Partha Sarathi Sarkar

Clinical, MRI and arthroscopic correlation in menisci injuries

Medical technology sometimes obscures the importance of history taking and clinical examination, though in reality history and clinical methods are indispensable part of any patient management. In this prospective cohort study in age group between 15 and 65 years, we have compared between clinical, MRI, and arthroscopic findings in respect to menisci injuries and searched whether negative MRI findings can lead to denial of arthroscopy in suspected menisci injuries. All the patients undergone a clinical battery of tests. Subsequently MRI has been done on all the 40 subjects, and finally arthroscopy has been done. Sensitivity, specificity, positive predictive value, negative predictive value of each individual test were calculated and compared with the results of MRI. For medial meniscus injury clinical diagnostic accuracy-80% and MRI diagnostic accuracy is 82.5%.For lateral meniscus injury clinical diagnosis has diagnostic accuracy 75% and MRI has got diagnostic accuracy of 82.5%. Level of evidence-Level-IV.

Get the GIST: A Case Series on Gastrointestinal Stromal Tumors

This case series illustrates CT appearances of gastrointestinal stromal tumors (GIST) involving the stomach, small intestine, mesentery, peritoneum and posterior mediastinum. GIST of the stomach is the commonest with majority having an exophytic growth, but it can also have an intra-luminal growth. Necrosis is a common feature of GIST irrespective of the location resulting in heterogenous enhancement on CT.