Breast cancer is one of the most important diseases among females. According to the Malaysian Oncological Society (Wahid, 2007), about 4% of women who are 40 years old and above are suffering from breast cancer. Masses and microcalcifications are two important signs for breast cancer diagnosis on mammography. In this research, the effects of different image processing techniques which include enhancement, restoration, segmentation, and hybrid methods on phantom images were studied. Three different phantom images, which were obtained at 25kv (63.2 MAS), 28kv (29.8 MAS) and 35kv (9.5 MAS), were manipulated using image processing methods. The images were scored by two expert radiologists and the results were compared to explore any significant improvements. Meanwhile, the Wilcoxen Rank test was used to compare the quality of the manipulated images with the original one (alpha=0.05). Each image processing method was found to be effective on some particular criteria for image quality. Some methods were effective on just one criterion while some others were effective on a few criteria. The statistical test showed that there was an average improvement of 41 percent when the images were manipulated using the histogram modification methods. It could be concluded that different image processing methods have different effects on phantom images which generally improve radiologists’ visualization. The results confirm that the histogram stretching and histogram equation methods lead to higher improvement in image quality as compared to the original image (p < 0.05).
Introduction: The goal of this study was to assess the effectiveness of seated combined extension-compression and transverse load (ECTL) traction as a new method for increasing a reduced lordosis of less than 30 degrees in a Malaysian population between the ages of 18 and 60 years. Possible changes in disc height were measured in accordance with the underlying theoretical framework, that suggests the anterior cervical structures would elongate due to creep over the fulcrum of the traction device.
Method: This was a single centre, randomised, blinded controlled clinical trial with parallel groups, used to test the superiority of the seated combined ECTL traction together with physiotherapy exercises when compared with the same physiotherapy exercises used as a control. Fifty randomly allocated subjects who completed the forty treatments over the fourteen weeks were analysed using non-parametric tests for changes in outcomes.
Results: There were no significant changes in outcomes for disc height changes seen in this study. The findings of a greater overall increase in posterior disc height changes compared with anterior disc height changes were in contrast with the proposed underlying theoretical framework for this type of ECTL traction. The greater height changes occurring in the control group were also unexpected.
Conclusion: The findings in this study of the contrasting changes in disc height of greater posterior than anterior height changes, question the underlying theoretical framework as postulated for this type of traction.
Coracoid process (CP) bone quality and quantity are two important variables in many successful shoulder surgeries. The goal of this study was to determine the Bone Mineral Density (BMD) and morphometry of CP in Malaysian population using a non-invasive imaging data. Sixty-six (66) shoulders’ computed tomographic (CT) examinations of 132 potential sites were selected. BMD and morphometry of CP was evaluated using e-film. The present study found that there are significant (P
Introduction: Renal size measurement using ultrasound is a valuable parameter in the diagnosis of renal function and its diseases. This study is aimed to determine the differences of mean and correlation between the renal length (RL), renal width (RW) and renal parenchymal thickness (RPT) with age, gender and anthropometric measurements among indigenous population in Malaysia. Methods: A prospective cross-sectional study was carried out in this sur- vey. Abdominal sonography was performed on 240 subjects. Sonography of the renal size included measurements of RL, RW and RPT. A portable ultrasound machine (Mindray DP-50, Shenzen, China) with a 3.5 MHz convex probe was used in this study. An independent-samples t-test, one-way ANOVA and Pearson's correlation coefficient test
were performed in statistical analysis. Data were analyzed using SPSS program version 22.0. A P-value of
Introduction: Suspicious adnexal masses need to be investigated thoroughly as it may represent ovarian cancer, which is the fourth most common gynaecological cancer in Malaysia. Conventional cross sectional imaging may reveal non-specific findings, thus lead to unnecessary biopsies. 18F-Fluorodeoxyglucose positron emission tomography/ computed tomography (18F-FDG PET/CT) has emerged as a useful tool, for characterization of indeterminate adnexal masses. Most studies have been conducted in Western population, and little information is available in Asian population in general and Malaysian population in particular. Methods: Prospective study of women with suspicious adnexal masses, referred to the Centre for Nuclear Diagnostic Imaging, Universiti Putra Malaysia to undergo pre-operative whole-body contrast-enhanced 18F-FDG PET/CT scans from January 2014 to January 2016. Subjects underwent Contrast-Enhanced Computed Tomography (CECT) scans followed by positron emission tomography (PET) scans using a hybrid scanner. Two radiologists analyzed the CECT and PET/CT images by consensus; blinded to the HPE results. Then the PET/CT findings were correlated with HPE results as the gold standard. Results: 11 whole-body PET/CT scans and 18 adnexal masses (12 HPE-proven malignant lesions and 6 benign lesions) were analyzed. The sensitivity, specificity, PPV, and NPV of CECT alone compared to PET/CT was 91.7%, 50.0%, 78.6%, and 75.0% vs. 91.7%, 100%, 100% and 85.7% respectively. Conclusions: Improved diagnostic accuracy for characterizing benign and malignant adnexal masses can be achieved using contrast-enhanced 18F-FDG PET/CT, making it a potential investigation of choice which can help in treatment planning.