Journal

Regional Variation within the Cerebral Cortex Evaluated by Diffusion-weighted Imaging and Apparent Diffusion Coefficients on 1.5T and 3T Magnetic Resonance Images

Full Article

TW Yeung, HY Lau, YC Wong

Hong Kong J Radiol 2013;16:100-9

DOI: 10.12809/hkjr1313172

Objective: We aimed to determine whether cerebral cortices have regional variation on diffusion-weighted magnetic resonance imaging (DW-MRI) and corresponding apparent diffusion coefficient (ADC) maps. We also aimed to explore the effect of using 1.5T and 3T MRI with respect to such regional variation.

Impact of Fractionated Stereotactic Body Radiotherapy on Liver Function in Patients with Hepatitis B Virus–related Hepatocellular Carcinoma: Clinical and Dosimetric Analysis

Full Article

CKK Choi, FAS Lee, TC Lam, FCS Wong, VY Wong, C Lui, WK Sze, SY Tung

Hong Kong J Radiol 2013;16:94-9

DOI: 10.12809/hkjr1312147

Objective: To investigate the impact of fractionated stereotactic body radiotherapy (SBRT) on liver function and identify any dosimetric parameters that may predict deterioration of liver function in patients with hepatitis B (HBV)–related hepatocellular carcinoma (HCC).

Diagnostic Flowchart and Imaging Features of Common Congenital Anomalies of the Neonatal Spine

Full Article

SSM Wong, KM Wong, MY So, VYF Leung, EKH Liu, WCW Chu

Hong Kong J Radiol 2013;16:84-93

DOI: 10.12809/hkjr1313165

Paediatric spinal pathologies are commonly encountered in clinical practice. This article summarises the normal appearance of lumbar ultrasonography (LUS) and the imaging techniques used to examine the spine in neonates.

Technetium-99m Filtrated Sulfur Colloid Lymphoscintigraphy for Assessment of the Site of Lymphatic Leakage in Chylothorax Post-oesophagectomy

Full Article

RKL Lee, K Wang

Hong Kong J Radiol 2013;16:e5-8

DOI: 10.12809/hkjr1311067

Lymphoscintigraphy is useful for assessment of lymphatic leakage after oesophagectomy. This report is of accurate assessment of the site of thoracic lymphatic leakage after oesophagectomy in a 55-year-old patient by using technetium-99m–filtrated sulfur colloid lymphoscintigraphy.

Angiosarcoma of the Spleen with Spontaneous Rupture

Full Article

HKY Tam, CC Chan, PPY Lui, PSF Lee

Hong Kong J Radiol 2013;16:e1-4

DOI: 10.12809/hkjr1312086

Primary splenic angiosarcoma is an extremely rare solid tumour. Splenic angiosarcoma is a highly aggressive malignancy associated with early metastases and poor prognosis. Most patients present with abdominal pain or a palpable abdominal mass.

Metastatic Testicular Carcinoid Tumour

Full Article

HY Lau, V Lai

Hong Kong J Radiol 2013;16:69-73

DOI: 10.12809/hkjr1311063

Carcinoid tumours occur predominantly in the gastrointestinal tract and bronchial system of the lungs, but they can originate in less common anatomical sites such as the testes, which accounts for <1% of all testicular neoplasms.

Atypical Teratoid / Rhabdoid Tumour in the Sella Turcica of a Female Adult

Full Article

SQH Chou, SSM Lo, HN Wong, PPL Lau, CM Chan, KW Tang, YL Cheung

Hong Kong J Radiol 2013;16:65-8

DOI: 10.12809/hkjr1311034

Atypical teratoid / rhabdoid tumour is a rare and highly malignant cancer that mainly occurs in children younger than the age of 5 years.

Aortoesophageal Fistula Complicating Thoracic Aorta Stent-graft Placement

Full Article

JCM Sitt, BK Paunipagar, DD Rasalkar

Hong Kong J Radiol 2013;16:61-4

DOI: 10.12809/hkjr1311062

This report is of a 75-year-old man with aortoesophageal fistula complicating aortic stent-graft placement for ruptured thoracic aneurysm. The clinical presentation, pathophysiology, imaging features, and treatment options of this condition are discussed.

Massive Ascites in Pregnancy: Meigs̓ Syndrome

Full Article

G Ho, SWV Chan, PW Lam, J Chai

Hong Kong J Radiol 2013;16:55-60

DOI: 10.12809/hkjr1312085

Meigs̓ syndrome is a rare clinical entity consisting of a triad of ascites, pleural effusion, and benign ovarian tumour. The co-existence of Meigs̓ syndrome and pregnancy is even more infrequent.

Leptomeningeal Carcinomatosis of the Spinal Cord Originating from Nasopharyngeal Carcinoma

Full Article

TCY Shum, WT Ng

Hong Kong J Radiol 2013;16:50-4

DOI: 10.12809/hkjr1312111

We report on a 44-year-old man with nasopharyngeal carcinoma with intracranial extension and leptomeningeal metastases in the spinal cord. Marked resolution of the nasopharyngeal carcinoma and leptomeningeal metastases was achieved

Cemented Femoral Stem Loosening of Hip Arthroplasty: Ten-year Radiographic Analysis

Full Article

WY Wong, WCS Chan, PY Chu, KW Ng, PK Hui, MK Yuen

Hong Kong J Radiol 2013;16:41-9

DOI: 10.12809/hkjr1312155

Objective: To review the radiological features of femoral stem loosening of cemented hip arthroplasty on plain radiographs and to determine their usefulness.

Multicentre Audit of Paediatric Brain Computed Tomography Dosage in Hong Kong: the Common Mistakes We Make

Full Article

YH Woo, YC Wong, E Kan, WSA Au-yeung, SMP Yu, KC Wong, YHJ Hui

Hong Kong J Radiol 2013;16:34-40

DOI: 10.12809/hkjr1312129

Objective: By auditing paediatric brain computed tomography (CT) performed in four Hong Kong centres, dosage values were obtained to address local practice and suggest improvements.

Magnetic Resonance Imaging Changes and Clinical Response in Chinese Haemophilic Joints Treated with Yttrium 90 Radiosynoviorthesis

Full Article

RKL Lee, WCW Chu, JHY Leung, AWH Ng, HKY Tam, PPY Lui, AWK Leung, MKM Kam, MK Shing, CK Li

Hong Kong J Radiol 2013;16:27-33

DOI: 10.12809/hkjr1312146

Objective: Radiosynoviorthesis has been shown to be effective in decreasing bleeding frequency, reducing pain, and improving quality of life in haemophilic patients.

Percutaneous Image-guided Radiofrequency Ablation of Renal Neoplasms: Seven-year Local Experience

Full Article

WK Tsang, SF Lee, HY Cheung, PY Lui, KY Tam

Hong Kong J Radiol 2013;16:17-26

DOI: 10.12809/hkjr1312136

Objective: To evaluate the safety and efficacy of image-guided radiofrequency ablation of renal neoplasms in our centre in Hong Kong.

Echogenic and Cystic Fetal Lung Lesions: Evaluation by Prenatal Sonography and Postnatal Imaging

Full Article

G Ho, KW Cheung, HL Lam, JK Ip, HYM Tang, WWM Lam

Hong Kong J Radiol 2013;16:5-16

DOI: 10.12809/hkjr1312145

Objective: We set out to review our unit’s experience in evaluating fetal lung lesions and the accuracy of prenatal diagnosis, and to illustrate the prenatal sonographic and postnatal radiological features of detected lesions.

A Multidisciplinary Approach to the Management of Unresectable Hepatocellular Carcinoma

Full Article

CKK Choi

Hong Kong J Radiol 2012;15(Suppl):S93-5

With the advances that have been made in the field of radiation technology over the past decade, radiotherapy has become a feasible and promising treatment modality for hepatocellular carcinoma.

Use of Bevacizumab in Combination with Chemotherapy in Ovarian Cancer in a Community Practice Setting

Full Article

K Loh

Hong Kong J Radiol 2012;15(Suppl):S88-92

Although ovarian cancers tend to be fairly chemo-responsive initially, the difficulty facing clinicians is maintaining or prolonging the duration of disease control.

Relapsed Hodgkin’s Lymphoma after Autologous Bone Marrow Transplant

Full Article

CY Ha

Hong Kong J Radiol 2012;15(Suppl):S85-7

This report describes a 28-year-old woman with stage IV Hodgkin’s lymphoma with nodular sclerosis and bone marrow involvement. The patient received four cycles of adriamycin, bleomycin, vinblastine, and dacarbazine combination chemotherapy

Case Sharing in T-cell Lymphomas and Review of Angioimmunoblastic T-cell Lymphoma

Full Article

YK Lam

Hong Kong J Radiol 2012;15(Suppl):S81-4

Mature T-cell and natural killer–cell neoplasms can be classified into four categories based on site: cutaneous, extranodal, nodal, and leukaemic. Subtypes within these categories may be aggressive or indolent,

Management of Castleman’s Disease: Recent Advances and Case Sharing

Full Article

RSM Wong

Hong Kong J Radiol 2012;15(Suppl):S75-80

Castleman’s disease is an uncommon lymphoproliferative disorder characterised by hyperplasia of lymphoid tissue. There are three histopathological types of Castleman’s disease: hyaline vascular variant, plasma cell variant, and mixed cellularity.

Update on Biosimilars — Complexity of Biologics and Clinical Concerns: Importance of Proper Evaluation

Full Article

VWY Lee

Hong Kong J Radiol 2012;15(Suppl):S72-4

Biopharmaceuticals or biologics were first introduced at the beginning of the 1980s and are now well established in the treatment of a wide variety of diseases. Biosimilars are biopharmaceuticals that are similar, but not identical,

Treatment of Advanced Non–small-cell Lung Cancer: a Fast Changing Paradigm

Full Article

P Teo

Hong Kong J Radiol 2012;15(Suppl):S64-71

Palliative chemotherapy and / or radiotherapy continue to represent the standard of care for patients with inoperable, advanced-stage non–small-cell lung cancer.

Revisiting the Role of Anti-angiogenesis Therapy in Metastatic Breast Cancer

Full Article

CH Kwok

Hong Kong J Radiol 2012;15(Suppl):S57-63

Angiogenesis is essential for tumour growth and metastasis, and constitutes an important process in the control of cancer progression. The use of anti-angiogenic agents, particularly those targeting vascular endothelial growth factor,

HER2-positive Metastatic Breast Cancer: New Agents on the Horizon

Full Article

W Yeo

Hong Kong J Radiol 2012;15(Suppl):S51-6

The human epidermal growth factor receptor HER2/neu gene is amplified and overexpressed in 25 to 30% of breast cancers. In women with HER2-positive advanced or metastatic breast cancer,

New Directions in Anti-angiogenesis Therapy in Metastatic Colorectal Cancer

Full Article

HH Loong, BBY Ma

Hong Kong J Radiol 2012;15(Suppl):S46-50

Mortality from metastatic colorectal cancer has declined over the past decade, partly due to improvement in survival secondary to incorporation of targeted biologics in the treatment paradigm.

Predictive Molecular Biomarkers in Targeted Therapy of Gastric Carcinoma and Metastatic Colorectal Carcinoma

Full Article

AWI Lo, KF To

Hong Kong J Radiol 2012;15(Suppl):S40-5

With the recent advancement of molecular targeting therapy, we are witnessing a paradigm shift in the role of pathology laboratories in the management of solid tumours.

Evolution of Neoadjuvant Chemoirradiation in Rectal Cancer

Full Article

KO Lam

Hong Kong J Radiol 2012;15(Suppl):S33-9

The treatment of rectal cancer is evolving and it nicely demonstrates the beauty of multimodality treatment. Unlike total mesorectal excision in surgery, which has probably marked the climax in the advancement of surgical treatment of rectal cancer,

A Non-invasive Weapon: Image-guided Radiotherapy for Hepatocellular Carcinoma

Full Article

ALY Law, WT Ng, SYJ Ka, RMW Yeung

Hong Kong J Radiol 2012;15(Suppl):S29-32

The high prevalence of chronic hepatitis B virus infection in Hong Kong makes hepatocellular carcinoma one of the area’s most important solid tumours. Late presentation and underlying cirrhosis mean that many hepatocellular carcinomas are inoperable at first presentation.