Biomedical subjects

S F S Halpin

Publications and source records attributed to S F S Halpin.

3 recordsLinked to original sources

PubMed2004

Brain imaging using multislice CT: a personal perspective.

This article outlines the use of multislice CT of the brain with regard to routine scanning, as well as high speed and/or high resolution multiplanar reconstructions. It describes in detail the recent developments in cerebral perfusion scanning and CT arteriography. It will also outline the approach of the University Hospital of Wales to imaging with this new technology, emphasizing the differences between helical and non-helical techniques. Most of the images are taken from 16-slice machines, but the methods described are applicable to 4- and 8-slice scanners, and can readily be modified for the forthcoming 64-detector array equipment that will be available within the next few months.

Brain↗

PubMed2004

Are T1 weighted images helpful in MRI of cervical radiculopathy?

MRI in patients with cervical myelopathy or radiculopathy usually includes T(1) weighted (T(1)W) and T(2) weighted (T(2)W) images. We prospectively examined a hypothesis that T(2)W alone is sufficient to diagnose the cause of cervical myelopathy and radiculopathy and that the T(1)W sagittal images do not provide additional useful information. 30 patients presenting with a history of cervical radiculopathy with or without myelopathy were prospectively assessed by MRI. Those with a history suggestive of intrinsic primary cord disease or who had previously had surgery were excluded. Two neuroradiologists, blinded to the clinical information, separately viewed the sagittal and axial T(2)W images alone, and at a later time, the full set of T(1)W and T(2)W images. Image quality, location and severity of disease and confidence of diagnosis at each level were scored on 4- or 5-point scales. The T(1) sequences did not demonstrate any significant lesions not already seen on the T(2)W images alone. The T(1)W sequence may safely be omitted in patients with radiculopathy.

Adult↗

PubMed2002

[Tortuosity of the internal carotid artery and its implications for the oropharyngeal and skull base surgery].

Conventional textbooks on anatomy emphasize the consistency in the pathway of the cervical internal carotid artery (ICA) from the carotid bifurcation to the skull base. Deviations in its route as result of developmental and acquired conditions have received little attention in the literature. A case of a tortuous cervical ICA presenting as pharyngeal pulsatile swelling is presented. The differential diagnosis includes an enlarged ascending pharyngeal artery, aneurysm of the cervical ICA, and displacement of the cervical ICA by a tumour. Its presence warrants radiological assessment to establish a diagnosis and modify any planned surgery. Inadvertent injury or ligation of a tortuous cervical ICA can result in serious if not fatal complications. Clinical, radiological and cadaver studies on the tortuosity of the cervical ICA are reviewed.

Adult↗