Multicentre dose audit for clinical trials of radiation therapy in Asia

Mizuno H, Fukuda S, Fukumura A, Nakamura YK, Jianping C, Cho CK, Supriana N, Dung TA, Calaguas MJ, Devi CRB, Chansilpa Y, Banu PA, Riaz M, Esentayeva S, Kato S, Karasawa K, Tsujii H

Size-specific dose estimates of adult head, chest and abdominal multidetector computed tomography (MDCT) in a Tertiary Hospital in the Philippines

Mercedes Dizon, Marte, Alfredo II L., Laya, Bernard F., Pasia, Nelson V.

This report evaluates and compares the size-specific dose estimates (SSDE) for head, chest and whole abdomen CT examinations of adult patients with internationally published values.

Correlation of Mammography Features with Histopathology Findings Using 11-gauge Stereotactic Vacuum-Assisted Breast Biopsy (SVABB) in the Breast Center of St. Luke’s Medical Center – Global City (SLMC-GC)

Pauline Rizelle L. Toledo,. MD, Adviser: Jason Paul B. Gaddi,. MD

To correlate histopathology findings using 11-gauge stereotactic vacuum-assisted breast biopsy with mammography features. This study also aims to evaluate the use of BI-RADS in a local setting, involving a particular group of patients with suspicious mammography findings, which underwent stereotactic vacuum-assisted breast biopsy.

Ultrasound Characteristics and Clinical Profile of Patients with Benign and Malignant Intraductal Breast Mass in the Breast Center of St. Luke’s Medical Center – Global City

Pauline Rizelle L. Toledo,. MD, Adviser: Barbara Helen E. Perez,. MD

Intraductal breast masses are often seen on ultrasound, either during screening or diagnostic examinations. Proper assessment and management of these lesions rely both on ultrasound findings and clinical profile of these patients. In our institution, radiologists and surgeons opt to biopsy these lesions.

Lateral Patellar Dislocations: A Comparative MRI Study of Quantitative and Morphological Risk Factors of Patellofemoral Regions in St. Luke’s Medical Center, Global City Setting

Roy Angelo G. Domacena,. MD, Mariaem M. Andres,. MD

Acute patellar dislocations are common injuries in children, accounting for approximately 9–16% of acute knee trauma in young athletes with hemarthrosis. Incidence rates in the American setting published in the American Journal of Sports Medicine for ages 10–17 were found to be about 29 per 100,000 persons per year, while the adult population average for this type of injury ranged between 5.8 and 7.0 per 100,000 persons per year. The ...

Breast density as a risk factor for breast cancer in filipino women who had undergone breast screening or diagnostic mammography at st. Luke’s medical center- global city from 2012-2014

Maria Rosela B. Espinar,. MD, FPCR

There are population-based studies that report the relationship of breast density as an independent risk factor for the development of Breast Cancer. Most of these studies were performed in Western countries and limited studies were performed in Asia particularly here in the Philippines.

Surfer’s Myelopathy in an Adolescent Male

Mariam Grace Delima, Bernard F. Laya,. MD, Hannah Regina Villalobos

Surfer’s myelopathy is a rare spinal cord injury with only a few reported cases worldwide. The etiology is not very well understood but is believed to be due to a vascular phenomenon resulting from repetitive hyperlodotic posturing while surfing. The clinical manifestations are nonspecific and may mimic other myelopathic conditions. Recent studies reveal that it has typical magnetic resonance imaging (MRI) appearance. Most reported cases had been in adults and ...

A cross-sectional study of the prevalence of gallbladder wall thickening among adult patients with serologically proven Dengue Fever who underwent ultrasound of the gallbladder

Khristine Joy M. Calimlim-Carreon,. MD, Annalyn Corneja-Egwolf,. MD

Dengue fever is endemic to the Philippines, and affects millions of people every year. The Department of Health (DOH) recorded 55,079 suspected dengue cases from January 1 to August 8, 2015. This is 9.15% higher than the 50,462 cases recorded during the same period in 2014. Dengue is said to be notorious for its deceptive presentation due to its effect on almost every system of the human body, which includes ...

Elevated CA 125, ascites and mass-like structure on abdominal CT and florid FDG uptake in extrapulmonary tuberculosis

Patricia A Bautista. MD

PET/CT is often utilized to aid in diagnostic challenges. The purpose of this case report is to illustrate a potential interpretive pitfall and serve as a reminder, especially to new PET/CT readers in developing countries, that malignancy, infection and inflammation may present similarly on FDG PET.

Diagnostic accuracy of 18F-FDG PET/CT in bone marrow disease detection in newly diagnosed lymphoma patients: a single institution experience

Raymund Augustus Conlu, Lucille T Puracan. MD

Evaluation of bone marrow involvement in newly diagnosed lymphoma patients is very crucial. Presence of bone/bone marrow infiltration dictates much the course of treatment and prognostication of the disease.

18F-FDG PET/CT in the diagnosis of prosthetic valve endocarditis

Raymund Augustus Conlu, Lucille T Puracan. MD

This case report aims to support the role of 18F-FDG PET-CT as an important tool in diagnosing prosthetic valve endocarditis (PVE).

Hybrid 18F-FDG with low and high-dose CT for malignancy screening

Patricia A Bautista. MD

The primary objectives of this retrospective study were to determine the cancer detection rate of PET/CT in this institution and compare the sensitivity and specificity of low-dose PET/CT to that of PET with high-dose CT.

Incidental finding of colon adenocarcinoma on I-131 whole body scan in a patient with recurrent Papillary Thyroid Carcinoma

Raymund Augustus Conlu, Lucille T Puracan. MD, Gerard L Goco. MD, Eduardo Erasto S Ongkeko. MD

Iodine-131 (I-131) whole body scan is a procedure routinely done after radioactive iodine therapy. It helps detect presence of functioning thyroid tissue remnants in the neck, as well as distant metastases. However, not all that take up I-131 are of thyroidal origin.

SPECT-CT localization of abnormal Technetium-99M methylene diphosphonate (TC-99M MDP) uptake in the brain

Patricia A Bautista. MD, Sarameth Thou. MD

Bone scan is a sensitive imaging procedure for cancer patients who are at high risk for bone metastases. Despite the high sensitivity, Tc-99m MDP agent is not a specific tracer and its increased uptake may also be seen in extra-osseous lesions.

The first MIBG therapy in the Philippines

Patricia A Bautista. MD, Jonas Francisco Y Santiago. MD

Neuroblastoma is an embryonal tumor of children that frequently presents with metastases.

Precision and Sensitivity of Magnetic Resonance Imaging in Detecting Meniscal Tears in a Local Tertiary Hospital

Alberto Gabriel D ZetaZate, Joselito L Lazaga

Meniscal tear is a common orthopedic condition seen in the clinic. The sensitivity of physical examination tests (joint line tenderness, McMurray test, and Apley grind test) for clinical diagnosis has been established at 60 to 70% and specificity has been noted to range from 70 to 77%. Diagnostic accuracy is significantly improved with plain magnetic resonance imaging (MRI) where sensitivity ranges from 64 to 83% and specificity at 84 to ...