Aim: The aim of the present study was to assess the role of cervical length measured on transvaginal ultrasound at 19-24 weeks in prediction of preterm labor. Methods: The present study was conducted in the Department of Radio-Diagnosis, Bapuji Hospital, JJM Medical College, Davanagere and pregnant women between 19-24 weeks of gestation were included. 150 pregnant women visiting the Ultrasonography clinic at Bapuji Hospital, JJM Medical College, Davanagere were included. The study was conducted over a period of 1.5 year. Results: 107 (71.3%) patients had 21 to 25 years of age, 22 (14.7%) patients had 26 to 30 years of age, 18 (12.0%) patients had 31 to 35 years of age and 3 (2.0%) patients had 36 to 40 years of age. 84 (56.0%) patients were Multiparous and 66 (44.0%) patients were Nulliparous. 11(7.3%) patients had ≤20mm cervical length, 22(14.7%) patients had 21 to 30mm cervical length, 36mm (24.0%) patients had 31 to 40 mm cervical length and 81(54.0%) patients had >40mm cervical length. 26 (17.3%) patients had preterm birth and 124 (82.7%) patients had term birth. 44(29.3%) patients had LSCS and 106 (70.7%) patients had VD. Association of age in years vs. cervical length was not statistically significant (p=0.3090). Association of preterm / term labor vs. cervical length was statistically significant (p

Correlation of plain radiography and MRI spine evaluation in spinal TB

Background: MRI has advantage in the diagnosis of spinal infections because of its multiplanar capabilities, soft tissue contrast resolution and delineates extent of disease. The purpose of our study is to identify differences in MR imaging between pyogenic and TB Spondylodiscitis. Methods and Materials: Retrospective analysis of MR Images of 72 patients with confirmed Spondylodiscitis (47 patients with TB Spondylodiscitis and 25 patients with pyogenic Spondylodiscitis). T2, STIR, T1 weighted images (with and without contrast enhancement) were assessed in axial, sagittal and coronal planes. Statistical analysis is by Chi-square test and p value. Result: The main suggestive findings for TB Spondylodiscitis are a) Thin and smooth abscess wall (80.9% TB Spondylodiscitis vs. 4% pyogenic Spondylodiscitis). b) Well defined paraspinal abnormal signal (83% vs. 16%) c) Heterogeneous and focal enhancement of vertebral body (91.5% vs. 8%) D) Multi segmental involvement (61.7% vs. 38.3%). The main suggestive findings for Pyogenic Spondylodiscitis are a) Thick and irregular abscess wall (56% in Pyogenic Spondylodiscitis vs. 4.2% in TB Spondylodiscitis). b) Ill-defined paraspinal abnormal signal (76% vs. 8.5%) c) Homogenous and diffuse enhancement of vertebral body (92.0% vs. 8.5%) D) Segmental involvement (68% vs. 38.3%) E) Disc space narrowing (100% vs.74.5%) Conclusion: Thus MR imaging can differentiate Pyogenic Spondylodiscitis from TB Spondylodiscitis.

Aim: The aim of the present study was to evaluate the sonographic morphology of pelvic masses and to correlate with the histopathological diagnosis of the patients who underwent surgical intervention.Methods: This observational study was conducted in the Department of Radiology of JJM Medical College, Davangere Karnataka, India for a period of 1.5 years. 100 patients with complaints suggestive of a pelvic mass were included in this study. The final diagnosis was correlated with histopathological diagnosis. The histopathological diagnosis was considered as the final diagnosis.Results: USG scan was performed in 100 female patients who presented with history, symptoms, and signs of a pelvic mass. Majority of the patients were in the age group of 40-50 years with mean age of 34.6 years. The minimum number was in the age group of below 20 and below 60 years. The most common chief complaint of female patients enrolled in our study was pain in pelvic cavity 35 (35%) followed by pain and palpable mass 16 (16%). Menstrual irregularity, menorrhagia, post-menopausal bleeding, infertility, and amenorrhea were the other less common complaints in the female patients of our study.Conclusion: USG is the most commonly preferred imaging tool to evaluate gynaecological masses. It is important to differentiate gynaecological and non-gynaecological masses on sonography for accurate management of the patient.

CHIS and RIS functions are increasingly being merged as the growth of information systems in healthcare moves towards the process of integrating numerous systems into a single computer. In order to fully digitize and modernize the radiology facility, including the transition from film to paper, full electronic administration, and digital recordings, a Radiological Information System (RIS) was developed. By bringing together disparate systems, the RIS facilitates the development of a digital radiography hub where relevant data can be accessed at any time. The authors draw the conclusion that implementing RIS, HIS, and other information systems leads to automation, decreased potential for error, higher diagnostic and therapeutic quality, lower material costs, better efficiency, and time savings, among other benefits.

Ultrasonography and Contrast enhanced CT done in a 12 year old female, which shows wedge shaped hypo echoic lesions extending from periphery to hilum with no evidence of vascularity within. On follow-up plain CT these lesion appear hypo dense wedge shaped areas with non-enhancement in post contrasting. Patient presented with complaints of fever and pain in left hypochondria. Antibiotic course of Ceftriaxone was given following which patient symptomatically improved and resulted in recovery. Rapid diagnosis and management of extra intestinal manifestations of salmonella typhoid and salmonella para typhoid group of organisms can be aided by imaging techniques.

Purpose: Diseases pertaining to the reproductive system of the women are becoming increasing common. The first and foremost system in a female body to show systemic dysfunction is the Endocrine system, which in turn affects the menstrual cycle. Thus menstrual abnormalities are becoming increasingly common. Most common gynaecological problems include ovarian cysts, adnexal masses, fibroids, polycystic ovarian disease. Ovarian cancer is the second most common malignancy in women, accounting for 4% of all cancers in the female population.Adnexal masses (mass of the ovary, fallopian tube, or surrounding connective tissues) are a common gynaecological problem. They account for 80% of all gynaecological problems.These masses may be found in females of all ages.Aim: To stratify and assess the risk stratification of adnexal masses on the basis of ORADS and to calculate statistical measures of performance of ORADS with the help of clinical follow up and histopathology.Materials and Methods: Suspected patients with ovarian/adnexal lesions were referred to Radiology department for Ultrasonography. Transabdominal and/ or transvaginal sonography was performed. The lesions were assessed based on ORADS grading system. Subsequently, the lesions were correlated with the HPE reports. Results: This is a prospective observational study conducted in 166 patients. There was a significant positive correlation between the distribution of benign and malignant tumours across ORADS grades and p value of 0.000 was derived indicating extremely significant statistical difference. Conclusions: Ovarian-Adnexal Reporting and Data System US risk stratification and management system had higher sensitivity and specificity for detection of adnexal malignancy in our study. Higher ORADS Grades were had loculated tumours, irregular margins, septations, solid component, and higher echogenicity. In the ORADS Grade 1, 2 and 3, did not have any malignancy. ORADS grade 4 and 5 had higher prevalence of malignancy.

The most frequent anatomical variations of the renal arterial system are accessory renal arteries (supernumerary renal arteries) and aberrant renal arteries, which occur in varying numbers among various ethnic and racial groups. Prior to surgery, understanding these variations is crucial because it affects the decision to use donor kidneys, the planning of partial nephrectomy, and other urological procedures. Along with the main renal artery on the same side, there is also an accessory renal artery. The aberrant artery supplies the kidney without passing through the hilum, whereas the main renal artery enters the kidney through the hilum to do so.Aim: This tertiary care hospital-based study aims to know the prevalence of variations of the renal arterial system including accessory renal artery, their distribution pattern, and association with gender, age, and side predilection in population of Kancheepuram and West Chennai district of Tamil Nadu.Methodology: One hundred adults (62 males, 38 females; mean age: 45 +/- 25 years) inclusive of prospective live renal donors undergoing pre-operative CT renal angiogram for operative planning and other patients undergoing CECT Abdomen for various abdomino-pelvic pathologies were selected for the study.Research Design: It is a cross-sectional descriptive study conducted in the Department of Radiology, of a tertiary care hospital in Kancheepuram district of Tamil Nadu, India.Results: Renal artery variants (including Accessory renal and aberrant renal arteries) are present in 23% of kidneys. The prevalence of renal artery variants in males – is 30%, and in females – 11%. On the right side the prevalence is 60% and on the left side is 26%. The prevalence of bilateral renal artery variants is 11%.

The most frequent anatomical variations of the renal arterial system are accessory renal arteries (supernumerary renal arteries) and aberrant renal arteries, which occur in varying numbers among various ethnic and racial groups. Prior to surgery, understanding these variations is crucial because it affects the decision to use donor kidneys, the planning of partial nephrectomy, and other urological procedures. Along with the main renal artery on the same side, there is also an accessory renal artery. The aberrant artery supplies the kidney without passing through the hilum, whereas the main renal artery enters the kidney through the hilum to do so.Aim: This tertiary care hospital-based study aims to know the prevalence of variations of the renal arterial system including accessory renal artery, their distribution pattern, and association with gender, age, and side predilection in population of Kancheepuram and West Chennai district of Tamil Nadu.Methodology: One hundred adults (62 males, 38 females; mean age: 45 +/- 25 years) inclusive of prospective live renal donors undergoing pre-operative CT renal angiogram for operative planning and other patients undergoing CECT Abdomen for various abdomino-pelvic pathologies were selected for the study.Research Design: It is a cross-sectional descriptive study conducted in the Department of Radiology, of a tertiary care hospital in Kancheepuram district of Tamil Nadu, India.Results: Renal artery variants (including Accessory renal and aberrant renal arteries) are present in 23% of kidneys. The prevalence of renal artery variants in males – is 30%, and in females – 11%. On the right side the prevalence is 60% and on the left side is 26%. The prevalence of bilateral renal artery variants is 11%.