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A distinctive feature of this study is the utilization of CEUS instead of CEMRI for the serial evaluation of the ischemic effect of PAE.
In the absence of relevant CEUS studies, we attempted to correlate our results with existing evidence from post PAE CEMRI studies (7-10).
Absence of any perifocal edema, absence of post contrast enhancement, typical CSF intensity on all CEMRI pulse sequences and CSF attenuation on NCCT rule out the possibility of cerebral abscess and brain tumors.
2: [A] MRI TiW axial [B] MRI TiW sagittal [C] CEMRI TiW axial [D] MRI T2W axial scan showing an intra axial well defined cystic SOL displaying CSF signal intensity with no post contrast enhancement and no perifocal edema noted in right middle cerebral artery territory measuring approximately 6.9*3.8 cm causing mass effect in the form of midline shift to left and compression of right lateral ventricles.
After undergoing CEUS, the malignancy was confirmed by histopathology in 5 cases and by clinicoradiological follow-up in 8 cases: ceMRI in 1 case, ceCT in 3 cases, and a combination of ceCT and ceMRI in the remaining 4 cases.
Unlike ceCT and ceMRI, it is possible to see a continuous analysis of microvascularization from the early-arterial phase to the late phase using CEUS as shown in this pilot study In ceCT and ceMRI, this analysis can only be done in sequences and not continuously.
Sinan Altan Kocaman, Mehmet Ridvan Yalcin, Munci Yagci *, Asife Sahinarslan, Sedat Turkoglu, Ugur Arslan, Nevruz Kursunluoglu *, Murat Ozdemir, Timur Timurkaynak, Mustafa Cemri, Adnan Abaci, Bulent Boyaci, Atiye Cengel
Mhat Sen, Yusuf Tavil, Husamettin Erdamar , Huseyin Ugur Yazici, Erdinc Cakir , Emin Ozgur Akgull Cumhur Bilgi , Mehmet Kemal Erbi , Fatih Poyraz, Kaan Okyay, Murat Turfan, Mustafa Cemri
(3.) Cemri M, Ceyhan M, Hodoglugil U, Durakoglugil DB, Dortlemez H, Zengil H.
(47.) Tavil Y, Ozturk MA, Ureten K, Sen N, Kaya MG, Cemri M, et al.
(11.) Okyay K, Cemri M, Boyaci B, Yalgin R, Cengel A.
Mustafa Cemri, Gazi Universitesi Tip Fakultesi Kardiyoloji Anabilim Dali, Besevler, Ankara, Turkiye Tel.: +90 312 202 56 02 Fax: +90 312 212 90 12 E-mail: email@example.com
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