى الاناث من (2 : 1). كان متوسط الفئة العمرية 66.4 ± 9.3 سنواتالنتائج. اكثر الاماكن شيوعا لاورام البنكرياس هو منطقة راس البنكرياس 29 (67.4٪)، 33 (76.7٪) من المرضى الذين يعانون من ورم البنكرياس لديهم ورم لا يمكن ان يرفع بالجراحة، وكانت نتائج صحة فحص الاشعة المقطعية بتصوير الاوعية فيما يتعلق بالجراحة كالاتي : حساسية الفحص (70.0٪)، خصوصية الفحص (91.0٪)، القيمة التنبؤية الموجبة (70.0٪)، القيمة التنبؤية السالبة (91.0٪) والدقة (86٪).الاستنتاج والتوصية : فحص الاشعة المقطعية بتصوير الاوعية هو اداة فعالة قبل الجراحة لتقييم قابلية رفع الورم مع دقة جيدة لقابلية عموما في اورام البنكرياس. يجب ان يستخدم فحص الاشعة المقطعية بتصوير الاوعية على نطاق واسع في المرضى الذين يعانون من ورم البنكرياس لتقييم ما قبل الجراحة. | Background : Pancreatic cancer is a lethal tumor presenting as a locally advanced or metastatic cancer in many patients. It is estimated that only about 20% - 25% of patients have a potentially resectable cancer. Pancreatic tumour is the fourth most common cause of death from cancer in the United States. The survival rate at 5 years is less than 5%. About 60% of tumors are located in the head of the pancreas, 15% in the body, 5% in the tail, while 20% are diffuse within the pancreas. Aim of the study : To assess the resectibility of pancreatic tumor by using CTA preoperatively. Patients and method : A cross sectional study carried out in Gastro - intestinal and hepatology teaching hospital in Baghdad Medical city for period from 1st of Jan, 2017 to end of Jul. 2017, on 43 patients (29 were male and 14 were female) with male to female ratio of (2 : 1). the mean age group was 66.4±9.3 years.Results : Most common site of the pancreatic tumors were involving the pancreatic head and uncinate process 29(67.4%), 33 (76.7%) of the patients with pancreatic tumor have unresectable tumor, and the most common site of unresctability was the head of pancreas 23(70%) the validity results of CTA regarding to the surgery were sensitivity (70.0%), specificity (91.0%), +ve predictive value (70.0%), - ve predictive value (91.0%) and accuracy (86%).Conclusion and recommendation : CTA is an effective preoperatively tool for assessing resectability with good accuracy for overall resectability in pancreatic tumors. CTA must be used widely in patients with pancreatic tumor for pre - operative assessment.

تقييم قطر غلاف العصب البصري بالموجات فوق الصوتية عند ارتفاع ضغط الدماغ == Sonographic assessment of optic nerve sheath diameter in detection of raised intracranial pressure

Author name: نور عدي عبد الحميد
Supervisor name: خليل ابراهيم محسن
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: ارتفاع ضغط الدم داخل الجمجمة هو حالة خطيرة تتطلب حذرا في النهج والادارة، ويعتبرقياس قطر غمد العصب البصري بواسطة جهاز الموجات فوق الصوتية من خلال محجر العين هو علامة دالة موثوقة للكشف عن اثار ارتفاع ضغط الدماغ داخل الجمجمة .الاهداف من الدراسة : 1) اظهار دقة فحص الموجات فوق الصوتية من خلال محجر العين في الكشف عن ارتفاع ضغط السائل السحائي داخل الجمجمة .2) تقييم العلاقة بين قطر غلاف العصب البصري وارتفاع الضغط الدماغ والتحقق من استخدام عتبة القطر من 5 ملم تقاس بواسطة جهاز الامواج فوق الصوتية لغرض الكشف المبكر عن ارتفاع ضغط السائل السحائي داخل الجمجمةطريقة البحث : اجريت دراسة استطلاعية في مستشفى بغداد التعليمي / عيادة الاعصاب خلال الفترة من يونيو 2016 الى مايو 2017 والتي تم فيها جمع 40 شخص طبيعي و40 مريض من الذين يشكون من اعراض ارتفاع الضغط داخل الجمجمة ويعتقد ان لديهم تورم في القرص البصري من خلال فحصهم بمنظار العين .و لقد تم فحص المرضى عن طريق الموجات فوق الصوتية من خلال محجر العين لقياس قطرالعصب البصري ومن ثم يتم اخضاعهم لعملية سحب السائل السحائي من المنطقة الظهرية القطنية.النتائج : من خلال استخدام اختبار الارتباط بيرسون،وجدت علاقه قويه بين قطر غمد العصب البصري المفحوص بواسطه الموجات فوق الصوتيه وقياس البزل القطني. (????> 0.9) و(قيمة P <0.001) واظهرت الموجات فوق الصوتية قدره تحسسيه عالية (91.6% مع خصوصية(75%)ودقة عالية (90.0% ) في قياس قطر غمد العصب البصري مع اعتبار الحد الادنى لقياس قطر غمد العصب البصري 5 ملم والتي تم الحصول عليها من خلال فحص 40 شخص طبيعي. اظهرت الموجات فوق الصوتية الصفه الهلاليه وانتفاخ الجزء الامامي من العصب البصري بتحسس اقل من قطر غمد العصب البصري (61.1% و41.6% على التوالي) ولكن مع خصوصيه عالية جدا (100%). الاستنتاجات : تقييم العصب البصري بواسطة الموجات فوق الصوتية من خلال محجر العين دقيق للغاية ويؤدى بسهولة ويمكن استخدامه لغرض تشخيص ارتفاع ضغط الدماغ ,يمكن الاستفاده منه لغرض فحص المرضى الذين لايمكن اجراء سحب السائل السحائي من المنطقة الظهرية ممكنا بسبب عدم توفره او عدم تحمل حاله المريض اجراء الفحص ,مثل المرضى الراقدين بالعنايه المركزه او شعبه الطوارئ | Background : Raised intracranial pressure is a serious condition require careful approach and management, the measurement of the optic nerve sheath diameter by transorbital ultrasound is a reliable sonographic marker for detection of raised intracranial pressure.Aim of the study : 1 - To demonstrate the accuracy of transorbital ultrasound in detection of raised intracranial pressure.2 - To evaluate the association between ONSD and raised ICP and to validate the use of ONSD threshold of 5 mm measured by US in early detection of intracranial hypertension.Patients and method : A prospective study was carried in Baghdad teaching hospital / neurology clinic during a period from the June 2016 to May 2017 in which 40 controls and 40 patients complaining of symptoms of raised intracranial pressure and suggesting to have optic disc swelling by ophthalmoscope were included in this study. All the patients were examined by transorbital ultrasound to measure the optic nerve sheath diameter and then underwent lumbar puncture.Results : Pearson’s correlations test was used, demonstrating very high significant correlation between the ultrasonographic optic nerve sheath diameter and the measures of lumbar puncture (???? > 0.9) and (p value < 0.001) . Transorbital ultrasound yielded high sensitivity (91.6 %) with modest specificity (75.0 %) and high accuracy (90.0%) of optic nerve sheath diameter considering the cut off normal value of 5 mm obtained from 40 controls. Ultrasound also showing crescent sign and optic disc bulging with lower sensitivity than optic nerve sheath diameter (61.1 % and 41.6% respectively) but with very high specificity (100 %) .Conclusion : Optic nerve assessment by transorbital ultrasonography is highly accurate easily performed and non - invasive procedure for detection of raised ICP. Routine ONSD daily monitoring could be of help in Intensive Care Units and emergency room when invasive intracranial pressure monitoring is not available or contraindicated, in early recognition of intracranial hypertension

تطبيق تصنيف الاكياس المائية وفقا لصوتها في الامواج فوق الصوتية في الشعب العراقي == Application of Ultrasound Classification of Hepatic Hydatid Cyst in Iraqi Population

Author name: ايناس محمد سهيل العاني
Supervisor name: مظفر بالي مهدي
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: Background : Cystic Echinococcosis (CE) is an endemic disease in Iraq. Its classification is crucial for proper management. Aim of the study Applying ultrasound study in classifying hepatic hydatid cyst disease in Iraqi population, which is essential in treatment planning. Patient and method : A prospective study was conducted throughout the period from March 2017 to March 2018, in the Gastroenterology and Hepatology Teaching Hospital/ medical city/ Baghdad. A total 100 patients with a diagnosis of hydatid cyst by ultrasound were followed up after surgery and histopathology were proved hydatid cyst. Their age range was 10 - 79 years, female to male ratio 1.6 : 1.WHO - IWGE; WHO Informal Working Group Echinococcus classification), was used in this study.Results : Cystic Echinococcus class I was noticed in (35%), Cystic Echinococcus class II was noticed in (35%), Cystic Echinococcus class III was observed in (17%) , Cystic Echinococcus class IV was noticed in (7%) and Cystic Echinococcus class V was noticed in (6%).ConclusionCystic Echinococcus class I and Cystic Echi

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

Author name: احمد عباس محمد
Supervisor name: ليث احمد خلف | عادل حفظي حمودي
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Baghdad
First pages:
Abstract: 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.

ترافق كالسيوم الشريان الابهر البطني مع كالسيوم الشرايين التاجية ومرض الانسداد التاجي == Association Of Abdominal Aortic Calcium With Coronary Artery Calcium And Obstructive Coronary Artery Disease

Author name: حنان محمد علي الرماح
Supervisor name: حيدر قاسم الموسوي | فاضل غالي العمران
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Najaf
First pages:

بزل تجمعات السوائل العميقة تحت سيطرة المفراس والسونار == Image Guided Percutaneous Drainage Of Deep Collections

Author name: ليلى كاظم عبود
Supervisor name: محمد عبد الامير مهدي | حسن عبد الله العاقولي
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Najaf
First pages:

مقارنة حساسية السونار مقابل اشعة ( س) التقليدية في اكتشاف كسر العظم الانفي == Comparison Between The Sensitivity Of Ultrasound And Conventional X - Rays In Diagnosing Of Nasal Bone Fracture

Author name: رجاء عزيز جبار
Supervisor name: رائد حليم السعد | احمد عذاب الزبيدي
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Higher Diploma
Language: English
University location: Najaf
First pages:

التغيرات الاشعاعية لدى الساكنين مجاور مصنع الاسبست

Author name: فارس حسن اللامي
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Master
University location: Baghdad

المشكلات الانجابية بين عاملي الاشعة المعرضين لاشعة x : دراسة سريرية - وبائية

Author name: سمير محمود عبد الله خليل
General topic: Medicine
Specific topic: Diagnostic Radiology
Degree: Master
University location: Baghdad