Journal

Fine Needle Aspiration Biopsy in the Diagnosis of Disseminated Histoplasmosis of the Adrenal Glands

A Vijayananthan, BJJ Abdullah, SP Chan

Hong Kong J Radiol 2003;6:152-4

Disseminated histoplasmosis is a rare and potentially fatal disease caused by the dimorphic soil fungus Histoplasma capsulatum. This report is of a 66-year-old man who was initially diagnosed with a tooth abscess that was revealed to be histoplasmosis at biopsy.

Correlation of Clinical Presentation, Radiography, and Magnetic Resonance Imaging for Low Back Pain—a Preliminary Survey

PY Yong, NAA Alias, IL Shuaib

Hong Kong J Radiol 2003;6:144-51

Purpose: To determine the correlation between clinical presentation, plain radiographic signs, and magnetic resonance imaging of the lumbosacral spine for patients with low back pain.

Patients and Methods: Fifty seven patients were included in this study and their clinical presentation,

Morbidity and Mortality of Invasive Procedures Performed at Caritas Medical Centre

KH Pay, YW Lee, L Ho, CT Wong, H Huang

Hong Kong J Radiol 2003;6:137-43

Objective: Since more invasive procedures are being performed in radiology departments, this study was performed to ascertain the mortality and morbidity rate of these procedures as part of continuous quality improvement.

Patients and Methods: Five procedure categories of biopsy (lung,

Bolus Versus Continuous Infusion of Fluorouracil Plus Radiotherapy for Preoperative Treatment of Rectal Cancer

JS Gilroy, RA Zlotecki, WM Mendenhall, CG Morris, SR Schell, WR Rout,RJ Desnoyers, EM Copeland III, SN Hochwald

Hong Kong J Radiol 2003;6:132-6

Objective: To evaluate preoperative bolus versus continuous infusion chemoradiation.

Patients and Methods: Sixty eight patients received either bolus fluorouracil or continuous infusion fluorouracil combined with radiotherapy.

Results: The pathologic stages for bolus fluorouracil, continuous infusion fluorouracil, and overall were pT0,

Advances in Mammography Have Improved Early Detection of Breast Cancer

KH Ng, M Muttarak

Hong Kong J Radiol 2003;6:126-31

Breast cancer remains a leading cause of death among women throughout the world. The incidence is increasing globally and the disease remains a significant public health problem. Mammography is currently the best method to detect early breast cancer before it

Influence of Tumour Volume on the Probability of Local Control after Radiotherapy for Squamous Cell Carcinoma of the Head and Neck

WM Mendenhall, AA Mancuso, CG Morris, RJ Amdur, RW Hinerman, NP Mendenhall

Hong Kong J Radiol 2003;6:119-25

The purpose of this literature review is to determine the influence of the primary tumour volume on the likelihood of local control after radiotherapy for head and neck cancer. Tumour volume varies within T stage. The extent of this variability

Superselective Arterial Angiography and Embolization for Post-traumatic Priapism

N Al-Nakshabandi, S Lingawi, L Marchinkow, PL Munk, C Morris, G Legiehn, S Ho

Hong Kong J Radiol 2003;6:107-10

Superselective arterial angiography and embolization for post-traumatic priapism is an established procedure for the control of priapism refractory to conservative measures and medication. For the pre-procedure assessment, cavernosal aspiration of blood is used to measure oxygen. Doppler ultrasound could be

Computed Tomography of Anterior Mediastinal Masses

S Lau, WH Yeung, WH Kwan, CS Cheng, HS Lam

Hong Kong J Radiol 2003;6:100-6

Anterior mediastinal masses have diverse origins and aetiologies. Correct diagnosis requires a logical and practical strategy, recruiting as much clinical and radiological information as possible. Computed tomography is a common imaging modality for evaluating mediastinal lesions and can often offer

Intra-abdominal Desmoid Tumour

KKT Lai, YYR Chan, HCE Chan, CWA Chin

Hong Kong J Radiol 2003;6:97-9

A patient with a rapidly growing post-traumatic intra-abdominal desmoid tumour is presented. Although desmoid is classified pathologically as a benign tumour, its infiltrative nature leads to a locally aggressive mass with a high recurrence rate after surgical treatment. In view

Retroperitoneal Lymphangioma in an Adult

IYF Chan, J Khoo

Hong Kong J Radiol 2003;6:94-6

Retroperitoneal lymphangioma is a rare benign congenital malformation of lymphatic channels. This report is of a 51-year-old man with an incidental finding of retroperitoneal lymphangioma.

Vascular Complications of Ehlers-Danlos Syndrome in Young Chinese Adults

WH Luk, EPY Fung, K Wang, JCS Chan

Hong Kong J Radiol 2003;6:90-3

Arterial dissection is uncommon in young adults and there are usually underlying causes. This report describes 2 young patients with vascular complications after trivial injury who were diagnosed to have Ehlers-Danlos syndrome. One patient died while the other remains in

Cost Effectiveness Analysis of Protocol Driven Intravenous Urogram Performed by Radiographers

WH Ng, PSF Lee, HCA Chan, H Chun

Hong Kong J Radiol 2003;6:86-9

Aim: To assess the cost-effectiveness of protocol driven intravenous urogram performed by radiographers compared with that performed with a radiologist overseeing the whole examination (non-protocol driven intravenous urogram).

Patients and Methods: 200 patients were randomly selected between December 2001 to

Association of Post-irradiation Temporal Lobe Necrosis and Extra-cranial Carotid Stenosis in Nasopharyngeal Carcinoma

WWM Lam, SF Leung, KH Liu, KS Wong

Hong Kong J Radiol 2003;6:81-5

Aim: To ascertain whether temporal lobe necrosis and extracranial carotid stenosis as long-term complications of radiation are associated.

Patients and Methods: Ninety two patients underwent colour doppler ultrasound examinations for the assessment of carotid artery and cross sectional imaging of

Audit of Attendance for Scheduled Breast Imaging Examinations

TYY Wong, ALM Pang, WCW Chu, M Choi, WWM Lam

Hong Kong J Radiol 2003;6:78-80

Aim: Audit performed to ascertain the attendance rate and the reasons for non-attendance for scheduled breast imaging.

Patients and Methods: The number of defaulters scheduled for breast examinations during mid-May to mid-June 2002 was recorded. All defaulters were approached for

Oral Health and Quality of Life Following Radiotherapy for Nasopharyngeal Carcinoma

AS McMillan

Hong Kong J Radiol 2003;6:75-7

Aim: To describe the oral health condition and its psychosocial and functional impact among disease-free patients following radiotherapy for nasopharyngeal carcinoma.

Patients and Methods: In this cross-sectional study, patients with nasopharyngeal carcinoma who remained disease-free more than 1 year post-radiotherapy,

Upright, Weight-bearing, Dynamic-kinetic Magnetic Resonance Imaging of the Spine—Review of the First Clinical Results

JR Jinkins, JS Dworkin, CA Green, JF Greenhalgh, M Gianni, M Gelbien, RB Wolf, J Damadian, RV Damadian

Hong Kong J Radiol 2003;6:55-74

Magnetic resonance imaging has, until recently, been limited to scans with patients in the recumbent position. However, a new fully open magnetic resonance imaging unit has been configured to allow upright, partially upright, and recumbent imaging, enabling weight-bearing positional evaluation

Acute Osteolysis of the Public Bone and Sacral Insufficiency Fracture

YYR Chan, YL Lee, WF Ng, KKT Lai, ACW Chin, WC Wong, YHH Huang

Hong Kong J Radiol 2003;6:45-7

Pubic osteolysis can mimic malignant or infective bone disease. With a growing elderly population locally, it is expected that an increasing number of patients with pubic osteolysis will be encountered in clinical practice. Awareness of this entity and a vigorous

Paget's Disease of the Breast

CY Lui, KL Mak, HS Lam, LK Chan

Hong Kong J Radiol 2003;6:42-4

Paget’s disease of the breast is an uncommon entity. It is characterised by clinical findings of nipple changes, with or without an underlying palpable mass, and is invariably associated with underlying malignancy. We present a case of Paget’s disease of

Severe Arm Pain Preceding Life-threatening Reaction to Gadolinium—a Possible Warning Sign?

A Lqbal, CJ Roche

Hong Kong J Radiol 2003;6:40-1

Gadolinium-based contrast agents are used in selected patients for further characterisation of lesions. These contrast agents are safe for the vast majority of patients, although various adverse reactions to these agents have been reported with relatively few life-threatening reactions, especially

Computed Tomographic Diagnosis of Unsuspected Pericarditis

RT Dwyer, T Khalil

Hong Kong J Radiol 2003;6:36-9

There is a paucity of scientific literature regarding the utility of computed tomography in the diagnosis of acute pericarditis. This report may be the first in the English language literature to document a diagnosis of clinically unsuspected acute pericarditis made

Primary Tuberculosis of the Breast

JHF Yuen, TPW Lam, L Leong

Hong Kong J Radiol 2003;6:33-5

The mammographic and sonographic features of primary tuberculosis of the breast are discussed, alongside the presentation of a patient with this condition. A definitive diagnosis, based on imaging alone, can be difficult to make due to the variable patterns of

Uterine Lipoleimyoma: Ultrasound and Computed Tomography Findings

HHL Chan, MT Chau, CHL Lam, SCW Cheung

Hong Kong J Radiol 2003;6:30-2

Uterine lipoleiomyoma is a rare benign tumour, with only 8 cases reported in the radiological literature to date. It is easily misdiagnosed as an ovarian teratoma on radiological imaging studies. This report is of a patient with uterine lipoleiomyoma as

Breast Thickness and Lesion Depth Measurement Using Conventional Stereotactic Biopsy Systems

T Chan, KW Wong, KW Tsui, HY Lau, MC Au Yeung

Hong Kong J Radiol 2003;6:28-9

Thin breasts and shallow lesions are commonly encountered problems that preclude safe stereotactic core biopsy with a vertical approach using erect add-on stereotactic biopsy systems. A simple method to measure breast thickness and depth of lesion using conventional erect add-on

Identification of Cranial Nerve Impingement Using 3-Dimensional Constructive Interference in Steady State Sequence

SS Lingawi

Hong Kong J Radiol 2003;6:25-7

The use of 3-dimensional constructive interference in steady state magnetic resonance imaging sequence in the evaluation of vascular loops related to the various cranial nerves in patients with cranial neuropathies and a healthy population is described.

The Prevalence of Vascular Impingement of the Trigeminal, Facial, and Vestibulocochlear Nerves in Healthy Volunteers

SS Lingawi

Hong Kong J Radiol 2003;6:20-4

Aim: To determine the prevalence of vascular impingement of the trigeminal, facial, and vestibulocochlear nerves in a healthy population.

Subjects and Methods: The trigeminal, facial, and vestibulocochlear nerves of 90 asymptomatic volunteers were assessed for the presence or absence of

Juvenile Nasopharyngeal Angiofibroma

WM Mendenhall, JW Werning, RW Hinerman, RJ Amdur, DB Villaret

Hong Kong J Radiol 2003;6:15-9

Review of the literature was performed to define the optimal treatment of patients with juvenile nasopharyngeal angiofibroma. Patients with extracranial juvenile nasopharyngeal angiofibroma have a high likelihood of cure with acceptable morbidity after surgery alone. Transnasal endoscopic resection is highly

Chemotherapy for Non-metastatic High-grade Osteosarcoma of Extremity—Is Neoadjuvant Better than Adjuvant?

RKC Ngan

Hong Kong J Radiol 2003;6:7-14

The addition of adjuvant or neoadjuvant chemotherapy to surgery revolutionises the treatment of high-grade non-metastatic osteosarcoma of the extremities. Overall 5-year survival of more than 50% to 60% is now a realistic achievable goal. Neoadjuvant chemotherapy possesses the theoretical

Radiological Appearances of Severe Acute Respiratory Syndrome

KT Wong, GE Antonio, DSC Hui, N Lee, EHY Yuen, A Wu, CB Leung, TH Rainer, P Cameron, SSC Chung, JJY Sung, AT Ahuja

Hong Kong J Radiol 2003;6:4-6

Recently, there has been an outbreak of severe acute respiratory syndrome in Hong Kong. Various radiological appearances, including chest X-ray and computed tomography, at the time of diagnosis, and the imaging protocol for suspected cases are reviewed in this article.

SAR's SARS

Peter ML Teo

Hong Kong J Radiol 2003;6:3

No abstract available.

Congenital Inner Ear Malformations

KS Tse, KM Chu, LF Chiu, TW Fan, TK Tsang, TL Kwan

Hong Kong J Radiol 2011;14:118-25

Hearing impairment is defined as a person’s hearing threshold being above the normal range of -10 to 15 decibels. It has significant impact on a child’s language, cognitive, socioemotional and behavioural development. Therefore early recognition of hearing