Journal

Imaging in Thalassaemia

YL Chan, HY Tse

Hong Kong J Radiol 2002;5:155-61

Thalassaemia is the most important haemoglobinopathy in Hong Kong and Southeast Asia. In this review, the role of ultrasound in prenatal imaging of affected foetuses and the value of radiography and magnetic resonance imaging in the evaluation and management of

Chemotherapy for Advanced Colorectal Carcinoma: Fact and Fable

RTT Chan, GKH Au, CC Yau

Hong Kong J Radiol 2002;5:143-54

For more than 40 years, 5-florouracil has been the mainstay of treatment for advanced colorectal carcinoma. Despite its many modulations by other agents or changes in scheduling of its delivery with resultant improvement in response rates, the increase in absolute

Computed Tomographic Images of Bowel Gangrene Secondary to Mesenteric Injury

KKT Lai, YYR Chan, LC Chong, WCC Wong, YHH Huang

Hong Kong J Radiol 2002;5:132-5

A case of bowel gangrene secondary to mesenteric injury is described. Although computed tomography is the primary imaging modality for the assessment of patients with blunt abdominal injury, computed tomography findings in bowel and mesenteric injury can be subtle and

Echocardiographic Assessment of Neonates with Congenital Heart Disease

MP Leung

Hong Kong J Radiol 2002;5:126-31

Echocardiographic imaging of neonates with congenital heart disease should be performed in a systematic manner, using the sequential segmental approach. The initial step involves determining the atrial arrangement, followed by assessment of the atrio-ventricular and ventriculo-arterial connections, and detection of

Sacrococcygeal Chordoma

MYS Soo, L Wong

Hong Kong J Radiol 2002;5:117-25

The imaging findings in 5 cases of sacrococcygeal chordoma and 4 patients with other sacral tumours (1 primary neurogenic tumour, 1 metastatic tumour from primary disease in the breast and 1 from the kidney, and an abdominal paraganglioma) are presented

Luminal Gas Mimicking Pneumatosis Intestinalis: A Cautionary Tale

WC Torreggiani, ID Lyburn, AC Harris, PL Munk

Hong Kong J Radiol 2002;5:114-6

We report the case of a patient with partial small bowel obstruction who underwent laparotomy for possible bowel ischaemia, after imaging studies suggested pneumatosis intestinalis. At surgery, the patient was shown to have small bowel obstruction due to inspissated feeds.

Porcelain Appendix: A Rare but Essential Diagnosis

KM Auyeung, CW Lai, SF Lee

Hong Kong J Radiol 2002;5:111-3

Mucocele of the appendix is a rare entity, not often considered when problems pertaining to the right lower abdominal quadrant are encountered. We describe the case of a patient with a large cystic mass in the lower abdomen, with extension

Megacalycosis Revisited

PHC Lau, AF McKenzie

Hong Kong J Radiol 2002;5:109-10

A case of megacalycosis is reported as an incidental finding in a Chinese woman with bilateral breast cancer. Megacalycosis is an uncommon condition. The radiological features and a literature review of this condition are presented.

Idiopathic Spinal Epidural Lipomatosis

RKT Lee, LF Chau, KS Yu, CW Lai

Hong Kong J Radiol 2002;5:105-8

Spinal epidural lipomatosis is most often associated with exogenous steroid therapy and endocrinopathy. Idiopathic spinal epidural lipomatosis is a rare disease. Obesity may be associated with this condition. We report the case of a patient with persistent back pain after

Postoperative Adjuvant 5-Fluorouracil plus Levamisole Chemotherapy for Stage III Colon Carcinoma: 7-Year Experience in a Single Institution

CC Law, YT Fu

Hong Kong J Radiol 2002;5:97-104

Objectives: To determine the therapeutic efficacy and toxicity of 5-fluorouracil plus levamisole as postoperative adjuvant therapy for stage III colon carcinoma, and to identify prognostic variables.

Materials and Methods: A retrospective review was undertaken of 168 patients registered in our

Preoperative Radiotherapy for Resectable Adenocarcinoma of the Rectum

RA Zlotecki, WM Mendenhall, EM Copeland III

Hong Kong J Radiol 2002;5:88-96

Objective: To evaluate recurrence and survival rates in patients with resectable rectal adenocarcinoma treated with preoperative radiotherapy.

Patients and Methods: Two hundred and ten patients with resectable rectal adenocarcinoma treated with preoperative radiotherapy and surgery were seen for a minimum 5

Gastrointestinal Stromal Tumours—A Retrospective Study of the Clinical, Endoscopic, and Computed Tomographic Features

HKF Mak, CMY Leung, CW Chan, JWC Ho, KKO Mak, KCW Wong

Hong Kong J Radiol 2002;5:82-7

Objective: To evaluate the clinical, endoscopic, and computed tomographic findings of gastrointestinal stromal tumours.

Patients and Methods: Twenty-five patients with the pathological diagnosis of gastrointestinal stromal tumours seen at Yan Chai Hospital over a period of 5 1/2 years were included

Adjuvant Chemotherapy for Nasopharyngeal Carcinoma

PML Teo

Hong Kong J Radiol 2002;5:79-81

No abstract available.

Percutaneous Insertion of Hickman Central Venous Catheter: Jugular Approach

KY Lau

Hong Kong J Radiol 2002;5:69-72

Traditionally, tunnelled central venous catheter insertions have been performed by surgeons. However, there is an increasing trend towards central catheters being placed by interventional radiologists under image guidance. The many advantages of inserting central catheters via the jugular approach under

Rheumatoid Arthritis: Survey of Magnetic Resonance Imaging Features in the Musculoskeletal System

PL Munk, LO Marchinkow, WC Torreggiani, MJ Lee

Hong Kong J Radiol 2002;5:63-8

Rheumatoid arthritis is the most common inflammatory arthropathy worldwide, but may be less prevalent in Asian populations. The spectrum of magnetic resonance imaging findings encountered in the musculoskeletal system in this disease are discussed. The role of magnetic resonance imaging

Imaging Features of Aleveolar Soft Part Sarcoma

S Nicolaou, J Hagel, PL Munk, WC Torreggiani, JJ Dubec, MJ Lee, JX O'Connell

Hong Kong J Radiol 2002;5:54-62

Alveolar soft part sarcoma is a rare, highly vascular, soft tissue sarcoma. It usually presents as a slow growing, painless lesion in the lower extremities of young adults. Bone invasion is rare. In this pictorial essay, we present the imaging

Solid-cystic Pancreatic Tumour (Frantz's Tumour)—An Unusual Spleno-renal Angle Tumour in a Teenager

PSF Lee, ASC Ching, YL Chan

Hong Kong J Radiol 2002;5:50-3

We report a rare case of solid-cystic pancreatic tumour presenting as a spleno-renal angle mass in a 14-year-old girl. Transabdominal ultrasound showed a well-capsulated mass with irregular heterogeneous echogenic foci intermixed with small hypoechoic components in a bizarre pattern. The

Lymphoepithelioma-like Carcinoma of the Lung

CS Cheng, WH Yeung, WK Kwok, WH Kwan

Hong Kong J Radiol 2002;5:47-9

Primary lymphoepithelioma-like carcinoma of the lung is a rare tumour. We report a patient with a solitary pulmonary nodule, unchanged on follow-up CT scans of the thorax over two years, but subsequently confirmed on histology as a lymphoepithelioma-like carcinoma of

Iliofemoral Deep Vein Thrombosis Secondary to Venous Compression by a Massively Distended Bladder

D Liu, WC Torreggiani, PL Munk, S Ho, C Morris, G Legiehn

Hong Kong J Radiol 2002;5:43-6

A case of iliofemoral deep vein thrombosis secondary to venous compression by a massively distended bladder is reported. Ascending venography was valuable in identifying the primary cause of venous obstruction, as well as guiding thrombolysis.

Chronic Thromboembolic Pulmonary Hypertension

K Wang, SSS Lo, KW Chan

Hong Kong J Radiol 2002;5:39-42

The characteristic imaging features of chronic thromboembolic pulmonary hypertension are described. This is a very rare disorder; prompt surgical treatment affords good results. The complementary use of the ventilation/perfusion scan and CT pulmonary angiogram in diagnosis, and exclusion of other

Bird's Nest Inferior Vena Cava Filter Thrombosis

KY Lau, JKW Chan, SW Pang, DJ Roebuck, LTH Tan

Hong Kong J Radiol 2002;5:35-8

We describe the case of a patient who died approximately 3 months after having had a jugular Bird’s nest inferior vena cava filter placed for prophylaxis of pulmonary embolism. Postmortem examination revealed inferior vena cava filter thrombus and thromboembolic occlusion

Acute Dural Sinus Thrombosis—Computed Tomography and Magnetic Resonance Imaging Features

KY Lau, M Au-Yeung, TH Tsoi, DJ Roebuck, LTH Tan

Hong Kong J Radiol 2002;5:29-34

Dural sinus thrombosis is a diagnosis that is not commonly thought of in the first instance by radiologists and clinicians, especially when the clinical presentation is not specific. We describe the clinical presentation of three patients with acute thrombosis of

Radiation Doses to Staff in a Nuclear Medicine Department

WY Ho, KK Wong, YL Leung, KC Cheng, FTH Ho

Hong Kong J Radiol 2002;5:24-8

Objectives: To measure external radiation doses and estimate internal radiation doses (due to the process of radionuclide injection) to staff members working in a nuclear medicine department over a 1-year period; to assess the possible radiation doses to staff members

Scattered Radiation Level During Computed Tomography Fluoroscopy

CB Chan, LK Chan, HS Lam

Hong Kong J Radiol 2002;5:19-23

Objective: To assess the scattered radiation dose to personnel during CT fluoroscopy using phantom measurements.

Materials and Methods: Scattered radiation levels (normalised by mA and scan time) were measured at different distances from the isocentre of the CT scanner with

Chemoembolisation of Hepatic Tumours: Changes in Platelet Count, Haemoglobin, and Creatinine Postembolisation

PL Munk, SGF Ho, GM Legiehn, MJ Lee, DC Morris

Hong Kong J Radiol 2002;5:14-8

Objective: To determine the frequency and magnitude of decreases in renal function, haemoglobin levels, and platelet count after chemoembolisation in patients with liver tumours.

Materials and Methods: Eighteen patients with a mean age of 59 years (range, 37 to 78

Digital Radiology: A Decade of Clinical Experience

W Hruby

Hong Kong J Radiol 2002;5:3-13

The world's first entirely digital radiology system was planned in 1988 and implemented in 1992 in the Danube Hospital of the Socio Medical Care Centre East in Vienna, Austria. An overview is provided of a decade's experience in digital radiology,

High Precision Boosting of the Nasopharynx—Dosimetric Comparison of Conventional and Conformal Radiotherapy Techniques

FJ Lagerwaard, PC Levendag, A van Nimwegen, C de Pan, PJCM Nowak

Hong Kong J Radiol 2001;4:137-42

Objective: We report a 5-year local relapse-free survival of 94% for T1 to 2 nasopharyngeal carcinoma using endocavitary brachytherapy as a boost to deliver cumulative doses of 95 Gy to the nasopharynx. Brachytherapy may be less than adequate for extension

Suprasellar Ependymoma

VCY Chiu, CM Chan, PTG Chan, HM Chiu, YLJ Cheung, CHS Chan

Hong Kong J Radiol 2001;4:169-72

Supratentorial ependymomas account for approximately 40% of intracranial ependymomas. We present an unusual case of supratentorial ependymoma, with both clinical and radiological features of a suprasellar tumour.

Retrograde Jejuno-jejunal Intussusception from Small Bowel Metastases

WH Luk, TKL Loke, WK Kwok, JCS Chan

Hong Kong J Radiol 2001;4:166-8

Retrograde intussusception is extremely uncommon, usually occurring as a complication of gastric surgery and long intestinal tube. We report a case of retrograde jejuno-jejunal intussusception with a lead point due to a pulmonary metastatic deposit.

Management of a Non-deflating Foley Catheter During Hysterosalpingography Using Ultrasound Guidance

Y Wong, LWC Ho, WK Tso

Hong Kong J Radiol 2001;4:164-5

Foley catheters are often used during hysterosalpingography examinations for the purpose of delivering contrast. Among the list of complications with hysterosalpingography, however, the problem of a non-deflating Foley catheter balloon is rarely described. Potential factors predisposing to nondeflating balloons include