KLE ACADEMY OF HIGHER EDUCATION &RESEARCH, BELGAUM



KEMPEGOWDA INSTITUTE OF MEDICAL SCIENCES , BENGALURU

Annexure –II

PROFORMA FOR REGISTRATION OF SUBJECTS FOR DISSERTATION

|1. |Name of the Candidate and Address |DR.P.ARCHANA REDDY |

| | |DEPARTMENT OF RADIODIAGNOSIS, |

| | |KEMPEGOWDA INSTITUTE OF MEDICAL SCIENCES, RESIDENT QUARTERS, |

| | |ROOM NO:6,V.V.PURAM,BANGALORE. |

|2 |Name of the Institution |KEMPEGOWDA INSTITUTE OF MEDICAL SCIENCES, |

| | |BANGALORE |

|3. |Course of Study and Subject | |

| | |M .D. (RADIODIAGNOSIS) |

|4. |Date of Admission to the Course | |

| | |May 2011. |

|5. |Title of the Topic: |COMPARATIVE DIAGNOSTIC EVALUATION OF EXTRACRANIAL CAROTID, VERTEBRAL ARTERY DOPPLER AND MAGNETIC |

| | |RESONANCE ANGIOGRAPHY |

| | |IN PATIENTS WITH STROKE. |

|6. |Brief resume of the intended work: |STROKE is a significant cause of morbidity & mortality . Ultrasound of the carotid arteries is the |

| |6.1 Need for the study |modality of choice for triage,diagnosis and monitoring of cases of atheromatous disease. |

| | |There are several pitfalls that may mislead the operator to falsely interpret color and spectral |

| | |Doppler findings.so Magnetic resonance angiography is done. |

| | |Craniocervical dissection is a common cause of stroke in young and middle aged patients. |

| | |Accurate and prompt diagnosis is crucial because timely and appropriate therapy can significantly |

| | |reduce the risk of stroke and longterm sequelae. |

| | |Ultrasound and Magnetic resonance angiography are useful techniques for diagnosis of this condition.|

|RE |6.2 Review of Literature | Study done by HAMID R.TAHMASEBPOUR et. al. SHOWS |

| | |Carotid ultrasound offers a noninvasive evaluation of the extracranial neck portions of the carotid |

| | |and vertebral arteries for atherosclerotic disease. |

| | |Standardized technical parameters,scanning methods,Doppler analysis and interpretations enhance the |

| | |accuracy and reproducibility of the results. |

| | |Study done byPAUL J.NEDERKOORN Et.al. shows |

| | |Magnetic resonance angiography has a better discriminatory power compared with duplex ultrasound in |

| | |diagnosing 70% to 99% stenosis and is a sensitive and specific test.For detecting occlusion both |

| | |magnetic resonance angiography and duplex ultrasound are accurate. |

| | |Study done by CARINA W.YANG et.al. shows |

| | |contrast enhanced mra is accurate at detecting disease not only in the carotid vessels,but also in |

| | |vertebrobasilar circulation and has the potential to provide a comprehrehensive and noninvasive |

| | |evaluation of the head and neck arteries in a single study.done by MICHAEL JAFF et.al. shows |

| | |Given the frequency of carotid artery stenosis in ultrasound population,safe,accurateand reliable |

| | |imaging is critical. |

| | |Initial imaging is with high quality duplex ultrasound. |

| | |If abnormal, Magnetic resonance angiography may be helpful in providing comprehensive anatomic |

| | |information to aid in planning therapeutic surgeries. |

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|7. |Materials and Methods: | |

| |7.1 Source of Data |KIMS hospital , BENGALURU |

| | |TOTAL SAMPLE SIZE;50 |

| | |Study design: |

| |7.2 Collection of Data |PURPOSIVE SAMPLING |

| | |Method of collection : |

| | |Initially patient who comes with clinical history of stroke are subjected to either of the |

| | |modalities colour Doppler and magnetic resonance angiography and finally both the findings are |

| | |compared.. |

| | |Diagnostic criteria : |

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| | |Inclusion criteria: |

| | |AGE ABOVE 40YEARS |

| | |CLINICALLY SUSPECTED TO HAVE STROKE. |

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| | |Interpretations enhance the Exclusion criteria: |

| | |RESTLESS/UNCOOPERATIVE PATIENTS |

| | |NEPHROTOXIC PATIENTS |

| | |PATIENTS WITH FERROMAGNETIC PROSTHESIS AND CARDIAC PACEMAKERS. |

| | 7.3 Does the study require any investigations or |Yes, the study requires |

| |interventions to be conducted on patients or other|Colour Doppler |

| |humans or animals? If so, please describe briefly.|Magnetic resonance angiography |

| |7.4 Has the ethical clearance Been obtained from | |

| |your institution in case of 7.3 |Yes |

| |List of References. | |

| | |1.PAUL J.NEDERKOORN,MD,PhD,YOLANDA VAN DER GRAAF,MD,PhD;M.G.MYRIAM HUNINK,MD,PhD-DUPLEX ULTRASOUND |

| | |AND MAGNETIC RESONANCE ANGIOGRAPHY COMPARED WITH DIGITAL SUBTRACTION ANGIOGRAPHY IN CAROTID ARTERY |

| | |STENOSIS;AMERICAN HEART ASSOCIATION NOV27 2002. |

| | |2.HAMID R.TAHMASEBPOUR,BSC,RDMS.ANNE R.BUCKLEY,MD.PETERL.COOPERBERG, |

| | |MD.CATHY H.FIX,RDMS-SONOGRAPHIC EXAMINATION OF CAROTID ARTERIES;RSNA2005;25:1561-1575. |

| | |3.CARINA W.YANG,JAMES C.CARR,STEPHEN F.FUTTERER,MARK D.MORASCH.BENSON P.YANG,STEPHANIE M.SHORS, AND|

| | |J.PAUL FINN-CONTRAST ENHANCED MR ANGIOGRAPHY OF THE CAROTID AND VERTOBROBASILAR CONDITIONS;AMERICAN|

| | |SOCIETY OF NEURORADIOLOGY;FEBRUARY10,2005. |

| | |4.MICHAEL R JAFF,GREGORY V GOLDMAKHER,MICHAEL H LEV AND JAVIER M ROMERO.-IMAGING OF THE CAROTID |

| | |ARTERIES ROLE OF DUPLEX ULTRASOUND,MAGNETIC RESONANCE ARTERIOGRAPHY AND COMPUTED TOMOGRAPHIC |

| | |ARTERIOGRAPHY;VASC MED2008;13:281. |

| | |5.MATHIEU H.RODALLEC,MD.VERONIQUE MARTEAU,MD.SOPHIE GERBER,MD.LOIC |

| | |DESMOTTES,MD.MARCZINS,MD-CRANIOCERVICAL ARTERIAL DISSECTION:SPECTRUM OF IMAGING FINDINGS AND |

| | |DIFFERENTIAL DIAGNOSIS;RSNA2008:28;1711-1728. |

| |SIGNATURE OF CANDIDATE | |

|10. |Remark of the Guide |THIS IS A UNIQUE AND RARE STUDY WHERE IN THE RESULTS OF TWO IMAGING MODALTIES ARE COMBINED TO AID IN|

| | |THE DIAGNOSIS AND MANAGEMENT OF PATIENTS WITH STROKE SECONDARY TO CAROTID ARTERY OCCLUSION |

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|11. |Name and designation of |DR.SANDEEPBALLAL,ASSOCIATE PROFESSOR,DEPT OF RADIODIAGNOSIS. |

| |11.1 Guide | |

| |11.2 Signature | |

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| |11.3 Co-guide | |

| |11.4 Signature | |

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| |11.5 Head of the Department. |DR.N.KRISHNAPPA,PROFESSOR AND HOD OF DEPARTMENT OF RADIODIAGNOSIS. |

| |11.6 Signature | |

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|12. |12.1 Remarks of the chairman &Principal | |

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