Gaurav V Mishra

Datta Meghe Institute of Higher Education and Research · Radiodiagnosis

Coronavirus disease 2019 (COVID-19) is a highly infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). As of April 17, 2020, the total number of cases all over the world read as 2,182,823 positive cases with 145,551 deaths and 547,679 recovered cases. In India, the total number of affected cases has alarmingly in...

Background Giant cell tumor is a tumor of benign nature which usually arises in the long bone, but it can also be seen at unusual sites. Only few cases have been reported so far regarding involvement of greater trochanter of the femur as it is a very divergent site for giant cell tumors; our case is one of them. Giant cell tumors are seen in 20–40...

A 37 weeks primigravida presented in obstetric department with the report of labour pain. She had undergone antenatal scans two times; first scan in first trimester and second in third trimester. In the antenatal sonography at around 30 weeks, the fetus was diagnosed with hydrocephalus and macrocephaly.

Introduction Meyer–Rokitansky–Küster–Hauser syndrome is rare congenital abnormality in females with a blind ending vagina. There can be associated hypoplasia of uterus. The syndrome is of sporadic origin and affects the reproductive life. Adequate and early diagnosis can help to rule out other associated anomalies. Case presentation We are present...

Background We report an interesting case of a primary isolated intraventricular and intracranial hydatid cyst in 20-year-old female that mimicked bleeding cystic tumor presenting as intraventricular hemorrhage with hydrocephalus. Case presentation Patient presented with headache and giddiness for 1 month. On magnetic resonance imaging, there was m...

The utilization of sustainable biomaterials in pharmaceutical and medical applications has gained significant momentum in recent years due to their dual ability to address environmental concerns and meet the evolving demands of modern healthcare. As the need for greener alternatives in healthcare intensifies, this review presents a comprehensive ov...

The innovative Digital Twin (DT) technology, which constructs a copy of objects, has emerged as a groundbreaking approach in various sectors, including the healthcare industry. This thorough examination delves into the potential of utilizing DT technology to address disease (CVD), a prominent cause of illness and death globally. By combining real-t...

The occurrence of isolated bilateral hippocampus infarct is extremely rare and is thought to be associated with a number of etiologies, including ischemia, infection, paraneoplastic syndromes, seizures, drug addiction, etc. The presented manuscript depicts a case of a 28-year-old male patient who has been a chronic alcoholic for the past 4 years an...

Sacral chordoma is a rare osseous tumor of malignant origin. Remnants of the notochord in the region of sacrum and coccyx is said to be the origin of these tumors. Patients generally have delayed presentation, which is responsible for larger tumor size. Early detection of sacral chordoma is therefore very important. We present a clinical case on a...

Amyotrophic lateral sclerosis (ALS) is a motor neuron disease characterized by the progressive degeneration of the upper and lower motor neurons. This disease is mostly observed in patients of the 6th decade or above, and it is extremely rare to observe this pathology in patients less than 50 years of age. This manuscript depicts the magnetic reson...

Neurofibromas (NF), rare benign peripheral nerve sheath tumors, are typically linked to neurofibromatosis type 1 (NF1). This case report presents a rare instance of a neurofibroma located in the mandible of a 12-year-old male patient, who presented with localized swelling and discomfort in the lower jaw. Clinical examination revealed a firm, nonten...

An uncommon congenital disorder known as venolymphatic malformation (VLM) of the knee develops from improper venous and lymphatic system development. It is a specific kind of vascular abnormality that affects lymphatic and veins, causing abnormal growth and dilation of these vessels. These types of malformations do not directly connect to the main...

Myasthenia gravis is an acquired neuromuscular disorder characterized by weakness of the extra-ocular muscles, which progresses to generalized weakness of the voluntary muscles and fatigability. The presented case is of a 70-year-old male patient who presented with complaints of drooping of bilateral eyelids and breathlessness and was diagnosed to...

This case report describes a woman in her late 50s with mesenteric volvulus, an uncommon and potentially fatal condition. She developed excessive abdominal distension, nausea and vomiting for a duration of 2 days. The preliminary ultrasound indicated a large, thick-walled, tight fluid region in her upper abdomen, indicating a probable gastric outle...

Aortic Valve Insufficiency in an Elderly Male

Aortic Valve Insufficiency in an Elderly Male

Planning, Strategization, Outlining, and Contemplation of Health Resources in the Setting of Healthcare

Introduction: This study aims to evaluate the role of multidetector computed tomography (MDCT) urography in cases of obstructive uropathy to determine the cause, side, site, and level of obstruction and to differentiate between acute and chronic cases of obstructive uropathy based on imaging features. Methods: Using Cochran's formula, a sample size...

Acute pancreatitis (AP) is one of the most common acute abdominal pathologies, having varying grades of severity and presentation ranging from mild self-limiting pain in the abdomen and vomiting to severe category which consists of multiple organ failure, sepsis, fever, and severe abdominal pain and vomiting making the patient hospital-bound. Over...

Tuberculosis, caused by Mycobacterium tuberculosis, is a widely spread disease complex affecting multiple organs. It is a type of communicable disease disproportionately affecting low and middle-income countries. The imaging modality of choice for pulmonary tuberculosis is computed tomography, and for brain lesions, it is a contrast-enhanced magnet...

The utilization of sustainable biomaterials in pharmaceutical and medical applications has garnered significant attention in recent years due to their potential to address environmental concerns while meeting the demands of modern healthcare. This review provides a comprehensive overview of the latest advancements and applications of sustainable bi...

Uterine perforation represents an uncommon yet potentially significant complication that may arise during the process of dilation and curettage (D&C), a frequently conducted procedure employed for a variety of gynaecological indications, including missed abortion. This report delineates an atypical case of uterine perforation in a 30-year-old femal...

Persistent occipital sinus with absent/ hypoplastic bilateral transverse sinus is an extremely rare finding in adults; less than 10 cases have been reported. We present a case of a 28-year-old male who was brought to the emergency department in a post-ictal state associated with blurring of vision and 1 vomiting episode. Magnetic resonance imaging...

Patient: Female, 13-year-old Final Diagnosis: Diffuse intrinsic pontine glioma Symptoms: Ataxia • cranial nerve palsy Clinical Procedure: — Specialty: Neurology • Oncology • Radiology Objective Unusual clinical course Background Diffuse intrinsic pontine glioma represent approximately 10% to 20% of all pediatric central nervous system tumors. Cla...

Ovarian torsion is a critical gynecological emergency that presents with sudden-onset abdominal pain and requires immediate intervention to prevent irreversible ovarian damage. This case report describes a 25-year-old female who presented with acute right lower quadrant pain, which had escalated to excruciating levels over the past 45 minutes, acco...

Craniovertebral junction (CVJ) deformities, including basilar invagination and atlanto-occipital assimilation, present significant challenges in diagnosis and management due to their complex nature and impact on neurological function. We report a case of a 28-year-old female who experienced neck pain, weakness, tingling in the upper limbs, restrict...

Arachnoid cysts can be intra-cranial or along the spinal cord. Intracranial arachnoid cyst is a very rare finding, trauma being the leading case of it. It is extremely rare for the development of intra-diploic arachnoid cyst without a traumatic history. We present a case of an intra-diploic arachnoid cyst communicating with the greater wing of the...

Gallbladder carcinoma (GBC) presents a significant clinical challenge due to its aggressive nature and often asymptomatic progression, resulting in late-stage diagnoses and a poor prognosis. Early detection and accurate staging are pivotal for improving patient outcomes, highlighting the critical role of advanced imaging techniques in oncological p...

The review provides an extensive study of regulations and recommendations set forth by organizations worldwide in the domain of high-dose rate (HDR) brachytherapy for the prevention and mitigation of radiation hazards. The relevant reports and publications by the International Commission on Radiological Protection (ICRP), International Atomic Energ...

As systemic therapies, alongside radiation, for cancer treatment continue to evolve, the radiation oncology community is facing an increasing number of reirradiation (re-RT) of tumor sites subject to recurrences. There are multiple factors associated with choosing re-RT as a treatment option for a previously irradiated site. The factors include the...

The incidence of cervical cancer in India is significantly high, and the average recurrence age is much less. The standard line of treatment consists of concurrent chemoradiotherapy. If a recurrence occurs, the treatment options or set of interventions are limited and suboptimal. Through this review, we have analyzed and classified the possible pro...

Echinococcosis, or hydatid disease, is a parasitic infection caused by a cestode from the Taeniidae family, mainly by Echinococcus multilocularis or granulosus. It is predominantly seen in the lungs or the liver. The hydatid disease rarely manifests as a palpable mass in the muscles. This study reports a case of a 70-year-old male who has presented...

Leiomyosarcoma (LMS) is an extremely rare malignant pathology affecting smooth muscle cells, with the uterus being the predominant location of LMS. Its occurrence in the duodenum is rare, making it a diagnostic challenge for radiologists. Patients with duodenal LMS can present with very vague symptoms such as abdominal discomfort, loss of weight, o...

Hydatid disease is a parasitic infection caused by a cestode from the Taeniidae family, by Echinococcus multilocularis or Echinococcus granulosus, predominantly occurring in the lungs and liver. Although the kidney can be involved in hydatid cysts, isolated kidney hydatidosis is very rare. Most cases present with non-specific complaints or remain a...

Traumatic foreign body aspiration (FBA) in adults is a rare yet potentially life-threatening event that requires prompt recognition and management to prevent adverse outcomes. While less common in adults compared to paediatric populations, traumatic FBA incidents often occur in occupational settings, post-trauma, or during high-risk activities, pre...

The formation of the blood elements and their maturation is called hematopoiesis. In adults, this typically takes place in the bone marrow of vertebrae, ribs, and long bones. In contrast, during fetal development, the primary sites of hematopoiesis are the spleen, liver, and the yolk sac. This process of hematopoiesis, when it occurs in sites other...

Esophageal varices are life-threatening complications in which the enlargement of the esophageal veins causes bleeding and reduces blood flow to the esophagus. They are complications caused by portal hypertension, renal failure, hepatic dysfunction, and infection. The leading cause of esophageal varices is cirrhosis, as patients with this disease a...

In this article, the topic of human resource management (HRM) is examined as a technique to raise employee output, which, in turn, increases patient pleasure and contentment with the services that are delivered. Care that is not only risk-free but also timely, patient-centered, cost-effective, and delivered in an equitable manner should be the majo...

Bladder carcinoma is a common malignant tumor of the urinary system, with the leading cause of death being the metastasis of cancer. It, however, is a rare malignancy in the Indian population with the incidence being higher in males compared to females. The most common sites of metastasis for bladder carcinoma are the peritoneum, liver, lung, pleur...

Invasive ductal carcinoma is the most common type of breast cancer and can affect any age group, predominantly females older than 55 years of age. We present a case of a female in her mid-30s complaining of a fungating mass in the upper outer quadrant of the left anterior chest wall. On workup of the patient, it was histopathologically found that t...

Cerebral vasculitis is a rare but severe complication of Systemic Lupus Erythematosus (SLE), presenting significant challenges in management due to its potential for devastating neurological consequences and poor prognosis. We present a case of an 18-year-old female with known SLE who presented with seizures, declining cognitive function, and unres...

The integration of Artificial Intelligence (AI) into healthcare and health professional educationhas become imperative. This editorial examines how AI technologies, including large languagemodels (LLMs) and extended reality (XR), reshape medical education. We discuss the transitionfrom traditional teaching methods to AI tools, emphasising the need...

Background Fronto-ethmoidal meningoencephalocele is an uncommon pathology. Most of the cases present a history of trauma or paranasal surgical intervention. Spontaneous development of such pathology is extremely rare. The aim of this case report was to demonstrate a rare appearance of spontaneous fronto-ethmoidal meningoencephalocele in an adult ma...

Introduction The process of breast cancer treatment, especially radiation therapy, frequently alters patients’ lives significantly. It is essential to comprehend how radiation affects breast cancer survivors’ quality of life to improve their overall treatment and well-being. The quality of life among breast cancer patients treated at Acharya Vinoba...

Background Gall bladder carcinoma (GBC) is a challenging malignancy characterized by late-stage diagnosis and poor prognosis. Early detection and accurate staging are crucial for improving patient outcomes. Magnetic resonance imaging (MRI) and magnetic resonance spectroscopy (MRS) offer non-invasive imaging modalities that may aid in the evaluation...

Healthcare is experiencing a transformative phase, with artificial intelligence (AI) and machine learning (ML). Physical therapists (PTs) stand on the brink of a paradigm shift in education, practice, and research. Rather than visualizing AI as a threat, it presents an opportunity to revolutionize. This paper examines how large language models (LLM...

Radiation dose optimization in radiology is a critical aspect of modern healthcare, aimed at balancing the necessity of diagnostic imaging with the imperative of patient safety. This comprehensive review explores the fundamental principles, techniques, and considerations in optimizing radiation dose to safeguard patients while preserving image fide...

Meningiomas are one of the most commonly occurring, extra-axial, primary tumors of central nervous system that are slow-growing in nature with a female predominance mostly occurring in the mid-late twenties. The clinical symptoms of atypical meningioma include headache, seizures, change in personality or behavior, development of a localized neurolo...

Rationale Knowledge of the venous systems of the neck is important in microvascular anastomosis as well as to avoid unintended bleeding during neck dissection. Patient Concerns We present three rare variations of the jugular system of the neck which could have complicated neck dissection. Diagnosis The first case is of a posterior tributary from...

Background Carcinoma of the gallbladder is a malignant neoplasm, which is associated with a poor prognosis due to its often-asymptomatic nature and late-stage diagnosis. Non-invasive imaging techniques play a key role in the early detection and characterization of gallbladder carcinoma. This thesis presents a comprehensive analysis of the utility o...

The integration of virtual reality (VR) and augmented reality (AR) into the telerehabilitation initiates a major change in the healthcare practice particularly in neurological and also orthopedic rehabilitation. This essay reflects the potential of the VR and AR in their capacity to create immersive, interactive environments that facilitate the rec...

The Triple “O” model in educational research, meaning the Objectives, Operations, and Outcomes model, is a plan to dive into how research works. Objectives are the reasons for this research, directing what researchers aim to explore. Operations focus on transforming these reasons into actual steps; they navigate the methods for gathering informatio...

Virtual reality (VR) has advanced in medical education and rehabilitation from basic graphical applications due to its ability to generate a virtual three-dimensional (3D) environment. This environment is mostly used to practice professional skills, plan surgery procedures, simulate surgeries, display 3D anatomy, and rehabilitate various disorders....

Background Case reports are one of the important forms of documentation and publication of clinical physiotherapy presenting the first line of evidence in scientific literature. In order to provide a systematic and precise structure for reporting and presenting cases, the CARE guidelines were established in 2013. However, these guidelines present l...

Innovations pertaining to the ever-evolving needs of the medical and healthcare sciences remain constant. This creates a gap between the rationalized needs of the study and the proposed research question. However, classifying, identifying, and addressing these research gaps require a systematic and precise structured map. Using the Medical Subject...

T2-weighted hyperintensities in neuroimaging represent areas of heightened signal intensity on magnetic resonance imaging (MRI) scans, holding crucial importance in neuroimaging. This comprehensive review explores the T2-weighted hyperintensities, providing insights into their definition, characteristics, clinical relevance, and underlying causes....

Deep Venous Thrombosis (DVT) is a venous disease which develops in lifestyles involving sedentary postures or where the individual works in a sitting or standing posture for prolonged periods of time. The incidence of this disease has been increasing recently owing to preference of sedentary lifestyles in the modern world. Coming onto the frontiers...

Wildfires, also referred to as forest fires, pose serious risks to heavily vegetated forested areas, demanding the development of sophisticated techniques for accurate forecasting and early detection. Unmanned aerial vehicles (UAV) and machine learning integration has been identified as a possible strategy to improve forest fire prediction systems....

To address the evolving, quantitative nature of healthcare in the twenty-first century, it is imperative to integrate artificial intelligence (AI) with healthcare education. To bridge this educational gap, it is imperative to impart practical skills for the utilisation and interpretation of AI in healthcare settings, integrate technology into clini...

A dentist, often known as a dental surgeon, is a medical professional who specializes in Dentistry, a specialty of medicine that deals with diagnosing, preventing, and treating illnesses and ailments of the mouth. It can be frustrating to come across debates like “Are dentists actual doctors?” or similar themes that have been accumulating for decad...

Upper back myalgia is a complaint of pain, stiffness, and tightness in the upper back muscles. It is characterized by acute or persistent neck–shoulder pain. We report the case of a 24-year-old male who presented with pain and swelling in the neck and upper back region, along with gradual restriction in cervical range of motion (ROM) for 2 months....

A complex of anomalies involving the vertebral column and spinal canal (V), anal atresia(A), congenital lesions of the heart (C), defects involving the trachea esophageal complex (TE), renal system, and urinary tract (R), and limb lesions (L) is known as VACTERL complex. VACTERL is an umbrella term for patients with abnormalities involving three or...

Astrocytomas are rare in adults and less common in the parietal and temporal regions of the brain parenchyma. The current case is of a 26-year-old female patient who presented with a four-month history of headaches and a two-month history of vomiting. The patient's MRI brain showed an ill-defined, thick-walled lesion in the right parietal and tempo...

Communication is the foundation of human interactions in the real world where words serve as the link between consciousnesses. You have entered a journey that goes far beyond words to the very core of genuine human connections. This book is more than a manual; it's a trusted travel companion for anyone trying to figure out the complexities of inter...