Our Experience of OSAKA Regimen (Bladder Preservation) in Patients with Advanced Bladder Cancer.

Introduction And Objectives: OSAKA regimen is a novel bladder preservation therapy involving balloon-occluded selective arterial infusion of radio-sensitizing chemotherapeutic agent with concurrent hemodialysis (HD), followed by radiation therapy. Objectives are to study the feasibility of this novel regimen in patients with advanced cancer bladder (Ca Bladder).

Methods: Two patients having advanced Ca Bladder with cisplatin ineligibility and poor performance status were managed with OSAKA regimen.

Complications of Percutaneous Radiofrequency Ablation for Hepatocellular Carcinoma.

Radiofrequency ablation (RFA) is a potentially curative treatment option for early Hepatocellular carcinoma. The RFA is considered safe with a relatively low incidence of complications ranging from 2%-7.9%.

Magnetic Resonance Imaging in Otosyphilis: A Rare Manifestation of Neurosyphilis.

We report magnetic resonance imaging (MRI) in a case with otosyphilis, which is a rare manifestation of neurosyphilis. A 50-year-old male presented with progressive hearing loss on the left side and recent-onset palsy of the left 7th and 12th cranial nerves. Computed tomography imaging showed destructive bone lesions involving the petrous temporal bone, middle ear, and mastoid region with a pathognomonic pattern of bone destruction depicted in the volume rendering technique images.

Prevalence and Relevance of Multiple Renal Arteries: A Radioanatomical Perspective.

Background: A single renal artery supplies the kidney in 70% of the population but variation exists in the remaining 30%. Multiple renal arteries (MRA) in different permutations and combinations are one of the many forms of variants. Lack of awareness of multiplicity could have detrimental effects on the outcome of renal surgery.

Does Contrast Dose Based in Lean body Weight Allow Lesser Volumes on High BMI Patients for CT Angiography?

Objectives: The objective was to evaluate whether contrast dose based on lean body weight (LBW) protocol has the potential to reduce contrast volume in patients with high basal metabolic index (BMI) compared to total body weight (TBW)-based protocols.

Material And Methods: The Institutional Review Board approval was obtained for this prospective study. Initially, a pilot study with a sample size of 150 patients was conducted to estimate the average fat fraction in our population.

Comparison of Knowledge-based Iterative Model Reconstruction (IMR) with Hybrid Iterative Reconstruction (iDose) Techniques for Evaluation of Hepatocellular Carcinomas Using Computed Tomography.

Rationale And Objectives: To compare tumor conspicuity of small hepatocellular carcinomas (HCCs) and image quality on knowledge-based iterative model reconstruction low-dose computed tomography (IMR-LDCT) with hybrid iterative reconstruction standard-dose CT (iDose-SDCT).

Methods: Thirty-two patients (mean age 61.9 ± 9.

Endovascular treatment of aneurysm of splenic artery arising from splenomesentric trunk using stent graft.

We report a rare case of aneurysm of splenic artery arising anomalously from the superior mesenteric artery (SMA). The aneurysm was treated successfully by coil embolization of the splenic artery distal to aneurysm and then deploying a stent graft in the SMA. A combination of stent graft and coil embolization for the treatment of aberrant splenic artery aneurysm has been reported only once.

Technical Note: Thoracic duct embolization for treatment of chylothorax: A novel guidance technique for puncture using combined MRI and fluoroscopy.

Thoracic duct embolization (TDE) is an established radiological interventional procedure for thoracic duct injuries. Traditionally, it is done under fluoroscopic guidance after opacifying the thoracic duct with bipedal lymphangiography. We describe our experience in usinga heavily T2W sequence for guiding thoracic duct puncture and direct injection of glue through the puncture needle without cannulating the duct.

Role of 64-MDCT in evaluation of pulmonary atresia with ventricular septal defect.

Objective: The purposes of this article are to describe the technical factors in performing 64-MDCT of pulmonary atresia with ventricular septal defect (PA-VSD), to describe the anatomic variations in pulmonary arterial circulation and other associated anomalies, and to describe the postoperative evaluation of this condition.

Conclusion: The management of this complex condition has been largely determined by the morphology of pulmonary arteries and the extracardiac sources of pulmonary blood supply. Although echocardiography and catheter angiography are the traditional imaging techniques used to diagnose PA-VSD, 64-MDCT has become a valuable noninvasive imaging technique in comprehensive evaluation of this condition.