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GPT 2 Lantai 6 RSUD Dr. Saiful Anwar Malang Jl. Jaksa Agung Suprapto No.2, Klojen, Kec. Klojen, Kota Malang, Jawa Timur 65112
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International Journal of Radiology and Imaging
Published by Universitas Brawijaya
ISSN : 28306007     EISSN : 2830506X     DOI : https://doi.org/10.21776/10.21776/ub.ijri.2022.001
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Medicine & Pharmacology Neuroscience
International Journal of Radiology and Imaging (IJRI) is the official journal of Radiology Department, Faculty of Medicine Universitas Brawijaya Malang, Indonesia. This journal is a six-monthly periodic journal (publishes two times per year in June and December), containing various articles or manuscripts in the forms of research, systematic reviews, case reports, and short communications. This journal is a peer reviewed publication and accepts article for publication from across the world. IJRI accepts and publishes articles in the English language only. The primary goal of this journal is to publish clinical and basic research relevant to radiology science. IJRI covers the following topics are diagnostic radiology, radiation oncology, nuclear medicine, molecular radiology, radiation physics and radiation biology, cardiopulmonary imaging, gastrointestinal imaging, genitourinary imaging, musculoskeletal imaging, neuroradiology/head and neck imaging, pediatric imaging, vascular and interventional radiology, and women imaging. This journal provides immediate open access to its content on the principle that making research freely available to the public and supports a greater global exchange of knowledge.
Arjuna Subject : Kedokteran - Kedokteran Radiologi Nuklir dan Imaging
Articles 38 Documents
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NEUROLOGIC COMPLICATION IN LUNG ADENOCARCINOMA EFGR MUTATION WITH A CONSOLIDATION-TO-TUMOR-RATIO (CTR) >75% Prasetyo, Firman Adi; Sensusiati, Anggraini Dwi
International Journal of Radiology and Imaging Vol. 2 No. 02 (2023): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776//ub.ijri.2023.002.02.4

Abstract

Lung adenocarcinoma (LAC) accounts for a large proportion of lung cancer subtypes and causes various neurologic complications. This calls for extensive use of CT scans for detecting lung cancer which contains ground glass opacity (GGO). A Consolidation-to-tumor-ratio (CTR) >75% has a worse prognosis in LAC. A male 50-years-old came with paraplegia, complaining suddenly that his legs could not be moved. The patient performed a spine MRI with the result indicating a spinal metastatic process. Furthermore, the Chest X-ray only showed consolidation in the right paracardial area but the chest CT confirmed as lung mass followed by histopathology examination result of LAC with EFGR mutation. After three months, the patient also had multiple cerebral infarcts. We reported one case of LAC EFGR mutation with a CTR of 83%. higher CTR has more invasive adenocarcinomas and also correlated with immunosuppressive conditions compared with a low CTR. The patient was diagnosed lately after a complication of spinal compression. The other neurological complication is multiple cerebral infarcts. The pathogenesis of cancer-associated stroke has not been fully clarified. The pathophysiological mechanisms of these cerebrovascular complications are multifactorial. Other biological markers may also be of interest, including high levels of C-reactive protein (CRP), high levels of fibrinogen, decreased hemoglobin, and hypoalbuminemia. Retrospective studies on acute stroke detected significantly higher levels of fibrinogen and CRP in patients with cryptogenic stroke and occult malignancy. LAC with a CTR >75% is more invasive due to neurologic complications such as spinal metastases and stroke infarction. Keywords: Lung adenocarcinoma, CTR, Stroke, Metastase
INCIDENTAL BONE METASTASIS FINDING FROM CT SIMULATION FOR BREAST CANCER RADIOTHERAPY Nugroho, Rafiq Sulistyo; Amalia, Fini; Bayhaqi Nashir Aslam, Achmad; Petrarizky, Alfred Julius
International Journal of Radiology and Imaging Vol. 3 No. 01 (2024): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776//ub.ijri.2024.003.01.1

Abstract

Breast cancer has the highest tendency for bone metastasis. This study aimed to evaluate bone metastasis using computed tomography (CT) simulation for breast cancer radiotherapy. We retrospectively reviewed the patient's CT images from September 2022 to February 2023. The median age was 48 (34–80), and almost half of the patients had T3-4 and N2-3 disease. Nine out of 53 patients (17%) had bone metastasis, and 8 had multiple lesions. The vertebral spine was the predominant site of bone metastasis. Due to the high rate of bone spreading, bone evaluation is mandatory during CT simulation for more appropriate treatment. Keywords: Bone metastasis, computed tomography, breast cancer
CLINICO-RADIOLOGICAL FINDINGS IN PEDAL MYCETOMA—A CASE REPORT MUNIVENKATAPPA, KRISHNA KUMAR; Lokesh. C; Senthilnathan. V
International Journal of Radiology and Imaging Vol. 3 No. 01 (2024): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776//ub.ijri.2024.003.01.3

Abstract

One of the common granulomatous disorders affecting the skin and subcutaneous soft tissues, Madura mycosis or mycetoma is typically observed in tropical areas. Early diagnosis of mycetoma, which may be treated, depends on radiological imaging. Recently, the "dot-in-circle" sign on magnetic resonance imaging (MRI) and ultrasound has been described in patients with Madura mycosis. After a year of elaboration, a 55-year-old man with easily swollen and leaking sinuses on the dorsal aspect of the left distal foot was diagnosed with mycetoma. The objective of this case study is to link radiological and clinical results in a mycetoma case. Functional and morphological damage can be limited with an early and accurate diagnosis based on imaging results, histological analyses, and microbiological assessments. Keywords: pedal mycetoma, Madura mycosis, dot-in-circle sign, and chronic granulomatous illness.
Pseudoprogression After Adaptive Radiation Therapy For Early-Stage Non-Small Cell Lung Cancer: Case Report Hama, Yukihiro
International Journal of Radiology and Imaging Vol. 3 No. 01 (2024): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776//ub.ijri.2024.003.01.2

Abstract

Background: Differentiating local recurrence from pseudoprogression after radiotherapy for early-stage non-small cell lung cancer (NSCLC) can be challenging. Adaptive radiation therapy (ART) is an innovative radiotherapy technique that adjusts the radiation dose and treatment plan to ensure the tumor receives the optimal radiation while minimizing exposure to the surrounding healthy tissue. To our knowledge, there is no report of pseudoprogression in a patient with NSCLC who received ART. Objectives: The purpose of this article is to present the CT and 18-fluorodeoxyglucose (18F-FDG) positron emission tomography (PET) imaging findings of pseudoprogression after ART and discuss the imaging findings important for diagnosis and management. Case summaries: An 87-year-old woman with early-stage NSCLC underwent ART, receiving a total dose of 74 Gy administered in 37 fractions. The maximum standard uptake value (SUVmax) of 18F-FDG in the tumor increased from 2.5 before ART to 3.7 six months after ART on PET, suggesting local recurrence. However, the SUVmax decreased to 2.2 one year after ART, and on CT, the tumor size decreased consistently after ART. Based on serial CT and PET imaging findings, the temporal uptake of 18F-FDG at 6 months after ART was diagnosed as pseudoprogression. Conclusion: Serial CT and PET imaging findings may help differentiate local recurrence from pseudoprogression when tumor size decreases on CT but 18F-FDG uptake increases on PET. Keywords: Differential Diagnosis; Lung Neoplasms; Adaptive Radiation Therapy, Positron-emission Tomography
MEDIASTINITIS, WHAT SHOULD WE KNOW: A CASE REPORT OF PNEUMOPYOTHORAX WITH SUSPECTED MEDIASTINITIS IN A 67-YEAR-OLD MALE Aditya, Aldo; Erawati, Dini Rachma
International Journal of Radiology and Imaging Vol. 3 No. 01 (2024): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776//ub.ijri.2024.003.01.4

Abstract

Mediastinal disease consists of various diagnoses that have different characteristics, and the severity is not the same. The mediastinal disease diagnosis is often delayed because of the non-specific and sometimes vague presentation and clinical symptoms. One of the commonly missed diagnoses is acute mediastinitis, which is usually presented with fever, pleuritic or retrosternal chest pain, and an inflammatory syndrome. Careful clinical evaluation and radiological correlation are essential when diagnosing mediastinitis, as well as the need to differentiate it from mediastinal infiltration due to malignancy. In this case report, we describe a 67-year-old male, who was referred with pyothorax, cough, and 10 kg of weight loss in the last 1 month. The patient then underwent a CT examination with contrast to establish the diagnosis. Finally, the patient was diagnosed with pneumopyothorax with suspicion of mediastinitis and abscess formation. The lessons learned from this case include the need for recognizing features of mediastinitis, such as fat stranding and fluid collection, which may contain gas locules, in the mediastinal region. The aim of this case report is to increase awareness of early signs of mediastinitis so that prompt management can be initiated as early as possible. Keywords: Mediastinitis, pneumopyothorax, CT thorax
Ki-67 AS A PREDICTING FACTOR OF NASOPHARYNGEAL, BREAST, AND CERVICAL CANCER: A LITERATURE REVIEW Arifah, Arifah; Rafiq Sulistyo Nugroho; Alfred J Petrarizky
International Journal of Radiology and Imaging Vol. 3 No. 01 (2024): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776//ub.ijri.2024.003.01.5

Abstract

Background: Although the exact role remains unknown, Ki-67 is vital in cell division. Ki-67 is a nuclear nonhistone protein present in all active phases of the cell cycle. It has the potential to predict the prognosis of responsiveness to radiotherapy, chemotherapy, or endocrine therapy, estimate residual risk, and predict recurrence in many types of cancer, including nasopharyngeal cancer (NPC), breast cancer (BC), and cervical cancer (CX), and be a marker for treatment efficacy. We want to review the efficacy of Ki-67 as a predicting factor for three types of cancer, including NPC, breast, and cervical cancer, from several pieces of literature. Materials and Methods: We are conducting a literature review to describe the role of Ki-67 as a predicting factor in NPC, BC, and CX. Results: Pretreatment Ki-67 is used as an independent prognostic marker in NPC, and elevated values are associated with poor prognosis. High Ki-67 expression may indicate poorer recurrence-free survival and overall survival. A high Ki-67 index significantly correlated with adverse prognostic factors. Conclusion:  A high expression of Ki-67 in NPC, breast cancer, and cervical cancer is associated with poor prognosis, poorer recurrence, and overall survival rates. Ki-67 can be considered as a valuable biomarker of many cancers. Keywords: Radiotherapy, Ki-67, nasopharyngeal cancer, breast cancer, cervical cancer
CORRIGENDUM UB, IJRI
International Journal of Radiology and Imaging Vol. 3 No. 01 (2024): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776//ub.ijri.2024.003.01.6

Abstract

Corrigendum to: “NEUROLOGIC COMPLICATION IN LUNG ADENOCARCINOMA EFGR MUTATION WITH A CONSOLIDATION-TO-TUMOR-RATIO (CTR) >75%” (International Journal of Radiology and Imaging. 02. (02). 28 Desember 2023. 24-28)
A Case Series CT AND MR IMAGING OF BENIGN AND MALIGNANT MENINGIOMA: HOW TO DIFFERENTIATE? Faturrohmaniah, Ari; Yueniwati, Yuyun
International Journal of Radiology and Imaging Vol. 3 No. 02 (2024): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijri.2024.003.02.1

Abstract

Introduction: Typical meningiomas are benign tumors, while atypical and anaplastic ones tend to be malignant. Typical meningiomas are mostly detected in women who are 40 years of age, presenting with minimal peritumoral edema and homogeneous enhancement. Atypical meningiomas increased in men who are more than 60 years of age, exhibiting severe peritumoral edema, heterogeneous enhancement, large sizes, and low ADC values. Most anaplastic meningioma cases occur, but rarely, in children, which are highly invasive, growing rapidly, destroying calvarial bone, and have a giant intracranial tumor that invades the extracranial soft tissue and forms a cutaneous mass. Case Presentation: A 37-, 39-, and 15-year-old female patients were presented. There was blurred vision in the right eye, difficulties in communicating, and headaches for 2 years in the first case; vertigo and headaches for a year in the second case; and headaches, vertigo, and blurred vision for 2 years in the last case, growing more severe in the recent month. Based on MRI, the first patient had an extra-axial homogeneous mass with minimal peritumoral edema, homogeneous enhancement consistent with the appearance of typical falx meningioma; the second case had an extra-axial heterogeneous mass with necrotic component, severe peritumoral edema, and heterogeneous enhancement on the right temporoparietal region consistent with the appearance atypical meningioma; the last case had an extra-axial heterogeneous giant mass with necrotic component, severe peritumoral edema, and heterogeneous enhancement on right frontal region based on CT and MRI. CTA showed increased internal vascularity inside and adjacent to the lesion, and the bone window showed erosion and thinning of the calvarial bone, consistent with the appearance of anaplastic falx meningioma of the malignant characteristics. Conclusion: Age, gender, tumor size, peritumoral edema severity, degree of enhancement, restriction on DWI, vascularity, and hyperostosis or erosion of bone can distinguish between benign and malignant meningioma. Keywords: typical meningioma, atypical meningioma, anaplastic meningioma.
IMAGING OF A RARE CASE OF MULLERIAN DUCT ANOMALY IN AN AMENORRHEIC WOMAN: A CASE SERIES Nabilla Hardiyanti, Ginanda; Nurdiana, Farah; Yueniwati, Yuyun
International Journal of Radiology and Imaging Vol. 3 No. 02 (2024): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijri.2024.003.02.2

Abstract

Müllerian duct anomalies encompass a range of conditions that can lead to primary amenorrhea, infertility, and complications during pregnancy. Uterus didelphys arise when the Müllerian ducts fail to fuse properly to form a single uterus. In contrast, a septate uterus occurs when the central septum between the ducts fails to resorb. We describe three cases: the first involves a 14-year-old girl experiencing lower abdominal pain and secondary amenorrhea; MRI revealed a completely septate uterus with OHVIRA. The second case is a 27-year-old woman with secondary amenorrhea and primary infertility, who also had a complete septate uterus on MRI. The third case concerns a 17-year-old girl with primary amenorrhea, whose MRI showed uterus didelphys and a single left kidney. Müllerian duct anomalies are present in up to 7% of women, and about one-third of these women also have renal anomalies. Septate uterus is the most common type of Müllerian anomaly, while uterus didelphys is relatively rare. A complete septate uterus with obstructed hemivagina and an associated renal anomaly is particularly uncommon. Advances in diagnostic and surgical methods aim to preserve or enhance reproductive potential. Keywords: Uterus didelphys, septate uterus, OHVIRA
EARLY LIVE OVARIAN ECTOPIC GESTATION, CAN THE OVARY BE PRESERVED? : A CASE REPORT: Live ovarian ectopic pregnancy Adiga, Chaitra; Vinekar, Sripada; Prasad, Mohini N; Mahesh, Deepa
International Journal of Radiology and Imaging Vol. 3 No. 02 (2024): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijri.2024.003.02.3

Abstract

Ovarian ectopic gestation is often missed or misdiagnosed and occurs on or within the ovary. Owing to the similar appearances of ovarian pregnancy and corpus luteum cyst, the diagnosis is not straightforward when yolk sac and fetal pole are absent. We hereby report a rare case of early live ectopic gestation in the ovary at 6 weeks of amenorrhea. Ultrasound examination of the pelvis showed, no intrauterine gestation, but a corpus luteum cyst with associated hemoperitoneum and a thick-walled adnexal cyst close to the ovary with fetal node and cardiac activity within confirming ectopic pregnancy. She underwent emergency laparoscopic cyst removal, preserving the ovary and is doing well.   Keywords: ectopic pregnancy, laparoscopic cystectomy, live ectopic, ovarian ectopic

Page 3 of 4 | Total Record : 38

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