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Ultrasound Evaluation of Suspected Appendicitis

Background To evaluate the sensitivity, specificity, accuracy, positive predictive value (PPV), and negative predictive value (NPV) of ultrasonographic and doppler US findings in the
diagnosis of acute appendicitis.
Method : A total of 115 cases of clinically suspected appendicitis were prospectively examined by grey scale US and doppler US. Five patients were excluded from the study because of
difficulty to perform the graded compression technique. In the other 115 patients who were included in the study population , US appendiceal and periappendiceal signs, as well as doppler US findings were evaluated. Definitive diagnosis was established at surgery and histopathological examination in 62 patients (59 patients with appendicitis & 3 patients with alternative final diagnosis), and at clinical follow up in 48 patients.
Results : The prevalence of appendicitis in this study was 54%. The appendix was identified in 80 (73 %) of the 110 patients , which included 55 (93 %) of 59 patients with appendicitis & 25
949 %) of 51 patients without appendicitis. The most accurate appendiceal finding for appendicitis was a diameter of ≥ 6 mm & non compressibility, which both had an accuracy of 96
%. The lack of visualization of the appendix had a NPV of 87 % , while the visualization of a normal appendix with a diameter of < 6 mm had a NPV of 96 %. Inflammatory periappendiceal
fat changes had a sensitivity of 92 % , PPV of 83 %, & a NPV of 89 %. Hyperaemia in the appendiceal wall, although had a low sensitivity (53%), it had both high specificity (92 %) & high
PPV (94 %). The other findings had both low PPV & NPV.
Conclusion : A non compressible appendix with a threshold outer diameter of 6 mm under compression is the most accurate US finding for appendicitis; with high sensitivity, specificity,
PPV, & NPV.

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Publication Date
Tue Nov 19 2024
Journal Name
Journal Of Baghdad College Of Dentistry
The value of ultrasound and color Doppler ultrasonography in the evaluation of periapical lesions in comparison to histopathological and/or surgical findings

Background: Imaging techniques play a very important role in the specialty of endodontic. The ultrasonographic technique is non-expensive procedure, safe, and reproducible. The aim of the study was to determine the sensitivity, specificity, and accuracy of ultrasound and color Doppler ultrasonography in evaluation of periapical lesions (cyst, granuloma, mixed lesion “cyst within graulomas mass”, and abscess. Subject, Material and method: The sample consists of prospective study for 64 Iraqi participants who attended Karbalaa Specialized Center for Dentistry (males & females). Those patients were diagnosed clinically and radiographically as having periapical lesions of dental origin. They were examined by real time ultrasound and color

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Publication Date
Tue Apr 01 2014
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Accuracy of ultrasound versus computed tomography in diagnosis of maxillary sinusitis

Background: ultrasound offers non-invasive, rapid and simple method for confirming the clinical diagnosis of maxillary sinus pathologies.
Objective: to evaluate the accuracy of real time ultrasound compared with the computed tomography in evaluation of maxillary sinusitis.
Patients and materials: This comparative cross-sectional study was done on 42 patients referred for computed tomography examination of paranasal sinuses in Al-Yarmook Teaching Hospital-Baghdad, from October 2012 to February 2013 with patients clinically suggesting an underlying maxillary sinusitis. Ultrasound and computed tomography examinations were carried out on the same day, the ultrasound being the first investigation. The sample of this study consisted of 2

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Publication Date
Sun Apr 03 2016
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Detection of Galactomannan Antigen in the Serum of Iraqi Patients with Suspected Invasive Aspergillosis

Invasive aspergillosis is a severe infection that occurs in patients with prolonged neutropenia, following chemotherapy,transplantation,or immunosuppressive protocols .Galactomannan ( GM) is a molecule ,found in the cell wall of Aspergillus species and is released in the blood during growth .The detection of GM in the blood is used to diagnose the invasive Aspergillosis in humans using ELISA assay.
Objectives: To detect Galactomannan antigen in in the serum of immunocompramized patients suspected to have invasive aspergillosis.
Patients and methods: This study was conducted on 50 patients from the hematology&oncology department,of Baghdad teaching hospital and pediatric oncology wards ,from March 2013 to October 2013.The patien

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Publication Date
Tue May 11 2021
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Pathological Nipple discharge: a comparison between breast ultrasound and mammography

Background:Nipple discharge is a relatively common complaint of females in reproductive age and after menopause.

Objectives: The aim of this stud was to compare the radiological findings of mammography and ultrasound in women with pathological nipple discharge of different pathology.

 Methods:  mammography and ultrasound was done for a total of 50 patients attending the National center of Early detection of Breast cancer with pathological nipple discharge. Ultrasound guided FNA was performed for all cases, and histopathology was available for eleven case.

Results: ultrasound was able to provide clue of possible underlying cause for all pathological nipple discharge whereas mammography was negative in 54%

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Publication Date
Sun Jan 30 2022
Journal Name
Iraqi Journal Of Science
Unsupervised Segmentation Method for Thyroid Nodules in Ultrasound Images

Thyroid is a small butterfly shaped gland located in the front of the neck just below the Adams apple. Thyroid is one of the endocrine gland, which produces hormones that help the body to control metabolism. A different thyroid disorder includes Hyperthyroidism, Hypothyroidism, and thyroid nodules (benign/malignant). Ultrasound imaging is most commonly used to detect and classify abnormalities of the thyroid gland. Segmentation method is a tool that used widely in many applications including medical image processing. One of the common applications of segmentation is in medical image analysis for clinical diagnosis that has an important role in terms of quality and quantity.
The main objective of this research is to use the Computer-Ai

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Publication Date
Sun Nov 08 2020
Journal Name
Journal Of The Faculty Of Medicine Baghdad
the The Role of Ultrasound in the Diagnosis of Malignant Thyroid Nodules

Background: Thyroid nodules are very common in clinical practice. Although most of thyroid nodules are benign, it is crucial to checkout which nodules are more likely to be malignant. Ultrasound is a major diagnostic tool for screening and evaluating thyroid diseases because it is safe, non-invasive, non-radioactive and effective.
Objective: The aim is to identify the role of ultrasound in assessing thyroid nodules and to review various ultrasound criteria predicting malignancy.
Patients and methods: A case series study conducted during the period from January 2015 to February 2016 at the First Surgical Unit, Department of Surgery, Baghdad Teaching Hospital by a team of surgeons. One hundred eighty Patients who underwent surgical i

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Publication Date
Tue Feb 01 2022
Journal Name
Iraqi Journal Of Science
Noise Reduction and Gestational Age Estimation for Ultrasound Fetuses Images.

Ultrasound imaging is often preferred over other medical imaging modalities because it is non-invasive, non-ionizing, and low-cost. However, the main weakness of medical ultrasound image is the poor quality of images, due to presence of speckle noise and blurring. Speckle is characteristic phenomenon in ultrasound images, which can be described as random multiplicative noise that occurrence is often undesirable, since it affects the tasks of human interpretation and diagnosis. Blurring is a form of bandwidth reduction of an ideal image owing to the imperfect image formation process. Image denoising involves processing of the image data to produce a visually high quality image. The denoising algorithms may be classified into two categorie

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Publication Date
Sun Mar 29 2020
Journal Name
Iraqi Journal Of Chemical And Petroleum Engineering
Oxidation Desulphurization of Heavy Naphtha Improved by Ultrasound Waves

The oxidation desulphurization assisted by ultrasound waves was applied to the desulphurization of heavy naphtha. Hydrogen peroxide and acetic acid were used as oxidants, ultrasound waves as phase dispersion, and activated carbon as solid adsorbent. When the oxidation desulphurization (ODS) process was followed by a solid adsorption step, the performance of overall Sulphur removal was 89% for heavy naphtha at the normal condition of pressure and temperature. The process of (ODS) converts the compounds of Sulphur to sulfoxides/ sulfones, and these oxidizing compounds can be removed by activated carbon to produce fuel with low Sulphur content. The absence of any components (hydrogen peroxide, acetic acid, ultrasound waves and activated car

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Publication Date
Thu Dec 30 2021
Journal Name
Al-kindy College Medical Journal
Frequency of Pulmonary Aspergillosis Among Clinically Suspected and Under Treatment Tuberculosis Patients , Khartoum State , Sudan

Background

Respiratory tract aspergillosis is a pulmonary disease cause by aspergillus species which are opportunistic fungi that mainly infect immuno-compromised patients .

 Objective(s)

The present study aimed to detect the frequency of pulmonary aspergillosis among clinically suspected and under follow up tuberculosis patients conducted at Tropical Diseases Teaching Hospital, Omdurman, Khartoum State , Sudan during the period from December 2019 to November 2020.

 Materials and Methods

One hundred and fifty sputum samples were collected from suspected cases of pulmonary tuberculosis and under follow up tuberculosis patients. All specimens were examined using 20% KOH and cultured on two

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Publication Date
Sun Apr 03 2016
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Ultrasound findings in prediction of breast cancer histological grade and HER2 status

Background: Breast cancer is the most frequent cancerous tumor and major cause of death from cancer between women all over the world.
Objectives: is to assess if ultrasound features of breast cancer can predict its histopathological grade and HER2 status of breast cancer for patients had their diagnosis in Oncology Teaching Hospital in Medical city complex from September 2014 to November 2015
Patients and Methods: This is retrospective study of 102 patients whom histopathologically proved breast cancer had reviewed their ultrasound findings and correlate them with histopathological grade and HER2 status.
Results: well circumscribed lesions, poorly defined and spiculated lesions are more likely to be of intermediate to high grade

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