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Volume 5

December, 2021

Volume 5, Issue 1

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Volume 4

December, 2020

Volume 4, Issue 2

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March, 2020

Volume 4, Issue 1

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Volume 3

May, 2019

Volume 3, Issue 1

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Volume 2

April, 2017

Volume 2, Issue 1

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December, 2017

Volume 2, Issue 2

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Volume 1

May, 2016

Volume 1, Issue 1

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September, 2016

Volume 1, Issue 2

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Article in press

  • 2022, January

    brief research report

    Role of Low-Level Laser Therapy as an Adjuvant in Functional Rehabilitation of Patients with Joint Stiffness in Post-Burn ContractureOpen Access

    M. Vijayaragavan, Ravi K. Chittoria*, Neljo Thomas, Nishad Kerakada, Sanikommu D. Reddy and Mannoj Kumar S
    DOI: https://dx.doi.org/10.17140/ROJ-6-135
    Provisional PDF366.63 KB 366.63 KB
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    Abstract [+]

    Introduction
    Post-burn contracture is a known sequelae of burn injuries involving neck, axilla, elbow, and hand. There are many methods which are used as adjuvant in rehabilitation of post-burn contracture patients. The low-level laser therapy (LLLT) is one of the methods that can be used as an adjuvant in rehabilitation of joint stiffness following burns and but with very few data available from India. In this article we share our experience of using LLLT for functional rehabilitation of a patient with joint stiffness following postburn contracture.
    Materials and Methods
    This study was conducted in a burns centre in a tertiary care institute in South India. Informed consent and departmental ethical committee clearance were obtained prior to study. The subject was a young boy with no known co-morbidities with stiffness of metacarpophalangeal and interphalangeal joint of index and middle finger of right hand. Patient was treated with contracture release with full thickness skin graft. The patient received low-level laser therapy to induce collagenolysis and to increase the movement of the joints. Each joint received laser therapy for duration of 125-second every time for 15-minutes for 2 sessions in
    a span of 4-days.
    Result
    LLLT has been found to be useful in early rehabilitation of post-burn contracture patients with joint stiffness. No side effects were observed during the study.
    Conclusion
    The LLLT is an effective, safe, and non-invasive adjuvant in functional rehabilitation of our patient with joint stiffness following post-burn contracture. We suggest further study including multiple subjects and a control group for validation of the result.
    Keywords
    Low-level laser therapy (LLLT); Post-burn contracture; Joint stiffness; Functional rehabilitation.


  • 2022, May

    original research

    Role of Digital Assessment in Wound ManagementOpen Access

    Jacob A. Chakiath, Ravi K. Chittoria*, Nishad Kerakada, Neljo Thomas, Barathkumar S. Parthiban, Adithyakevin James, Perumal Chakkravarthy and Varun Rajanna
    DOI: https://dx.doi.org/10.17140/ROJ-6-136
    Provisional PDF624.65 KB 624.65 KB
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    Abstract [+]

    Aim
    The aim of this study was to assess the role of digital planimetry in accurate measurement of wound size and guide in wound bed preparation in our patient. The calculation of wound surface area was done by using ImageJ software.
    Methods
    In our study, digital planimetry was used to measure the wound size using ImageJ software.
    Results
    In our study, digital planimetry helped inaccurate measurement of wound and helped to plan measures to decrease the wound size.
    Conclusion
    Digital assessment and ImageJ is a simple, easy, cost-effective technique of accurate wound measurement for wound management.
    Keywords
    Digital planimetry; ImageJ; Wound.


  • 2022, May

    review

    Current State of Gonadal Shielding in Medical Imaging: A ReviewOpen Access

    Julie Ho, Euclid Seeram, Edel Doyle, Simone Roberts and John Mc Inerney*
    DOI: https://dx.doi.org/10.17140/ROJ-6-137
    Provisional PDF448.61 KB 448.61 KB
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    Abstract [+]

    Introduction
    In recent times the benefits of using gonadal shielding have been brought into question. Several professional bodies have released positional statements in support of ceasing the use of gonadal shields. However, in Australia the regulatory authority for radiation has not commented to date. This literature review aims to explore the risks and benefits of using lead protection and to establish the current state of the use of gonadal shields in clinical practice.
    Methods
    A search of the literature was conducted using online databases under the subject “Medical Imaging and Radiation Sciences”. Key terms and phrases included “lead protection”, “plain film imaging”, “lead shielding”, “gonadal shielding”, “X-ray”, “radiography”, “pelvic radiography”,
    “radiation protection”, “methods”, “education” and “gonadal shielding”. Articles pertaining to radiation therapy, literature reviews and those not in English were excluded.
    Results and Discussion
    Gonad shields are often poorly used despite agreement of what constitutes accurate and inaccurate shielding. Inaccurate shielding relates to both inappropriate size and inaccurate positioning of shields. Retrospective studies demonstrated a higher incidence of inaccurate gonadal shield placement in females compared to males. Inaccurate shielding had implications for patients such as obscuration of important anatomy and pathology and increased radiation dose if repeat X-rays were required to correct positioning errors. Shield design innovation was identified as a future area of research that could assist with overcoming these errors. Where gonad shielding was found to be of benefit in patients with conditions that require regular follow-up imaging. This is especially important in conditions affecting children and adolescents who have increased radiosensitivity and longer life expectancy.
    Conclusion
    Studies have demonstrated high incidence of inaccurately positioned gonad shields for female patients, which leads to repeated X-ray images and increased dose to patients. However, shielding has been shown to be beneficial for patients requiring frequent X-ray examinations to reduce cumulative radiation dose. Establishing a standardised protocol regarding the application of gonadal shields, supported by regulatory agencies, is imperative.
    Keywords
    Radiography; Gonadal lead protection; Dose; Radiation protection; Regulation.


NOTE: The DOIs of the In-Press Articles will only function after the final publication of the articles and once they are uploaded to the Current Issues.
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Current Issue

  • 2021, December

    case report

    The Emergency Coil Embolization of Iatrogenic Injury to Carotid with Supraclinoid Pseudoaneurysm and Carotid Cavernous Fistula: A Case ReportOpen Access

    Shivaji Pole, Jyoti Taneja* and Ishtiyaque Ansari
    DOI: https://dx.doi.org/10.17140/ROJ-5-133
    PDF529.75 KB 529.75 KB
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    Abstract [+]

    Carotid cavernous fistulae (CCF) are unique communication between the cavernous segment of the internal carotid artery (ICA) and the cavernous sinus. CCF are rare and result from traumatic skull base fractures (0.2-0.8%). CCF resulting from iatrogenic intradural traumatic aneurysms are not common, and they are hard to treat using a surgical approach. This report presents the case of a female patient with iatrogenic CCF, which resulted from proximal ICA injury. The CCF was successfully treated using the endovascular coil embolization. The patient has reported improvement in her vision, one-year follow-up routine has indicated
    no recurrence with this technique.
    Keywords
    Coil embolization; Traumatic cerebral pseudoaneurysm; Carotid cavernous-fistula.


  • 2021, December

    review

    The Use of Lead Protection for Staff in Mobile Radiographic Settings: Can Staff Abandon Its Use?Open Access

    Carla Munoz*, Euclid Seeram and John Mc Inerney
    DOI: https://dx.doi.org/10.17140/ROJ-5-134
    PDF391.25 KB 391.25 KB
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    Abstract [+]

    The use of lead protection in patient contexts has recently come under scrutiny, with organisations moving towards ceasing its use in plain film radiography. The use of lead shielding in protecting staff in low-dose settings, such as plain film and mobile radiography,
    is therefore an important aspect of practice to be reviewed. The objective of this review is to evaluate the use of lead shielding in protecting staff in plain film and mobile radiography, while also exploring the evolution of occupational doses and perceptions of lead protection. While literature is limited on the use of lead protection for staff in mobile settings, lead protection has been shown to reduce staff and adjacent patient dose from scatter. Furthermore, despite the increased frequency of medical imaging procedures in contemporary radiography, the occupational doses of medical radiation workers have reduced over time. With literature demonstrating gaps in current understandings of radiobiological mechanisms at low doses, the linear no-threshold model utilised to estimate radiation risk and develop protection standards cannot be rejected. Thus, this review finds the need for further research to be undertaken to improve risk estimates at low doses in larger cohorts of medical radiation workers, for the demonstration of long-term effects from occupational exposure, prior to ceasing staff lead protection.
    Keywords
    Radiation protection; Occupational dose; Lead protection; Mobile radiography; Radiography; COVID-19 pandemic.


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Previous Issue

  • 2020, June

    systematic review

    The Use of Artificial Intelligence in Computed Tomography Image Reconstruction: A Systematic ReviewOpen Access

    Theresa Lee* and Euclid Seeram
    DOI: https://dx.doi.org/10.17140/ROJ-4-129
    PDF489.52 KB 489.52 KB
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    Abstract [+]

    Background

    Current image reconstruction techniques in computed tomography (CT) such as filtered back-projection (FBP) and iterative reconstruction (IR) have limited use in low-dose CT imaging due to poor image quality and reconstruction times not fit for clinical implementation. Hence, with the increasing need for radiation dose reductions in CT, the use of artificial intelligence (AI) in image reconstruction has been an area of growing interest.

    Aim

    The aim of this review is to examine the use of AI in CT image reconstruction and its effectiveness in enabling further dose reductions through improvements in image quality of low-dose CT images.

    Method

    A review of the literature from 2016 to 2020 was conducted using the databases Scopus, Ovid MEDLINE, and PubMed. A subsequent search of several well-known journals was performed to obtain additional information. After careful assessment, articles were excluded if they were not obtainable from the databases or not available in English.

    Results

    This review found that deep learning-based algorithms demonstrate promising results in improving the image quality of low-dose images through noise suppression, artefact reduction, and structure preservation in addition to optimising IR methods.

    Conclusion

    In conclusion, with the two AI-based CT systems currently in clinical use showing favourable benefits, it is expected that AI algorithms will continue to proliferate and enable significant dose reductions in CT imaging.

    Keywords

    Computed tomography (CT); Artificial Intelligence (AI); Image reconstruction (IN); Machine learning (ML); Deep learning (DL); Dose reduction.

    Abbreviations

    AI: Artificial intelligence; CT: Computed tomography; ML: Machine learning; DL: Deep learning; FBP: Filtered back-projection; IR: Iterative reconstruction; MBIR: Model-based iterative reconstruction; LDCT: Low-dose computed tomography; FDA: U.S Food and Drug Administration; ANN: Artificial neural network; DNN: Deep neural network; CNN: Convolutional neural network; CNR: Contrast-to-noise ratio; SNR: Signal-to-noise ratio.


  • 2020, October

    original research

    Study of Analysis the Sensitivity of the Computational Environment for Radiological Research Field Size Based on Two Dimensional Dose Distribution for Water Phantom CasesOpen Access

    Yati Hardiyanti*, Thareq Barasabha, Choirul Anam, Novitrian Novitrian, Freddy Haryanto and Abdul Waris
    DOI: https://dx.doi.org/10.17140/ROJ-4-130
    PDF656.66 KB 656.66 KB
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    Abstract [+]

    Purpose

    This study analysed the sensitivity of the field size from variations in the target volume dimensions, depth, and position. The variations in the target volume analysis were used to determine the width of the field size. Thus, the quality control of the radiation beam can be obtained.

    Materials and Methods

    The computed tomography (CT) image of the IBA Dose 1 type of water phantom consists of 350 slices. Variations in the dimension of the target volume were modelled in 10×10×10 cm3, 10×12×10 cm3, 10.2×10×10.2 cm3, and 15×15×15 cm3. Beam parameters use one beam of irradiation on the central axis 0°, 6 MV energy, 100 cm source-skin distance (SSD), beamlet delta x, and y set to 0.1 cm. Dose distribution in the form of the XZ isodose curve and dose profile was used to observe the field size.

    Results

    In this study, the isodose curve was successfully displayed in the XZ isodose curve. The field size’s sensitivity has been successfully reviewed from variations of the target volume, depth, and position. The target X and Z direction analysis is used in determining the width and length of the field size.

    Conclusion

    The analysis related to the field size sensitivity study was obtained from a relatively valid calculation. The field size was evaluated with variations in depth of 1.5 cm, 5 cm, 10 cm, and variations in positions of 10 cm, 12 cm, 14 cm, 18 cm, and 20 cm. This study will be used as a reference to validate the distribution of computational environment for radiotherapy research (CERR) dose in the future. Thus, the accuracy of the dose calculation can be obtained.

    Keywords

    2D Dose Distribution; Sensitivity; Quality control; Treatment planning system; Radiation therapy dosimetry.


  • 2020, October

    original research

    Calculation of Photons Reaction Rate Resulting at 120 kVp X-ray Tube Voltage and 1 mAs as Function to Digital Imaging and Communications in Medicine Pixel Numbers Using Monte Carlo N-Particle Transport and a Voxel Model of a 29-Year-Old PatientOpen Access

    Tawfik A. Shdeed*
    DOI: https://dx.doi.org/10.17140/ROJ-4-131
    PDF784.94 KB 784.94 KB
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    Abstract [+]

    Purpose
    To read the digital imaging and communications in medicine (DICOM) images of brain and extract intensity values and build a three dimensional model for Monte Carlo n-particle transport (MCNP) code input file in purpose to study the average particle flux and deposited energy of X-Ray photons resulting at 120 kVp and 1 mAs (form point source) as function to DICOM pixel numbers in the brain tissues for a 29-year-old female patient using MCNP code and Matlab program to read the DICOM images.
    Method
    The matrix laboratory (MATLAB) program was used to read the DICOM images and extract the intensity values in each pixel of the DICOM image corresponding to certain slice of the brain. These color levels are characteristic of different tissue, and have been relied upon to create the specific material in each volume element in MCNP input file.

    Conclusion
    Values of the deposited energy at surface of skin are high, so it is always necessary to be cautious when performing the examination to obtain acceptable images from the first time and without having to repeat the imaging again for the same case unless there are necessities for it.

    Keywords
    Computed tomography (CT); X-ray; Voxel phantom; MCNP Code; Average particle flux; Matlab.

     


  • 2020, November

    case report

    Radio Histological Treatment of Endometrial Hyperplasia: A Case ReportOpen Access

    Priscila F. Berganza*, Maria D. Molina, María A. P. Dahinten and Mariela S. Ramos
    DOI: https://dx.doi.org/10.17140/ROJ-4-132
    PDF358.33 KB 358.33 KB
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    Abstract [+]

    Endometrial hyperplasia is defined as the pathological condition caused by hyper plastic changes at the level of the glandular and stromal structures of the endometrium that are part of the lining of the endometrial cavity. Atypical endometrial hyperplasia can cause an essential problem because it is considered a precursor of endometrial cancer. The early diagnosis of precancerous endometrial
    lesions and the exclusion of pre-existing endometrial carcinomas are necessary for patients’ optimal management. The following is a case of a 50-year-old Guatemalan patient with a three-day history of vaginal bleeding. The transvaginal ultrasound reports endometrial thickening suggestive of endometrial hyperplasia. The diagnosis was confirmed with histology. The treatment offered was surgery without indicating any medication.
    Keywords
    Endometrium; Endometrial hyperplasia; Biopsy; Histological; Echography; World Health Organization (WHO).


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    Editor-in-Chief

    Dennis K. Bielecki, MD


    Associate Professor
    Senior MSK Specialty Radiologist
    Department of Diagnostic Imaging
    Kings College Hospital
    Brixton, London SE5 9RS, UK

    Associate Editors

    Alessandro Arrigo, MD


    Departments of Biomedical Science and Morphological and Functional Images
    University of Messina, Messina, Italy
    Messina, Italy

    Euclid Seeram, PhD, MSc, BSc, FCAMRT


    Honorary Senior Lecturer
    Department of Radiology
    University of Sydney
    New South Wales 2006, Australia

    Mai-Lan Ho, MD

    Associate Professor
    The Ohio State University and Nationwide Children’s Hospital
    Columbus, OH, USA

    Our editorial team


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