• Thứ 4, 05/08/2020
  • (GMT+7)
Đánh giá hiệu quả bước đầu trong điều trị ung thư biểu mô tế bào gan bằng phương pháp nút mạch sử dụng hạt vi cầu phóng xạ Yttrium-90

Đánh giá hiệu quả bước đầu trong điều trị ung thư biểu mô tế bào gan bằng phương pháp nút mạch sử dụng hạt vi cầu phóng xạ Yttrium-90

05/28/2020 15:56:42 | 0 binh luận

The results of Y90 radioembolization in treatment of hepatocellular carcinoma

SUMMARY

Background: Hepatocellular carcinoma (HCC) is aggressive primary malignancy of the liver that most commonly presents late in the disease course. As a result, the majority of patients are not candidates for curative therapies. Locoregional therapies including Yttrium-90 (Y-90) radioembolization play an important role in management of the vast majority of patients with HCC.

Methods: Patients with unnresectable HCC (n=41) treated with Y-90 radioembolization from 2013 to 2016 were evaluated retrospectively. Data was abstracted from medical records including patient charts, laboratory data, and imaging.

Results: The most common clinical toxicity among all patients was fatigue (58.5%). A clinical benefit, defined as patients achieving PR was seen in 95.13% of cases; was seen complete reponse (CR) in 4.87%. The mean overall survival from the time of diagnosis was 18.4 months.

Conclutions: For patients with HCC, Y-90 radioembolization is a safe and well-tolerated procedure. Our experience suggests that a significant percentage of patients achieve clinical benefit including many with PR. Prospective, randomized data is required to compare radioembolization with other therapies including chemoembolization and systemic therapy with sorafenib.

Keywords: Radioembolization, Yttrium-90 microspheres, SIR-spheres, Hepatocellular carcinoma, Transarterial radioembolization, SIRT.

Chẩn đoán hình ảnh tồn tại và quá thể kính nguyên thủy ( TTTKNT)

Chẩn đoán hình ảnh tồn tại và quá thể kính nguyên thủy ( TTTKNT)

03/31/2020 16:06:09 | 0 binh luận

Persistence and hyperplasia of primitive vitreous humor (PHPV)

SUMMARY

Objective: To present three rare cases of PHPV in baby which were diagnosed with USG and CT scanner at 2 different syndromes. The authors want to find out the diagnostic imaging capability of this affection on each syndrome.

Material and methode: Cross-section description study of 3 cases with USG and CT scanner.

Result: The patient parent discover when the baby always rubs the eyes because they can’t see anything. Other clinical examination, the diagnosis is set with UGS as a solid mass in the vitreous corpus, no adherence in the macula, no hypervascularization on color Doppler image some small calcified nodes at all 2 eyes leading to total blindness. One of two patient has associated anomalies of the brain: turricephaly, corpus callosum atrophy, lissenpachygyria calling Aicardi syndrome. CT scanner is indicated only to set the differential diagnosis of retinoblastoma with calcification and possible extension in the retrobulbar space and optic nerv.

Conclusion: PHPV is a rare anomaly, difficult to prenatale diagnose but easy post delivery by USG, needing probe over 10 MHz and color doppler; transcranial sonogaphy gives avaluable image. CT is indicated only to detecte calcification for rule out retinoblastoma. IRM is not necessary except intend to investigate brain malformation.

Key word: vitreous humor.

Nghiên cứu một số thông số xạ hình thận TC99- DTPA ở người bình thường

Nghiên cứu một số thông số xạ hình thận TC99- DTPA ở người bình thường

04/02/2020 15:09:14 | 0 binh luận

Quantitative evaluation of Tc99m – DT PA Renoscintigraphy parameters in healthy people

SUMMARY:

Aims: The purpose of our study was to determinate quantitative parameters in Tc99m-DTPA Renoscintigraphy in healthy people.

Materials and Methods: Tc99m-DTPA renoscintigraphy was performed in 44 consecutive healthy people, mostly potential live kidney donors in Nuclear Medicne Department, 108 central military hospital. Quantitative parameters including Glomerular Filtration Rate (GFR) were determined by gamma camera using the dedicated software.

Results: There were no significant differences of kidney areas, depths and quantitative parameters such as perfusion %, uptake % between the two kidneys. There was no diffirence between mean GFR ± SD of the left and right kidney (52.8 ± 13.4 vs 51.07 ± 12. 65 ml per minute, respectively) and total GFRs were in wide range from 78 to 155 ml per minute.

Conclusions: Tc99m-DTPA renoscintigraphy quantitative parameters in the healthy people could be used as reference to research and clinical practice.

MRI khuếch tán theo hướng và bó sợi thần kinh (DTI/DTT)

MRI khuếch tán theo hướng và bó sợi thần kinh (DTI/DTT)

12/23/2019 22:44:46 | 0 binh luận

Chụp cộng hưởng từ khuếch tán sức căng (DTI- diffusion tensor imaging) là một công nghệ tương đối mới, phổ biến để chụp ảnh chất trắng của não. Mục tiêu của bài chia sẻ là đưa ra một cái nhìn tổng quan cơ bản và rộng rãi về DTI để bạn bè đồng nghiệp có thể hiểu về kỹ thuật mới này và nắm rõ được những điểm mạnh và điểm yếu của nó.
Lịch học Online tháng 5

VIDEO

box 2 Box 3 Quảng cáo baner 4

Đơn vị hợp tác