Ashish Verma

• PhD; DNB; MNAMS
• Professor (Full) at Banaras Hindu University

We present findings from a prospective observational study comparing the utility of the radiographic Pettersson score (PS) and its individual radiographic components between pediatric and adult populations with hemophilic arthropathy (HA).

Background Intrahepatic cholestasis of pregnancy (ICP) is a liver disorder that occurs during pregnancy, typically in the third trimester, and is associated with adverse fetal outcomes. Despite being well-recognized, the exact pathogenesis of ICP remains incompletely understood, with impaired hepatobiliary function hypothesized to play a significan...

Purpose : To evaluate the predictive capability of fetal main pulmonary artery (MPA) Doppler indices, specifically the acceleration time/ejection time (At/Et) ratio, resistive index (RI), pulsatility index (PI) for the occurrence of respiratory distress syndrome (RDS) in neonates. Additionally, it seeks to establish reference values for these Doppl...

Purpose or Case Report: This educational exhibit aims to present a comprehensive structured reporting framework for assessing skeletal dysplasia. By providing a systematic approach, we aim to facilitate better classification, diagnosis, and understanding of various skeletal dysplasia entities. Methods & Materials: The assessment process is divided...

Background There is a lack of staging systems in pediatric lymphoma to quantify the burden of the disease based on the anatomical extent of lymph nodal distribution. Purpose To evaluate the utility of a CECT-based semiquantitative lymph nodal scoring system in predicting histopathological type of childhood lymphoma and response to initial chemothe...

It is being increasingly recognized that the strategic use of artificial intelligence (AI) can catalyze the process of manuscript writing. However, it is imperative that we recognize the hidden biases, pitfalls, and disadvantages of relying solely on AI, such as accuracy concerns and the potential erosion of nuanced human insight. With an emphasis...

Background Classification of breast cancer based on gene expression has emerged as the standard approach in its management, owing to the distinct prognoses and treatment responses observed among different subtypes. The aim of this study was to prospectively assess the imaging features of the molecular subtypes of breast cancer using multiparametric...

A 30-year-old man patient presented with the progressive weakness and pain in the back, arms and legs, sensory loss, facial weakness, diplopia, difficulty of speech and swallowing since 4 months. MRI revealed syringomyelia and syringocephaly involving medulla (syringobulbia), pons (syringopontia) and midbrain (syringomesencephaly) with intrasyringe...

In this report, we describe a 3-month-old female child with a painless, palpable, non-reducible lump in the left inguinolabial region. Ultrasound revealed presence of uterus and bilateral ovaries in the inguinal canal, suggestive of Canal of Nuck hernia. It is imperative for the radiologists to be familiar with contents of the hernia and their imag...

Parry–Romberg syndrome is a rare cause of hemifacial atrophy with associated other systemic complaints including neurological symptoms. Diagnosis is based on history and clinical examination supported by imaging. Here, we report a case of a 10-year-old female presenting with gradually progressive left hemifacial atrophy for 2 years and describe the...

Contrast enhanced ultrasonography enables dynamic evaluation of the microvasculature down to the capillaries when using high resolution ultrasound probes. It’s application in the evaluation of axillary lymph nodes in breast cancer patients with clinically negative axilla has been studied in 42 patients. The results of pre operative CEUS evaluation...

The World Health Organization has declared “with great hope” an end to COVID-19 as a public health emergency. The vaccination drive that started in December 2020 played a crucial role in controlling the pandemic. However, the pace at which COVID-19 vaccines were developed and deployed for general population use led to vaccine hesitancy, largely owi...

Subclavian artery pseudoaneurysm is an uncommon entity caused by trauma or iatrogenic arterial injury. Endovascular management is the preferred treatment strategy but can be complicated by endoleaks. We report a case of type I endoleak occurring after endovascular covered stent placement to treat a traumatic pseudoaneurysm of proximal left subclavi...

Aim The aim of this randomized clinical trial is to compare the efficacy of palmitoylethanolamide (PEA) with the combination of pregabalin and nortriptyline in treating post-extraction trigeminal neuropathy using magnetic resonance neurography (MRN). Methods The present prospective, randomized controlled trial was conducted on 60 patients (20 in ea...

Abstract Background: The advent and increased use of high-resolution ultrasonography has resulted in improved detection of thyroid nodules. Even with the use of various Thyroid Imaging–Reporting and Data System, accurate imaging diagnosis of malignant thyroid nodules has been suboptimal, which necessitated use of newer modalities like contrast-enha...

Skeletal radiographs along with dental examination are frequently used for age estimation in medicolegal cases where documentary evidence pertaining to age is not available. Wrist and hand radiographs are the most common skeletal radiograph considered for age estimation. Other parts imaged are elbow, shoulder, knee, and hip according to suspected a...

India bears a significant proportion of tuberculosis cases, accounting for approximately 28% of the global burden. Among the reported global cases, around 16% constitute extrapulmonary tuberculosis (EPTB). EPTB diagnosis and treatment are usually challenging. The diagnosis frequently requires the application of contemporary methods, such as acquiri...

Purpose To evaluate the segmental variations in portal venous pulsed wave colour Doppler flow velocity in patients with moderate to severe non-alcoholic fatty liver disease in comparison with healthy controls Materials and Methods In this prospective, observational, case–control study, the maximum velocity of all the segmental branches of portal v...

Disorders of sexual development (DSD) comprise a complex group of conditions with varied clinical presentations, such as atypical genitalia, non-palpable testes, primary amenorrhea, or infertility. Besides being associated with other congenital anomalies, DSDs bear substantial ethical issues regarding assigning the sex of rearing to the child and f...

The Inferior Vena Cava (IVC) filter has emerged as a crucial treatment modality for managing deep vein thrombosis (DVT) in patients who are ineligible for anticoagulation, have failed medical therapy, or possess high risk for subsequent pulmonary emboli. However, its application in the geriatric age group remains cautious due to the presence of mul...

Objectives To describe the extent and imaging findings of COVID-associated rhino-orbital-cerebral mucormycosis on magnetic resonance imaging and to evaluate the value of MRI severity score in grading the extent of involvement. Methods Proven cases of ROCM with a history of concurrent or recently (<6 weeks) treated COVID-19 underwent MRI at the ini...

Infections by Entamoeba histolytica (E. histolytica) lead to considerable morbidity and mortality worldwide and treatment is reliant on a single class of drugs, nitroimidazoles. Treatment failures and intermittent reports of relapse from different parts of world indicate towards development of clinical drug resistance. In the present study, suscept...

Imaging in critically ill patients is a ubiquitous but challenging line of investigation for the physician as accurate interpretation is often difficult as patient cooperation during the procedure is grossly compromised, and the resultant image is often suboptimal. This book provides details on principles of imaging and the diagnostic hallmarks of...

Background Atypical MRI findings of cranial tuberculosis can lead to prolonged delay in diagnosis resulting in high costs to evaluate for alternative diagnoses. The aim of this study was to describe a series of cranial tuberculosis patients with spectrum of MRI features, other than hydrocephalus, parenchymal tuberculomas, and leptomeningeal thicken...

Purpose: To study the effect of various dose-volume parameters on the severity of vaginal stricture (VS) and the correlation of the latter with the posterior-inferior border of symphysis (PIBS) points in locally advanced cervical cancer patients treated with concurrent chemoradiation and brachytherapy. Methods and materials: A prospective study...

Purpose To explore the feasibility and efficacy of interstitial brachytherapy application for nonresectable and chemo-resistant malignant liver and lung lesions. Materials and Methods Percutaneous high-dose-rate interstitial brachytherapy (HDR ISBT) was applied in nine lesions of seven middle-aged patients with advanced carcinoma (five patients wi...

Tumors of the vagina are overall rare and unexplored entities and thus often pose diagnostic dilemmas. We report two rare malignant vaginal tumors and their magnetic resonance imaging (MRI) appearances. We describe two cases of rare vaginal malignancies. In the first case of a 29-year-old married, nulliparous woman, MRI revealed a T2 heterogeneous...

Purpose: To evaluate the possible role of a multiparametric magnetic resonance imaging (MRI) and semiquantitative fusion map for the prediction of response to radiotherapy in carcinoma cervix. Methods: This was a prospective, single-center, longitudinal observational study performed on patients with locally advanced carcinoma cervix. Relative bl...

We describe a rare complication of percutaneous transhepatic biliary drainage in a 51-year-old female with recurrent hilar cholangiocarcinoma. The patient presented with blood-mixed pericatheter leak of bile, 1 month after placement of a 10F ring biliary internal-external drainage catheter through the left-sided biliary radical. Color Doppler and t...

Purpose The aim of this study was to evaluate the technical feasibility, complication rate, and efficacy of percutaneously delivered plastic biliary stent, compared with that of internal–external biliary drainage catheter. Methods Patients with unresectable malignant biliary obstruction were included who underwent percutaneous transhepatic biliary...

Introduction Various pulmonary complications can occur in children with hematological malignancies including both infection and malignant disease infiltration of pulmonary parenchyma. Objectives To assess the role of CT scan in determining the etiology of acute pulmonary complications in children with hematological malignancies. Materials and Metho...

Objectives To describe the extent and imaging findings of COVID-associated rhino-orbital-cerebral mucormycosis on magnetic resonance imaging and to evaluate the value of MRI severity score in grading the extent of involvement. Methods Proven cases of ROCM with a history of concurrent or recently (<6 weeks) treated COVID-19 underwent MRI at the init...

Neurodegeneration with brain iron accumulation consists of disorders characterized by progressive neuronal degeneration, cognitive decline, brain iron accumulation in extrapyramidal system, dentate nucleus, and gray and white matters boundary. We present a case series of PLA2G6-associated neurodegeneration (PLAN), with definite PLA2G6 gene mutation...

Background: Diffusion-weighted imaging (DWI) is feasible in prenatal imaging, and it exhibits better contrast between the placenta and the myometrium compared to T2-weighted (T2W) images. Purpose: To compare magnetic resonance imaging (MRI) features of placenta accreta on T2W and DW imaging. Material and methods: In this retrospective study, 4...

Purpose To co-relate vaginal stricture with the radiotherapy dose at the posterior inferior border of symphysis (PIBS) points in the patients with locally advanced cervical cancer. Material and Methods A total of 45 untreated patients, with ECOG 0-2 registered from January 2020 to March 2021 with histopathologically proven carcinoma cervix from st...

Anterior knee pain (AKP) is one of the most common clinical conditions related to knee pathology among the athletes and young adults. The identification of pain provoking factor is crucial for the better outcome of the treatment. Many patients with AKP have disabling pain and significant disability, but the physical signs and radiological findings...

Ischiogluteal bursitis, also called “weaver’s bottom,” arises due to chronic irritation of the soft tissues overlying the ischial tuberosity. Here, we report a case, in which multiple fluid-fluid levels were seen in a patient with bilateral ischiogluteal bursitis. The previous studies have suggested that ischiogluteal bursitis presents as a cystic...

Purpose The aim of this study was to evaluate the role of apparent diffusion coefficient (ADC) and hence diffusion-weighted imaging in prediction of pathological complete response (pCR) to neoadjuvant chemotherapy (NACT) in locally advanced breast cancer (LABC) and its molecular subtypes. Methods In this tertiary hospital-based prospective study, 3...

A 2-y-old female child presented with delayed motor development, seizures, and mild intellectual disability

Objectives To compare the high-resolution computed tomography (HRCT)–derived severity score in COVID-19 patients between those who had earlier received the vaccine against the SARS-CoV-2 and those who did not.MethodsA retrospective cross-sectional analysis of HRCT of the chest was done in correlation with the vaccination status of clinically diagno...

Background The Head and Neck Imaging Reporting and Data System (NI-RADS) is a standardized reporting format for the categorization of the degree of suspicion for recurrent head and neck malignancies on positron emission tomography/computed tomography. Purpose The purpose of our study was to analyze the efficacy of the NI-RADS rating scale and crite...

Background Meticulous evaluation of abdominal lymph nodes on computed tomography (CT) is a fundamental task in radiological practice especially in oncological reporting. Although various reporting systems exist to define abdominal nodal stations for malignancies of individual abdominal organs, a complete and uniform framework for radiological repor...

Aim The aim of this article was to evaluate uterocervical angle (UCA) and cervical length (CL) measured at 16 to 24 weeks of gestation using transvaginal sonography (TVS) as predictors of spontaneous preterm birth. Methods In this prospective study, TVS was performed in 159 primigravidas with a singleton, uncomplicated pregnancy at 16 to 24 weeks...

Pseudoaneurysm developing from the internal maxillary artery is a rare but potentially fatal condition. We describe a case of iatrogenic pseudoaneurysm of the internal maxillary artery developed during dental extraction and successful endovascular closure of the feeder artery. At 2-month follow-up, the patient remained well with persistent thrombos...

Background: Subacute Sclerosing Pan Encephalitis (SSPE) may present with atypical clinical features and lead to diagnostic dilemma. Conventional magnetic resonance imaging (MRI) may be normal in early stage of SSPE. Objective: The aim of this work was to study the demography, clinical profile including atypical features of SSPE patients, and the...

Various retained surgical items often present a diagnostic dilemma to the interpreting radiologist. These items include retained surgical sponge (gossypiboma), misplaced, broken instruments, irrigation sets, and a variety of surgical paraphernalia. Such foreign bodies present with varying imaging findings and can often mimic other diseases radiolog...

Background There is an increasing concern that a proportion of the survivors of COVID 19 might develop fibrotic and/or other non-reversible lung changes. The aim of this retrospective study was to review the imaging findings of HRCT of lungs in a cohort of COVID 19 survivors, coming for short-term clinical follow-up and to assess the relation of th...

A 3-year-old female child presented to the outpatient unit of the paediatrics department with the chief complaint of constipation and straining while defecating. On examination, there was distention of the lower abdomen and an ano-vestibular fistula. Baseline blood investigations were within normal limits.

Acute myocarditis following COVID-19 vaccination has been observed majorly following mRNA vaccines. Recently a single case of ChAdOx1 nCoV-19 vaccination induced myocarditis with an ischemic presentation has been reported. Here we report three cases of acute cardiac events following ChAdOx1 nCoV-19 vaccination, in an elderly female, a middle-aged m...

Background - Chronic obstructive pulmonary disease (COPD) is a heterogeneous disorder because of variation in clinical presentation and disease progression. The Role of phenotyping is to identify therapeutic and prognostic characteristics in COPD. Quantitative computed tomography (QHRCT) is non-invasive tool to identify distinct phenotypes in COPD....

BACKGROUND: Vascular parkinsonism (VP) is an atypical Parkinsonian syndrome that is believed to have a temporal association with cerebrovascular disease. However, now it is evolving as a heterogeneous entity with no clear consensus on the definition and diagnostic criteria. AIM AND OBJECTIVES: This study aimed at evaluating the clinico-radiological...

https://ijhcr.com/index.php/ijhcr/article/view/2364

Objective: Our objective was to assess the prevalence of cutaneous complications including insulin derived amyloidosis in insulin-injecting diabetes patients and to study the role of ultrasonography (in comparison to gel-assisted palpation) in early diagnosis of lipohypertrophy. Methods: This was a cross-sectional study conducted at a tertiary car...

Purpose: Dental implantation is thought to be associated with enhancement of neuro‑cortical sensorimotor activity which has been lost due to an edentulous state. Such changes are either feeble or absent after the placement of a conventional denture. In the present study, we test this hypothesis using blood oxygen level‑dependent (BOLD) activity on...

A five-year-old female child presented with fever, cough and difficulty in breathing since one week. On chest auscultation, vesicular breathing sounds were identified with no adventitious sounds and percussion was normal. General and physical examination did not reveal any other significant abnormality.

Background: Various retained surgical items often present a diagnostic dilemma to the interpreting radiologist. These items include retained surgical sponge (gossypiboma), misplaced, migrated catheters, broken instruments, irrigation sets, and a variety of surgical paraphernalia. Such foreign bodies present with varying imaging findings and can oft...

Background There are very few studies based on the updated dystonia classification. However, a comparison of the idiopathic and non-idiopathic dystonias based on the newer classification has not been done previously.Objectives To study and compare the clinicoetiological profile of patients with idiopathic and non-idiopathic dystonia attending a mov...

Aims and objectives To evaluate the Doppler changes in the intracranial arteries of neonates exposed to perinatal hypoxic insult and compare it with normal neonates. Materials and methods Color Doppler of bilateral anterior and middle cerebral arteries was performed within 6 h of birth in 26 healthy neonates and 50 neonates who received delivery r...

Methyl jasmonate (MJ), a natural oxylipin, possesses a broad spectrum of antineoplastic potential in vitro. However, its tumor growth impeding and chemo-potentiating action has not been adequately investigated in vivo. Using a murine thymus-derived tumor named Dalton’s Lymphoma (DL), in the present study, we examined if intra-tumoral administration...

Background: Around 10% to 30% patients with acute pancreatitis (AP) do not have a cause after the routine investigations, and are considered as having idiopathic acute pancreatitis (IAP). Establishing the etiology in such patients will prevent recurrences and evolution to chronic pancreatitis. Endoscopic ultrasonography (EUS) and magnetic resonanc...

BACKGROUND: Accurate staging of disease severity and its serial monitoring thus is central to the effective management protocols of interstitial lung disease (ILD). PURPOSE: The aim is to evaluate the effectiveness of semi-quantitative parameters of lung ultrasound (LUS) in patients of ILD as a means of staging disease severity. MATERIALS AND METHO...

The term Interventional Radiology was coined by Margulis, describing the percutaneous removal of residual gall stones [1, 2]. Hacncke first describes tissue sampling under A-mode ultrasound guidance for pancreatic lesion biopsy [3]. Haaga and Alfridi first used CT scan guidance for pancreatic biopsy and liver abscess drainage [4]. Ultrasound guided...

Magnetic resonance evaluation of spinal dysraphism can be confusing for inexperienced radiologists and a detailed, step-by-step evaluation of the normal and abnormal imaging findings can help garner the diagnosis. The purpose of this article is to review the existing literature and to provide a comprehensive, structured, template checklist-style fo...

Background In forensic proficiency, the distinct model applied for age estimation includes physical examination, i.e., evaluation of somatic maturity and post pubescence peculiarities, dental development, and radiological assessment of skeletal maturity usually of the hand and wrist. The Greulich and Pyle (GP) method of skeletal age (SA) determinat...

The presented manuscript proposes a fully automatic deep learning method to quantify the tumour region in brain Magnetic Resonance images as the accurate diagnosis of brain tumour region is necessary for the treatment of the patients. The irregular and confusing boundaries of tumours regions make it a challenging task to accurately figure out such...

Background: Transthoracic ultrasonography (TUS) is suggested as a noninvasive, radiation-free method for the assessment of interstitial lung disease (ILD). This study was designed to study TUS features of ILD. Furthermore, possible correlations of these features with parameters of spirometry, arterial blood gas (ABG) analysis and 6-min walk test (...

An integral part of management of breast cancer is the appropriate treatment of the involved lymph nodes. While axillary nodes are always assessed and managed by sentinel node biopsy or an axillary clearance, the extra-axillary nodes do not receive equivalent attention even though they may influence staging, treatment, and prognosis. The purpose of...

This chapter describes the current role of Radiological studies in diagnosis and assessment of COVID 19.

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Background/objectives: Cardiac T2* magnetic resonance imaging (MRI) is the gold standard to determine myocardial iron overload. As availability of Cardiac T2* is not uniform across developing nations, our strategy was to identify a more accessible and cost effective tool to assess myocardial iron accumulation. As children with transfusion-dependen...

Background: Mural lesions of gallbladder on ultrasound (US) are often difficult to characterize as benign or malignant. Purpose: The aim of the study was to evaluate the role of contrast-enhanced US (CEUS) in characterization of gallbladder (GB) wall lesions and making distinction between benign wall thickening and GB adenocarcinoma, utilizing b...

Osteosclerotic and osteolytic lesions isolated to the skull/facial bones have rarely been reported among patients with hyperparathyroidism. There have been anecdotal reports of discrete localised bony lesions in these patients. Such lesions present a radiological challenge and might be confused with metastatic lesions. Here, we report three cases o...

We present a series of three cases of Klippel-Trenaunay syndrome (KTS) presenting with unilateral lower limb involvement demonstrating a wide range of radiological findings. Case 1: A 61-year-old male presented with varicosities in the right lower limb, which was atrophic with a complete absence of deep venous system in the right limb. Case 2: A 23...

Introduction Takayasu’s arteritis, a chronic, idiopathic, inflammatory panarteritis, is the major cause of Aortoarteritis in pediatric age group. The purpose of this study is to analyze the patterns of involvement and imaging findings of pediatric Takayasu’s arteritis. Materials and Methods We retrospectively reviewed the CT angiographic images of...

The human placenta plays a pivotal role in development and growth of the fetus. Disorder of this multifunctional organ is central to various fetal disorders. Doppler sonography and MRI provide excellent diagnostic evaluation of the placental morphology and umbilical cord. Decades of experience in obstetric imaging have highlighted the need of caref...

Hepatocellular carcinoma (HCC) is the 6th most common cancer and the second most common cause of cancer-related mortality worldwide. There are currently no universally accepted practice guidelines for the diagnosis of HCC on imaging owing to the regional differences in epidemiology, target population, diagnostic imaging modalities, and staging and...