1.Infected Abdominal Aortic Aneurysm Rupture due to Listeria monocytogenes
Kazuhisa Sakamoto ; Yoshitaka Hayashi ; Tomofumi Taki ; Junichiro Nishizawa ; Shogo Nakayama
Japanese Journal of Cardiovascular Surgery 2008;37(4):226-229
A76-year-old man was transferred to our hospital for evaluation of continuous abdominal pain with systemic inflammation. Clinical examinations suggested the pressure of an adynamic ileus due to diverculitis and an infrarenal abdominal aortic aneurysm. Thirty-eight millimeter in diameter despite the commencement of antibiotic therapy, the symptoms progressively worsened and repeated CT scan demonstrated a rupture of the aneurysm without any enlargement in diameter. An emergency operation was done, and the patient was discharged on the 77th postoperative day. Blood culture and histological findings disclosed an infected aortic aneurysm due to Listeria monocytogenes. The possibility of aortic infection should be considered in patients showing a sudden rupture of an aortic aneurysm.
2.High-resolution magnetic resonance imaging of teeth and periodontal tissues using a microscopy coil
Shinya KOTAKI ; Hiroshi WATANABE ; Junichiro SAKAMOTO ; Ami KURIBAYASHI ; Marino ARARAGI ; Hironori AKIYAMA ; Yoshiko ARIJI
Imaging Science in Dentistry 2024;54(3):276-282
Purpose:
This study aimed to assess the performance of 2-dimensional (2D) imaging with microscopy coils in delineating teeth and periodontal tissues compared with conventional 3-dimensional (3D) imaging on a 3 T magnetic resonance imaging (MRI) unit.
Materials and Methods:
Twelve healthy participants (4 men and 8 women; mean age: 25.6 years; range: 20-52years) with no dental symptoms were included. The left mandibular first molars and surrounding periodontal tissueswere examined using the following 2 sequences: 2D proton density-weighted (PDw) images and 3D enhanced T1 high-resolution isotropic volume excitation (eTHRIVE) images. Two-dimensional MRI images were taken using a 3 T MRI unit and a 47 mm microscopy coil, while 3D MRI imaging used a 3 T MRI unit and head-neck coil.Oral radiologists assessed dental and periodontal structures using a 4-point Likert scale. Inter- and intra-observer agreement was determined using the weighted kappa coefficient. The Wilcoxon signed-rank test was used to compare 2D-PDw and 3D-eTHRIVE images.
Results:
Qualitative analysis showed significantly better visualization scores for 2D-PDw imaging than for 3D-eTHRIVE imaging (Wilcoxon signed-rank test). 2D-PDw images provided improved visibility of the tooth, root dental pulp, periodontal ligament, lamina dura, coronal dental pulp, gingiva, and nutrient tract. Inter-observer reliability ranged from moderate agreement to almost perfect agreement, and intra-observer agreement was in a similar range.
Conclusion
Two-dimensional-PDw images acquired using a 3 T MRI unit and microscopy coil effectively visualized nearly all aspects of teeth and periodontal tissues.
3.High-resolution magnetic resonance imaging of teeth and periodontal tissues using a microscopy coil
Shinya KOTAKI ; Hiroshi WATANABE ; Junichiro SAKAMOTO ; Ami KURIBAYASHI ; Marino ARARAGI ; Hironori AKIYAMA ; Yoshiko ARIJI
Imaging Science in Dentistry 2024;54(3):276-282
Purpose:
This study aimed to assess the performance of 2-dimensional (2D) imaging with microscopy coils in delineating teeth and periodontal tissues compared with conventional 3-dimensional (3D) imaging on a 3 T magnetic resonance imaging (MRI) unit.
Materials and Methods:
Twelve healthy participants (4 men and 8 women; mean age: 25.6 years; range: 20-52years) with no dental symptoms were included. The left mandibular first molars and surrounding periodontal tissueswere examined using the following 2 sequences: 2D proton density-weighted (PDw) images and 3D enhanced T1 high-resolution isotropic volume excitation (eTHRIVE) images. Two-dimensional MRI images were taken using a 3 T MRI unit and a 47 mm microscopy coil, while 3D MRI imaging used a 3 T MRI unit and head-neck coil.Oral radiologists assessed dental and periodontal structures using a 4-point Likert scale. Inter- and intra-observer agreement was determined using the weighted kappa coefficient. The Wilcoxon signed-rank test was used to compare 2D-PDw and 3D-eTHRIVE images.
Results:
Qualitative analysis showed significantly better visualization scores for 2D-PDw imaging than for 3D-eTHRIVE imaging (Wilcoxon signed-rank test). 2D-PDw images provided improved visibility of the tooth, root dental pulp, periodontal ligament, lamina dura, coronal dental pulp, gingiva, and nutrient tract. Inter-observer reliability ranged from moderate agreement to almost perfect agreement, and intra-observer agreement was in a similar range.
Conclusion
Two-dimensional-PDw images acquired using a 3 T MRI unit and microscopy coil effectively visualized nearly all aspects of teeth and periodontal tissues.
4.High-resolution magnetic resonance imaging of teeth and periodontal tissues using a microscopy coil
Shinya KOTAKI ; Hiroshi WATANABE ; Junichiro SAKAMOTO ; Ami KURIBAYASHI ; Marino ARARAGI ; Hironori AKIYAMA ; Yoshiko ARIJI
Imaging Science in Dentistry 2024;54(3):276-282
Purpose:
This study aimed to assess the performance of 2-dimensional (2D) imaging with microscopy coils in delineating teeth and periodontal tissues compared with conventional 3-dimensional (3D) imaging on a 3 T magnetic resonance imaging (MRI) unit.
Materials and Methods:
Twelve healthy participants (4 men and 8 women; mean age: 25.6 years; range: 20-52years) with no dental symptoms were included. The left mandibular first molars and surrounding periodontal tissueswere examined using the following 2 sequences: 2D proton density-weighted (PDw) images and 3D enhanced T1 high-resolution isotropic volume excitation (eTHRIVE) images. Two-dimensional MRI images were taken using a 3 T MRI unit and a 47 mm microscopy coil, while 3D MRI imaging used a 3 T MRI unit and head-neck coil.Oral radiologists assessed dental and periodontal structures using a 4-point Likert scale. Inter- and intra-observer agreement was determined using the weighted kappa coefficient. The Wilcoxon signed-rank test was used to compare 2D-PDw and 3D-eTHRIVE images.
Results:
Qualitative analysis showed significantly better visualization scores for 2D-PDw imaging than for 3D-eTHRIVE imaging (Wilcoxon signed-rank test). 2D-PDw images provided improved visibility of the tooth, root dental pulp, periodontal ligament, lamina dura, coronal dental pulp, gingiva, and nutrient tract. Inter-observer reliability ranged from moderate agreement to almost perfect agreement, and intra-observer agreement was in a similar range.
Conclusion
Two-dimensional-PDw images acquired using a 3 T MRI unit and microscopy coil effectively visualized nearly all aspects of teeth and periodontal tissues.
5.High-resolution magnetic resonance imaging of teeth and periodontal tissues using a microscopy coil
Shinya KOTAKI ; Hiroshi WATANABE ; Junichiro SAKAMOTO ; Ami KURIBAYASHI ; Marino ARARAGI ; Hironori AKIYAMA ; Yoshiko ARIJI
Imaging Science in Dentistry 2024;54(3):276-282
Purpose:
This study aimed to assess the performance of 2-dimensional (2D) imaging with microscopy coils in delineating teeth and periodontal tissues compared with conventional 3-dimensional (3D) imaging on a 3 T magnetic resonance imaging (MRI) unit.
Materials and Methods:
Twelve healthy participants (4 men and 8 women; mean age: 25.6 years; range: 20-52years) with no dental symptoms were included. The left mandibular first molars and surrounding periodontal tissueswere examined using the following 2 sequences: 2D proton density-weighted (PDw) images and 3D enhanced T1 high-resolution isotropic volume excitation (eTHRIVE) images. Two-dimensional MRI images were taken using a 3 T MRI unit and a 47 mm microscopy coil, while 3D MRI imaging used a 3 T MRI unit and head-neck coil.Oral radiologists assessed dental and periodontal structures using a 4-point Likert scale. Inter- and intra-observer agreement was determined using the weighted kappa coefficient. The Wilcoxon signed-rank test was used to compare 2D-PDw and 3D-eTHRIVE images.
Results:
Qualitative analysis showed significantly better visualization scores for 2D-PDw imaging than for 3D-eTHRIVE imaging (Wilcoxon signed-rank test). 2D-PDw images provided improved visibility of the tooth, root dental pulp, periodontal ligament, lamina dura, coronal dental pulp, gingiva, and nutrient tract. Inter-observer reliability ranged from moderate agreement to almost perfect agreement, and intra-observer agreement was in a similar range.
Conclusion
Two-dimensional-PDw images acquired using a 3 T MRI unit and microscopy coil effectively visualized nearly all aspects of teeth and periodontal tissues.
6.A Case of Ureteral Endometriosis That Developed 5 Years After Laparoscopic Adnexectomy
Ikuno YAMAUCHI ; Shinji MORIMOTO ; Takafumi TSUKADA ; Tatsuya MATSUOKA ; Shunya FUNAZAKI ; Mina KAMAGATA ; Yuri TERAMOTO ; Junichiro MITSUI ; Atsuhiro MATSUDA ; Yukiko NUSHI ; Rie KITANO ; Maiko ICHIKAWA ; Seiichi ENDO ; Masae SAKAMOTO ; Koji SHIMABUKURO
Journal of the Japanese Association of Rural Medicine 2019;67(6):688-693
We report a case of ureteral endometriosis thought to have developed following relapse of pelvic peritoneal endometriosis after laparoscopic surgery. The patient was a woman in her late 40s who had undergone laparoscopic right adnexectomy for an endometrial cyst 5 years earlier. Electrocoagulation was performed for residual endometriosis of adherent cyst wall on the right sacrouterine ligament. The normal left ovary was preserved and she received no postoperative hormonal therapy. She developed right back pain during menstruation 5 years after the surgery. Pyeloureterography revealed stenosis of the ureter to the right of the uterus. Urinary cytology revealed endometrial cells with no atypia. Conservative management was opted for because malignant transformation of endometriosis was considered unlikely and she was expected to reach menopause within a few years. She is now doing well 24 months after initiation of progestin treatment with placement of a ureteral stent. Postoperative hormonal therapy is recommended for patients who are considered to have possible lesions of residual endometriosis and for whom ovarian function is preserved.