Benign: Simple cyst: asymptomatic; thin, imperceptible homogeneous wall; unilocular; nonenhancing; not causing biliary obstruction or communicating with biliary system; anechoic on US and/or low-density fluid (< 20 HU) on CT and/or fluid signal on MRI.… Read More »Imaging Management of Hepatic Cysts
Under USG use a 7cm micropuncture needle connected to an extension tubing and 60cc syringes filled with the botox 1:1 solution with saline. I traverse all three layers of abdominal musculature at 30-45 degree angles,… Read More »Botox Injection prior to abdominal hernia repair
Diagnosing brain tumors by imaging. A differential algorithm.
PATTERNS OF HEPATIC MASS ENHANCEMENT ARTERIAL PHASE DLAYED PHASE IMAGES DIAGNOSIS Hyperenhancing Hypoenhancing HCC/hypervascular mets/enoma Hypoenhancing Hypoenhancing Metastasis Hyperenhancing Isoenhancing Focal Nodular Hyperplasia – FNH Hyperenhancing Hyperenhancing Flash-filling hemangioma Hypoenhancing Hyperenhancing Cholangio Carcinoma Periph nodular… Read More »CT and MRI Hepatic Mass enhancement
Numerical 18F-FDG = 18F-fluorodeoxyglucose 2D = Two-dimensional 3D = Three-dimensional A AAA = Abdominal aortic aneurysm AASLD = American Association for the Study of Liver Diseases ABI = Ankle-brachial index ACA = Anterior cerebral artery… Read More »Abbreviations in Interventional Radiology
Protocol for TR band placement post trans radial artery procedures This device is placed on the hyper extended wrist and tightened via a Velcro band. A small green box indicates where the band should… Read More »TR band application and removal for trans radial approach procedures
Premedication for elective procedures requiring contrast or contrast enhanced imaging 1. Prednisolone: 50 mg PO at 13 hours, 7 hours and 1 hour before contrast media injection, PLUS Diphenhydramine 50 mg IV, IM or PO… Read More »Contrast allergy premedication
Imaging Management of Pancreatic Cysts (benign-appearing cyst in asymptomatic patient) 1-5 mm. Too small to characterize, considered benign. No further imaging follow-up recommended. 6-9 mm. Consider single follow-up in 2-3 years, preferably MRCP/MRI pancreas. If… Read More »Pancreatic cyst management
Management of abscess drainage catheters: 1) Criteria for catheter removal include resolution of clinical signs of infection AND daily patent catheter output <20 mL, (1) AND repeat imaging showing resolution of the cavity. If all… Read More »Abscess drain management
Classification Bosniak I benign simple cyst hairline-thin wall of ≤2 mm water density no septa, calcifications, or solid components no enhancement work-up: none percentage malignant: ~0% Bosniak II benign cyst – “minimally complex” few hairline… Read More »Bosniak/kidney mass/kidney cyst classification