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Biomedical subjects

H Irie

Publications and source records attributed to H Irie.

At least 199 records · Page 11Linked to original sources
PubMedDate not supplied

Fat detection in gallbladder carcinoma with extensive xanthogranulomatous change demonstrated by chemical shift MR imaging.

We present a case of gallbladder carcinoma, in which fat was detected on dual-echo chemical shift magnetic resonance imaging (MRI). Histologic analysis showed poorly differentiated adenocarcinoma associated with massive xanthogranulomatous change. Sudan IV staining successfully confirmed the presence of fat within the interstitial histiocytes. Although rare, gallbladder carcinoma with xanthogranulomatous change should be included in the differential diagnosis of fatty tumor involving the region of the liver as observed on chemical shift MRI.

Adenocarcinoma↗
PubMedDate not supplied

Bilateral ovarian leiomyomas: CT and MRI features.

We recently treated a 21-year-old woman with leiomyomas arising from the bilateral ovaries, a very rare condition. On magnetic resonance imaging, more than half of the left adnexal mass showed low signal intensity on T2-weighted images and good enhancement by gadolinium-DTPA, and the remaining part showed high signal intensity on T2-weighted images, so the lesions initially were diagnosed as ovarian fibromas or as thecomas with a certain degree of degeneration. Pathologic examination of the excised tumors proved that they were bilateral ovarian leiomyomas; in addition, the tumor from the left side showed hemorrhagic and myxoid changes with torsion of 180 degrees.

Adult↗
PubMedDate not supplied

Abdominal cystic tumors containing small amount of fat in the septa: report of two cases.

We present two cases of abdominal cystic tumors containing small amounts of fat in their septa. Although the final pathologic diagnoses of these tumors were cystic lymphangioma and angiomatosis, the computed tomographic and magnetic resonance imaging features were almost identical and indistinguishable; a purely cystic mass around the region of the pancreas head associated with little mass effect on the surrounding organs and septa containing a radiologically evident fatty component. Radiologists should be aware of these two entities as differential diagnoses of abdominal cystic masses containing small amounts of septal fat.

Abdominal Neoplasms↗
PubMedDate not supplied

Metastatic adrenal tumor from clear-cell renal cell carcinoma: a pitfall of chemical shift MR imaging.

We present a case of adrenal metastasis from clear-cell renal cell carcinoma in which presence of a small amount of fat was shown on chemical shift gradient-echo magnetic resonance imaging. Radiologists should be aware that signal loss of the adrenal tumor on out-of-phase gradient-echo images does not always suggest the diagnosis of benign adenoma, particularly in patients with a history of renal cell carcinoma.

Adenocarcinoma, Clear Cell↗
PubMedDate not supplied

Sclerosed hemangioma of the liver.

We report the radiologic findings of sclerosed hemangioma (SH), a rare variant of hepatic hemangioma. Dynamic contrast-enhanced computed tomography showed a hypodense mass in the liver with delayed enhancement. T2-weighted magnetic resonance imaging showed the mass as hypointense in relation to cerebrospinal fluid. The final diagnosis of SH was made pathologically. Although SH is rare, understanding its radiologic appearance is important to avoid unnecessary surgery and should be included in the differential diagnoses of hepatic lesion with delayed enhancement.

Aged↗
PubMedDate not supplied

Primary malignant lymphoma in the porta hepatis: a case report.

A case of primary lymphoma in the porta hepatis is presented here. Cholangiography, angiography, ultrasonography and computed tomography suggested the presence of a mass in the porta hepatis, but all these failed to demonstrate the tumor clearly. Magnetic resonance imaging was very useful in defining the characteristics of the tumor and in delineating its extent, though it was not specifically diagnostic.

Aged↗
PubMedDate not supplied

Helical CT evaluation of arterial invasion in pancreatic tumors: comparison with angiography.

BACKGROUND: Although helical computed tomography (HCT) has been widely employed for the evaluation of pancreatic tumors, its capability in the diagnosis of peripancreatic arterial invasion has not been established. METHODS: HCT with a sequential cine-display was carried out in 34 patients with solid pancreatic tumors and 28 control subjects without angiographic abnormality. The HCT scans were compared with angiograms. RESULTS: All major arteries (celiac, superior mesenteric, splenic, gastroduodenal) and superoanterior pancreaticoduodenal arteries were well demonstrated by HCT in control subjects. However, posterior pancreaticoduodenal arcades and other smaller arteries were poorly identified. Although 19 major arterial invasions were equally diagnosed by HCT and angiography in patients with pancreatic tumors, only 4 of 11 minor arterial invasions were correctly diagnosed by HCT. CONCLUSIONS: Although HCT has some limitations in the evaluation of minor peripancreatic arteries, it can provide enough information for making a decision about conducting pancreatic surgery.

Aged↗
PubMedDate not supplied

Comparison of helical CT and MR imaging in detecting and staging small pancreatic adenocarcinoma.

BACKGROUND: To compare the value of helical computed tomography (CT) and various pulse sequences of magnetic resonance (MR) imaging in the detection and staging of small pancreatic adenocarcinoma. METHODS: Small pancreatic adenocarcinomas (< or = 2 cm in diameter) in eight patients were evaluated with both helical CT and MR imaging. Five MR imaging pulse sequences that included fat-suppressed T1-weighted images and dynamic study using fast multiplanar spoiled gradient-recalled technique were compared for the tumor detectability. To evaluate the tumor vascularity, angiographic findings were also investigated. RESULTS: Helical CT delineated the tumor in five cases, and MR imaging depicted the tumor in seven cases. MR imaging could detect the tumor of 0.8 cm in diameter clearly. Although helical CT and dynamic MR imaging missed the tumor of 2 cm with relative hypervascularity, fat-suppressed T1-weighted MR imaging demonstrated it precisely. As for the tumor staging, MR imaging was equal or slightly superior to helical CT. CONCLUSION: MR imaging is the first modality of choice to evaluate small pancreatic adenocarcinoma, and fat-suppressed T1-weighted images and dynamic study must be performed.

Adenocarcinoma↗
PubMedDate not supplied

Uterine lipoleiomyoma: MRI appearances.

A case of uterine lipoleiomyoma demonstrated on computed tomography (CT) and magnetic resonance imaging (MRI) is described and usefulness of MRI is discussed in diagnosing this entity.

Diagnosis, Differential↗
PubMedDate not supplied

Chronic expanding hematoma of the spleen caused by angiomyolipoma in a patient with tuberous sclerosis.

We report a case of a chronic expanding hematoma caused by an angiomyolipoma of the spleen in a patient diagnosed with tuberous sclerosis in infancy. Computed tomography showed large bilateral renal angiomyolipomas. A splenic mass that increased in size during the follow-up period of 62 months was also noted. A large subcapsular hematoma of the spleen finally developed, and a splenectomy was performed. The splenic mass consisted of a chronic hematoma with prominent granulation tissue, which was considered to be caused by repeated bleeding from a small angiomyolipoma in the spleen.

Adult↗
PubMedDate not supplied

Pseudolesion in segment II of the liver observed on CT during arterial portography caused by the aberrant left gastric venous drainage.

A rare case with a pseudolesion in segment II of the liver observed on computed tomography (CT) during arterial portography caused by the aberrant left gastric venous drainage is presented. Close observation of the celiac angiography was helpful in recognizing this pseudolesion. Selective catheterization of the left gastric artery and CT during its venous phase confirmed the etiology of the pseudolesion.

Fatal Outcome↗
PubMedDate not supplied

Fat detection in granular-cell renal cell carcinoma using chemical-shift gradient-echo MR imaging: another renal tumor that contains fat.

Preoperative chemical-shift magnetic resonance images in a 56-year-old man suggested the presence of microscopic fat in the tumor. The surgical specimen showed a granular-cell renal cell carcinoma with papillary architecture, associated with abundant fat-containing foamy histiocytes in the interstitium. The radiologist should include this entity in the differential diagnoses of renal tumors that contain microscopic fat.

Adipose Tissue↗
PubMedDate not supplied

Complications encountered with a transfemorally placed port-catheter system for hepatic artery chemotherapy infusion.

A port-catheter system was implanted via femoral artery access for hepatic artery chemotherapy infusion. Implantation was attempted in 90 patients and was successful in 88. Blood flow redistribution was performed using embolization coils. In the first ten patients a soft heparin-coated infusion catheter was used. For the following 78 patients we used a stiffer catheter coated with fluorine-acryl-styrene-urethane-silicone (FASUS) copolymer. The catheter was connected to a port implanted subcutaneously below the level of the inguinal ligament. Complications during the procedure and after placement were observed in 7 of 90 patients and 24 of 88 patients, respectively. These included catheter obstruction (11%), dislocation of the catheter tip (10%), drug toxicity (5.7%), and catheter infection (3.4%). In 6 of 10 patients with catheter obstruction, recanalization of the port system was achieved. In 7 of 9 patients with dislocation of the indwelling catheter tip, replacement of the port system was successful. Our complications appear to be comparable with those encountered with the subclavian/brachial approach when the new catheter coating is used. Notable is the avoidance of cerebral infarcts.

Adolescent↗
PubMedDate not supplied

Treatment of hepatic encephalopathy by retrograde transcaval coil embolization of an ileal vein-to-right gonadal vein portosystemic shunt.

A 43-year-old non-cirrhotic woman suffered from encephalopathy caused by an extrahepatic portosystemic shunt between the ileal vein and inferior vena cava via the right gonadal vein. Percutaneous transcatheter embolization with stainless steel coils was performed by the retrograde systemic venous approach. Encephalopathy improved dramatically.

Adult↗
PubMedDate not supplied

Temporary spontaneous regression of intrahepatic cholangiocarcinoma.

A 34-yr-old man with a liver mass was referred to the hospital. The mass showed temporary spontaneous regression during the follow-up, however, subsequent regrowth of the tumor prompted surgical resection. The specimen revealed intrahepatic cholangiocarcinoma with two distinct components which had been clearly demonstrated on serial CT. Spontaneous resolution of a lesion does not necessarily suggest the lesion's benign, self-limiting entity. Intrahepatic cholangiocarcinoma should be included in the tumors that could spontaneously regress.

Adult↗
PubMedDate not supplied

Dynamic evaluation of swallowing in patients with cerebrovascular accident.

To determine the specific effects of cerebrovascular accident (CVA) on deglutition, especially relative to the site of CVA, we studied videotapes of barium swallow examinations in 74 patients who had had a CVA. Although there was no distinct correlation between the prevalence of oral and pharyngeal dysfunction and the site of CVA, left CVA was prone to impair only the oral phase, and right CVA tended to impair both phases.

Adult↗
PubMedDate not supplied

Spiral-shaped iatrogenic arterial dissection during superior mesenteric arteriography: a latent risk of diagnostic angiography using the power injector.

We report a rare case of iatrogenic arterial dissection of the superior mesenteric artery (SMA) during diagnostic angiography. A conventional superior mesenteric arteriogram obtained using an automated power injector revealed an arterial dissection 2s after the initiation of contrast-medium injection. This case indicates that although careful catheter manipulations during angiography are essential, certain unavoidable complications may occur.

Aged↗