Browsing by Author "Lohani, Benu"
Now showing 1 - 4 of 4
Results Per Page
Sort Options
Publication Breast Arterial Calcifications on Mammography among Patients Attending the Radiology Department in a Tertiary Care Centre: A Descriptive Cross-sectional Study(Nepal Medical Association, 2021) Jha, Anamika; Sah, Anugya; Joshi, Birendra Raj; Lohani, BenuAbstract: Introduction: Breast arterial calcifications are common mammographic findings which are associated with coronary artery disease. The aim of this study was to find the prevalence of breast arterial calcifications in women presenting for mammography in a tertiary care centre. Methods: This descriptive cross-sectional study was performed in the Department of Radiology, in a tertiary care hospital after taking ethical clearance, Reference number 352(6-11)E-2, 077/078, data was collected from Syngovia database from March-June 2021 which included 1614 mammograms. Convenience sampling was done and mammograms evaluated for presence of vascular or non-vascular calcification. Further, vascular calcification was graded. Data was entered in Statistical Package for Social Sciences version 25. Point estimate at 95% Confidence Interval was done, and frequency and proportion were calculated. Results: The prevalence of breast arterial calcification was 188 (11.6%) at 95% Confidence Interval (10.03-13.2). The mean age of women included in this study was 48.42±9.55 years with the largest number of patients in the age group 40-49 years, 682 (42.3%), and least in the age group 80-89 years, 3 (0.2%). All patients in the age group 80-89 years, 3 (100%) had vascular calcifications followed by 70-79 years group, 22 (57.5%) and none in patients younger than 30 years. Conclusions: We found an increase in the number and grade of vascular calcifications in breasts with the patient's age. When present breast arterial calcifications must be mentioned in mammogram report. Identification of such calcifications on mammogram should prompt further screening for atherosclerotic disease.Publication Correlation of Sonourethrography Findings of Male Anterior Urethral Stricture with Retrograde Urethrography(Institute of Medicine, 2021) Gautam, Bishnu; Chataut, Dinesh; Suwal, Sundar; Lohani, BenuABSTRACT Introduction: Imaging plays significant role in diagnosing the male urethral stricture and helps the urologist in determining the treatment protocols. Retrograde urethrography (RGU) had been the standard imaging technique for anterior urethral stricture. Sonourethrography (SUG) as compared to the retrograde urethrography has the advantage of being radiation free. Aim of this study was to compare the sonourethrography findings in anterior urethral stricture with that of retrograde urethrography. Methods: This was an observational study done in 46 patients with clinical symptoms related to lower urinary tract during the period of September 2019 to August 2020 after obtaining informed consent. Ethical clearance was received from Institutional Review Committee, Institute of Medicine. Patients were first evaluated by sonourethrography. Then, retrograde urethrography was done as per the standard protocol of the department. Data were collected in the predesignated proforma including the study variables on sonourethrography and retrograde urethrography and entered in IBM SPSS version 20. The lengths of strictures on sonourethrography and retrograde urethrography were compared. Results: Among 46 patients 21 patients showed anterior urethral strictures on both SUG and RGU with bulbar region as the commonest location. SUG showed all the urethral strictures seen on RGU with significant positive correlation. SUG also showed spongiofibrosis in nine patients. Conclusion: Sonourethrography, an radiation free imaging technique, showed all the strictures seen in retrograde urethrography with added benefit of detection of spongiofibrosis as well. Keywords: Anterior urethra, imaging evaluation, spongiofibrosis, ultrasonographyPublication Inadequate Completion of Computed Tomography Request Forms of Patients Visiting the Department of Radiology in a Tertiary Care Centre(Nepal Medical Association, 2023) Sah, Ramswarth; Lohani, Benu; Singh, Yogendra PrasadAbstract Introduction: From both medical and legal points of view, it is vital that computed tomography request forms should be adequately filled up. It is the responsibility of physicians to collect adequate clinical information that justifies the computed tomography examination and the ethical responsibility of radiological technologists and radiologists is to perform only the justified radiological examinations. Thus, a properly filled request form is crucial for understanding the clinical problem, using the proper protocol for avoiding unnecessary radiation exposure and providing concise radiological reports. The aim of this study was to find out the prevalence of inadequate completion of computed tomography request forms of patients visiting the Department of Radiology of a tertiary care centre. Methods: This descriptive study was performed in the Department of Radiology from 22 April 2021 to 21 April 2022 after receiving ethical approval from the Institutional Review Committee. Computed tomography request forms from emergency, ward and outpatient Departments were used in the study whereas that from other hospitals and clinics were excluded. A convience sampling method was used. The point estimate was calculated at a 95% Confidence Interval. Results: Out of 470 computed tomography examination forms, the prevalence of inadequate computed tomography request forms was 195 (41.49%) (37.03-45.94, 95% Confidence Interval). Conclusions: The prevalence of the inadequacy of completion of computed tomography examination forms was higher than other similar studies done in similar settings.Publication Ultrasound Assessment of Gestational Age Using Fetal Binocular Distance in Uncomplicated Pregnancies, Correlating with Standard Fetal Biometry Parameters at a Tertiary Care Hospital in Nepal(Perinatal Society of Nepal (PESON), 2023) Khanal, Umesh; Katwal, Shailendra; Suhail, Afla; Lohani, BenuABSTRACT Background: Fetal biometry, typically using parameters like biparietal diameter (BPD), Head circumference (HC), abdominal circumference (AC), and Femur length (FL), estimate gestational age. Recent literature highlights the utility of orbital dimensions, particularly fetal binocular distance (FBD) for precise fetal gestational age estimation (FGAE). Due to a lack of published data on FBD in Nepal, this study aimed to fill this gap by assessing GA using FBD from 18th week in healthy women with uncomplicated pregnancies. Methods: Obstetric USG was performed in 288 women with uncomplicated pregnancy to evaluate the efficacy of FBD as a measure to calculate the predicted GA. GA ranged from 18 weeks to term. Only patients with known clinical GA, previous history of normal menstrual cycle, and who fit the inclusion criteria were included in the study. Results: The correlation between FBD in mm and gestational age (GA)in weeks was analyzed. The correlation was highly significant (r=0.987, p<0.001), assisting in compiling a nomogram of FBD and GA for Nepalese women. A highly significant correlation was also found between the FBD and other parameters as well. Conclusion: Fetal binocular distance correlates linearly with clinical gestational age and positively with other standard fetal biometry parameters such as biparietal diameter, head circumference, abdominal circumference, and femur length. Thus, fetal binocular distance proves to be a reliable parameter for determining gestational age. Keywords: Gestational age, Fetal Binocular distance (FBD), Ultrasonography (USG)