Background:Image guided transthoracic needle biopsy (TTNB) has great diagnostic value for the definitive characterization of lung lesions and is an established primary procedure to diagnose pulmonary nodules. It is traditionally performed as an outpatient procedure. It is safe, accurate, sensitive, and can obviate surgical procedure.
Objective: to assess the accuracy and safety of CT-guided TTNB in Baghdad Teaching Hospital
Patients & Methods: From December 2009 to September 2011, we conducted a prospective study of 43 consecutive outpatient and inpatient lung biopsies. An informed consent was obtained from the patients. No sedation is required. All biopsies were performed using CT guidance without CT fluoroscopy and were performed under local anesthesia using a 16 gauge core biopsy needle with internal automated gun. A posteroanterior inspiratory CXR was obtained 30 minutes after biopsy. All complications were recorded. If there was no pneumothorax, the patient was discharged. If there was a small asymptomatic pneumothorax, serial radiographs has been performed, patients also were discharged if no change in size was noted.
Results: A total of 43 patients underwent CT guided TTNB of peripheral lung lesions (mean age 60 years) and a male to female ratio of 28:15. The operation was successful in 40 out of 43 patients. The sample was adequate in 39 out of 43 patients. Complications were recorded in 4 patients (the most common complication was pneumothorax). No patient needed chest tube insertion.
Conclusion: CT guided TTNB is safe and an accurate procedure and can be performed as an outpatient procedure under local anesthesia.
Background: The diagnosis of interstitial lung disease (ILD) is frequently delayed, because clinical clues are neglected and respiratory symptoms are ascribed to more common pulmonary diagnosis such as asthma and chronic obstructive pulmonary disease in the primary care setting.
Objective: To evaluate the diagnostic yield of open lung biopsy in patients with suspected ILD in relation to clinical and radiological features.
Patients and methods: Thirty-five patients were admitted with suspected interstitial lung disease (ILD), and scheduled for open lung biopsy (OLB) in Ghazi AL-Hariri hospital for surgical specialty, were included in this study. Data collected from the patient's files (who were subjected to open lung biopsies which
Background: Pulmonary masses represent a great challenge for diagnosis. Fine Needle Aspiration Cytology (FNAC) is one of the diagnostic methods which was used since long time.
Objectives: To concern on Fine Needle Aspiration Cytology of pulmonary masses regarding benefits, precautions and patient’s preparation to avoid possible complications.
Patients and Methods: A prospective study is carried out from December 2008 to July 2015 on 45 patients presented with pulmonary masses to the Department of the thoracic and vascular surgery at Al-Yarmook teaching hospital and from the private sector. A Fine Needle Aspiration Cytology was done for them under local anesthesia as an outpatient procedure.
Results: 40 patients (88.9%) got acc
Background: Cervical lymph nodes are the most frequently enlarged and biopsied of all the peripheral lymph nodes and in most of the cases the enlargement results from benign infectious causes, however, the presence of cervical lymphadenopathy (LAP) requires accurate diagnosis to exclude more serious causes. The aim of this study was to analyze cases of Iraqi patients presenting with cervical LAP who underwent surgical lymph node biopsy to establish accurate diagnosis. Materials and Methods: This retrospective study included 25 patients who presented with cervical LAP for whom surgical biopsy was performed to establish a definitive diagnosis. The investigated data included the demographic and clinical parameters in addition to the final his
... Show MoreBackground: CT (computed tomography) is one of the first noninvasive imaging techniques in diagnosis of intra-axial posterior fossa tumors because it can accurately demonstrate, localize and characterize brain tumors, and can provide important information about the anatomic location, size, shape of the lesions and their mass effect on adjacent structures.
Objectives: To evaluate multi detectors CT characteristics of intra axial posterior fossa tumors and correlation of the CT characteristics of intra- axial posterior fossa tumors with the histopathological findings.
Patients & Methods: This is a cross sectional study including 26 patients with intra-axial posterior fossa tumors,15 males &11 females ,three cases were exclude
Non thermal argon plasma needle at atmospheric pressure was generated. The experimental set up is based on very simple and low cost electric components that generate electrical field sufficiently high at the electrodes to ionize various gases, which flow at atmospheric pressure. The high d.c power supply is 7.5kV peak to peak, the frequency of the electrical field is 28kHz, and the plasma power less than 15W. The plasma is generated using only one electrode. In the present work the voltage and current discharge waveform are measured. Also the temperature of the working Ar gas at different gas flow and distances from the plasma electrode tip was recorded
In this paper, compared eight methods for generating the initial value and the impact of these methods to estimate the parameter of a autoregressive model, as was the use of three of the most popular methods to estimate the model and the most commonly used by researchers MLL method, Barg method and the least squares method and that using the method of simulation model first order autoregressive through the design of a number of simulation experiments and the different sizes of the samples.
Background:Breast abscesses could be successfully treated by percutaneous aspiration of pus and irrigation of the cavity with saline solution.
Objective:To assess the feasibility and effectiveness of percutaneous needle aspiration of breast abscesses under local anesthesia in the outpatient clinic.
Patient and methods:A prospective study of forty three women with breast abscesses attended outpatient clinic at Tikrit teaching hospital and privit clinic for the period from January 2008 to January 2010.All patients had preliminary breast ultrasoundexamination. Percutaneous needle aspiration of pus under local anesthesia was done ,followed by systemic antibiotics. Repeated aspiration was carried out later when deemed necessary and foll
CT scan features of Malignant Meningioma
Objective: Meningioma which is a common benign Brain tumor can be malignant, but the final decision is by biopsy. However CT. Scan features can help to evaluate malignancy of a lesion.
The aim of this retrospective study is to look for the malignant features of a malignant meningioma .
Patients and Methods: This is a retrospective study of 50 malignant meningiomas in the neurosurgical unit in the specialized surgical hospital (previously AL-Shaheed Adnan hospital), for the period from March 1992 to March 2007. We search specially for Malignant features on the CT scan study of the patients.
Results: 94%of the patients had different features of malignant men
Objective: To evaluate the clinical significance of open diagnostic testicular biopsy as prognostic predictor of
successful sperm retrieval among azoospermic infertile patients.
Design: Prospective study.
Setting: Infertility clinic and assisted reproduction unit at the institute of embryo research and infertility
treatment, Baghdad University.
Patients: Sixty infertile azoospermic patients.
Intervention: Pieces of testicular tissue taking during open diagnostic multiple bilateral testicular biopsies was
prepared for histological examination and grouped according to well-defined histopathological patterns.
Measurement of testicular size and serum reproductive hormones (FSH, LH, Testosterone, and PRL) were done