Search

Objective: To find correlation of varying heights with cervical spondylosis. Study Design: Case Control study. Setting: Department of Orthopedic and Radiology, Patel Hospital, Karachi. Period: June, 2019 to Dec, 2019. Material & Methods: The personal, economical, and demographic features of the 88 cases and 88 controls were compared with the prevalence of cervical spondylosis. All subject’s heights were divided into four categories—short, average, tall and very tall and were correlated with cervical spondylosis as well as the various other characteristics stated above. The weight and height were calculated using the stadiometer and body weight and health scale Z-10, and lateral radiographs were taken using an Agfa Fuji Computerized radiography system. Results and Conclusion: The results showed that the average height individuals had more disease and were obese and it was also in direct relation with the increased working hours. The average height individuals i.e. height of (150-169cm) were prone for the disease and need to adopt measures to reduce the chances of the disease and choose healthy lifestyle for maintenance of healthy BMI range and consideration of good ergonomic tactics at office and moderate working hours.

Objective: To correlate Uroflowmetry with Prostate volume and International Prostatic Symptom Score in BPH patients and healthy adults in a subset of Karachi Population. Study Design and Setting: This is a crossectional study carried out at Ziauddin Hospital, Karachi over a period of 6 months. Methodology: In this study 100 Samples were taken through non probability convenience sampling. Inclusion criteria includes 40years and above. Sample initially was taken on the basis of International Prostatic Symptom Score i.e., less than 8 and greater than 8 score. Ultrasonography was performed. 65 Individuals with International Prostatic Symptom Score > 8 and Prostate volume 25ml went for Uroflowmetry. Mean and standard deviation was taken out for quantitative variables. Univariate analysis and Multiple Linear Regression applied to assess relationship between Uroflowmetry with Prostate volume and International Prostatic Symptom Score. Result: Mean age of patients was found to be 58±6 years. Mean International Prostatic Symptom Score was 11±4. Mean Prostate Volume was 28ml±5, mean Qmax was 14ml/s ±4. The correlation between Qmax and International Prostatic symptom score was found to be negative (-0.78) and statistically significant. No correlation was found between Prostate volume and Qmax. Conclusion: Qmax and International Prostatic Symptom Score are reliable tool for assessing Benign Prostatic Hyperplasia patients concluding that as Symptom Score increases Qmax decreases. Qmax showed no correlation with Prostate volume. Prostate volume assessed on Ultrasonography is not an authentic parameter for diagnosing BPH patients

Objective: To determine the diameter of abdominal aorta at T12 vertebral level by the use of Multidetector Computer Tomography Angiography (MDCTA). Study Design: It is a Cross-sectional study. Place and Duration of Study: This study was executed in Ziauddin University (Hospital) Clifton campus Karachi, at Radiology Department, from March 2017 to August 2017. Materials and Methods: Total 160 individuals were enrolled, 75 (46.9%) were females and 85 (53.1%) were males who do not have any abdominal and arterial or venous problems, approach to Radiology Department, for Abdominal 3D Computed Tomography Angiography. Patients who were enrolled in current study were referred to department of Radiology for different indications like adrenal and renal pathologies altered bowel habits and abdominal aches. In current study abdominal aortic dimension (diameter) was analyzed at T12 vertebral levels in both sexes. The SPSS version used in current study was 20 for statistical analysis. Pearson correlation was applied to check the relationship between variables, Independent sample T test was applied. P-value is less than or equal to 0.05 was considered significant. Result: The results of current study revealed that the mean diameter of the abdominal aorta, measured at T12 vertebral level was 20.402±2.54 mm in total 160 individuals. It was observed that male having diameter with 21.47±2.25 and female have 19.18±2.31mm. It clearly showed that male having greater diameter with highly significant values P=0.001. it was also found that there was a high positive correlation was evident in between diameter of abdominal aorta & age with highly significant difference P=0.001 and r =0.713. This correlation showed that as the age increases the thickness of abdominal aorta also increases. Conclusion: It is the first study conducted in Pakistan on detection of abdominal aortic diameter at T12 vertebral level by Multidetector computed tomography angiography. The current study showed that male having greater aortic diameter than in females it also revealed that the age have a great impact on the diameter of abdominal aorta. Keywords: Multidetector computed tomography, aorta, abdominal, heart, tunica Intima.

Objective: Keros classification based assessment of olfactory fossa depth in different age groups of both genders using computerized tomography (CT) Methodology: Cross sectional study done at Ziauddin university, Clifton, Karachi. Sample size was 270 adults including 160 males & 110 females. The assessment of depth of Olfactory fossa was carried out by measuring the height of lateral lamella of cribriform plate on CT images. Result: Olfactory fossa of 270 patients from both sides of both genders were classified according to Keros classification. We found Type II to be the most frequent on both sides in both genders. No significant difference in olfactory fossa depth was found when compared in different age groups. Conclusion: The present study shows that vast majority of the population comes under Keros type II & type III thus emphasizing the need of pre-operative radiological assessment. Association of right & left olfactory fossa depth in different age groups was found to be insignificant.

Objective: In kidney morphological changes in size are manifested by renal pathologies and are of great significance in clinical assessment of patients with kidney diseases. Therefore of the objective of this study is to report normative data of renal dimension and its correlation with renal function. Design of the study: It was a cross sectional study Place of study: This study was conducted in a tertiary care hospital, Dr. Ziauddin University Hospital, Karachi from January, 2017 to June, 2017. Material and Methods: Total 250 individuals were included in the study. The participants were recruited through convenient sampling, from Ziauddin University. Study participants were 21 to 60 years of age, who were referred to Radiology department for abdominal contrast CT.All kidney dimensions including kidney length, kidney width and anteroposterior diameter were taken by using 16-slice Multidector computed tomography MDCT scanner. Serum creatinine of study participants was used to calculate eGFR by Modification of Diet in Renal Disease formula. Data was analyzed by using SPSS version 20, Pearson’s correlation was applied to find association between renal measurements and calculated eGFR. Results were reported with confidence level at 95% and P-value ≤ 0.05 was considered to be significant. Results: Renal measurements of study participants were renal length (Right:10.81±0.71, left:11.12±0.73) and renal volume (right: 118.80 ±17.98 cm3, left: 126.00 ±18.36 cm3). Mean glomerular filtration rate was found to be 112.8 ± 11.20 ml/min/1.73 m2. Conclusion: This study concludes that renal length and renal volume are best correlated with glomerular filtration rate by showing a strong significant positive correlation with estimated glomerular filtration rate in study Key words: Computed tomography, renal length, glomerular filtration rate, serum creatinine

Objectives: To determine renal artery variation in adults in a subset of Karachi population by using Multidetector Computed Tomography (MDCT) angiography. Study Design: A cross sectional study. Setting: Dr. Ziauddin Hospital, Radiology Department, Karachi. Period: From January, 2017 to June, 2017. Material & Methods: Study participants were 250 individuals, who were presented to Dr. Ziauddin hospital, Karachi, Distribution, number and morphology of renal artery variation were reported on Multidetector computed angiography (MDCTA). Renal artery variation with side of the kidney and gender were analyzed. Data was analyzed on SPSS version 20 (Statistical Package for Social Sciences). Frequencies and percentages were calculated for renal artery variations. Results: Following parameters were observed. Out of total 250 study participants single renal artery was present in 73.6 % (184) individuals and accessory renal artery was present in 26.4% (66) individuals. Accessory renal arteries (ARA) were present in 13.8% (35) individuals and 12.6% (31) individuals on respectively on right and left sides. Among accessory renal arteries superior polar arteries were present in 14.9% (37) kidneys, hilar arteries in 10.2 % (26) kidneys and inferior polar arteries in 1.3 % (3) kidney. Conclusion: A complete knowledge of renal artery variations is essential for surgeons and interventional radiologist especially during procedures such as renal vascular interventions and renal transplant. Frequency of ARA in our studied population is comparable to Asian population.

Objective: To determine a reference range of renal artery measurements by using Multidetector Computed Tomography (MDCT) angiography and to find association of renal artery measurements with side of artery, gender and age. Method: Two hundred and fifty study participants without renal artery disease who werepresented to Radiology Department, Ziauddin Hospital, Karachi, from November, 2016 to April, 2017 were included in this study. Main renal artery measurements were taken on Multidetector computed angiography and variation with side, gender and age were analyzed. Statistical analysis was done on Statistical Package for Social Sciences (SPSS) version 20. Independent sample T test, one way ANOVA and Pearson’s correlation analysis were applied. P-value of < 0.05 was considered significant. Results: A significance difference (p=0.001) was seen between mean right renal artery (diameter 6.66 ± 0.39 mm; length 44.69 ± 2.48 mm) and left renal artery (diameter 6.79 ± 0.36; length 35.10 ± 2.86 mm). Females found to have smaller mean diameter and length of renal arteries than males. However, a weak negative correlation was seen between mean renal artery diameter and age (right r= -0.158, p=0.0121; left r= -0.017, p= 0.708). Conclusion: The mean diameter and mean length were found to be significantly different between right and left main renal artery and between males and females. A significant weak negative correlation was observed between renal artery diameter and age.