Journal

Immunoglobulin G4–related Systemic Disease: Pictorial Review of the Pancreatic and Extrapancreatic Manifestations

Full Article

LWY Chan, JHY Leung, CC Chan

Hong Kong J Radiol 2015;18:316-25

DOI: 10.12809/hkjr1414238

Immunoglobulin G4–related systemic disease (IgG4-RSD) is a newly recognised and emergent condition, which was initially thought to manifest only as autoimmune pancreatitis. As the knowledge about this disease

Coexistence of Two Epstein-Barr Virus–associated Malignancies: Lymphoepithelioma-like Cholangiocarcinoma in a Patient with a History of Undifferentiated Nasopharyngeal Carcinoma

Full Article

YP Tai, RKC Ngan, SH Ting

Hong Kong J Radiol 2015;18:311-5

DOI: 10.12809/hkjr1514280

Undifferentiated nasopharyngeal carcinoma is particularly common in Southern China and is consistently associated with Epstein-Barr virus. In contrast, lymphoepithelioma-like carcinoma of the bile duct is a rare

Imaging Features of Isolated Extranodal Rosai-Dorfman Disease in Iliac Bone

Full Article

KC Lam, HYL Sinn, P Tsui, JSW Wong

Hong Kong J Radiol 2015;18:307-10

DOI: 10.12809/hkjr1515305

We report a case of isolated extranodal Rosai-Dorfman disease occurring in iliac bone. Magnetic resonance imaging, computed tomography, and pathological features of Rosai-Dorfman disease are discussed.

Lipoblastoma: Different Features on Magnetic Resonance Imaging

Full Article

KW Shek, SS Cheng, KS Tse, KC Lai, MK Chan

Hong Kong J Radiol 2015;18:302-6

DOI: 10.12809/hkjr1515332

Lipoblastoma is a rare benign adipocytic tumour that usually occurs in children younger than 3 years, with male predominance. Lipoblastoma usually presents as a slowly enlarging soft tissue mass in the extremities

Hydatid Cyst: Enteric Fistula in a Patient with Disseminated Abdominal Hydatidosis

Full Article

R Das, S Chakraborty, M Karmakar, N Panda

Hong Kong J Radiol 2015;18:297-301

DOI: 10.12809/hkjr1515325

Disseminated peritoneal hydatidosis is rare. Infrequently hydatid cysts can rupture into adjacent organs. We report a case of secondarily disseminated peritoneal hydatidosis with rupture into the gut presenting

Mild Encephalitis / Encephalopathy with Reversible Splenial and Cerebellar Lesions (MERS Type II) in a Patient with Diabetic Ketoacidosis and Hypernatraemia

Full Article

KH Tse, SS Lo

Hong Kong J Radiol 2015;18:293-6

DOI: 10.12809/hkjr1515304

Mild encephalitis / encephalopathy with a reversible splenial lesion is an uncommon condition that mainly affects young patients and children. Epilepsy and the use of antiepileptic medications are considered to be

Imaging Appearance of Renal Epithelioid Angiomyolipoma: a Rare Variant of Renal Angiomyolipoma with Diverse Clinical Behaviours

Full Article

PY Chu, WY Wong, WCS Chan, KL Siu

Hong Kong J Radiol 2015;18:287-92

DOI: 10.12809/hkjr1514288

Renal epithelioid angiomyolipoma is a rare variant of renal angiomyolipoma. The condition occurs in patients with or without tuberous sclerosis. Clinical behaviour of renal epithelioid angiomyolipoma varies widely,

Is There a Correlation between Computed Tomography Scanning of the Acute Abdomen and Associated Surgical Outcomes?

Full Article

SY Tan, BP Waxman

Hong Kong J Radiol 2015;18:282-6

DOI: 10.12809/hkjr1515301

Objectives: To determine the correlation between computed tomography (CT) scanning in evaluating the acute abdomen and the associated surgical outcome.

Methods: This was a retrospective observational study of 362 patients (198 females, 164 males) admitted

Effect of Transarterial Chemoembolisation in Unresectable Hepatocellular Carcinoma with Portal Vein Tumour Thrombosis: Single-centre Study

Full Article

KL Siu, PY Chu, HW Lau, CX Chan, SK Ip

Hong Kong J Radiol 2015;18:277-81

DOI: 10.12809/hkjr1515316

Objectives: To determine the effect of transarterial chemoembolisation (TACE) on liver function and procedure-related mortality in patients with unresectable hepatocellular carcinoma (HCC) and portal vein tumour thrombosis (PVTT).

Appendicitis Computed Tomography Score: a Useful Tool for Predicting Perforation and Surgical Course of Acute Appendicitis

Full Article

BMH Lai, CY Chu, BST Leung, VKP Fung, DTF Lee, THT Sung, JLS Khoo

Hong Kong J Radiol 2015;18:267-76

DOI: 10.12809/hkjr1515310

Objective: To investigate the utility of the Appendicitis Computed Tomography (ACT) scoring system in the diagnosis of perforated appendicitis and prediction of surgical outcome.

Methods: A retrospective study was conducted

Modification of Management Algorithm of Radiologically Suspected Pancreatic and Biliary Malignancy by Incorporation of Local Experience of Autoimmune Pancreatitis

Full Article

CYH Chan, DHS Fung, VWT Chan, OK Wong, SKY Kwok, WK Wong, KW Tang

Hong Kong J Radiol 2015;18:260-6

DOI: 10.12809/hkjr1515308

Objectives: To review the clinical and pathological features of autoimmune pancreatitis (AIP) in a tertiary referral centre in Hong Kong, and to determine preoperative factors that facilitate diagnosis of AIP in order to

Primary Pericardial Osteosarcoma in an Elderly Patient

Full Article

KH Tsang, TY Cheung, WSW Chan, MK Chan

Hong Kong J Radiol 2015;18:e12-7

Concomitant Unilateral Hirayama Disease and Contralateral Disc Protrusion of the Cervical Spine

Full Article

WCS Chan, JPK Tsang, MK Yuen

Hong Kong J Radiol 2015;18:e7-11

DOI: 10.12809/hkjr1514285

Hirayama disease is a type of cervical myelopathy affecting young men and causing wasting of the small muscles of the hand. The underlying pathophysiology is thought to be due to disproportionate growth of the vertebral column and the spinal canal resulting in a tight dural sac. The presentation of Hirayama disease is

Magnetic Resonance Imaging of Fistula-in-ano

Full Article

CYH Chan, KYK Wong, SKY Kwok, WK Wong, KW Tang

Hong Kong J Radiol 2015;18:243-52

DOI: 10.12809/hkjr1515300

Fistula-in-ano is a highly devastating disease due to its high morbidity. In order to achieve excellent surgical outcome, preoperative evaluations are essential. Magnetic resonance imaging (MRI) allows high spatial resolution images and is highly accurate in delineating the type and extent of a perianal fistula.

Extensive Soft Tissue Necrosis Due to Extravasation of Computed Tomography Contrast Medium

Full Article

JH Kwon, JS Kim, SR Eo

Hong Kong J Radiol 2015;18:240-2

DOI: 10.12809/hkjr1515315

Extravasation of contrast medium is a complication of contrast-enhanced computed tomography studies. Clinical presentations include minimal swelling, erythema and, when the extravasated volume is large, ulceration, compartment syndrome, and skin necrosis. Here we present an 80-year-old woman with

Vertebrobasilar Dolichoectasia Complicated with Arterial Dissection and Acute Posterior Circulation Infarctions

Full Article

HHC Tsang, SSM Lo, WL Poon, KW Tang

Hong Kong J Radiol 2015;18:233-8

DOI: 10.12809/hkjr1514259

Vertebrobasilar dolichoectasia is defined as elongation, dilatation, and tortuosity of the basilar and vertebral arteries. We describe two patients with vertebrobasilar dolichoectasia, one who presented with acute posterior circulation infarct and

Spontaneous Oesophageal Intramural Haematoma: an Uncommon Condition in Two Patients

Full Article

KK Cheng, S Lau

Hong Kong J Radiol 2015;18:227-32

DOI: 10.12809/hkjr1514257

Oesophageal intramural haematoma is an uncommon form of oesophageal injury. Oesophageal intramural haematoma can occur spontaneously without any preceding events. This report is of two patients who presented with haemoptysis and

Transarterial Treatment of Traumatic Carotid Cavernous Sinus Fistula with Carotid Artery Dissection and Ruptured Pseudoaneurysm Using Flow Diverter and Detachable Coils

Full Article

JPK Chan, SMS Lo, CM Chan, WL Poon, YL Cheung, KW Shek, KW Tang, PH Wong

Hong Kong J Radiol 2015;18:221-6

DOI: 10.12809/hkjr1514263

Direct carotid cavernous sinus fistula is a common delayed complication of head trauma, particularly in patients with skull base fractures. When carotid cavernous sinus fistula occurs together with

Incarcerated Right Diaphragmatic Hernia: a Rare Sequela of Open Radiofrequency Ablation for Hepatocellular Carcinoma

Full Article

TF Lee, CY Chu, CS Cheng, JLS Khoo

Hong Kong J Radiol 2015;18:215-20

DOI: 10.12809/hkjr1514255

Hepatocellular carcinoma is a common malignancy in this locality due to the high prevalence of hepatitis B carriers. Radiofrequency ablation is frequently used for treatment of hepatocellular carcinoma. Thermal injury

Magnetic Resonance Imaging Features and Assessment of Local Extent of Localised Giant Cell Tumour of the Tendon Sheath in Fingers

Full Article

PY Chu, JPK Tsang, WY Wong, WCS Chan, KW Ng, MK Yuen

Hong Kong J Radiol 2015;18:205-14

DOI: 10.12809/hkjr1515296

Objectives: To determine the magnetic resonance (MR) imaging features of localised giant cell tumour of the tendon sheath in fingers and to evaluate the preoperative diagnostic performance of MR imaging in assessment of the local tumour extent.

Infection Rate of Hickman Catheters Versus Peripherally Inserted Central Venous Catheters in Oncology Patients

Full Article

WY Wong, WCS Chan, SK Ip, WK Ng, CX Chan, HM Ho, KL Siu, CB Tan

Hong Kong J Radiol 2015;18:197-204

DOI: 10.12809/hkjr1514289

Objective: To compare the incidence of catheter-related infection in the bloodstream and non-infectious complication rate of Hickman catheter and peripherally inserted central venous catheter (PICC) in oncology patients.

N-Butyl Cyanoacrylate Embolisation for Acute Arterial Haemorrhage and Pseudoaneurysms in Extracranial Locations

Full Article

KK Cheng, SCH Lam, DHY Cho, S Lau

Hong Kong J Radiol 2015;18:187-96

DOI: 10.12809/hkjr1514290

Objective: To review the technical feasibility and effectiveness of N-butyl cyanoacrylate (NBCA; Histoacryl, B. Braun, Melsungen, Germany) embolisation to control acute arterial haemorrhage and embolisation of pseudoaneurysms in extracranial locations.

Radiotherapy for Nasopharyngeal Carcinoma as a Risk Factor for Extracranial Carotid Stenosis. Is It Also a Risk Factor for Intracranial Arteries? A Retrospective Case-control Study

Full Article

PY Chu, JPK Tsang, WY Wong, WCS Chan, WL Poon, MK Yuen, YC Wong

Hong Kong J Radiol 2015;18:180-6

DOI: 10.12809/hkjr1514293

Objective: Carotid duplex ultrasound has revealed that radiotherapy is associated with stenosis of the extracranial carotid arteries in patients with nasopharyngeal carcinoma (NPC). The objective of the study was to

Incidental Breast Masses on Ultrasound: What are Their Characteristics and Clinical Outcome?

Full Article

VYK To, CY Lee, CX Chan, SL Fung

Hong Kong J Radiol 2015;18:146-50

DOI: 10.12809/hkjr1514292

Objective: To evaluate the characteristics and clinical outcome of non-palpable breast lesions screened by ultrasound.

Methods: From January 2011 to June 2011, all new cases

Impact of Background Parenchymal Enhancement in Preoperative Magnetic Resonance Imaging Breast Assessment for Women with Newly Diagnosed Breast Cancer

Full Article

WS Wan, CY Lee, CY Lui

Hong Kong J Radiol 2015;18:141-5

DOI: 10.12809/hkjr1514252

Objectives: To determine the influence of background parenchymal enhancement (BPE) in preoperative magnetic resonance imaging (MRI) breast assessment and its impact on

A Study on the Performance of Breast One-Stop Clinic in Queen Elizabeth Hospital

Full Article

WSE Fok, WL Poon, KM Chu, CY Lee, CW Lee, KS Tse, WC Wai, LF Chiu

Hong Kong J Radiol 2015;18:134-40

DOI: 10.12809/hkjr1514243

Objectives: To evaluate the breast One-Stop Clinic (OSC) performance in Queen Elizabeth Hospital from December 2011 to November 2012.

Methods: Patient attendances and clinical data

Sonographic Visibility and Feasibility of Biopsy under Ultrasound Guidance of Suspicious Microcalcification-only Breast Lesions: a Single-centre Study

Full Article

TE Kim, DB Kim, JH Jung, EK Lee

Hong Kong J Radiol 2015;18:125-33

DOI: 10.12809/hkjr1514264

Objectives: To assess the sonographic visibility and feasibility of biopsy under ultrasound guidance of mammographically suspicious microcalcification-only lesions.

Methods: A retrospective review was performed

Male Breast Cancer in Hong Kong: 15-Year Experience from a Tertiary Institution

Full Article

JCH Chow, RKC Ngan

Hong Kong J Radiol 2015;18:119-24

DOI: 10.12809/hkjr1515320

Objective: Male breast cancer (MBC) is a rare disease entity and few data are available for the Chinese population. This study aimed to report MBC data

Treatment Horizons for Triple-negative Breast Cancer

Full Article

W Yeo

Hong Kong J Radiol 2015;18:111-8

DOI: 10.12809/hkjr1515321

Triple-negative breast cancer is a distinct clinical subtype characterised by tumours that do not express oestrogen receptor, progesterone receptor, or HER-2 oncogene. Patients with triple-negative breast cancer