Journal

Upright, Weight-bearing, Dynamic-kinetic Magnetic Resonance Imaging of the Spine—Review of the First Clinical Results

JR Jinkins, JS Dworkin, CA Green, JF Greenhalgh, M Gianni, M Gelbien, RB Wolf, J Damadian, RV Damadian

Hong Kong J Radiol 2003;6:55-74

Magnetic resonance imaging has, until recently, been limited to scans with patients in the recumbent position. However, a new fully open magnetic resonance imaging unit has been configured to allow upright, partially upright, and recumbent imaging, enabling weight-bearing positional evaluation

Acute Osteolysis of the Public Bone and Sacral Insufficiency Fracture

YYR Chan, YL Lee, WF Ng, KKT Lai, ACW Chin, WC Wong, YHH Huang

Hong Kong J Radiol 2003;6:45-7

Pubic osteolysis can mimic malignant or infective bone disease. With a growing elderly population locally, it is expected that an increasing number of patients with pubic osteolysis will be encountered in clinical practice. Awareness of this entity and a vigorous

Paget's Disease of the Breast

CY Lui, KL Mak, HS Lam, LK Chan

Hong Kong J Radiol 2003;6:42-4

Paget’s disease of the breast is an uncommon entity. It is characterised by clinical findings of nipple changes, with or without an underlying palpable mass, and is invariably associated with underlying malignancy. We present a case of Paget’s disease of

Severe Arm Pain Preceding Life-threatening Reaction to Gadolinium—a Possible Warning Sign?

A Lqbal, CJ Roche

Hong Kong J Radiol 2003;6:40-1

Gadolinium-based contrast agents are used in selected patients for further characterisation of lesions. These contrast agents are safe for the vast majority of patients, although various adverse reactions to these agents have been reported with relatively few life-threatening reactions, especially

Computed Tomographic Diagnosis of Unsuspected Pericarditis

RT Dwyer, T Khalil

Hong Kong J Radiol 2003;6:36-9

There is a paucity of scientific literature regarding the utility of computed tomography in the diagnosis of acute pericarditis. This report may be the first in the English language literature to document a diagnosis of clinically unsuspected acute pericarditis made

Primary Tuberculosis of the Breast

JHF Yuen, TPW Lam, L Leong

Hong Kong J Radiol 2003;6:33-5

The mammographic and sonographic features of primary tuberculosis of the breast are discussed, alongside the presentation of a patient with this condition. A definitive diagnosis, based on imaging alone, can be difficult to make due to the variable patterns of

Uterine Lipoleimyoma: Ultrasound and Computed Tomography Findings

HHL Chan, MT Chau, CHL Lam, SCW Cheung

Hong Kong J Radiol 2003;6:30-2

Uterine lipoleiomyoma is a rare benign tumour, with only 8 cases reported in the radiological literature to date. It is easily misdiagnosed as an ovarian teratoma on radiological imaging studies. This report is of a patient with uterine lipoleiomyoma as

Breast Thickness and Lesion Depth Measurement Using Conventional Stereotactic Biopsy Systems

T Chan, KW Wong, KW Tsui, HY Lau, MC Au Yeung

Hong Kong J Radiol 2003;6:28-9

Thin breasts and shallow lesions are commonly encountered problems that preclude safe stereotactic core biopsy with a vertical approach using erect add-on stereotactic biopsy systems. A simple method to measure breast thickness and depth of lesion using conventional erect add-on

Identification of Cranial Nerve Impingement Using 3-Dimensional Constructive Interference in Steady State Sequence

SS Lingawi

Hong Kong J Radiol 2003;6:25-7

The use of 3-dimensional constructive interference in steady state magnetic resonance imaging sequence in the evaluation of vascular loops related to the various cranial nerves in patients with cranial neuropathies and a healthy population is described.

The Prevalence of Vascular Impingement of the Trigeminal, Facial, and Vestibulocochlear Nerves in Healthy Volunteers

SS Lingawi

Hong Kong J Radiol 2003;6:20-4

Aim: To determine the prevalence of vascular impingement of the trigeminal, facial, and vestibulocochlear nerves in a healthy population.

Subjects and Methods: The trigeminal, facial, and vestibulocochlear nerves of 90 asymptomatic volunteers were assessed for the presence or absence of

Juvenile Nasopharyngeal Angiofibroma

WM Mendenhall, JW Werning, RW Hinerman, RJ Amdur, DB Villaret

Hong Kong J Radiol 2003;6:15-9

Review of the literature was performed to define the optimal treatment of patients with juvenile nasopharyngeal angiofibroma. Patients with extracranial juvenile nasopharyngeal angiofibroma have a high likelihood of cure with acceptable morbidity after surgery alone. Transnasal endoscopic resection is highly

Chemotherapy for Non-metastatic High-grade Osteosarcoma of Extremity—Is Neoadjuvant Better than Adjuvant?

RKC Ngan

Hong Kong J Radiol 2003;6:7-14

The addition of adjuvant or neoadjuvant chemotherapy to surgery revolutionises the treatment of high-grade non-metastatic osteosarcoma of the extremities. Overall 5-year survival of more than 50% to 60% is now a realistic achievable goal. Neoadjuvant chemotherapy possesses the theoretical

Radiological Appearances of Severe Acute Respiratory Syndrome

KT Wong, GE Antonio, DSC Hui, N Lee, EHY Yuen, A Wu, CB Leung, TH Rainer, P Cameron, SSC Chung, JJY Sung, AT Ahuja

Hong Kong J Radiol 2003;6:4-6

Recently, there has been an outbreak of severe acute respiratory syndrome in Hong Kong. Various radiological appearances, including chest X-ray and computed tomography, at the time of diagnosis, and the imaging protocol for suspected cases are reviewed in this article.

SAR's SARS

Peter ML Teo

Hong Kong J Radiol 2003;6:3

No abstract available.

Congenital Inner Ear Malformations

KS Tse, KM Chu, LF Chiu, TW Fan, TK Tsang, TL Kwan

Hong Kong J Radiol 2011;14:118-25

Hearing impairment is defined as a person’s hearing threshold being above the normal range of -10 to 15 decibels. It has significant impact on a child’s language, cognitive, socioemotional and behavioural development. Therefore early recognition of hearing

Redundant Nerve Roots of the Cauda Equina Associated with Lumbar Spinal Arachnoid Cyst

SWV Chan, R Lee, MT Chau

Hong Kong J Radiol 2011;14:113-7

A patient with redundant nerve roots of the cauda equina associated with the presence of an intra-spinal arachnoid cyst is described. She presented with sensory, motor and sphincter dysfunction. Magnetic resonance imaging revealed redundant nerve roots manifesting

Primary Cutaneous Gamma-delta T-cell Lymphoma: Predominant Subcutaneous Uptake Detected by 18F-Fluorodeoxyglucose Positron Emission Tomography/Computed Tomographic Scan in a Rapidly Deteriorating Patient

B Lo, CM Lok, KM Kwok, WP Chu, WS Mak, NY Sin

Hong Kong J Radiol 2011;14:108-12

Primary cutaneous gamma-delta T-cell lymphoma is a rare subtype of primary cutaneous peripheral T-cell lymphoma. In the latest World Health Organization / European Organisation for Research and Treatment of Cancer classification and World Health

Congenital Posterior Arch Defect of the Atlas: Report of a Rare Anomaly

CY Chu, RTM Chan, VKP Fung, CS Cheng

Hong Kong J Radiol 2011;14:102-7

Congenital defects of the posterior arch of the atlas are rare, with a reported prevalence of 0.95 to 4%. The defects have been classified into five types (A-E), with type A being most common and types B-E being found only in 0.69% of the general population.

Disseminated Atypical Teratoid/Rhabdoid Tumour in a Boy: Uncommon Presentation of a Rare and Highly Aggressive Tumour of the Central Nervous System

WP Chu, KL Siu

Hong Kong J Radiol 2011;14:97-101

Atypical teratoid/rhabdoid tumour is a rare, highly aggressive tumour of the central nervous system, usually encountered in paediatric patients, and at presentation it is seldom disseminated. This report describes such a case in a 21-month-old boy.

Anterior Interosseous Nerve Syndrome: Characteristic Magnetic Resonance Findings and Applications

CY Chu, JCK Lee, JLY Leung, CS Cheng

Hong Kong J Radiol 2011;14:93-6

Anterior interosseous nerve syndrome, also known as Kiloh-Nevin syndrome, is characterised by weakness of the muscles supplied by the anterior interosseous nerve, a branch of the median nerve that innervates the flexor pollicis longus, the flexor digitorum

Acute Calcific Prevertebral Tendonitis: an Uncommon Cause of Acute Neck Pain Presenting with a Retropharyngeal Effusion

FNY Sin, AB Lo, KL Siu, WP Chu

Hong Kong J Radiol 2011;14:89-92

Acute calcific prevertebral tendonitis is a self-limiting inflammatory process due to deposition of calcium hydroxyapatite in the tendon fibres of the longus colli muscles. Its initial clinical and radiological presentation significantly overlaps with that of a retropharyngeal

Dural Tear and Pseudomeningocele Due to Lumbar Burst Fractures: Detection by Multidetector Computed Tomography and Magnetic Resonance Imaging

JC Kandathil, M George

Hong Kong J Radiol 2011;14:84-8

Dural tear and pseudomeningocele are reported to occur with thoracic and lumbar burst fractures. Conventional myelography, computed tomography with intrathecal metrizamide, dynamic computed tomographic myelography, magnetic resonance imaging and

Questionable Adequacy of Magnetic Resonance for the Detection of Ossification of the Posterior Longitudinal Ligament of the Cervical Spine

JJ Wong, OC Leung, MK Yuen

Hong Kong J Radiol 2011;14:78-83

Objective: To investigate the sensitivity of magnetic resonance for detecting cervical ossification of the posterior longitudinal ligament.

Methods: A retrospective review of 427 patients in whom cervical ossification of the posterior longitudinal ligament

Association of Osteosarcoma Necrotic Volumes with Tumour Size and Lung Metastasis: Revealed by Magnetic Resonance Imaging

M Nor Azam, NM Nik Munirah, W Zulmi

Hong Kong J Radiol 2011;14:73-7

Objective: Osteosarcoma is the most frequent skeletal malignancies in children and adolescents. Studies indicate that hypoxia of such solid tumours has a major prognostic impact; severe and long-lasting hypoxia results in tumour necrosis. Therefore presence of

Conservative Treatment of Acute Cholecystitis with Percutaneous Cholecystostomy and Antibiotics: Retrospective Review of Outcomes

KC Chan, PSF Lee, CC Chan

Hong Kong J Radiol 2011;14:68-72

Objective: To review the outcome of patients treated by percutaneous cholecystostomy and antibiotics alone for acute cholecystitis without resorting to elective cholecystectomy.

Methods: Data on patients who underwent percutaneous

Ovarian Malignant Mixed Germ Cell Tumour Presenting as Advanced Disease in an Adolescent Girl

Full Article

DD Rasalkar, WCW Chu, FWT Cheng, CK Li

Hong Kong J Radiol 2009;12:85-7

Ovarian malignant germ cell tumours are uncommon and predominantly affect girls and young women. Dysgerminomas (equivalent to testicular seminomas) and non-dysgerminomatous tumours are the 2 most common histological types; the mixed type is even rarer

Non-haemorrhagic Pontine Venous Infarct due to Thrombosed Cerebellar Venous Angioma

Full Article

SSM Lo, YL Cheung, KW Tang, CM Chan, CW Siu, KY Kwok, SCH Chan

Hong Kong J Radiol 2009;12:79-84

Developmental venous anomaly (also known as venous angioma or venous malformation) is one of the 4 main vascular malformations. Developmental venous anomaly is usually benign and clinically silent. This report is of a patient with cerebellar developmental venous

Abdominoscrotal Hydrocele: an Uncommon Entity in Adults Presenting with Lower Abdominal and Scrotal Swelling

Full Article

DD Rasalkar, WCW Chu, B Mudalgi, BK Paunipagar

Hong Kong J Radiol 2009;12:76-8

Abdominoscrotal hydrocele is an uncommon clinical entity that is infrequently reported in adults. Abdominoscrotal hydrocele consists of scrotal and abdominal components that are connected through the inguinal canal. This report is of a 36-year-old man with

Transcatheter Embolisation of a Renal Arteriocalyceal Fistula following Radiofrequency Ablation for Renal Cell Carcinoma

Full Article

EMW Man, KY Lau

Hong Kong J Radiol 2009;12:72-5

Radiofrequency ablation is a promising minimally invasive therapy for patients with renal cell carcinoma who are not suitable for surgical therapy. The procedure has a low complication rate. This report is of a patient with delayed life-threatening haematuria

Prolonged Survival with Multiple Pulmonary Metastases from Adenoid Cystic Carcinoma after Conservative Management

Full Article

TH Yeung, CS Wong, YC Chu, W Tam, KF Ma, WT Yung

Hong Kong J Radiol 2009;12:68-71

This report is of a 38-year-old woman with adenoid cystic carcinoma and extensive lung metastases. The patient had prolonged survival of almost 2 decades after conservative treatment. The radiological features of metastatic adenoid cystic carcinoma have rarely been