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Classical Radiological Signs and Appearances of Surgical Importance with Corresponding Operative Pictures: A Pictorial Review |
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Ravikumar Kalyanbhai Balar, Natasha Nanda, Abhijit Sharadchandra Joshi 1. Diplomate in National Board (DNB) General Surgery Resident, Department of General Surgery, Dr. L.H. Hiranandani Hospital, Mumbai, Maharashtra, India. 2. Consultant and Head, Department of Radiology, Dr. L.H. Hiranandani Hospital, Mumbai, Maharashtra, India. 3. Consultant General and Advanced Laparoscopic Surgeon, Department of General Surgery, Dr. L.H. Hiranandani Hospital, Mumbai, Maharashtra, India. |
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Correspondence Address : Ravikumar Kalyanbhai Balar, B601, Cindrella CHS, Powai, Mumbai-400076, Maharashtra, India. E-mail: ravibalar3895@gmail.com |
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| ABSTRACT |  | ||||||||||
: The advent of various new-age radiological modalities over the years has brought about paradigm shifts in diagnostics for clinicians all over the world. These advancements have refined medical practice immeasurably. Accurate diagnosis have, in turn, enabled surgeons to administer appropriate and timely surgical therapy to their patients. The timeline of path-breaking radiological inventions from X-rays to Ultrasonics, Computed Tomography (CT), Magnetic Resonance Imaging (MRI), and beyond, bears living testimony to the role that preoperative imaging plays in a surgeon’s daily life. The present review paper nostalgically remembers and acknowledges the pioneers of this remarkable journey. Additionally, it shares the authors’ experiences with classical radiological signs and appearances correlated with their corresponding surgical ‘first look’ pictures from some of the rare and interesting cases the authors have encountered over the years. The present cases exhibit diverse presentations, clinical signs, radiological findings and diagnosis. The crucial role played by radiology in clinicians’ daily lives, particularly in accurately diagnosing rare conditions, underscores the need to report these diverse cases. | |||||||||||
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| Keywords : Accurate, Computed tomography, Diagnosis, Magnetic resonance, Ultrasonics, X-rays | |||||||||||
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DOI and Others :
DOI: 10.7860/IJARS/2024/70329.3007
Date of Submission: Feb 25, 2024 Date of Peer Review: May 31, 2024 Date of Acceptance: Jul 08, 2024 Date of Publishing: Sep 01, 2024 AUTHOR DECLARATION: • Financial or Other Competing Interests: None • Was Ethics Committee Approval obtained for this study? Yes • Was informed consent obtained from the subjects involved in the study? Yes • For any images presented appropriate consent has been obtained from the subjects. Yes PLAGIARISM CHECKING METHODS: • Plagiarism X-checker: Feb 25, 2024 • Manual Googling: Jul 01, 2024 • iThenticate Software: Jul 06, 2024 (1%) Etymology: Author Origin Emendations: 6 |
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| INTRODUCTION |
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In the present review, the authors have highlighted several diagnostic imaging signs of surgical significance based on their experience, which have enriched our practice of the fine art of surgery. Some of these signs may not be widely recognised, but they exhibit classical diagnostic appearances. Additionally, the authors have included an operative ‘first look’ or subsequent surgical step, along with a specimen picture of the same patient, alongside the corresponding imaging images to emphasise the important association between the two. The authors, hereby, present 13 surgical conditions (Table/Fig 1),(Table/Fig 2),(Table/Fig 3),(Table/Fig 4),(Table/Fig 5),(Table/Fig 6),(Table/Fig 7),(Table/Fig 8),(Table/Fig 9),(Table/Fig 10),(Table/Fig 11),(Table/Fig 12),(Table/Fig 13) from their experience, in which the science of radiology aided them in achieving a specific, accurate and comprehensive preoperative diagnosis, thereby facilitating timely and precise surgical therapy for these patients. | |||||||||||
| Discussion |
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There are certain conditions in which imaging appearances are classical, leading to a quick diagnosis. Legendary are those pathognomonic radiological signs and appearances that have made our lives significantly easier. Herein, the authors salute the torchbearers of the radiological revolution, those whose unparalleled genius and groundbreaking research led to inventions of such monumental significance that they transformed the world of diagnostic imaging and brought about tectonic shifts in related specialties, including surgery. The authors nostalgically and respectfully acknowledge the giants in the field of radiological inventions, as summarised in (Table/Fig 14). | |||||||||||
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