Journal

Tumour Shrinkage during Proton-based Chemoradiation for Non–small-cell Lung Cancer May Necessitate Adaptive Replanning during Treatment

Full Article

W Shi, RC Nichols, S Flampouri, W Hsi, Z Li, RH Henderson, NP Mendenhall, B Hoppe

Hong Kong J Radiol 2011;14:190-4

This study aimed to evaluate the dosimetric impact of tumour shrinkage during proton-based chemoradiotherapy. This dosimetric study describes a patient who presented with synchronous bilateral T2 non–small-cell lung cancers with no clinical or radiographical

Fibrolipomatous Hamartoma of Tibial Nerve and Its Musculoskeletal Associations

Full Article

KS Tse, KC Lai, LF Chiu, KH Lai, MK Chan

Hong Kong J Radiol 2011;14:183-9

Fibrolipomatous hamartoma is a rare condition caused by hypertrophy of mature fat and fibroblasts in the epineurium, resulting in fibrofatty infiltration and an enlarged peripheral nerve. The median nerve is most commonly affected, in which case it can be associated

Traumatic Paediatric Retroclival Epidural Haematoma

Full Article

MH Al-Omari, OM Albtoush, LA Rousan

Hong Kong J Radiol 2011;14:178-82

Retroclival epidural haematoma is a very rare type of haematoma that occurs mainly in the paediatric agegroup, as a result of ligamentous laxity at the craniocervical junction. All previously reported cases were pedestrians or cyclists hit by a motor vehicle and

Bilateral Wilms’ Tumour

Full Article

DD Rasalkar, WCW Chu, FWT Cheng, CK Li

Hong Kong J Radiol 2011;14:174-7

We present a case of bilateral Wilms’ tumours in a three-year-old girl. In addition, we briefly discuss the differential diagnoses of bilateral Wilms’ tumours and their further characterisation from unilateral tumours. Younger age at presentation, association of renal

Primary Epidural Spinal Lymphoma: a Rare Disease Entity

Full Article

RKL Lee, TCY Cheung, EHY Yuen, AT Ahuja

Hong Kong J Radiol 2011;14:170-3

Primary spinal epidural lymphoma is a rare entity and one of the differential diagnoses of an epidural spinal mass. This report describes two patients who presented with symptoms of cord compression subsequently proven to be due to primary spinal epidural lymphoma.

Behcet’s Disease with Resolving Pulmonary Artery Aneurysm and Intracardiac Thrombus

Full Article

PHJ Yeung, KKP Lau, A Lac

Hong Kong J Radiol 2011;14:167-9

The combination of pulmonary artery aneurysm and intracardiac thrombus is rare in Behçet’s disease. We report on a 39-year-old man from Iraq with a clinical diagnosis of Behçet’s disease based on a nonhealing mouth ulcer, recurrent venous thromboses in both lower

Tree-in-bud Nodules in Asian Population

Full Article

AYH Wan, JSF Shum, WH Kwan, CS Cheng

Hong Kong J Radiol 2011;14:161-6

Objective: The tree-in-bud sign is a common finding on thin-section computed tomography of the lungs. However, the differential diagnosis of this common radiological finding is long and exhausting. Knowledge of its common causes together with the patient’s

Visual and Quantitative Analysis by Gallium-67 Single-photon Emission Computed Tomography/Computed Tomography in the Management of Malignant Otitis Externa

Full Article

SSM Wong, K Wang, EHY Yuen, JKT Wong, A King, AT Ahuja

Hong Kong J Radiol 2011;14:155-60

Objective: To evaluate the value of Gallium-67 single-photon emission computed tomography/computed tomography in the diagnosis and monitoring treatment response of malignant otitis externa.

Blood Oxygen Level–Dependent Functional Magnetic Resonance Imaging in Preoperative Brain Mapping and Making Surgical Decisions

Full Article

HKF Mak, L Zhang, ST Feng, DKW Yeung, DTM Chan, XL Zhu, WS Poon

Hong Kong J Radiol 2011;14:147-54

Objective: To evaluate the efficacy of blood oxygen level–dependent functional magnetic resonance imaging in the preoperative mapping of sensorimotor cortices and language areas, and its impact on surgical decisions.

Intraoral Cone Radiotherapy for Cancer of the Oral Cavity

Full Article

SY Wong, CS Wong, TW Leung, ML Law, WY Ng, AS Lee, WK Sze, Y Tung

Hong Kong J Radiol 2011;14:141-6

Objective: To evaluate treatment results of intraoral cone therapy with or without external radiotherapy as primary treatment in patients with carcinoma of oral cavity.

Computed Tomography–guided Percutaneous Radiofrequency Ablation of Adrenal Tumours: Five-year Institutional Review on Safety and Technique

Full Article

CSL Tong, RKL Lee, PSF Lee

Hong Kong J Radiol 2011;14:132-40

Objective: Computed tomography–guided radiofrequency ablation is an emerging minimally invasive therapy for solid organ neoplasms. This study aimed to evaluate our technical and safety experience with this procedure when used for the ablation of adrenal tumours.

Giant Cell Tumour of the Thoracic Spine

R Gee, LP Chan, C Keogh, PL Munk, JX O'Connell, T Chung, C Fisher

Hong Kong J Radiol 2003;6:243-8

Giant cell tumours of the spine above the sacrum are rare, and may pose diagnostic and treatment difficulties. A patient with thoracic vertebral giant cell tumour in which soft tissue extension and proximity to the spine complicated management is described.

Aggressive Renal Angiomyolipoma: Radiological and Pathological Correlation

WC Yiu, SM Chu, RJ Collins, PC Tam, FL Chan, GC Ooi

Hong Kong J Radiol 2003;6:240-2

Renal angiomyolipoma is usually regarded as a benign lesion with no malignant potential. This report is of a patient with aggressive renal angiomyolipoma with renal vein and inferior vena cava invasion in a middle-aged female. The imaging findings and the

Hereditary Haemorrhagic Telangiectasia—Osler-Weber-Rendu Disease—with Extensive Hepatic Arteriovenous Malformation

TL Chan, Li Allen, TKL Loke, JCS Chan

Hong Kong J Radiol 2003;6:237-9

Hereditary haemorrhagic telangiectasia is a rare disease. Hepatic involvement is infrequent. A patient with an extensive hepatic arteriovenous malformation is presented. Characteristic computed tomographic and angiographic findings are described followed by a review of the literature.

Bilateral Spontaneous Lumbar Hernias: Computed Tomographic Diagnosis

HKS Tung, SCW Cheung, R Lee, FL Chan

Hong Kong J Radiol 2003;6:235-6

This is a report of an 80-year-old woman with spontaneous bilateral lumbar hernias. These uncommon masses were initially thought to be bilateral lumbar lipomas. Computed tomography allowed differential diagnosis, readily demonstrating the true nature of the lesions and the contents

Lymphocytic Mastitis and Rheumatoid Arthritis

HHL Chan, TPW Lam, J Nicholls, LLY Leong

Hong Kong J Radiol 2003;6:233-4

Lymphocytic mastitis is an uncommon condition associated with type I diabetes mellitus, which is known to be a T-cell mediated autoimmune disease. Hence, it is thought that lymphocytic mastitis is linked with autoimmune disorders. This report is of a patient

Magnetic Resonance Imaging Evaluation of Paraganglioma in the Cauda Equina

WT Ho, KS Tai

Hong Kong J Radiol 2003;6:230-2

Paragangliomas of the cauda equina, previously thought to be a rare disease affecting the spine, are being increasingly reported in the literature. This report is of a patient with paraganglioma arising in the cauda equina, and describes the magnetic resonance

Klippel-Trenaunay Syndrome Presenting in a Child with Vascular Malformation

KM Auyeung, SF Lee, YL Chan

Hong Kong J Radiol 2003;6:227-9

Klippel-Trenaunay syndrome is an uncommon disease mainly affecting the paediatric population. This syndrome is rare among Chinese people. This is a report of a patient with Klippel-Trenaunay syndrome with emphasis on magnetic resonance imaging, arteriogram, and venogram. The overall features

Cellular Immunotherapy for Cancer

B Chan, W Lee

Hong Kong J Radiol 2003;6:219-26

Cancer immunotherapy is a major branch of biological therapy that utilises living cells and their products. Advances in molecular biology and immunology have led to the development of novel therapeutic strategies. This paper is an introductory review of the present

Renal Artery Stenosis: Significance and Treatment

MRE Dean

Hong Kong J Radiol 2003;6:213-8

This paper was presented at the 10th Annual Scientific Meeting of the Hong Kong College of Radiologists, 19 October 2002. (No abstract available)

Gastrointestinal Stromal Tumours of the Small Bowel—Computed Tomography Appearance, Angiographic Features, and Potential Pitfalls in Digital Subtraction Angiography

CT Wong, YW Lee, LWC Ho, KH Pay, HYH Huang

Hong Kong J Radiol 2002;5:197-201

Gastrointestinal stromal tumours are neoplasms that were formerly misnamed as smooth muscle tumours of the gastrointestinal tract (leiomyomas and leiomyosarcomas). The diagnosis and localisation of these tumours as a cause of bleeding from the small bowel is often difficult. This

Urinary Bladder Leiomyoma

FK Wong, YFM Wong, KF Ma, CY Lui

Hong Kong J Radiol 2002;5:193-6

A case of urinary bladder leiomyoma in a patient initially diagnosed as having urethritis on account of a 2-week history of purulent urethral discharge is presented. The clinical presentation, imaging findings, and management of this rare benign tumour are discussed.

Lymphangioleiomyomatosis: Computed Tomography–guided Tru-cut Biopsy of a Retroperitoneal Mass

R Lee, KSH Tung, WK Tso, FL Chan

Hong Kong J Radiol 2002;5:190-2

A patient with lymphangioleiomyomatosis with an unusual presentation mimicking ovarian cancer is described. Computed tomography-guided tru-cut biopsy of the retroperitoneal lymph node established the histological diagnosis. Concomitant computed tomography-guided fine needle aspiration only revealed a large number of small-sized lymphocytes.

Metastatic Calcification

KF Tam, K Wang, WC Fan

Hong Kong J Radiol 2002;5:186-9

A patient with metastatic calcification is presented and the contributions of plain film, computed tomography, and bone scintigraphy in the diagnosis are discussed. The patient had a long history of end-stage renal failure, and was previously receiving peritoneal dialysis and

Amyloidosis: The Value of Bone Scintigraphy

K Wang, SL Fung, V Chan, JCS Chan

Hong Kong J Radiol 2002;5:183-5

An 80-year old woman complained of a 1-month history of dry cough. Bronchoscopy and tracheobronchial biopsy revealed tracheobronchial amyloidosis. Compted tomography scan showed narrowing of the trachea with intraluminal nodularity. Whole body and single photon emission computed tomography 99mTc pyrophosphate

Sedation of Paediatric Patients Undergoing Magnetic Resonance Imaging Examination: A Clinical Audit

WCW Chu, WWM Lam

Hong Kong J Radiol 2002;5:176-82

Objective: To evaluate the efficiency and effectiveness of the sedation practice adopted for paediatric patients undergoing magnetic resonance imaging examination in a local hospital in Hong Kong.

Materials and Methods: 120 consecutive children with a mean age of 3.2 years

Pneumobilia at Magnetic Resonance Cholangiography: Diagnostic Pitfalls and Solutions

YL Chan, WWM Lam, C Metreweli, SSC Chung

Hong Kong J Radiol 2002;5:170-5

Objective: To assess the diagnostic problem created by pneumobilia at magnetic resonance cholangiography performed in the supine position, and to investigate whether performing the examination in the decubitus position obviates the problem.

Patients and Methods: Twelve patients with a history

Imaging Features of Crohn's Disease in Chinese People: A Preliminary Study

ASC Cheng, HKF Mak, CKC Lai, CB Ip, HS Cheung

Hong Kong J Radiol 2002;5:162-9

Objective: A retrospective study to describe the imaging findings of Crohn’s disease in Hong Kong Chinese patients.

Patients and Methods: Radiological and cross-sectional imaging studies performed in a 3-year period (1997 to 2000) on 17 patients with proven Crohn’s disease