Journal

The ‘Pear’ Sign

Full Article

R Botchu, M Heir, G Retnasingham, P Burli

Hong Kong J Radiol 2012;15:57-8

Dynamic Contrast-enhanced Breast Magnetic Resonance Imaging: Clinical Practice, Techniques, and Challenges in Local Chinese Population

Full Article

JWC Wai, JLF Chiu, TS To, KH Lai, CW Siu, KY Kwok, SCH Chan

Hong Kong J Radiol 2012;15:50-6

Breast cancer is the most common malignancy and the third most common cause of cancer death in Hong Kong women. Ultrasound imaging and contrast-enhanced magnetic resonance imaging are useful adjuncts to mammography.

The Whistling Cough in a Child: a Computed Tomographic Diagnosis

Full Article

SNA Rashid, SA Hamid, SM Saini, R Muridan

Hong Kong J Radiol 2012;15:47-9

Foreign body inhalation in children is not uncommon. Although the sensitivity of frontal chest radiography for radiopaque foreign bodies is high (84-95%), an inhaled radiolucent foreign body in the bronchus can still be missed.

Malignant Sphenoid Wing Meningioma in Childhood

Full Article

MYS Soo, T Ng

Hong Kong J Radiol 2012;15:41-6

Paediatric cranial meningiomas are uncommon, constituting 4% of all intracranial tumours in early childhood to adolescent. They frequently show cellular atypia and anaplasia.

Radiological Features of Osteogenesis Imperfecta Type V: a Report of Two Cases

Full Article

PKT Hui, JYL Tung, MKT To, W Chow, WWM Lam, MT Chau

Hong Kong J Radiol 2012;15:36-40

Osteogenesis imperfecta type V is a rare subtype of osteogenesis imperfecta with unique clinical, radiological, and histological features.

Concurrent Cetuximab and Radiation Therapy in Patients with Locoregionally Advanced Head and Neck Cancer

Full Article

HC Cheng, RKC Ngan, KH Au

Hong Kong J Radiol 2012;15:29-35

Objective: To retrospectively study the clinical characteristics and treatment outcomes in patients with locoregionally advanced head and neck cancer treated concurrently with cetuximab and radiotherapy.

Role of Ultrasound-guided Fine-needle Aspiration of Axillary Lymph Nodes in Preoperative Staging of Breast Cancer: Correlation with Final Pathological Results and Staging

Full Article

JWC Wai, JLF Chiu, TS To, KH Lai, HHC Tsang, CW Siu, SCH Chan

Hong Kong J Radiol 2012;15:22-8

Objective: To retrospectively assess the sensitivity and specificity of ultrasound-guided fine-needle aspiration of axillary lymph nodes for preoperative breast cancer staging, using histological findings as a reference standard.

Clinical Presentation and Radiological Features of Intrathoracic Non-Hodgkin’s Lymphoma in Paediatric Patients: an Institutional Review

Full Article

JHY Leung, KY Lai, MK Shing, CK Li, WCW Chu

Hong Kong J Radiol 2012;15:15-21

Objective: Non-Hodgkin’s lymphoma is the most common tumour causing the superior mediastinal syndrome and superior vena caval obstruction in paediatric patients.

Ultrasound-guided Biopsy of Solid Breast Lesions: Should Fine-needle Aspiration be Replaced by Core Biopsy?

Full Article

WS Mak, CY Fong, CY Lui

Hong Kong J Radiol 2012;15:10-4

Objective: To compare the outcome of fine-needle aspiration and core biopsy of solid breast lesions under ultrasound guidance and to evaluate if fine-needle aspiration should be replaced by core biopsy.

Ketamine-related Urological Complications: Radiological Features

Full Article

JTH Yeung, JKF Ma, KKM Kwok, AWT Yung, RLF Cheng, KC To, MK Yiu

Hong Kong J Radiol 2012;15:4-9

Objective: To describe the radiographical features of patients with ketamine-related urological complications.

A Paradigm Shift in Non–small-cell Lung Carcinoma Treatment

Full Article

YL Wu

Hong Kong J Radiol 2011;14(Suppl):S77-83

The treatment paradigm of advanced non–small-cell lung carcinoma has evolved considerably owing to advances in molecular targeted therapy and the approval of two new classes of therapeutic agents, namely, epidermal growth factor receptor tyrosine-kinase inhibitors and angiogenesis inhibitors.

Haematopoietic Stem Cell Transplantation for Lymphoma

Full Article

AKW Lie

Hong Kong J Radiol 2011;14(Suppl):S69-76

Recent advances in chemotherapy and chemoimmunotherapy have improved the outcomes of many lymphoma patients. However, patients with relapsed or refractory disease continue to have poor outcomes.

Rituximab in the Management of Follicular Lymphoma

Full Article

YL Kwong

Hong Kong J Radiol 2011;14(Suppl):S63-8

The incidence of follicular lymphoma, a low-grade malignant B-cell lymphoma, is increasing in most Asian populations. Follicular lymphoma is generally considered to be indolent with a life expectancy of approximately 10 to 14 years.

Management of Chronic Lymphocytic Leukaemia

Full Article

E Tse, H Singh Gill

Hong Kong J Radiol 2011;14(Suppl):S56-62

Chronic lymphocytic leukaemia is a disease that primarily affects the elderly and has a heterogeneous clinical course. The past decade has witnessed extensive progress in its management, owing to the generation of prognostic biological markers

Adjuvant Chemotherapy for High-risk Node-positive Breast Cancer: a Tale of Three Generations

Full Article

RKC Ngan

Hong Kong J Radiol 2011;14(Suppl):S46-55

Adjuvant chemotherapy for node-positive breast cancers has evolved a long way from the time-honoured nonanthracycline regimen of six cycles of CMF (cyclophosphamide, methotrexate, 5-fluorouracil) to the historical standard of anthracycline-based regimens

Efficacy of Biological Therapies for the Treatment of Metastatic Colorectal Carcinoma

Full Article

NC Tebbutt

Hong Kong J Radiol 2011;14(Suppl):S37-45

Colorectal cancer is one of the most frequently diagnosed malignancies in the world. In Hong Kong, colorectal cancer is the second most common cancer and accounted for 16% of all new cancer cases in 2008.

What is the Optimal Cytotoxic Regimen for Advanced Colorectal Cancer?

Full Article

BBY Ma

Hong Kong J Radiol 2011;14(Suppl):S31-6

It is now well recognised that patients with metastatic colorectal cancer represent heterogeneous subgroups of patients with differing prognoses, because of differences in the number and sites of metastases, performance status, and the types of prior treatment.

Evidence-based Management of Gastric Cancer

Full Article

YT Fu

Hong Kong J Radiol 2011;14(Suppl):S24-30

Gastric carcinoma is one of the most common cancers worldwide. Patients in the early stages of the disease experience non-specific symptoms. This contributes greatly to delayed diagnoses and poor prognoses, as reflected by low survival rates.

The Role of Surgery in the Treatment of Ovarian Cancer

Full Article

KF Tam

Hong Kong J Radiol 2011;14(Suppl):S19-23

Most patients with ovarian cancer undergo surgery at some point during the course of their treatment. A primary operation may be undertaken for the purpose of confirming the diagnosis, staging, and debulking.

The Evolving Role of Anti-angiogenic Agents for Ovarian Cancer Therapy

Full Article

RA Burger

Hong Kong J Radiol 2011;14(Suppl):S12-8

Angiogenesis, or the development of micro-vascular (blood and lymph) networks from established vasculature, is a process fundamental to proliferation, invasion and metastasis of ovarian cancer and other solid tumours.

Safety and Tolerability of Bevacizumab across Tumour Types

Full Article

M Kozloff

Hong Kong J Radiol 2011;14(Suppl):S4-11

Bevacizumab is one of the novel pharmacological agents used for the treatment of multiple tumour types including metastatic colorectal cancer, non–small-cell lung cancer, metastatic breast cancer, glioblastoma multiforme, and metastatic renal carcinoma.

Multi-detector Computed Tomography of Spleen

Full Article

R Botchu, B Rao, R Tyagi, Y Griffin

Hong Kong J Radiol 2011;14:249-61

Multi-detector computed tomography has become a vital tool in imaging of the spleen. We present a pictorial review of multi-detector computed tomography imaging features of the normal spleen, its anatomic variants, and when it is affected by pathology.

Neonatal Exchange Transfusion Complicated by Haemoperitoneum and Liver Haematoma Related to Umbilical Venous Catheterization

Full Article

JTH Yeung, DCY Lui, SY Lee, JKF Ma, JCY Fong

Hong Kong J Radiol 2011;14:244-8

Umbilical venous catheterization is a commonly performed bedside procedure in the neonatal unit. Potential complications include vascular perforation, thrombosis, embolism, haemorrhage, infection, and tissue injuries.

Isolated Spontaneous Dissection of the Superior Mesenteric Artery: Successful Primary Therapy with a Nitinol Stent

Full Article

SY Lim, BS Tan, MG Sebastian, RHG Lo

Hong Kong J Radiol 2011;14:238-43

Isolated spontaneous dissection of the superior mesenteric artery is rare. Conventional treatment involves surgical or conservative management, and is increasingly supported by radiological interventions.

Cavernoma of the Hypothalamus

Full Article

BP Toe, NM Ramli, K Rahmat

Hong Kong J Radiol 2011;14:234-7

Intracranial cavernoma is a relatively rare condition. Cavernoma of the hypothalamus is even rarer. We report a case of hypothalamic cavernoma presenting with ptosis.

Dedifferentiated Chondrosarcoma in the Scapula

Full Article

ACW Tam, ATS Chan, JCK Lee, FMF Cheung

Hong Kong J Radiol 2011;14:229-33

Dedifferentiated chondrosarcoma is a rare but highly malignant form of chondrosarcoma with grave prognosis. Early and accurate diagnosis followed by radical surgery seems the only treatment to improve survival.

Role of Breast Magnetic Resonance Imaging in the Preoperative Assessment and Its Impact on Surgical Management of Patients with Newly Diagnosed Breast Cancer

Full Article

KCH Lau, CY Lui, LMF Tee, YHA Tsang, KKT Pak, M Ying, CM Chan, HS Lam

Hong Kong J Radiol 2011;14:218-28

Objective: To determine the role of breast magnetic resonance imaging in the preoperative assessment of patients with newly diagnosed breast cancer and its impact on surgical management.

Radiation Dose Reduction for Barium Enema: an Achievable Improvement in Patient Care

Full Article

BMH Lai, VKP Fung, JSF Shum, ANL Sy, SCS Cheng, JLS Khoo

Hong Kong J Radiol 2011;14:212-7

Objective: To evaluate the effectiveness and practicality of dose-reduction measures for double-contrast barium enema based on well-established UK National Reference Levels.

Clinical Radiological Conferences Outside the Radiology Department: Can This be Done Better?

Full Article

KC Chan, WCW Chu, CM Chu

Hong Kong J Radiol 2011;14:207-11

Objective: To improve the workflow of clinical radiological conferences held outside radiology department, where a radiology workstation is unavailable.

Sonography of Baker’s Cyst (Popliteal Cyst): the Typical and Atypical Features

Full Article

JPK Tsang, MK Yuen

Hong Kong J Radiol 2011;14:200-6

Baker’s cyst (Popliteal cyst) is an abnormal distension of the gastrocnemius-semimembranosus bursa, which is a commonly encountered condition in sonographic knee examinations. A cystic lesion extending between the tendons of semimembranosus