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Article ; Online: CT-Guided Percutaneous Drainage Catheter Placement in the Abdomen and Pelvis: Predictors of Outcome and Protocol for Follow-up.

Commander, Clayton W / Wilson, Sarah B / Bilaj, Fatmir / Isaacson, Ari J / Burke, Charles T / Yu, Hyeon

Journal of vascular and interventional radiology : JVIR

2020 Volume 31, Issue 4, Page(s) 667–673

Abstract: Purpose: To determine predictors of outcomes for patients who undergo computed tomography (CT)-guided percutaneous abdominal or pelvic drainage catheter placement and to identify which patients benefit from fluoroscopic drainage catheter interrogation ( ... ...

Abstract	Purpose: To determine predictors of outcomes for patients who undergo computed tomography (CT)-guided percutaneous abdominal or pelvic drainage catheter placement and to identify which patients benefit from fluoroscopic drainage catheter interrogation (abscessogram). Materials and methods: A retrospective review of 383 patients (mean, 52 years old; range 8-89 years old; 158 males: 225 females) who underwent 442 CT-guided procedures and 489 catheter placements for fluid collections in the abdomen or pelvis from January 1, 2015, to December 31, 2016 was performed. Variables including underlying disease, fluid location, number of collections drained, number of catheter exchanges and follow-up abscessograms performed, catheter size, and fistula detection were analyzed to determine factors associated with fistula formation and increased catheter dwell time. Results: A single abscessogram followed by catheter removal was performed for 217 catheters (44%). An increased number of abscessograms was significantly associated with drainage catheter size (P < .001) and presence of a fistula (P < .001). Fistulae were detected in 95 cases (19%) and were significantly associated with an increased number of drain exchanges (P < .001) and an underlying diagnosis of Crohn's disease (P = .02). Based on these data, a clinical algorithm for drain management is presented. Conclusions: Abscessograms performed after CT-guided percutaneous drainage catheter placement are useful to detect catheter malposition, occluded catheters, and fistulae but are not necessary for all patients. If performed selectively, particularly in patients with an underlying diagnosis of Crohn's disease or those at high risk for developing fistulae, unnecessary examinations can be avoided, reducing cost, extra hospital visits, and radiation dose.
MeSH term(s)	Abdominal Abscess/diagnostic imaging ; Abdominal Abscess/therapy ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Catheters ; Child ; Drainage/adverse effects ; Drainage/instrumentation ; Equipment Design ; Equipment Failure ; Female ; Fistula/etiology ; Humans ; Male ; Middle Aged ; Pelvis ; Radiography, Interventional/adverse effects ; Retrospective Studies ; Risk Factors ; Tomography, X-Ray Computed/adverse effects ; Treatment Outcome ; Young Adult
Language	English
Publishing date	2020-02-26
Publishing country	United States
Document type	Journal Article
ZDB-ID	1137756-2
ISSN	1535-7732 ; 1051-0443
ISSN (online)	1535-7732
ISSN	1051-0443
DOI	10.1016/j.jvir.2019.09.026
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Zs.A 3720: Show issues

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Article: CT/MRI accuracy in detecting and determining preoperative stage of gastric adenocarcinoma in Albania.

Malaj, Altin / Bilaj, Fatmir / Shahini, Albana / Miraka, Marjeta

Contemporary oncology (Poznan, Poland)

2017 Volume 21, Issue 2, Page(s) 168–173

Abstract: Aim of the study: Gastric adenocarcinoma is among most frequent among cancers in Albania. Early detection and staging is helped by imaging methods, including CT and MRI. This study provides evidence on the CT and MRI accuracy in detecting and pre- ... ...

Abstract	Aim of the study: Gastric adenocarcinoma is among most frequent among cancers in Albania. Early detection and staging is helped by imaging methods, including CT and MRI. This study provides evidence on the CT and MRI accuracy in detecting and pre-operative staging of gastric adenocarcinoma in 62 patients in a diagnostic clinic in Albania. The correct staging of the gastric adenocarcinoma helps decide on the next treatment options. Material and methods: Sixty-two patients with gastric adenocarcinoma, confirmed with biopsy, underwent both CT and MRI examination at a clinic in Tirana during same week. Images were reviewed to determine the TNM classifications and staging using the current AJCC guidelines. Data on age, sex, cancer location and differentiation were also collected and analyzed. The accuracy, sensitivity, specificity, positive predictive value and negative predictive value was estimated for both CT and MRI. Results and conclusions: CT has a higher accuracy than MRI (83% vs. 67%) for T1. Accuracy for T2 was the same (74%). Starting with T3 and upwards, MRI has a slightly more accurate ability to detect and stage the gastric adenocarcinoma (T3: 81 vs. 75; T4: 83 vs. 64). Both the CT and MRI abilities to accurately detect the N classification were the same. Regarding the M classification, the MRI has a slightly more accurate ability to detect metastases (M: 83 vs. 64). Clinicians might benefit from using CT whenever suspect gastric adenocarcinoma patients present first. Decision on surgery requires a MRI to rule out metastases.
Language	English
Publishing date	2017-06-30
Publishing country	Poland
Document type	Journal Article
ISSN	1428-2526
ISSN	1428-2526
DOI	10.5114/wo.2017.68626
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Article ; Online: CT/MRI accuracy in detecting and determining preoperative stage of gastric adenocarcinoma in Albania

Altin Malaj / Fatmir Bilaj / Albana Shahini / Marjeta Miraka

Contemporary Oncology, Vol 21, Iss 2, Pp 168-

2017 Volume 173

Abstract: Aim of the study : Gastric adenocarcinoma is among most frequent among cancers in Albania. Early detection and staging is helped by imaging methods, including CT and MRI. This study provides evidence on the CT and MRI accuracy in detecting and pre- ... ...

Abstract	Aim of the study : Gastric adenocarcinoma is among most frequent among cancers in Albania. Early detection and staging is helped by imaging methods, including CT and MRI. This study provides evidence on the CT and MRI accuracy in detecting and pre-operative staging of gastric adenocarcinoma in 62 patients in a diagnostic clinic in Albania. The correct staging of the gastric adenocarcinoma helps decide on the next treatment options. Material and methods : Sixty-two patients with gastric adenocarcinoma, confirmed with biopsy, underwent both CT and MRI examination at a clinic in Tirana during same week. Images were reviewed to determine the TNM classifications and staging using the current AJCC guidelines. Data on age, sex, cancer location and differentiation were also collected and analyzed. The accuracy, sensitivity, specificity, positive predictive value and negative predictive value was estimated for both CT and MRI. Results and conclusions : CT has a higher accuracy than MRI (83% vs. 67%) for T1. Accuracy for T2 was the same (74%). Starting with T3 and upwards, MRI has a slightly more accurate ability to detect and stage the gastric adenocarcinoma (T3: 81 vs. 75; T4: 83 vs. 64). Both the CT and MRI abilities to accurately detect the N classification were the same. Regarding the M classification, the MRI has a slightly more accurate ability to detect metastases (M: 83 vs. 64). Clinicians might benefit from using CT whenever suspect gastric adenocarcinoma patients present first. Decision on surgery requires a MRI to rule out metastases.
Keywords	gastric adenocarcinoma ; pre-operative staging ; CT ; MRI ; biopsy ; Medicine ; R
Subject code	610
Language	English
Publishing date	2017-06-01T00:00:00Z
Publisher	Termedia Publishing House
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Cerebral proliferative angiopathy with tumor-like hemorrhage: A case report and literature review.

Bilaj, Fatmir / Rroji, Arben / Enesi, Eugen / Ruka, Maren / Petrela, Mentor

The neuroradiology journal

2016 Volume 29, Issue 5, Page(s) 336–339

Abstract: Cerebral proliferative angiopathy (CPA) is defined as a rare vascular disorder, characterized by diffuse arterial proliferation and distinctive angiogenetic features. Complication with hemorrhage is exceedingly rare, but once the bleeding occurs, the ... ...

Abstract	Cerebral proliferative angiopathy (CPA) is defined as a rare vascular disorder, characterized by diffuse arterial proliferation and distinctive angiogenetic features. Complication with hemorrhage is exceedingly rare, but once the bleeding occurs, the chance of re-bleeding is increased. Here we report a case of a patient with CPA complicated with bleeding and re-bleeding, and imaging findings mimicking a brain tumor, which has not been reported in the literature so far.
MeSH term(s)	Arteriovenous Malformations/complications ; Arteriovenous Malformations/diagnostic imaging ; Arteriovenous Malformations/surgery ; Brain Neoplasms/physiopathology ; Cerebral Angiography ; Cerebral Hemorrhage/diagnostic imaging ; Cerebral Hemorrhage/etiology ; Humans ; Magnetic Resonance Imaging ; Male ; Young Adult
Language	English
Publishing date	2016-10
Publishing country	United States
Document type	Case Reports ; Journal Article ; Review
ZDB-ID	2257770-1
ISSN	2385-1996 ; 1971-4009 ; 1120-9976
ISSN (online)	2385-1996
ISSN	1971-4009 ; 1120-9976
DOI	10.1177/1971400916656486
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Zs.A 2823: Show issues

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Article ; Online: Early reappearance of disappeared ruptured small aneurysm with concomitant vertebral artery dissection.

Enesi, Eugen / Rroji, Arben / Bilaj, Fatmir / Reka, Eni / Ndroqi, Adrian / Xhumari, Artur / Lilamani, Ejona / Petrela, Mentor

Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences

2018 Volume 24, Issue 6, Page(s) 639–642

Abstract: Thrombosis of a previously ruptured intracranial aneurysm is a frequent event and it most commonly occurs in large or giant aneurysms. We present a dynamic short-term follow-up and management of thrombosis in a ruptured small posterior inferior ... ...

Abstract	Thrombosis of a previously ruptured intracranial aneurysm is a frequent event and it most commonly occurs in large or giant aneurysms. We present a dynamic short-term follow-up and management of thrombosis in a ruptured small posterior inferior cerebellar artery aneurysm with concomitant vertebral artery dissection (VAD). Clinical and radiological follow-up findings and reviewed literature on thrombosis of small ruptured aneurysms are the focus of this presentation. Early reappearance of a disappeared ruptured small cerebral aneurysm with a concomitant VAD may be attributed to the controlled ovarian hyperstimulation phase of in vitro fertilization and prolonged use of oral contraceptive pills.
MeSH term(s)	Adult ; Aneurysm, Ruptured/complications ; Aneurysm, Ruptured/diagnostic imaging ; Aneurysm, Ruptured/surgery ; Angiography, Digital Subtraction ; Cerebellum/blood supply ; Cerebellum/diagnostic imaging ; Contraceptives, Oral, Combined/adverse effects ; Endovascular Procedures/methods ; Female ; Humans ; Intracranial Aneurysm/complications ; Intracranial Aneurysm/diagnostic imaging ; Intracranial Aneurysm/surgery ; Vertebral Artery Dissection/complications ; Vertebral Artery Dissection/diagnostic imaging ; Vertebral Artery Dissection/surgery
Chemical Substances	Contraceptives, Oral, Combined
Language	English
Publishing date	2018-07-03
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	1354913-3
ISSN	2385-2011 ; 1591-0199 ; 1123-9344
ISSN (online)	2385-2011
ISSN	1591-0199 ; 1123-9344
DOI	10.1177/1591019918782964
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Zs.A 6325: Show issues

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Article ; Online: Magnetic resonance imaging findings in primary lymphoma of the liver: a case report.

Bilaj, Fatmir / Berdica, Leart / Dhima, Arben / Vreto, Gjergji

Journal of medical case reports

2012 Volume 6, Page(s) 282

Abstract: Introduction: Primary lymphoma of the liver is an extremely rare finding, with the few such cases reported in the literature to date describing indeterminate imaging findings, being focused more on computed tomography. To the best of our knowledge, ... ...

Abstract	Introduction: Primary lymphoma of the liver is an extremely rare finding, with the few such cases reported in the literature to date describing indeterminate imaging findings, being focused more on computed tomography. To the best of our knowledge, there is no prior report describing magnetic resonance imaging scan findings with such a lesion. In the case reported here, magnetic resonance imaging gave us the opportunity to ascertain the correct diagnosis, confirmed by histopathology, thus avoiding unnecessary surgery or other treatments. Although this condition is rare, knowledge of magnetic resonance imaging findings will be invaluable for radiologists and other medical subspecialties that may face such cases in the future in helping to provide adequate management for affected patients. Case presentation: A focal lesion was incidentally detected by ultrasound in a 75-year-old asymptomatic Albanian man being treated for benign hypertrophy of prostate. Chest and abdomen computed tomography scans did not reveal any abnormal findings besides a solid focal lesion on the right lobe of the liver and a mild homogenous enlargement of the prostate gland. Subsequently, magnetic resonance imaging of the upper abdomen was performed for better characterization of this lesion. Our patient was free of symptoms and his laboratory test results were normal. Conclusions: The magnetic resonance imaging scan results showed some distinctive features that helped us to make the correct diagnosis, and were thus very important in helping us provide the correct treatment for our patient.
Language	English
Publishing date	2012-09-05
Publishing country	England
Document type	Journal Article
ZDB-ID	2269805-X
ISSN	1752-1947 ; 1752-1947
ISSN (online)	1752-1947
ISSN	1752-1947
DOI	10.1186/1752-1947-6-282
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Article ; Online: Magnetic resonance imaging findings in primary lymphoma of the liver

Bilaj Fatmir / Berdica Leart / Dhima Arben / Vreto Gjergji

Journal of Medical Case Reports, Vol 6, Iss 1, p

a case report

2012 Volume 282

Abstract: Abstract Introduction Primary lymphoma of the liver is an extremely rare finding, with the few such cases reported in the literature to date describing indeterminate imaging findings, being focused more on computed tomography. To the best of our ... ...

Abstract	Abstract Introduction Primary lymphoma of the liver is an extremely rare finding, with the few such cases reported in the literature to date describing indeterminate imaging findings, being focused more on computed tomography. To the best of our knowledge, there is no prior report describing magnetic resonance imaging scan findings with such a lesion. In the case reported here, magnetic resonance imaging gave us the opportunity to ascertain the correct diagnosis, confirmed by histopathology, thus avoiding unnecessary surgery or other treatments. Although this condition is rare, knowledge of magnetic resonance imaging findings will be invaluable for radiologists and other medical subspecialties that may face such cases in the future in helping to provide adequate management for affected patients. Case presentation A focal lesion was incidentally detected by ultrasound in a 75-year-old asymptomatic Albanian man being treated for benign hypertrophy of prostate. Chest and abdomen computed tomography scans did not reveal any abnormal findings besides a solid focal lesion on the right lobe of the liver and a mild homogenous enlargement of the prostate gland. Subsequently, magnetic resonance imaging of the upper abdomen was performed for better characterization of this lesion. Our patient was free of symptoms and his laboratory test results were normal. Conclusions The magnetic resonance imaging scan results showed some distinctive features that helped us to make the correct diagnosis, and were thus very important in helping us provide the correct treatment for our patient.
Keywords	Medicine ; R
Subject code	610
Language	English
Publishing date	2012-09-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: The role of computed tomography in detecting splenic arteriovenous fistula and concomitant atrial myxoma.

Rroji, Arben / Bilaj, Fatmir / Qirinxhi, Denis / Vucini, Ortencia / Hasimi, Endri / Goda, Artan

The American journal of case reports

2014 Volume 15, Page(s) 176–179

Abstract: Patient: Female, 45 FINAL DIAGNOSIS: Arterio-venous fistula of the splean Symptoms: Lef-side abdominal pain Medication: - Clinical Procedure: - Specialty: Surgery.: Objective: Rare disease.: Background: Splenic arterial-venous fistula and atrial ... ...

Abstract	Patient: Female, 45 FINAL DIAGNOSIS: Arterio-venous fistula of the splean Symptoms: Lef-side abdominal pain Medication: - Clinical Procedure: - Specialty: Surgery. Objective: Rare disease. Background: Splenic arterial-venous fistula and atrial myxoma are not rare cases but the co-existence of both lesions in the same patient is unpublished so far. Case report: A 45- year-old woman presented with vague left flank pain. She was initially scanned by B-dimensional echography, which revealed multiple enlarged hypo-echoic lesions in the splenic hilum. To further characterize the lesion, we performed computed tomography angiography (CTA). CTA showed dilatation of the splenic artery, and aneurismal dilatation of the splenic vein, associated with early opacification of the portal system. CTA showed also an intrasplenic venous aneurism, which was presumed to be the site of fistulous communication. Celiac arteriography confirmed the CTA findings. A left atrial mass was detected by cardiac echography, which was evaluated better by CTA, and was consistent with atrial myxoma. The patient underwent open surgery in different stage with resection of the atrial mass and spleen. The postoperative period was uneventful. Conclusions: This is a unique case in the literature, showing the coexistence of a dual-pathology splenic arterial venous fistula and atrial myxoma.
Language	English
Publishing date	2014-04-29
Publishing country	United States
Document type	Journal Article
ZDB-ID	2517183-5
ISSN	1941-5923 ; 1941-5923
ISSN (online)	1941-5923
ISSN	1941-5923
DOI	10.12659/AJCR.889949
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Conference proceedings: Presurgical Tumor Embolization of Head, Neck, and Spine

Enesi, Eugen / Rroji, Arben / Bilaj, Fatmir / Demneri, Mit'hat / Lame, Artid / Petrela, Mentor

Journal of Neurological Surgery Part A: Central European Neurosurgery

2015

Abstract: The primary purpose of embolization of vascular head and neck neoplasms is to assist the operating surgeon during tumor resection. Benefits of preoperative embolization include diminished blood loss, fewer transfusions, reduced operating time, more ... ...

Event/congress	Presentation Abstracts, Hotel Bristol, Sarajevo, Bosnia and Herzegovina, 2015
Abstract	The primary purpose of embolization of vascular head and neck neoplasms is to assist the operating surgeon during tumor resection. Benefits of preoperative embolization include diminished blood loss, fewer transfusions, reduced operating time, more limited surgical exposure, increased chances of complete tumor resection, and decreased surgical complications, along with assistance in the preservation of critical neural and vascular structures, primarily cranial nerves. Embolization of a neoplasm's feeding arterioles and capillary bed has distinct advantages when compared with surgical ligation of large supplying arteries. The purpose of this presentation is to report our experience in the endovascular treatment of tumor embolization and to describe the technical feasibility and results of our treatments.
Language	English
Publishing date	2015-10-19
Publishing place	Stuttgart ; New York
Document type	Article ; Conference proceedings
ZDB-ID	2651663-9
ISSN	2193-6323 ; 2193-6315
ISSN (online)	2193-6323
ISSN	2193-6315
DOI	10.1055/s-0035-1566426
Database	Thieme publisher's database

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Uk I Zs.130: Show issues

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Article: Gadolinium- and superparamagnetic-iron-oxide-enhanced MR findings of intrapancreatic accessory spleen in five patients.

Herédia, Vasco / Altun, Ersan / Bilaj, Fatmir / Ramalho, Miguel / Hyslop, Brian W / Semelka, Richard C

Magnetic resonance imaging

2008 Volume 26, Issue 9, Page(s) 1273–1278

Abstract: Purpose: The purposes of this study were to describe dynamic gadolinium-enhanced magnetic resonance imaging (MRI) findings of intrapancreatic accessory spleen(s) (IPAS) in five patients and to show how superparamagnetic iron oxide (SPIO) enhancement can ...

Abstract	Purpose: The purposes of this study were to describe dynamic gadolinium-enhanced magnetic resonance imaging (MRI) findings of intrapancreatic accessory spleen(s) (IPAS) in five patients and to show how superparamagnetic iron oxide (SPIO) enhancement can be used for definite characterization in two cases. Materials and methods: An MRI database was searched for patients who had pancreatic tail lesions with imaging features compatible with IPAS between June 2005 and July 2007. Five (four male, one female) patients (age: mean+/-S.D., 58+/-9.8 years; range, 50-75 years) were identified. All patients were examined with standard gadolinium-enhanced MRI protocol. Additionally, two patients were examined with SPIO-enhanced MRI protocol. All MRI examinations were retrospectively and blindly evaluated by two radiologists for the predetermined findings, and their final diagnoses were noted. Results: One pancreatic tail lesion was detected in each patient. All of these lesions were single, focal, well-marginated and located within 3 cm of the distal tail of the pancreas. The mean size (mean+/-S.D.) of the lesions was (2.02+/-0.64)x(1.72+/-0.42) cm2, and all lesions had a rounded morphology. The signal intensity of all lesions was similar to that of the spleen on all sequences, including precontrast, postgadolinium and post-SPIO sequences. The reviewers confidently diagnosed IPAS in two patients who had SPIO-enhanced MRI. In the remaining three patients, the reviewers favored the diagnosis of IPAS based on the findings of standard gadolinium-enhanced MRI; however, they could not definitively exclude the other differential diagnoses. Conclusion: The discovery of a well-marginated, rounded mass in the distal aspect of the tail of the pancreas with signal intensity features of the spleen on all precontrast and postgadolinium sequences suggests the diagnosis of IPAS. However, SPIO-enhanced MRI can be used to characterize the lesion and to establish the definite diagnosis of IPAS in case of clinical doubt.
MeSH term(s)	Aged ; Choristoma/diagnosis ; Contrast Media ; Dextrans ; Female ; Ferrosoferric Oxide ; Gadolinium DTPA ; Humans ; Iron ; Magnetic Resonance Imaging/methods ; Magnetite Nanoparticles ; Male ; Meglumine/analogs & derivatives ; Middle Aged ; Organometallic Compounds ; Oxides ; Pancreatic Diseases/diagnosis ; Retrospective Studies ; Spleen
Chemical Substances	Contrast Media ; Dextrans ; Magnetite Nanoparticles ; Organometallic Compounds ; Oxides ; gadobenic acid (15G12L5X8K) ; Meglumine (6HG8UB2MUY) ; gadodiamide (84F6U3J2R6) ; Iron (E1UOL152H7) ; ferumoxides (G6N3J05W84) ; Gadolinium DTPA (K2I13DR72L) ; Ferrosoferric Oxide (XM0M87F357)
Language	English
Publishing date	2008-11
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	604885-7
ISSN	1873-5894 ; 0730-725X
ISSN (online)	1873-5894
ISSN	0730-725X
DOI	10.1016/j.mri.2008.02.008
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