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  1. Imaging appearances of hepatic tuberculosis: experience with 12 patients
    Ch'ng LS, Amzar H, Ghazali KC, Siam F
    Clin Radiol, 2018 03;73(3):321.e11-321.e16.
    PMID: 29174175 DOI: 10.1016/j.crad.2017.10.016
    AIM: To review computed tomography (CT), ultrasound (US), magnetic resonance cholangiopancreatography (MRCP), endoscopic retrograde cholangiopancreatography (ERCP) and percutaneous transhepatic cholangiogram (PTC) appearances and their diagnostic value in hepatic tuberculosis.

    MATERIALS AND METHODS: The imaging studies for 12 patients with biopsy-proven hepatic tuberculosis from January 2012 till March 2014 were reviewed retrospectively. These cases were confirmed via ultrasound-guided biopsy.

    RESULTS: The patients were aged 24-72 years. Four patients had parenchymal tuberculosis only and eight patients had mixed parenchymal and biliary duct involvement. The parenchymal tuberculosis patients showed poorly enhancing, hypodense nodules on CT with central calcification and adjacent dilated intrahepatic ducts. Most patients had multiple lesions except for two patients with a single lesion. The size of the lesions ranged from 0.5 to 6 cm. Seven patients with biliary duct involvement showed a hilar strictures involving the intrahepatic ducts and common bile duct. Nine of the patients showed hilar stricture with atrophy of the ipsilateral lobe of the liver and compensatory hypertrophy of the contralateral lobe. Hepatolithiasis was seen in five patients. Tuberculous lung involvement was seen in seven patients.

    CONCLUSION: The presence of calcified and hypodense nodules with biliary duct dilatation associated with lobar atrophy were the most consistent features of hepatic tuberculosis, especially in the presence of active lung disease.

  2. Numerical simulation of normal and cancer cells' populations with fractional derivative under radiotherapy
    Farayola MF, Shafie S, Mohd Siam F, Khan I
    Comput Methods Programs Biomed, 2020 Apr;187:105202.
    PMID: 31835107 DOI: 10.1016/j.cmpb.2019.105202
    Background This paper presents a numerical simulation of normal and cancer cells' population dynamics during radiotherapy. The model used for the simulation was the improved cancer treatment model with radiotherapy. The model simulated the population changes during a fractionated cancer treatment process. The results gave the final populations of the cells, which provided the final volumes of the tumor and normal cells. Method The improved model was obtained by integrating the previous cancer treatment model with the Caputo fractional derivative. In addition, the cells' population decay due to radiation was accounted for by coupling the linear-quadratic model into the improved model. The simulation of the treatment process was done with numerical variables, numerical parameters, and radiation parameters. The numerical variables include the populations of the cells and the time of treatment. The numerical parameters were the model factors which included the proliferation rates of cells, competition coefficients of cells, and perturbation constant for normal cells. The radiation parameters were clinical data based on the treatment procedure. The numerical parameters were obtained from the previous literature while the numerical variables and radiation parameters, which were clinical data, were obtained from reported data of four cancer patients treated with radiotherapy. The four cancer patients had tumor volumes of 28.4 cm3, 18.8 cm3, 30.6 cm3, and 12.6 cm3 and were treated with different treatment plans and a fractionated dose of 1.8 Gy each. The initial populations of cells were obtained by using the tumor volumes. The computer simulations were done with MATLAB. Results The final volumes of the tumors, from the results of the simulations, were 5.67 cm3, 4.36 cm3, 5.74 cm3, and 6.15 cm3 while the normal cells' volumes were 28.17 cm3, 18.68 cm3, 30.34 cm3, and 12.54 cm3. The powers of the derivatives were 0.16774, 0.16557, 0.16835, and 0.16. A variance-based sensitivity analysis was done to corroborate the model with the clinical data. The result showed that the most sensitive factors were the power of the derivative and the cancer cells' proliferation rate. Conclusion The model provided information concerning the status of treatments and can also predict outcomes of other treatment plans.
  3. Fulltext Management of bleeding pseudoaneurysm of gastroduodenal artery secondary to chronic pancreatitis
    Leow VM, Siam F, Kannan S, Sari Baharudin M, Raman K, Singh H
    Med J Malaysia, 2013 Jun;68(3):271-2.
    PMID: 23749023 MyJurnal
    A bleeding pseudoaneurysm of the peripancreatic artery can present with massive upper gastrointestinal hemorrhage. History of pancreatitis and urgent imaging are crucial in the making of the diagnosis. Here, we report a patient with alcoholic chronic pancreatitis presented with ruptured pseudoaneurysm of gastroduodenal artery (GDA). He was treated with percutaneous angiographic embolisation.
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