1
|
Alharbi AS, Gameraddin M, Gareeballah A, Shrwani ZJ, Sindi MA, Alsaedi HI, Qurashi AA, Aloufi KM, Alshamrani AFA, Alzain AF. Assessment of Hounsfield Units and Factors Associated with Fragmentation of Renal Stones by Extracorporeal Shock Wave Lithotripsy: A Computerized Tomography Study. Tomography 2024; 10:90-100. [PMID: 38250954 PMCID: PMC10821390 DOI: 10.3390/tomography10010008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2023] [Revised: 01/06/2024] [Accepted: 01/09/2024] [Indexed: 01/23/2024] Open
Abstract
The success rate of extracorporeal shock wave lithotripsy (ESWL) is influenced by various factors, including stone density, and is determined through computed tomography scans in terms of Hounsfield units (HU). MATERIALS AND METHODS This retrospective single-center study was conducted in the King Fahad Hospital. Sixty-seven adult patients with renal and ureteric stones were selected randomly and enrolled in the study. Their ages ranged from 20 to 69 years. The patients were examined with non-contrast enhancement (NCCT) to assess the HU of their stones and were consequently treated with ESWL. RESULTS Of the 67 patients, 37.3% had stones that were completely fragmented, while 62.7% had stones that were partially fragmented. The HU, location of the stone, multiplicity of the stone, and patient age were found to be significant factors contributing to stone fragility (p-values < 0.05). The HU data were found to have a positive significant linear correlation with serum calcium (r = 0.28, p-value = 0.036), while serum acid had a negative correlation (r = -0.55, p-value < 0.001). Thus, the probability of calcium-containing stone formation increases with increased HU. In contrast, uric acid stone formation likely develops with decreasing HU with serum uric acid. Renal stones in patients with diabetes mellitus and hypertension were not completely fragmented compared to those without clinical history. CONCLUSIONS Mean HU, location of the stone, laterality, stone status, and the number of ESWL sessions are the most significant factors affecting stone fragility. CT attenuation values can predict the composition of stones from serum calcium and uric acid examinations. Hypertension and diabetes mellitus are risk factors for renal stone fragmentation.
Collapse
Affiliation(s)
- Abdallah Saud Alharbi
- Medical Imaging Department, King Fahad Hospital, Al-Madinah 42210, Saudi Arabia (Z.J.S.)
| | - Moawia Gameraddin
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Al-Madinah 41477, Saudi Arabia; (A.G.)
- Department of Diagnostic Radiology, Faculty of Radiological Sciences and Medical Imaging, Alzaiem Alazhari University, Khartoum 13311, Sudan
| | - Awadia Gareeballah
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Al-Madinah 41477, Saudi Arabia; (A.G.)
- Department of Diagnostic Radiology, Faculty of Radiological Sciences and Medical Imaging, Alzaiem Alazhari University, Khartoum 13311, Sudan
| | - Zahra Jibril Shrwani
- Medical Imaging Department, King Fahad Hospital, Al-Madinah 42210, Saudi Arabia (Z.J.S.)
| | - Moa’ath Abdullah Sindi
- Medical Imaging Department, King Fahad Hospital, Al-Madinah 42210, Saudi Arabia (Z.J.S.)
| | | | - Abdulaziz A. Qurashi
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Al-Madinah 41477, Saudi Arabia; (A.G.)
| | - Khalid M. Aloufi
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Al-Madinah 41477, Saudi Arabia; (A.G.)
| | - Abdullah Fahad A. Alshamrani
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Al-Madinah 41477, Saudi Arabia; (A.G.)
| | - Amel F. Alzain
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Al-Madinah 41477, Saudi Arabia; (A.G.)
| |
Collapse
|
2
|
Amer SA, Alshoabi SA, Qurashi AA, Alhazmi FH, Al-Rudini RY. Ultrasound Doppler findings of a Twin Reversed Arterial Perfusion Sequence (TRAP). Pak J Med Sci 2024; 40:242-246. [PMID: 38196474 PMCID: PMC10772415 DOI: 10.12669/pjms.40.1.8088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Revised: 09/13/2023] [Accepted: 09/28/2023] [Indexed: 01/11/2024] Open
Abstract
Twin reversed arterial perfusion (TRAP) sequence is a rare pregnancy complication occurs in an identical twin pregnancy that share a single placenta. TRAP sequence is a twin's pregnancy includes a normal-developed viable pump fetus and an abnormal usually nonviable acardiac fetus. The nonviable acardiac fetus depends on the pump fetus for his blood supply and put the pump fetus at risk of high cardiac output heart failure and congenital anomalies with high mortality rate. Gray-scale ultrasound and color and pulsed Doppler imaging is a noninvasive accessible imaging modality for the diagnosis of TRAP sequence. Early diagnosis of such conditions is mandatory in order to apply the proper therapeutic measures and to help the normal developed pump fetus to survive. The main goal of management is to interrupt blood supply to the nonviable acardiac fetus to reduce the strain on the heart of the pump fetus thus, increase the chance of survival.
Collapse
Affiliation(s)
- Saba,a Abdulmalik Amer
- Saba’a Abdulmalik Amer Department of Radiology, University of Science and Technology Hospital (USTH), Radiology Department, College of Medicine, 21 September University of Medical and Applied Sciences, Sana’a, Republic of Yemen
| | - Sultan Abdulwadoud Alshoabi
- Sultan Abdulwadoud Alshoabi Department of Diagnostic Radiology Technology, Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah, Kingdom of Saudi Arabia
| | - Abdulaziz A. Qurashi
- Abdulaziz A. Qurashi Department of Diagnostic Radiology Technology, Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah, Kingdom of Saudi Arabia
| | - Fahad H. Alhazmi
- Fahad H. Alhazmi Department of Diagnostic Radiology Technology, Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah, Kingdom of Saudi Arabia
| | - Rawda Yehia Al-Rudini
- Rawda Yehia Al-Rudini Department of Radiology, Al-Thawra Modern General Hospital, Sana’a, Republic of Yemen
| |
Collapse
|
3
|
Alshoabi SA, Alareqi AA, Alhazmi FH, Qurashi AA, Omer AM, Hamid AM. Utility of Ultrasound Imaging Features in Diagnosis of Breast Cancer. Cureus 2023; 15:e37691. [PMID: 37206514 PMCID: PMC10191155 DOI: 10.7759/cureus.37691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/16/2023] [Indexed: 05/21/2023] Open
Abstract
Background Currently, breast cancer (BC) is considered one of the most prevalent cancer worldwide in women and represents a global health challenge. Early diagnosis is the keystone in the management of BC patients. This study aims to assess the utility of ultrasonography (US) features of malignancy in the diagnosis of BC. Methods This retrospective cross-sectional study involved the electronic records of 326 female patients who were diagnosed with BC. A cross-tabulation test was performed to identify the association between the presence of each US feature (yes/no), and the final US diagnosis (benign/malignant). The strength of association of each feature was measured using the odds ratio (OR) which was assumed to be significant when > 1, with a 95% confidence interval (CI). Results The mean age of the female patients involved in this study was 45.36 ±12.16 years old (range, 17-90 years). Cross-tabulation test showed a significant association between the malignancy tumor and the irregular shape of the lesion (p < 0.001, OR=7.162, CI 2.726-18.814), non-circumscribed margins (p < 0.001, OR = 9.031, CI 3.200-25.489), tissue distortion (p < 0.001, OR = 18.095, CI 5.944-55.091), and the lymph node enlargement (p < 0.001, OR = 5.705, CI 2.332-13.960). Conclusion US imaging features of malignancy have a high sensitivity and positive predictive value for detection of the BC. However, the specificity of breast US imaging features is much lower because of the overlapping features in benign and malignant breast lesions. Breast lesions with an irregular shape, not circumscribed irregular or spiculated margins, hypo-echogenicity, tissue distortion, and those with lymphadenopathy have the highest likelihood of malignancy despite the low specificity. US is a highly valuable, safe, and affordable imaging modality with high diagnostic accuracy for BC.
Collapse
Affiliation(s)
- Sultan A Alshoabi
- Diagnostic Radiology Technology, Taibah University College of Applied Medical Sciences, Almadinah Almunawwarah, SAU
| | - Amal A Alareqi
- Radiology, University of Medical and Applied Science, Sana'a, YEM
- Radiology, National Cancer Control Foundation (NCCF), Sana'a, YEM
| | - Fahad H Alhazmi
- Diagnostic Radiology Technology, Taibah University College of Applied Medical Sciences, Almadinah Almunawwarah, SAU
| | - Abdulaziz A Qurashi
- Diagnostic Radiology Technology, Taibah University College of Applied Medical Sciences, Almadinah Almunawwarah, SAU
| | - Awatif M Omer
- Diagnostic Radiology Technology, Taibah University College of Applied Medical Sciences, Almadinah Almunawwarah, SAU
| | | |
Collapse
|
4
|
Alshoabi SA, Alkalady AH, Almas KM, Magram AO, Algaberi AK, Alareqi AA, Hamid AM, Alhazmi FH, Qurashi AA, Abdulaal OM, Aloufi KM, Alsharif WM, Alsultan KD, Omer AM, Gareeballah A. The Neoplasms Mimicker: A Pictorial Review of Hydatid Disease. Diagnostics (Basel) 2023; 13:diagnostics13061127. [PMID: 36980435 PMCID: PMC10047450 DOI: 10.3390/diagnostics13061127] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2023] [Revised: 03/09/2023] [Accepted: 03/13/2023] [Indexed: 03/18/2023] Open
Abstract
Hydatid cyst is a common name for the larval stage of a tapeworm species of the genus Echinococcus granulosus, which is transmitted from animals to humans via the fecal–oral route. Hydatid cysts predominantly affect the liver (75%), followed by the lung (15%), and they can affect many organs in the human body. Medical imaging modalities are the keystone for the diagnosis of hydatid cysts with high sensitivity and specificity. Ultrasound imaging with high resolution is the first choice for diagnosis, differential diagnosis, staging, establishing a role in interventional management, and follow-up, and it can differentiate Type I hydatid cysts from simple liver cysts. Unenhanced computed tomography (CT) is indicated where or when an ultrasound is unsatisfactory, such as with chest or brain hydatid cysts, when detecting calcification, and in obese patients. Magnetic resonance imaging (MRI) is superior for demonstrating cyst wall defects, biliary communication, neural involvement, and differentiating hydatid cysts from simple cysts using diffusion-weighted imaging (DWI) sequences. According to the phase of growth, hydatid cysts occur in different sizes and shapes, which may mimic benign or malignant neoplasms and may create diagnostic challenges in some cases. Hydatid cysts can mimic simple cysts, choledochal cysts, Caroli’s disease, or mesenchymal hamartomas of the liver. They can mimic lung cystic lesions, mycetoma, blood clots, Rasmussen aneurysms, and even lung carcinomas. Differential diagnosis can be difficult for arachnoid cysts, porencephalic cysts, pyogenic abscesses, and even cystic tumors of the brain, and can create diagnostic dilemmas in the musculoskeletal system.
Collapse
Affiliation(s)
- Sultan Abdulwadoud Alshoabi
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah 42353, Saudi Arabia
- Correspondence:
| | | | | | | | | | - Amal A. Alareqi
- Radiology Department, 21 September University of Medical and Applied Science, Sana’a, Yemen
| | | | - Fahad H. Alhazmi
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah 42353, Saudi Arabia
| | - Abdulaziz A. Qurashi
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah 42353, Saudi Arabia
| | - Osamah M. Abdulaal
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah 42353, Saudi Arabia
| | - Khalid M. Aloufi
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah 42353, Saudi Arabia
| | - Walaa M. Alsharif
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah 42353, Saudi Arabia
| | - Kamal D. Alsultan
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah 42353, Saudi Arabia
| | - Awatif M. Omer
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah 42353, Saudi Arabia
| | - Awadia Gareeballah
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah 42353, Saudi Arabia
| |
Collapse
|
5
|
Al-Dahery ST, Alsharif WM, Alamri FH, Nawawi SA, Mofti WK, Alhazmi FH, Alshamrani KM, Suliman AG, Qurashi AA. The role of teleradiology during COVID-19 outbreak: Saudi radiologists' perspectives. Saudi Med J 2023; 44:202-210. [PMID: 36773982 PMCID: PMC9987691 DOI: 10.15537/smj.2023.44.2.20220793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2022] [Accepted: 01/10/2023] [Indexed: 02/13/2023] Open
Abstract
OBJECTIVES To evaluate the role of teleradiology during the COVID-19 pandemic from Saudi radiologists' perspectives to improve the radiology quality service. METHODS A cross-sectional study was carried out in Saudi Arabia among radiologists working at local hospitals from October to November 2021. It contains 21 questions involved demographic information; general information on teleradiology services; and the impact of teleradiology during COVID-19. One-way ANOVA was used to compare demographic groups. Chi-square test was used to compare demographic groups regarding their distribution of responses. All tests were carried out <0.05 level of significance. RESULTS A total of 102 radiologists participated in this study (56% males, 44% females), 58.8% of them were sub-specialized in chest radiology. Regarding the general status of teleradiology, 69.6% of participants believed that teleradiology is a helpful tool for imaging interpretation. However, 44% of them were uncertain on the impact of teleradiology on patients' confidentiality. Approximately 87% of participants agreed that there is a positive contribution of teleradiology during COVID-19, which enables decreasing risk of infection and workload. There was a significant difference between professional degrees and overall participant responses (p<0.05). Academicians agreed that it enhances radiology departments' work (mean=17.78, SD=1.86). CONCLUSION Concerns raised on complicated cases that require physical presence of patients, cannot be performed by teleradiology. Additionally, it might provide insufficient communication with other professionals to discuss images.
Collapse
Affiliation(s)
- Shrooq T. Al-Dahery
- From the Department of Applied Radiologic Technology (Al-Dahery, Alamri, Nawawi), College of Applied Medical Sciences, and from the Faculty of Medicine (Mofti), University of Jeddah; from the College of Applied Medical Sciences (Alshamrani), King Saud bin Abdulaziz, University for Health Sciences; from the Department of Radiological Sciences (Alshamrani). King Abdullah International Medical Research Center; from the Ministry of the National Guard - Health Affairs (Alshamrani), Jeddah; and from the Diagnostic Radiology Technology Department (Alsharif, Alhazmi, Suliman, Qurashi), College of Applied Medical Sciences, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia.
- Address correspondence and reprint request to: Dr. Shrooq T. Al-Dahery, Department of Applied Radiologic Technology, College of Applied Medical Sciences, University of Jeddah, Jeddah, Kingdom of Saudi Arabia. E-mail: ORCID ID: https://orcid.org/0000-0003-2241-0011
| | - Walaa M. Alsharif
- From the Department of Applied Radiologic Technology (Al-Dahery, Alamri, Nawawi), College of Applied Medical Sciences, and from the Faculty of Medicine (Mofti), University of Jeddah; from the College of Applied Medical Sciences (Alshamrani), King Saud bin Abdulaziz, University for Health Sciences; from the Department of Radiological Sciences (Alshamrani). King Abdullah International Medical Research Center; from the Ministry of the National Guard - Health Affairs (Alshamrani), Jeddah; and from the Diagnostic Radiology Technology Department (Alsharif, Alhazmi, Suliman, Qurashi), College of Applied Medical Sciences, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia.
| | - Fatima H. Alamri
- From the Department of Applied Radiologic Technology (Al-Dahery, Alamri, Nawawi), College of Applied Medical Sciences, and from the Faculty of Medicine (Mofti), University of Jeddah; from the College of Applied Medical Sciences (Alshamrani), King Saud bin Abdulaziz, University for Health Sciences; from the Department of Radiological Sciences (Alshamrani). King Abdullah International Medical Research Center; from the Ministry of the National Guard - Health Affairs (Alshamrani), Jeddah; and from the Diagnostic Radiology Technology Department (Alsharif, Alhazmi, Suliman, Qurashi), College of Applied Medical Sciences, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia.
| | - Shahad A. Nawawi
- From the Department of Applied Radiologic Technology (Al-Dahery, Alamri, Nawawi), College of Applied Medical Sciences, and from the Faculty of Medicine (Mofti), University of Jeddah; from the College of Applied Medical Sciences (Alshamrani), King Saud bin Abdulaziz, University for Health Sciences; from the Department of Radiological Sciences (Alshamrani). King Abdullah International Medical Research Center; from the Ministry of the National Guard - Health Affairs (Alshamrani), Jeddah; and from the Diagnostic Radiology Technology Department (Alsharif, Alhazmi, Suliman, Qurashi), College of Applied Medical Sciences, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia.
| | - Wed K. Mofti
- From the Department of Applied Radiologic Technology (Al-Dahery, Alamri, Nawawi), College of Applied Medical Sciences, and from the Faculty of Medicine (Mofti), University of Jeddah; from the College of Applied Medical Sciences (Alshamrani), King Saud bin Abdulaziz, University for Health Sciences; from the Department of Radiological Sciences (Alshamrani). King Abdullah International Medical Research Center; from the Ministry of the National Guard - Health Affairs (Alshamrani), Jeddah; and from the Diagnostic Radiology Technology Department (Alsharif, Alhazmi, Suliman, Qurashi), College of Applied Medical Sciences, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia.
| | - Fahad H. Alhazmi
- From the Department of Applied Radiologic Technology (Al-Dahery, Alamri, Nawawi), College of Applied Medical Sciences, and from the Faculty of Medicine (Mofti), University of Jeddah; from the College of Applied Medical Sciences (Alshamrani), King Saud bin Abdulaziz, University for Health Sciences; from the Department of Radiological Sciences (Alshamrani). King Abdullah International Medical Research Center; from the Ministry of the National Guard - Health Affairs (Alshamrani), Jeddah; and from the Diagnostic Radiology Technology Department (Alsharif, Alhazmi, Suliman, Qurashi), College of Applied Medical Sciences, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia.
| | - Khalid M. Alshamrani
- From the Department of Applied Radiologic Technology (Al-Dahery, Alamri, Nawawi), College of Applied Medical Sciences, and from the Faculty of Medicine (Mofti), University of Jeddah; from the College of Applied Medical Sciences (Alshamrani), King Saud bin Abdulaziz, University for Health Sciences; from the Department of Radiological Sciences (Alshamrani). King Abdullah International Medical Research Center; from the Ministry of the National Guard - Health Affairs (Alshamrani), Jeddah; and from the Diagnostic Radiology Technology Department (Alsharif, Alhazmi, Suliman, Qurashi), College of Applied Medical Sciences, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia.
| | - Awadia G. Suliman
- From the Department of Applied Radiologic Technology (Al-Dahery, Alamri, Nawawi), College of Applied Medical Sciences, and from the Faculty of Medicine (Mofti), University of Jeddah; from the College of Applied Medical Sciences (Alshamrani), King Saud bin Abdulaziz, University for Health Sciences; from the Department of Radiological Sciences (Alshamrani). King Abdullah International Medical Research Center; from the Ministry of the National Guard - Health Affairs (Alshamrani), Jeddah; and from the Diagnostic Radiology Technology Department (Alsharif, Alhazmi, Suliman, Qurashi), College of Applied Medical Sciences, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia.
| | - Abdulaziz A. Qurashi
- From the Department of Applied Radiologic Technology (Al-Dahery, Alamri, Nawawi), College of Applied Medical Sciences, and from the Faculty of Medicine (Mofti), University of Jeddah; from the College of Applied Medical Sciences (Alshamrani), King Saud bin Abdulaziz, University for Health Sciences; from the Department of Radiological Sciences (Alshamrani). King Abdullah International Medical Research Center; from the Ministry of the National Guard - Health Affairs (Alshamrani), Jeddah; and from the Diagnostic Radiology Technology Department (Alsharif, Alhazmi, Suliman, Qurashi), College of Applied Medical Sciences, Taibah University, Al Madinah Al Munawwarah, Kingdom of Saudi Arabia.
| |
Collapse
|
6
|
Alsharif WM, Alyami JH, Qurashi AA, Aljuhani RA, Alqrafi RK, Alraddadi RS, Alhojeli EA, Aldahery ST, Alshamrani KM, Alshoabi SA, Suliman AG. The Motivational Factors of Choosing Diagnostic Radiology as a Profession Among Saudi Radiography Students. Adv Med Educ Pract 2022; 13:955-967. [PMID: 36042949 PMCID: PMC9420412 DOI: 10.2147/amep.s374194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Accepted: 08/13/2022] [Indexed: 06/15/2023]
Abstract
PURPOSE To identify factors influencing Saudi students to choose radiography as their academic major and future career field. MATERIAL AND METHOD This study involved quantitative (online questionnaire) and qualitative (semi-structured interview) approaches. An online questionnaire was distributed among (n = 308) students. The questionnaire contained 30 questions covering the following three domains: economy, vocational and personal. A total of 25 individual semi-structured interviews were conducted with purposive sampling of radiography students in seven universities (public and private) across the western region of Saudi Arabia. Interview responses were coded, and main themes were extracted based on Miles and Huberman's framework. RESULTS The findings demonstrated that radiography was the first option as profession for 44% of the study participants. Several factors that study participants considered important were in the realm of patient care, helping patients, radiographer-patient relations, science-based profession, and the desire to work in the healthcare system. A few participants (14%) reported that they are planning to change their profession to another medical speciality. Four themes were identified from the interviews: 1) Profession decision-making, 2) changing career", 3) difficulties and challenges, and 4) recommended radiography as a profession. CONCLUSION The results of the study support the need to bridge the gap between high school, universities, and employment through a collaborative network to assist students in exploring their career path by providing sufficient information and experience.
Collapse
Affiliation(s)
- Walaa M Alsharif
- Diagnostic Radiology Technology Department, College of Applied Medical Sciences, Taibah University, Madinah, Saudi Arabia
| | - Jaber H Alyami
- Diagnostic Radiology department, Faculty of Applied Medical Sciences, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Abdulaziz A Qurashi
- Diagnostic Radiology Technology Department, College of Applied Medical Sciences, Taibah University, Madinah, Saudi Arabia
| | - Raghad A Aljuhani
- Diagnostic Radiology Technology Department, College of Applied Medical Sciences, Taibah University, Madinah, Saudi Arabia
| | - Rawan K Alqrafi
- Diagnostic Radiology Technology Department, College of Applied Medical Sciences, Taibah University, Madinah, Saudi Arabia
| | - Razan S Alraddadi
- Diagnostic Radiology Technology Department, College of Applied Medical Sciences, Taibah University, Madinah, Saudi Arabia
| | - Elaf A Alhojeli
- Diagnostic Radiology Technology Department, College of Applied Medical Sciences, Taibah University, Madinah, Saudi Arabia
| | - Shrooq T Aldahery
- Applied Radiologic Technology, College of Applied Medical Science, University of Jeddah, Jeddah, Saudi Arabia
| | - Khalid M Alshamrani
- College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
- King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
- Ministry of the National Guard - Health Affairs, Jeddah, Saudi Arabia
| | - Sultan A Alshoabi
- Diagnostic Radiology Technology Department, College of Applied Medical Sciences, Taibah University, Madinah, Saudi Arabia
| | - Awadia G Suliman
- Diagnostic Radiology Technology Department, College of Applied Medical Sciences, Taibah University, Madinah, Saudi Arabia
| |
Collapse
|
7
|
Alshamrani KM, Alkenawi AA, Kaifi R, Alsharif S, Merdah AS, Munshi WE, Alattas AK, Althaqafy M, Qurashi AA, Alsharif WM, Alshareef AS. Burnout Among Saudi Radiological Sciences Undergraduate Students During COVID-19 Pandemic: A Cross-Sectional Study. Psychol Res Behav Manag 2022; 15:1637-1648. [PMID: 35813036 PMCID: PMC9258799 DOI: 10.2147/prbm.s372251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2022] [Accepted: 06/25/2022] [Indexed: 11/23/2022] Open
Affiliation(s)
- Khalid M Alshamrani
- College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
- King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
- Ministry of the National Guard - Health Affairs, Jeddah, Saudi Arabia
- Correspondence: Khalid M Alshamrani, College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, P. O. Box 9515, Internal Mail Code 6610, Jeddah, 21423, Saudi Arabia, Tel +966 12-2266666 Ext. 46396, Email
| | - Abdulkader A Alkenawi
- College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
- King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
- Ministry of the National Guard - Health Affairs, Jeddah, Saudi Arabia
| | - Reham Kaifi
- College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
- King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
- Ministry of the National Guard - Health Affairs, Jeddah, Saudi Arabia
| | - Shaza Alsharif
- College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
- King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
- Ministry of the National Guard - Health Affairs, Jeddah, Saudi Arabia
| | - Abdulaziz S Merdah
- College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
| | - Wael E Munshi
- College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
| | - Ahmed K Alattas
- College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
| | - Majid Althaqafy
- College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
- King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
- Ministry of the National Guard - Health Affairs, Jeddah, Saudi Arabia
| | - Abdulaziz A Qurashi
- Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Madinah, Saudi Arabia
| | - Walaa M Alsharif
- Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Madinah, Saudi Arabia
| | - Ali S Alshareef
- College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
- King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
- Ministry of the National Guard - Health Affairs, Jeddah, Saudi Arabia
| |
Collapse
|
8
|
Qurashi AA, Alsharif WM. Saudi Radiologists’ and Radiographers’ Perceptions of Accreditation Programmes in Clinical Radiology Departments: A Cross-Sectional Study. J Multidiscip Healthc 2022; 15:401-411. [PMID: 35261545 PMCID: PMC8898186 DOI: 10.2147/jmdh.s350989] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2021] [Accepted: 02/14/2022] [Indexed: 11/23/2022] Open
Abstract
Purpose The hospital accreditation programme is an assessment tool that involves a comprehensive evaluation by an external independent accreditation body to ensure consistency in clinical practice by adhering to the established standards and guidelines. The study aims to investigate Radiology professionals’ perceptions of the impact of accreditation and implementation of change towards the quality-of-service delivery in Radiology Departments. Methods A cross-sectional prospective study was conducted in Saudi Arabia among radiology professionals (ie, radiographers and radiologists) from July to September 2021. After obtaining institutional review board approval from the local ethics committee and using a non-probability convenient sampling technique, 335 participants completed the survey, which was distributed via social media channels, and through professional networks within hospitals across the country. Results A total of 335 participants agreed to participate. The study’s participants strongly agreed that the accreditation programmes have positively impacted customer satisfaction and care provided to patients. A significant difference was identified in the level of agreement on the effect of accreditation programmes when hospital types and personnel qualifications were tested (P < 0.05). Radiology personnel who worked in academic hospitals and who had diplomas and PhDs degrees showed a significantly higher level of agreement than other participants (P < 0.05). Conclusion Saudi radiologists and radiographers showed strong agreement or agreement towards hospital accreditation programmes domains’ criteria. The results of the study support the need to bridge the gap between higher-level management and employees in order to facilitate change and enhance the standards of quality and practice in radiology departments. Additional policies are needed to continue and strengthen quality improvement programmes.
Collapse
Affiliation(s)
- Abdulaziz A Qurashi
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Madinah, Saudi Arabia
- Correspondence: Abdulaziz A Qurashi, Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Anadah Bin Umayyah Road, Taibah, Madinah, 42353, Saudi Arabia, Tel +966 014 861 8888 Ext. 3603, Email
| | - Walaa M Alsharif
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Madinah, Saudi Arabia
| |
Collapse
|
9
|
Alshoabi SA, Almas KM, Aldofri SA, Hamid AM, Alhazmi FH, Alsharif WM, Abdulaal OM, Qurashi AA, Aloufi KM, Alsultan KD, Omer AM, Daqqaq TS. The Diagnostic Deceiver: Radiological Pictorial Review of Tuberculosis. Diagnostics (Basel) 2022; 12:diagnostics12020306. [PMID: 35204395 PMCID: PMC8870832 DOI: 10.3390/diagnostics12020306] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Revised: 01/11/2022] [Accepted: 01/21/2022] [Indexed: 02/01/2023] Open
Abstract
Tuberculosis (TB) is a bacterial infection with Mycobacterium tuberculosis; it is a public health problem worldwide and one of the leading causes of mortality. Since December 2019, the COVID-19 pandemic has created unprecedented health challenges and disrupted the TB health services, especially in high-burden countries with ever-increasing prevalence. Extrapulmonary and even pulmonary TB are an important cause of nonspecific clinical and radiological manifestations and can masquerade as any benign or malignant medical case, thus causing disastrous conditions and diagnostic dilemmas. Clinical manifestations and routine laboratory tests have limitations in directing physicians to diagnose TB. Medical-imaging examinations play an essential role in detecting tissue abnormalities and early suspecting diagnosis of TB in different organs. Radiologists and physicians should be familiar with and aware of the radiological manifestations of TB to contribute to the early suspicion and diagnosis of TB. The purpose of this article is to illustrate the common radiologic patterns of pulmonary and extrapulmonary TB. This article will be beneficial for radiologists, medical students, chest physicians, and infectious-disease doctors who are interested in the diagnosis of TB.
Collapse
Affiliation(s)
- Sultan Abdulwadoud Alshoabi
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah 42353, Saudi Arabia; (F.H.A.); (W.M.A.); (O.M.A.); (A.A.Q.); (K.M.A.); (K.D.A.); (A.M.O.)
- Correspondence:
| | - Khaled M. Almas
- Radiology Department, Al-Hawbany Hospital, Alhodeidah, Yemen;
| | - Saif A. Aldofri
- Radiology Department, Central Military Hospital, Sana’a, Yemen;
| | | | - Fahad H. Alhazmi
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah 42353, Saudi Arabia; (F.H.A.); (W.M.A.); (O.M.A.); (A.A.Q.); (K.M.A.); (K.D.A.); (A.M.O.)
| | - Walaa M. Alsharif
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah 42353, Saudi Arabia; (F.H.A.); (W.M.A.); (O.M.A.); (A.A.Q.); (K.M.A.); (K.D.A.); (A.M.O.)
| | - Osamah M. Abdulaal
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah 42353, Saudi Arabia; (F.H.A.); (W.M.A.); (O.M.A.); (A.A.Q.); (K.M.A.); (K.D.A.); (A.M.O.)
| | - Abdulaziz A. Qurashi
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah 42353, Saudi Arabia; (F.H.A.); (W.M.A.); (O.M.A.); (A.A.Q.); (K.M.A.); (K.D.A.); (A.M.O.)
| | - Khalid M. Aloufi
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah 42353, Saudi Arabia; (F.H.A.); (W.M.A.); (O.M.A.); (A.A.Q.); (K.M.A.); (K.D.A.); (A.M.O.)
| | - Kamal D. Alsultan
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah 42353, Saudi Arabia; (F.H.A.); (W.M.A.); (O.M.A.); (A.A.Q.); (K.M.A.); (K.D.A.); (A.M.O.)
| | - Awatif M. Omer
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah 42353, Saudi Arabia; (F.H.A.); (W.M.A.); (O.M.A.); (A.A.Q.); (K.M.A.); (K.D.A.); (A.M.O.)
| | - Tareef S. Daqqaq
- Radiology Department, Faculty of Medicine, Taibah University, Almadinah Almunawwarah 42353, Saudi Arabia;
| |
Collapse
|
10
|
Alareqi AA, Alshoabi SA, Qurashi AA, Hamid AM. Subtle morpho-functional kidney changes in type-2 diabetes mellitus patients: A duplex ultrasound assessment. Pak J Med Sci 2022; 38:674-681. [PMID: 35480526 PMCID: PMC9002409 DOI: 10.12669/pjms.38.3.4699] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2021] [Revised: 09/29/2021] [Accepted: 10/25/2021] [Indexed: 12/05/2022] Open
Abstract
Objectives: Diabetes mellitus (DM) is a common endocrine disease with serious effects on multiple organs including the kidneys. This study aimed to investigate the subtle effects of type 2 DM (T2DM) on the kidneys. Methods: This was a prospective case-control study conducted in the Radiology Department of University of Science and Technology Hospital (USTH) campus, Sana’a, Republic of Yemen, from 1 January 2020 to 31 November 2020. The renal length (RL), renal width (RW), resistive index (RI), and pulsatility index (PI) were prospectively measured in patients with T2DM and healthy controls. The results were compared using the independent samples t-test. Comparisons were likewise performed between patients with controlled DM and patients with uncontrolled DM. Results: A total of hundred individuals, 50 diabetic patients and 50 controls, were enrolled in this study. Their mean age was 54 ± 7.88 years (range: 40–75 years). The RL, RI, and PI of both kidneys were significantly higher in T2DM than in the control group. Moreover, the RL, RI, PI and creatinine were slightly higher in patients with uncontrolled than in those with controlled DM. Conclusion: T2DM has significant accentuating effects on the RL, RI and PI associated with low effective renal plasma flow, even before acute kidney injury or chronic kidney disease diagnosis, which may be attenuated by careful regulation of DM. Ultrasound Doppler is a highly valuable imaging modality for evaluating the subtle effects of T2DM on kidney dimensions and blood flow. The RI can be implemented as a tool for the early diagnosis of kidney disease and contribute to slowing the disease progression and preventing renal failure.
Collapse
Affiliation(s)
- Amal A. Alareqi
- Amal A. Alareqi, Department of Radiology, University of Science and Technology Hospital (USTH), Sana’a, Republic of Yemen. Radiology Department, 21 September University of Medical and Applied Sciences, Sana’a, Republic of Yemen
| | - Sultan Abdulwadoud Alshoabi
- Sultan Abdulwadoud Alshoabi, Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah, Kingdom of Saudi Arabia
- Correspondence: Sultan Abdulwadoud Alshoabi, MD. Radiologist, Associate Professor of Radiology, Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah, Kingdom of Saudi Arabia. E-mail:
| | - Abdulaziz A. Qurashi
- Abdulaziz A. Qurashi, Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah, Kingdom of Saudi Arabia
| | - Abdullgabbar M. Hamid
- Abdullgabbar M. Hamid Department of Radiology, Rush University Medical Center, Chicago, IL, United States America
| |
Collapse
|
11
|
Alshoabi SA, Hamid AM, Alhazmi FH, Qurashi AA, Abdulaal OM, Aloufi KM, Daqqaq TS. Diagnostic features of tuberous sclerosis complex: case report and literature review. Quant Imaging Med Surg 2022; 12:846-861. [PMID: 34993123 DOI: 10.21037/qims-21-412] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2021] [Accepted: 07/06/2021] [Indexed: 01/09/2023]
Abstract
Tuberous sclerosis complex (TSC) is a rare autosomal dominant genetic syndrome that is caused by mutations in the tumour suppressor genes TSC1 or TSC2 which causes multiorgan growths. TSC presents at any age as a wide range of clinical and phenotypic manifestations with varying severity. The main goal of this article was to state two cases of TSC and review the most commonly reported major and minor diagnostic clinical features and the most common features that led to an investigation of possible TSC diagnosis. Herein, we report two cases of TSC, which both presented with seizures during the first 6 months of life. Case 1 presented with multiple types of seizures from 6 months of age and was diagnosed by multiple calcified subependymal nodules (SENs) detected by computed tomography and magnetic resonance imaging (MRI). Case 2 presented with seizures from 3 months of age and was diagnosed prenatally when a tumour was seen in her heart during antenatal ultrasonography. In conclusion, the literature review revealed that neurological manifestations (mainly seizures) were the main feature that led to investigation and diagnosis of TSC followed by abdominal manifestations (mainly renal features) and antenatal follow-up imaging. Other manifestations in skin, chest, eyes, teeth and heart rarely led to TSC diagnosis. In some cases, TSC was incidentally discovered by medical imaging. The cortical tubers, SENs, and subependymal giant cell astrocytomas brain lesions were the most commonly reported major features. Skin features including angiofibromas, ungual fibromas and shagreen patch were the second most common major features reported in the literature. However, skin manifestations were not a common led to investigation and diagnosis of TSC. Renal features, mainly angiomyolipomas (AMLs), were the third most common major feature reported. Medical imaging plays an essential role in diagnosis of TSC, and clinical features are important clues that lead to investigation for the disease.
Collapse
Affiliation(s)
- Sultan Abdulwadoud Alshoabi
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah, Kingdom of Saudi Arabia
| | | | - Fahad H Alhazmi
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah, Kingdom of Saudi Arabia
| | - Abdulaziz A Qurashi
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah, Kingdom of Saudi Arabia
| | - Osamah M Abdulaal
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah, Kingdom of Saudi Arabia
| | - Khaled M Aloufi
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah, Kingdom of Saudi Arabia
| | - Tareef S Daqqaq
- Radiology Department, Faculty of Medicine, Taibah University, Almadinah Almunawwarah, Kingdom of Saudi Arabia
| |
Collapse
|
12
|
Haider KH, Alshoabi SA, Qurashi AA, Hamid AM. Incidentally discovered Kawasaki disease in an adult man. Pak J Med Sci 2021; 37:2032-2034. [PMID: 34912440 PMCID: PMC8613055 DOI: 10.12669/pjms.37.7.4199] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Accepted: 06/05/2021] [Indexed: 12/18/2022] Open
Abstract
Kawasaki disease (KD) is a systemic vasculitis of unknown cause which usually diagnosed in small children. However, KD can be present as coronary disease in adults even with no history of the disease in childhood. Here, we describe a case of KD in a 42-year-old male patient presented with severe retrosternal chest pain radiating to the left arm and provisionally diagnosed as acute coronary disease. Coronary artery ectasia and multiple aneurysms have been confirmed by coronary angiography that led to the diagnosis of KD. The patient was treated with Aspirin 81 mg orally once daily, Apixapan 5 mg orally twice daily, Rosuvastatin 40 mg orally once daily, Bisoprolol 5 mg orally once daily, and omeprazole 20 mg orally once daily. The patient was improved and discharged with anticoagulant drugs for life. Physicians should be aware that KD can be present as coronary disease in adults even with no history of the disease in childhood and has a limited treatment options due to unfavorable coronary anatomy.
Collapse
Affiliation(s)
- Kamel H Haider
- Kamel H. Haider, Cardiology Department, Prince Mohammed Bin Nasser Hospital, Jazan, Kingdom of Saudi Arabia
| | - Sultan Abdulwadoud Alshoabi
- Sultan Abdulwadoud Alshoabi, Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah, Kingdom of Saudi Arabia
| | - Abdulaziz A Qurashi
- Abdulaziz A. Qurashi, Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah, Kingdom of Saudi Arabia
| | - Abdullgabbar M Hamid
- Abdullgabbar M. Hamid Radiology Department, Rush University Medical Center, Chicago, IL, United States America
| |
Collapse
|
13
|
Qurashi AA, Alanazi RK, Alhazmi YM, Almohammadi AS, Alsharif WM, Alshamrani KM. Saudi Radiology Personnel's Perceptions of Artificial Intelligence Implementation: A Cross-Sectional Study. J Multidiscip Healthc 2021; 14:3225-3231. [PMID: 34848967 PMCID: PMC8627310 DOI: 10.2147/jmdh.s340786] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Accepted: 10/29/2021] [Indexed: 12/15/2022] Open
Abstract
PURPOSE Artificial intelligence (AI) in radiology has been a subject of heated debate. The external perception is that algorithms and machines cannot offer better diagnosis than radiologists. Reluctance to implement AI maybe due to the opacity in how AI applications work and the challenging and lengthy validation process. In this study, Saudi radiology personnel's familiarity with AI applications and its usefulness in clinical practice were investigated. METHODS A cross-sectional study was conducted in Saudi Arabia among radiology personnel from March to April 2021. Radiology personnel nationwide were surveyed electronically using Google form. The questionnaire included 12-questions related to AI usefulness in clinical practice and participants' knowledge about AI and their acceptance level to learn and implement this technology into clinical practice. Participants' trust level was also measured; Kruskal-Wallis test was used to examine differences between groups. RESULTS A total of 224 respondents from various radiology-related occupations participated in the survey. The lowest trust level in AI applications was shown by radiologists (p = 0.033). Eighty-two percent of participants (n = 184) had never used AI in their departments. Most respondents (n = 160, 71.4%) reported lack of formal education regarding AI-based applications. Most participants (n = 214, 95.5%) showed strong interest in AI education and are willing to incorporate it into the clinical practice of radiology. Almost half of radiography students (22/46, 47.8%) believe that their job might be at risk due to AI application (p = 0.038). CONCLUSION Radiology personnel's knowledge of AI has a significant impact on their willingness to learn, use and adapt this technology in clinical practice. Participants demonstrated a positive attitude towards AI, showed a reasonable understanding and are highly motivated to learn and incorporate it into clinical practice. Some participants felt that their jobs were threatened by AI adaptation, but this belief might change with good training and education programmes.
Collapse
Affiliation(s)
- Abdulaziz A Qurashi
- Diagnostic Radiology Technology Department, College of Applied Medical Sciences, Taibah University, Madinah, Saudi Arabia
| | - Rashed K Alanazi
- Diagnostic Radiology Technology Department, College of Applied Medical Sciences, Taibah University, Madinah, Saudi Arabia
| | - Yasser M Alhazmi
- Diagnostic Radiology Technology Department, College of Applied Medical Sciences, Taibah University, Madinah, Saudi Arabia
| | - Ahmed S Almohammadi
- Diagnostic Radiology Technology Department, College of Applied Medical Sciences, Taibah University, Madinah, Saudi Arabia
| | - Walaa M Alsharif
- Diagnostic Radiology Technology Department, College of Applied Medical Sciences, Taibah University, Madinah, Saudi Arabia
| | - Khalid M Alshamrani
- College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
- King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
| |
Collapse
|
14
|
Alshamrani KM, Alkenawi AA, Alghamdi BN, Honain RH, Alshehri HA, Alshatiri MO, Mail N, Subahi A, Alsharif SS, Qurashi AA, Aldahery S, Kaifi R. Patient-Based Dose Audit for Common Radiographic Examinations With Digital Radiology Systems: A Retrospective Cross-Sectional Study. Cureus 2021; 13:e15005. [PMID: 34150373 PMCID: PMC8202450 DOI: 10.7759/cureus.15005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/13/2021] [Indexed: 11/21/2022] Open
Abstract
This study aims to audit radiation doses of adult patients who underwent common diagnostic X-ray examinations and compare dose area product (DAP) values with the established International Diagnostic Reference Level (IDRLs). Retrospective cross-sectional records of 339-patients who underwent 699-radiographic examinations between October 2018 and March 2019 were obtained. Patient-related factors, exposure, and DAP data were recorded for the six most common examinations. The mean and 75th percentile of DAPs were recorded and compared to IDRLs values. The 75th percentiles of the locally measured DAPs were below IDRLs for all examinations except for lateral lumbar, AP, and lateral thoracic spine, in which DAP-75th-percentile exceeded all IDRLs by up to 40.7%, 2.8%, 365.5%, respectively. Considering the type of detector used, the mean of the locally measured DAPs significantly exceeded the UK DRLs for the lateral thoracic spine and lateral lumbar spine. Locally measured DAP values were below the IDRLs except for thoracic and lumbar spine projections, which significantly exceeded.
Collapse
Affiliation(s)
- Khalid M Alshamrani
- College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Jeddah, SAU
- Research Office, King Abdullah International Medical Research Center, Jeddah, SAU
- Medical Imaging, Ministry of the National Guard - Health Affairs, Jeddah, SAU
| | - Abdulkader A Alkenawi
- College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Jeddah, SAU
- Research Office, King Abdullah International Medical Research Center, Jeddah, SAU
- Medical Imaging, Ministry of the National Guard - Health Affairs, Jeddah, SAU
| | - Bushra N Alghamdi
- College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Jeddah, SAU
| | - Rawan H Honain
- College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Jeddah, SAU
| | - Haneen A Alshehri
- College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Jeddah, SAU
| | - Marwah O Alshatiri
- College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Jeddah, SAU
| | - Noor Mail
- College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Jeddah, SAU
- Research Office, King Abdullah International Medical Research Center, Jeddah, SAU
| | - Ahmed Subahi
- College of Science and Health Professions, King Saud bin Abdulaziz University for Health Sciences, Jeddah, SAU
- Research Office, King Abdullah International Medical Research Center, Jeddah, SAU
| | - Shaza S Alsharif
- College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Jeddah, SAU
- Research Office, King Abdullah International Medical Research Center, Jeddah, SAU
- Medical Imaging, Ministry of the National Guard - Health Affairs, Jeddah, SAU
| | | | - Shrooq Aldahery
- College of Applied Medical Sciences, University of Jeddah, Jeddah, SAU
| | - Reham Kaifi
- College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Jeddah, SAU
- Research Office, King Abdullah International Medical Research Center, Jeddah, SAU
- Medical Imaging, Ministry of the National Guard - Health Affairs, Jeddah, SAU
| |
Collapse
|
15
|
Abdulwadoud Alshoabi S, Almutairi AT, Alhazmi FH, A Qurashi A, Saleh Alharbi A, Faiz Alhejaili A. Comparative Study of Hemodialysis in Arteriovenous Fistulas in Low Versus High Blood Flow Rate. Pak J Biol Sci 2021; 24:66-71. [PMID: 33683032 DOI: 10.3923/pjbs.2021.66.71] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
BACKGROUND AND OBJECTIVE Arteriovenous Fistula (AVF) is an essential requirement in Hemodialysis (HD) to remove toxins and excess fluid from the blood of patients with Chronic Renal Failure (CRF). The Blood Flow Rate (BFR) in AVF is an important factor in the success of HD. Due to a lack of studies of low BFR during HD, this study was conducted. The objective of this study was to compare the success rate of HD in patients with a BFR = 400-500 mL min-1 (group-2), in comparison to those of higher BFR (group-1). MATERIALS AND METHODS This prospective cohort study was conducted at the ultrasound Doppler (USD) unit in King Fahad Hospital in Almadinah from July to December, 2019. In this study, 44 patients underwent AVF for HD and were assessed by USD for 2 consecutive visits at 3 months intervals. The success rate of HD was measured in patients with a BFR = 400-500 mL min-1 and in those with BFR>500 mL min-1. A comparison of the success rate in the 2 groups was done. RESULTS Among the 44 patients, 59% were males and 41% were females. The age of participants ranged from 20-80 years (mean: 46.75±13.67 years). The patients underwent HD 3 or 2 session's week-1 for 3 or 4 hrs (mean 3.84±0.36 h) per session. In the first assessment, the success rate was 100% in both groups but it was 88.24% in group-1 and 70% in group-2 in the second assessment. CONCLUSION The success rate of hemodialysis in patients with BFR 400-500 mL min-1 in AVF was acceptable in comparison to that in patients with BFR>500 mL min-1.
Collapse
|
16
|
Aljaber NN, Alshoabi SA, Qurashi AA, Daqqaq TS. Cardiac hydatid cyst in the right ventricle: An unusual case at a rare site. J Taibah Univ Med Sci 2020; 15:249-252. [PMID: 32647522 PMCID: PMC7336018 DOI: 10.1016/j.jtumed.2020.02.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2019] [Revised: 02/14/2020] [Accepted: 02/19/2020] [Indexed: 12/29/2022] Open
Abstract
Hydatid disease is a parasitic infection by the larval stage of the tapeworm Echinococcus granulosus. It affects liver, lungs and rarely other organs. Medical imaging provide the basis for diagnosis. This case report describes an extremely rare location of cardiac hydatid cyst in the right ventricle of the heart. We describe a 23-year-old woman who presented with shortness of breath and productive cough. Laboratory investigations showed marked eosinophilia and anemia. Chest radiography and abdominal ultrasonography were unremarkable. Cardiac computed tomography (CT) identified two well-defined fluid densities in the right ventricle without contrast enhancement. A transthoracic echocardiography (TTE) showed two cystic lesions in the right ventricular cavity that was attached to the interventricular septum. Hydatid cyst was the most likely diagnosis followed by the possibility of a congenital cardiac cyst. An open-heart surgery with cardiac cystectomy was performed. Post-operative analysis of the resected specimens showed multiple hydatid cysts with living scolices of Echinococcus granulosus. The patient recovered uneventfully and was discharged on oral albendazole.
Collapse
Affiliation(s)
- Nouradden N Aljaber
- Department of Cardiology, Faculty of Medicine, Sana'a University, Sana'a, Republic of Yemen
| | - Sultan A Alshoabi
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah, KSA
| | - Abdulaziz A Qurashi
- Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah, KSA
| | - Tareef S Daqqaq
- Department of Radiology, Faculty of Medicine, Taibah University, Almadinah Almunawwarah, KSA
| |
Collapse
|
17
|
Alhazmi FH, Abdulaal OM, Qurashi AA, Aloufi KM, Sluming V. The effect of the MR pulse sequence on the regional corpus callosum morphometry. Insights Imaging 2020; 11:17. [PMID: 32034550 PMCID: PMC7007480 DOI: 10.1186/s13244-019-0821-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2019] [Accepted: 11/29/2019] [Indexed: 11/10/2022] Open
Abstract
Background and purposes Brain morphometry is an important assessment technique to assess certain morphological brain features of various brain regions, which can be quantified in vivo by using high-resolution structural magnetic resonance (MR) imaging. This study aims to investigate the effect of different types of pulse sequence on regional corpus callosum (CC) morphometry analysis. Materials and methods Twenty-one healthy volunteers were scanned twice on the same 3T MRI scanner (Magnetom Trio, Siemens, Erlangen, Germany) equipped with an 8-channel head coil. Two different MR pulse sequences were applied to acquire high-resolution 3D T1-weighted images: magnetization-prepared rapid gradient-echo (MP-RAGE) and modified driven equilibrium Fourier transform (MDEFT) pulse sequence. Image quality measurements such as SNR, contrast-to-noise ratio, and relative contrast were calculated for each pulse sequence images independently. The values of corpus callosum volume were calculated based on the vertex of reconstructed surfaces. The paired dependent t test was applied to compare the means of two matched groups. Results Three sub-regional CC, namely anterior, mid-anterior, and posterior, resulted in an estimated volume difference between MDEFT and MP-RAGE pulse sequences. Central and mid-posterior sub-regional CC volume resulted in not significant difference between the two named pulse sequences. Conclusion The findings of this study demonstrate that combining data from different pulse sequences in a multisite study could make some variations in the results.
Collapse
Affiliation(s)
- Fahad H Alhazmi
- Department of Diagnostic Radiology Technology, Faculty of Applied Medical Sciences, Taibah University, Madinah, Saudi Arabia. .,Institute of Translational Medicine, Faculty of Health and Life Sciences, University of Liverpool, Liverpool, UK.
| | - Osama M Abdulaal
- Department of Diagnostic Radiology Technology, Faculty of Applied Medical Sciences, Taibah University, Madinah, Saudi Arabia
| | - Abdulaziz A Qurashi
- Department of Diagnostic Radiology Technology, Faculty of Applied Medical Sciences, Taibah University, Madinah, Saudi Arabia
| | - Khalid M Aloufi
- Department of Diagnostic Radiology Technology, Faculty of Applied Medical Sciences, Taibah University, Madinah, Saudi Arabia
| | - Vanessa Sluming
- Institute of Translational Medicine, Faculty of Health and Life Sciences, University of Liverpool, Liverpool, UK
| |
Collapse
|
18
|
Qurashi AA, Rainford LA, Alshamrani KM, Foley SJ. THE IMPACT OF OBESITY ON ABDOMINAL CT RADIATION DOSE AND IMAGE QUALITY. Radiat Prot Dosimetry 2019; 185:17-26. [PMID: 30508172 DOI: 10.1093/rpd/ncy212] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/15/2018] [Revised: 11/02/2018] [Accepted: 11/07/2018] [Indexed: 06/09/2023]
Abstract
The aim of this study was to evaluate how iterative reconstruction can compensate for the noise increase in low radiation dose abdominal computed tomography (CT) technique for large size patients and the general impact of obesity on abdominal organ doses and image quality in CT. An anthropomorphic phantom layered with either none or a single layer of 3-cm- thick circumferential animal fat packs to simulate obese patients was imaged using a 128MDCT scanner. Abdominal protocols (n = 12) were applied using automatic tube current modulation (ATCM) with various quality reference mAs (150, 200, 250 and 300). kVs of 100, 120 and 140 were used for each mAs selection. Metal oxide semiconductor field effect transistor dosimeters (MOSFET) measured internal organ dose. All images produced were reconstructed with filtered back projection (FBP) and sinogram affirmed iterative reconstruction (SAFIRE) (3, 4 and 5) and objective noise was measured within three regions of interest at the level of L4-L5. Organ doses varied from 0.12 to 41.9 mGy, the spleen received the highest doses for both phantom sizes. Compared to the phantom simulating average size, the obese phantom was associated with up to twofold increase in delivered mAs, dose length product (DLP) and computed tomography dose index (CTDIvol) for the matched mAs selection (p < 0.05). However, organ dose increased by 50% only. The use of 100 kV resulted in a 40% lower dose (p < 0.05) compared to 120 kV and the associated noise increase was improved by SAFIRE (5) use, which resulted in 60% noise reduction compared to FBP (p < 0.05). When combined with iterative reconstruction, low kV is feasible for obese patients to optimise radiation dose and maintain objective image quality.
Collapse
Affiliation(s)
- Abdulaziz A Qurashi
- Department of Diagnostic Radiologic Technology, College of Applied Medical Sciences, Taibah University, Madinah, Saudi Arabia
| | - Louise A Rainford
- Radiography & Diagnostic Imaging, School of Medicine, University College Dublin, Dublin, Ireland
| | - Khalid M Alshamrani
- Radiological Sciences, College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
| | - Shane J Foley
- Radiography & Diagnostic Imaging, School of Medicine, University College Dublin, Dublin, Ireland
| |
Collapse
|
19
|
Qurashi AA, Rainford LA, Foley SJ. Establishment of diagnostic reference levels for CT trunk examinations in the western region of Saudi Arabia. Radiat Prot Dosimetry 2015; 167:569-575. [PMID: 25468993 DOI: 10.1093/rpd/ncu343] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/17/2014] [Accepted: 10/29/2014] [Indexed: 06/04/2023]
Abstract
Diagnostic reference levels (DRLs) are an important optimisation tool, which aid in identifying abnormally high dose levels. These are currently not available in Saudi Arabia, and this research aims to remedy this. CT dose data (DLP and CTDIvol) were collected for a minimum number of 10 adult patients of average size (60-80 kg) presenting for a range of CT examinations from public hospitals in the western region of Saudi Arabia. These include routine chest, high-resolution chest (HRCT), pulmonary angiography (CTPA), abdomen and pelvis (AP) and the combined chest, abdomen and pelvis (CAP) CT examinations. Mean values for each site were calculated, and the 75th percentile of DLP and CTDIvol was used as a basis for DRLs. Data for 550 patients were collected from 14 hospitals over a 7-month period. The rounded third-quartile CTDIvol and DLP were 18 mGy and 630 mGy cm(-1) for chest CT, 20 mGy and 600mGy cm(-1) for HRCT, 18 mGy and 480 mGy cm(-1) for CTPA, 15 mGy and 800 mGy cm(-1) for AP, and 16 mGy and 1040 mGy cm(-1) for CAP, respectively. Regional DRLs have been proposed from this study. Dose variations across CT departments have identified an urgent need for optimisation to improve distribution of observed doses for CT examinations.
Collapse
Affiliation(s)
- Abdulaziz A Qurashi
- Diagnostic Imaging Department, School of Medicine and Medical Science, University College Dublin, Belfield, Dublin 4, Dublin, Ireland Faculty of Applied Medical Sciences, Taibah University, Medina, Kingdom of Saudi Arabia
| | - Louise A Rainford
- Diagnostic Imaging Department, School of Medicine and Medical Science, University College Dublin, Belfield, Dublin 4, Dublin, Ireland
| | - Shane J Foley
- Diagnostic Imaging Department, School of Medicine and Medical Science, University College Dublin, Belfield, Dublin 4, Dublin, Ireland
| |
Collapse
|