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2 results on '"Kartheek Guthikonda"'

1. Clinical Utility of DECT in Fat Fraction Assessment of Rotator Cuff Tears: A Comparative Analysis with MRI

Author

Kartheek Guthikonda, Jeevithan Shanmugam, Seetharaman Cannane, Gopinath Periaswamy, Navya Christopher, and Mathew Cherian

Subjects
rotator cuff tears, fatty degeneration, dual-energy ct, mri, fat fraction, Medicine
Abstract

Introduction: Rotator cuff tears are common musculoskeletal injuries, often associated with fatty degeneration (FD) of the rotator cuff muscles. While MRI has been the gold standard for assessing FD, dual-energy CT (DECT) shows promise in providing quantitative measurements. This study aims to compare FD quantification using DECT and MRI fat fraction values in patients with rotator cuff tears. Materials and Methods: Thirty patients diagnosed with rotator cuff tears underwent DECT and MRI scans for FD assessment. Imaging parameters and techniques were standardized for both modalities. Fat fraction values were obtained using region-of-interest (ROI) analysis. Results: The mean age of participants was 55.73 ± 10.16 years, with a majority classified as Goutallier stage 1. Significant differences were observed between fat fraction values measured by DECT and MRI. The ICC revealed moderate reliability (0.549, p

Published
2024
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2. LONG -TERM FOLLOW-UP OF COVID-19 PATIENTS TO ASSESS THE RISK FACTORS FOR THE DEVELOPMENT OF POST-COVID FIBROSIS

Author

Rajeshkumar Varatharajaperumal, Venkatesh Kasi Arunachalam, Pudhiavan A, Kartheek Guthikonda, Gopinath Periyasamy, and Vijayakumaran Ethiraju

Abstract

Purpose: This study aimed to nd the risk factors associated with the development of brosis in follow-up CT in patients of COVID-19 pneumonia. In this retrospective study, fty-four patients with RT-Methods: PCR proved COVID-19 pneumonia with two chest CTs in a 12-month interval between the initial and follow-up CT were included. Patients were classied into two groups: Patients with complete resolution and patients with brosis on follow-up CT. Demographic, laboratory, and therapeutic data and CT ndings were compared and analyzed. A total of 54 patientsResults: (38 men, 16 women) were included in this study. Post-COVID brosis and brotic-like changes were observed on follow-up CT scans in 34 of the 54 patients (63%). The remaining 20 patients (37%) showed no brotic changes with complete resolution. Patients with post covid brosis were signicantly older than those with normal CT. Males were affected more than females. Patients with post covid brosis had more comorbidities when compared with patients without comorbidities. Post-Covid brosis patients had a greater frequency of ICU admission, high frequency noninvasive mechanical ventilation( NIV), higher peak levels of C-reactive protein and D-dimer levels, low level of SpO2, and high CT Severity score in initial CT. Conclusion: Elderly patients, patients with comorbidities, high CT severity score, longer duration of hospital stay, ICU admission, high CRP and D dimer levels, Patients with NIV were associated with more prevalence of brosis in follow up CT.

Published
2022

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