Access the diagnostic reliability and imaging evaluation of adnexal masses diagnosis ultrasonography, magnetic resonance imaging and computed tomography

Background: Objective of the study was to evaluate role of diagnostic reliability of morphological characteristic of ovarian and adnexal masses to compare and correlated in sensitivity of ultrasonography, computed tomography, magnetic resonance imaging (USG with CT and MRI).Methods: This study was conducted in department of radiodiagnosis, Sri Aurobindo medical college and PG institute, Indore from August 2019 to September 2020. A total of 100 OPD patients of adnexal masses including both premenopausal and postmenopausal women. All 100 patients had undergone sonographic assessment and CA-125 levels were assessed; where 70 patients were correlated with CT and 30 patients were correlated with MRI with a standardized research protocolResults: A total of 100 patients included in the study. The mean age was 42.05±2.3.  68 (68%) patients were Premenopausal and 32 (32%) patients post-menopausal. 19 (19%) of patients had family history of ovarian carcinoma, whereas 81 (81%) of patients had negative family history of ovarian carcinoma. 32 (47%) patients in premenopausal group had increased Ca-125 levels, whereas 18 (56.2%) patients in postmenopausal had increased Ca-125 levels.Conclusions: MRI proved to be highly sensitive and accurate in differentiating benign and malignant lesions of adnexal masses which were indeterminate on ultrasonography examination. Thus, MRI can be considered as second most confirmatory tool followed by tissue diagnosis in women with indeterminate masses.

Role of magnetic resonance imaging in spinal trauma

Background: Magnetic resonance imaging (MRI) is the modality of choice for evaluation of ligamentous and other spinal cord, soft tissue structures, disc, and occult osseous injuries. Objective evaluate the role of MRI as a non-invasive diagnostic tool in patient with spinal trauma.Methods: This study was conducted in department of radiodiagnosis, Sri Aurobindo institute of medical sciences and PG institute, Indore and approval from the ethical and research committee. The duration of this study was April 2018 to May 2020. We included 60 patients of spinal trauma referred for MRI in this study.Results: In 32 (53.3%) patients the mode of injury was road traffic accidents, in 23 (38.3%) patients it was fall and in 5 (8.3%) patients the mode of injury was any other mode. There was significant difference seen between the MR cord hemorrhage, cord compression, and code transaction.Conclusions: MRI is an excellent modality for imaging of acute spinal trauma. Normal cord on baseline MRI predicts excellent outcome. When comparing patients with complete, incomplete spinal cord injury (SCI) and spine trauma without SCI, significant difference was seen in cord hemorrhage, cord transection, cord compression

Gangliocytic Paraganglioma of Duodenum

Gangliocytic paragangliomas are rare benign tumors which are usually encountered in the second portion of the duodenum. Histogenesis of these tumors is incompletely understood. Patients usually present with upper gastrointestinal bleeding. The endoscopic features of gangliocytic paraganglioma do not differ from those of other submucosal tumors. Therefore, they can be diagnosed histologically by the presence of epithelioid, spindle, and ganglion cells, which is similar to that observed for paraganglioma. We herein report a case of gangliocytic paraganglioma due to the rarity of the lesion and the characteristic histopathologic findings