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1

Mendes, Sofia, Rita Silva, Inês Martins, Susana Santo, and Nuno Clode. "Mueller-Hillis maneuver and angle of progression: Are they correlated?" Revista da Associação Médica Brasileira 63, no. 6 (2017): 527–31. http://dx.doi.org/10.1590/1806-9282.63.06.527.

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Summary Objective: Mueller-Hillis maneuver (MHM) and angle of progression (AOP) measured by transperineal ultrasound have been used to assess fetal head descent during the second stage of labor. We aimed to assess whether AOP correlates with MHM in the second stage of labor. Method: A prospective observational study including women with singleton pregnancy in the second stage of labor was performed. The AOP was measured immediately after the Mueller-Hillis maneuver. A receiver-operating characteristics (ROC) curve analysis was performed to determine the best discriminatory AOP cut-off for the
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Lu, Yaosheng, Dengjiang Zhi, Minghong Zhou, et al. "Multitask Deep Neural Network for the Fully Automatic Measurement of the Angle of Progression." Computational and Mathematical Methods in Medicine 2022 (September 2, 2022): 1–14. http://dx.doi.org/10.1155/2022/5192338.

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The angle of progression (AoP) for assessing fetal head (FH) descent during labor is measured from the standard plane of transperineal ultrasound images as the angle between a line through the long axis of pubic symphysis (PS) and a second line from the right end of PS tangentially to the contour of the FH. This paper presents a multitask network with a shared feature encoder and three task-special decoders for standard plane recognition (Task1), image segmentation (Task2) of PS and FH, and endpoint detection (Task3) of PS. Based on the segmented FH and two endpoints of PS from standard plane
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Masood, Humaira, Rubaba Abid, Muhammad Ahmed, and Munir Mehmood. "Measurement of angle of progression by trans perineal-ultrasound in labour to predict mode of delivery in nulliparous women." Pakistan Journal of Medical Sciences 41, no. 1 (2024): 147–50. https://doi.org/10.12669/pjms.41.1.9930.

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Objective: The objective of the study was to assess whether the measurement of the angle of progression in nulliparous women in labour can predict the mode of delivery. Methods: This prospective observational study was conducted at Benazir Bhutto Hospital, Rawalpindi Medical University from 16th February to 25th March 2024. Nulliparous pregnant women in the active first stage of labour with singleton pregnancy and cephalic presentation were included in the study after taking informed consent. The angle of progression (AOP) was measured by trans-perineal ultrasound using the curvilinear probe.
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Rouse, Caroline, David Cantonwine, Sarah Little, Thomas McElrath, Julian Robinson, and Carolina Bibbo. "Angle of Progression on Ultrasound in the Second Stage of Labor and Spontaneous Vaginal Delivery." American Journal of Perinatology 35, no. 04 (2017): 413–20. http://dx.doi.org/10.1055/s-0037-1608633.

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Objective The objective of this study was to assess the association between the angle of progression (AoP) measured by transperineal ultrasound and mode of delivery and duration of the second stage. Study Design This is a prospective observational study of nulliparous women with a singleton gestation at term in which serial transperineal ultrasound examinations were obtained during the second stage of labor. Multivariable logistic regression and adjusted survival models were used for the analysis. Results A total of 137 patients were included in the analysis and median AoP for the study group
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Iliescu, D., S. Tudorache, R. Dragusin, et al. "The Angle of Progression at Station 0 and in Magnetic Resonance and Transperineal Ultrasound Assessment." Case Reports in Obstetrics and Gynecology 2015 (2015): 1–3. http://dx.doi.org/10.1155/2015/748327.

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The transperineal ultrasound (TPU) value of the angle of progression (AOP) during fetal head engagement, at station 0, is a critical cut-off for current obstetrical practice, especially when intrapartum instrumental interventions are required. Still, controversial measurements were reported in previous high resolution imagistic studies. Our TPU and direct “gold-standard” magnetic resonance (MRI) measurements confirm that station 0 corresponds to a 120° AOP, concordantly. Based on these findings, the fact that an AOP of 120° or greater was previously strongly associated with vaginal delivery ma
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Diaa, Abdelhalim, Abolmakarem Hussein, and Hassan Mohamed. "Prediction of labor outcome by measuring the angle of progression using two dimensional trans-perineal Ultrasound: A prospective cohort study." World Journal of Advanced Research and Reviews 12, no. 3 (2021): 200–204. https://doi.org/10.5281/zenodo.5804868.

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<strong>Background</strong>: Failure of descent due to fetal malposition is one of the most common indications for performing surgical deliveries. It has recently been suggested that trans-perineal intra-partum ultrasonography may be useful in assessing fetal head engagement, position and station as well as it&rsquo;s reliable, cheap, painless and effective tool. Measuring the &lsquo;angle of progression&rsquo; could assist in the obstetrician&rsquo;s decision regarding mode of delivery. <strong>Objectives</strong>: The primary outcome is to use the AOP to develop a predictive model for the pr
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Zarean, Elaheh, Ferdos Mehrabian, and Mahsa Sadat Miri. "Angle of progression with trans-perineal ultrasound and delivery type in labor’s second stage; a cross-sectional study in Isfahan, Iran." Journal of Preventive Epidemiology 7, no. 1 (2021): e05-e05. http://dx.doi.org/10.34172/jpe.2022.05.

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Introduction: Numerous studies have shown that clinical evaluation in labor is not very accurate, therefore ultrasound is one of the instruments that can give us a more objective assessment than the clinical evaluation. Objectives: In this study, we investigate the magnitude of the angle of progression (AoP) at the second stage of labor in fetuses with cephalic presentation and its relation to spontaneous vaginal delivery. Patients and Methods: In this cross-sectional study, we measured the AoP using trans-perineal sonography in the 2nd stage of the labor and compared AoP in normal vaginal del
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Minajagi, Priyanka Shankerappa, Sujatha Bagepalli Srinivas, and Shripad Hebbar. "Predicting the Mode of Delivery by Angle of Progression (AOP) before the Onset of Labor by Transperineal Ultrasound in Nulliparous Women." Current Women s Health Reviews 16, no. 1 (2020): 39–45. http://dx.doi.org/10.2174/1573404815666191113153204.

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Background: Prediction of the mode of delivery is crucial for better labour outcome. Recent studies suggest that the angle of progression (AOP), measured using transperineal ultrasound, can substantially aid the assessment of fetal head descent during labor, thereby predicting the mode of delivery. Objective: To assess the ability of the AOP measured by transperineal ultrasound to predict the mode of delivery in nulliparous women before the onset of labor. Methods: A prospective observational study was conducted at our hospital, of nulliparous women who had presented to the antenatal clinic at
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Diaa Abdelhalim, Hussein Abolmakarem, and Mohamed Hassan. "Prediction of labor outcome by measuring the angle of progression using two dimensional trans-perineal Ultrasound: A prospective cohort study." World Journal of Advanced Research and Reviews 12, no. 3 (2021): 200–204. http://dx.doi.org/10.30574/wjarr.2021.12.3.0675.

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Background: Failure of descent due to fetal malposition is one of the most common indications for performing surgical deliveries. It has recently been suggested that trans-perineal intra-partum ultrasonography may be useful in assessing fetal head engagement, position and station as well as it’s reliable, cheap, painless and effective tool. Measuring the ‘angle of progression’ could assist in the obstetrician’s decision regarding mode of delivery. Objectives: The primary outcome is to use the AOP to develop a predictive model for the probability of successful vaginal delivery. Secondary outcom
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Bulut, Ayca Nazli, and Venhar Ceyhan. "Evaluation of the labour process with serial transperineal ultrasonography and prediction of the type of birth." Journal of Perinatal Medicine 49, no. 1 (2021): 36–42. http://dx.doi.org/10.1515/jpm-2020-0323.

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AbstractObjectivesThe purpose of this study is to follow the birth process with transperineal ultrasonography (TPU) and predict the delivery method using angle of progression (AOP).MethodsThe study included 134 patients. The AOP was examined with TPU in the lithotomy position applied at 4-h intervals, not at a time of straining or contractions. The relationship was examined between AOP and those who continued with vaginal delivery, and those who underwent caesarean section delivery.ResultsA total of 122 (91%) patients had vaginal delivery and 12 (9%) patients had cesarean delivery. In patients
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Kohls, Fabian, Lars Brodowski, Elna Kuehnle, Nadine Kniebusch, Karim Kalache, and Alexander Weichert. "Ultraschall unter der Geburt: Eine systematische Analyse des Höhenstandes des kindlichen Kopfes in der Eröffnungsperiode der Geburt." Zeitschrift für Geburtshilfe und Neonatologie 222, no. 01 (2017): 19–24. http://dx.doi.org/10.1055/s-0043-122242.

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Zusammenfassung Einleitung Die Höhenstandsbestimmung des fetalen Kopfes hat Einfluss auf das geburtshilfliche Management. Ziel der Studie war es mithilfe des angle of progression (AOP) in der Eröffnungsphase eine Aussage über Geburtsdauer und Geburtsmodus zu treffen. Methodik Dies war eine prospektive Studie. Einschlusskriterien waren Einlingsschwangerschaften, spontan-vaginale Geburt, fetale Schädellage, Primi- und Multiparae und Patientinnen mit Periduralanästhesie (PDA). Einflussfaktoren wie Kopfumfang, Geburtsgewicht, Oxytocingabe, Periduralanästhesie, Parität wurden bestimmt und den Einfl
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Mlodawski, Jakub, Marta Mlodawska, Justyna Plusajska, Karolina Detka, Katarzyna Bialek, and Grzegorz Swiercz. "Repeatability and Reproducibility of Potential Ultrasonographic Bishop Score Parameters." Journal of Clinical Medicine 12, no. 13 (2023): 4492. http://dx.doi.org/10.3390/jcm12134492.

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Determination of the Bishop score (BS) is a traditional method of assessing the cervix in obstetrics and gynecology. This examination is characterized by subjectivity of assessment and low repeatability. In scientific studies intended to evaluate the results of the procedure based on the initial assessment, it is necessary to find an objective scale based on ultrasonography. We selected five ultrasound parameters, measured with a transvaginal transducer, that are equivalent to the individual BS axes (dilatation assessed in three-dimensional ultrasound (DL), angle of progression (AoP), vagino-c
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Ingeberg, Helene, Anna Miskova, and Diana Andzane. "Intrapartum ultrasound to predict vaginal labor: a prospective cohort study." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 11 (2017): 4778. http://dx.doi.org/10.18203/2320-1770.ijrcog20174986.

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Background: Non-invasive transperineal ultrasound has been used to detect the descent of the fetal head using head-perineum distance (HPD) and angle of progression (AOP). The aim was to evaluate HPD and AOP as predictors of vaginal delivery in the first stage of labor.Methods: This was a prospective cohort study in Riga Maternity Hospital in Latvia from May till August 2016. The study included only nulliparous women with singleton pregnancies and cephalic presentation. Ultrasound was used to measure HPD and AOP. Data was collected on demographics, labor parameters and outcome.Results: Of 36 wo
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Mikhailov, A. V., A. A. Chernov, V. V. Shman, A. N. Maksimenko, and A. B. Yaskarayeva. "Dynamic ultrasound control in the second stage of labor." Ultrasound & Functional Diagnostics, no. 4 (November 1, 2024): 41–52. https://doi.org/10.24835/1607-0771-285.

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Objective. To establish ultrasound characteristics of the dynamics of the fetal head descent along the birth canal during the uncomplicated second stage of labor in the occiput anterior and posterior positions.Materials and methods. The prospective study included 198 women in labor. Spontaneous birth occurred in 180 of them, without the use of augmentation of labor or operative delivery. The remaining 18 women were excluded from the final analysis due to the use of augmentation of labor or operative delivery. The average gestational age was 39 3/7 weeks. The average weight of newborns was 3394
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Çelik, Hale Göksever, Engin Çelik, and Gökhan Yıldırım. "Prediction of vaginal delivery with transperineal ultrasound in women induced with dinoprostone beyond 40 weeks of gestation." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 8 (2018): 2998. http://dx.doi.org/10.18203/2320-1770.ijrcog20183290.

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Background: Digital cervical evaluation has been used to determine the likelihood of vaginal delivery which is considered by many women to be non-tolerable. Recently, transperineal ultrasound allowing direct visualization of the fetal skull has been using for the prediction of labor route. Authors aimed to study whether measurements on transperineal ultrasound are predictive for vaginal delivery in pregnant women induced with dinoprostone at 40.0-42.0 gestational weeks.Methods: A total of 55 pregnant women at 40.0-42.0 gestational weeks were enrolled in this prospective observational study. Al
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Kartal Gölcük, Esra, Burcu Dincgez, Gulten Ozgen, and Emın Ustunyurt. "The predictive role of serial transperineal sonography during the first stage of labor for cesarean section." Journal of Perinatal Medicine 53, no. 2 (2024): 132–39. https://doi.org/10.1515/jpm-2024-0450.

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Abstract Objectives Head to perineum distance (HPD) and angle of progression (AOP) are sonographic markers which have been investigated for the evaluation of labor progress. Here, we aimed to evaluate the predictive role of serially measured AOP and HPD during the first stage of labor in labor progress both in nulliparous and multiparous patients. Also, we firstly compared this role for labor progress. Methods This was a prospective longitudinal study including 299 patients. Patients were grouped as vaginal delivery (n=247) and cesarean section (n=52). Demographic and obstetric characteristics
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Abdelsameea Ibrahim, Gamal, Ahmed Soliman Nasr, Fatma Atta, et al. "The Assessment of Intrapartum Transperineal Ultrasonographic Parameters for their Effectiveness in Evaluation of Progress of Labor and Prediction of Mode of Delivery in Egyptian Women." Open Access Macedonian Journal of Medical Sciences 9, B (2021): 1037–43. http://dx.doi.org/10.3889/oamjms.2021.7049.

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Introduction: High fetal head station has been associated with prolonged labor and delivery outcomes. Although clinical assessment of fetal head station is both subjective and unreliable, women with prolonged labor are subjected to multiple digital vaginal examinations. The use of ultrasound has been proposed to aid in the management of labor since 1990s. Ultrasound examination is more accurate and reproducible than clinical examination in the diagnosis of fetal head station and in the prediction of arrest of labor. Ultrasound examination can, to some extent, distinguish those women destined f
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Elbarbary, N. A., L. Zayed, and A. Youssef. "OP17.06: Performance of angle of progression AOP in predicting Caesarean delivery in first stage of labour in relation to cervical dilatation." Ultrasound in Obstetrics & Gynecology 52 (October 2018): 116–17. http://dx.doi.org/10.1002/uog.19549.

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K C, Ranjitha, Rani Sujatha M.A, Syed Saifullah Bokhari, Durgesh Kumar Sinha, Shweta B.K, and Sannidhi B.J. "To study the clinical efficacy of Nd Yag peripheral iridotomy in narrow angle glaucoma." IP International Journal of Ocular Oncology and Oculoplasty 8, no. 1 (2022): 37–40. http://dx.doi.org/10.18231/j.ijooo.2022.008.

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: To examine the clinical efficacy of laser peripheral iridotomy (LPI) in subjects with primary angle closure (PAC).134 patients with angle closure glaucoma were included in this retrospective study which was carried out at the glaucoma clinic, department of ophthalmology at DR B.R Ambedkar medical college and hospital over a period of 2 years. A total of 134 patients, 268 eyes were participated in this study. All were treated with LPI. The 268 eyes with Successful opening of angle more than 2 for at least 24 weeks. Follow-up ranged from 4 to 24 weeks. Gonioscopy was performed in each visit to
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Lafuente, Guillermo, Pedro V. Munuera, Gabriel Dominguez, Maria Reina, and Blanca Lafuente. "Hallux Limitus and Its Relationship with the Internal Rotational Pattern of the Lower Limb." Journal of the American Podiatric Medical Association 101, no. 6 (2011): 467–74. http://dx.doi.org/10.7547/1010467.

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Background: The aims of this study were to determine whether individuals with mild hallux limitus show a diminished capacity of internal rotation of the lower limb compared with those without hallux limitus and whether individuals with mild hallux limitus show an increased foot progression angle. Methods: In 80 study participants (35 with normal feet and 45 with mild hallux limitus), the capacity of internal rotation of the lower limb (internal rotational pattern), hallux dorsiflexion, and the foot progression angle were measured. The values for internal rotational pattern and foot progression
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International, Journal of Medical Science and Innovative Research (IJMSIR). "Role of intrapartum ultrasonography to predict mode of delivery/success rate of vaginal delivery." International Journal of Medical Science and Innovative Research (IJMSIR) 9, no. 2 (2024): 23–28. https://doi.org/10.5281/zenodo.15371928.

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<strong>Abstract</strong> <strong>Objective:</strong> The study was conducted to find out the role of intrapartum trans-perineal ultrasound to predict vaginal delivery by measuring head-perineum distance and angle of progression along with other foetal parameters <strong>Materials and Methods:</strong> A prospective study was performed in 80 pregnant women at S.N Medical College, Agra over a period of one year. The study population included primigravid with singleton pregnancy with cephalic presentation with normal BMI in the first stage of labor at term pregnancy (&ge; 37 weeks). Trans perine
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Anton, Serdiuk. "PROGNOSIS OF POSTOPERATIVE PROGRESSION OF GLAUCOMA OPTIC NEUROPATHY AT PRIMARY OPEN-ANGLE GLAUCOMA." EUREKA: Health Sciences, no. 6 (November 30, 2020): 60–68. https://doi.org/10.21303/2504-5679.2020.001476.

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Search for new informative markers and methods of prognosis prediction glaucomatous optic neuropathy (GON) in primary open-angle glaucoma (POAG) is an urgent task. We have established efficiency surgical treatment of POAG, but the progression of GON is observed in 10&ndash;15 % patients. It is known that the main mechanism of GON is apoptotic death retinal ganglion cells, a marker of which is recognized as tumour necrosis factor-&alpha; (TNF&alpha;), Fas-ligand (FasL) and a soluble form of the Fas-receptor (sFas/APO-1). <strong>The aim of the study:&nbsp;</strong>to find out the possibility of
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Asfa, Khaleel, and SV Madhavi Gupta. "Comparison of Visual Field Progression in Patients with Primary Open Angle Glaucoma and Pseudo Exfoliative Glaucoma." International Journal of Clinical and Experimental Ophthalmology 9, no. 1 (2025): 004–10. https://doi.org/10.29328/journal.ijceo.1001060.

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Objective: Comparison of visual field progression in patients with Primary Open-angle Glaucoma (POAG) and Pseudo Exfoliative Glaucoma (PEXG). Methods and materials: This is a 2-year longitudinal prospective study including 60 glaucomatous eyes with VA CF ≥ 3 m, IOP ≥ 20 mmHg, CDR ≥ 0.6 and those with Shaffer’s grade 3 or above were categorized as POAG along with signs of Pseudo exfoliative material as PEXG. Patients on anti-glaucoma medications and those who have undergone cataract and glaucoma surgeries are also included in this study. 24-2 visual field test was performed using Humphrey Field
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HT, Vidya Shree, Pasha S. M, and Rathi S. "Critical Insight into Primary Open Angle Glaucoma as Jara Vyadhi and its Ayurvedic Interventions: A Single Case Study." International Journal of Ayurvedic Medicine 9, no. 3 (2018): 219–24. http://dx.doi.org/10.47552/ijam.v9i3.1116.

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Deterioration of vision in elderly people is a major health issue. Currently, the rates of eye disease such as cataract, macular degeneration, diabetic retinopathy and glaucoma are highest in older group. Primary open angle glaucoma is an Insidious and chronic vision - threatening eye aliment due to neuro- retino -optic nerve degeneration, which may be due to raised intra ocular pressure (IOP) or older age or due to independent factors. Classic treatment can delay progression of glaucomatous optic neuropathy by lowering intra ocular pressure (IOP) medically or surgically, but it has its own li
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Kinds, Margot B., Anne C. A. Marijnissen, Max A. Viergever, Pieter J. Emans, Floris P. J. G. Lafeber, and Paco M. J. Welsing. "Identifying Phenotypes of Knee Osteoarthritis by Separate Quantitative Radiographic Features May Improve Patient Selection for More Targeted Treatment." Journal of Rheumatology 40, no. 6 (2013): 891–902. http://dx.doi.org/10.3899/jrheum.121004.

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Objective.Expression of osteoarthritis (OA) varies significantly between individuals, and over time, suggesting the existence of different phenotypes, possibly with specific etiology and targets for treatment. Our objective was to identify phenotypes of progression of radiographic knee OA using separate quantitative features.Methods.Separate radiographic features of OA were measured by Knee Images Digital Analysis (KIDA) in individuals with early knee OA (the CHECK cohort: Cohort Hip &amp; Cohort Knee), at baseline and at 2-year and 5-year followup. Hierarchical clustering was performed to ide
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YILMAZ, Emre, Kıymet İclal AYAYDIN YILMAZ, and Ercan AYDIN. "EVALUATION OF THE FRONTAL-PLANE QRS-T ANGLE IN PREGNANCY." Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 24, no. 3 (2022): 454–59. http://dx.doi.org/10.24938/kutfd.1093625.

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Objective: Our aim in this study was to evaluate changes in the frontal QRS–T (fQRS-T) angle, which is an important indicator of repolarisation defects and arrhythmogenic predisposition, in pregnant women relative to non-pregnant women and between trimester groups. Material and Methods: One hundred fifty-seven pregnant women with no history of cardiac or chronic disease and 150 healthy non-pregnant women as a control group were included in this study. PR, QRS, QT, corrected QT and fQRS-T angles were calculated manually. Subgroup analysis was performed to investigate the effects of changes in t
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Cheung, Jason Pui Yin, Prudence Wing Hang Cheung, Dino Samartzis, and Keith Dip-Kei Luk. "APSS-ASJ Best Clinical Research Award: Predictability of Curve Progression in Adolescent Idiopathic Scoliosis Using the Distal Radius and Ulna Classification." Asian Spine Journal 12, no. 2 (2018): 202–13. http://dx.doi.org/10.4184/asj.2018.12.2.202.

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&lt;sec&gt;&lt;title&gt;Study Design&lt;/title&gt;&lt;p&gt;Prospective study.&lt;/p&gt;&lt;/sec&gt;&lt;sec&gt;&lt;title&gt;Purpose&lt;/title&gt;&lt;p&gt;To determine the risk of clinically significant curve progression in adolescent idiopathic scoliosis (AIS) based on the initial Cobb angle and to test the utility of the distal radius and ulna (DRU) classification in predicting these outcomes.&lt;/p&gt;&lt;/sec&gt;&lt;sec&gt;&lt;title&gt;Overview of Literature&lt;/title&gt;&lt;p&gt;Determining the remaining growth potential in AIS patients is necessary for predicting prognosis and initiating t
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Isaiev, O.A., and V.M. Serdiuk. "Prediction of the rate of progression of primary open-angle glaucoma depending on gender and polymorphism of the endothelial NO-synthase (NOS3) gene." Medicni perspektivi 27, no. 4 (2022): 159–68. https://doi.org/10.26641/2307-0404.2022.4.271215.

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Relevance &ndash; it is promising to develop a system for the diagnosis and prevention of primary open-angle glaucoma (POAG), which would be based on the determination of constitutive propensity factors and would be able to predict the onset and progression of the disease. The aim of the study was to develop a model for predicting the rate of progression of primary open-angle glaucoma depending on gender and endothelial NO-synthase (NOS3) gene polymorphism. There were genotyped 153 patients with POAG aged 36-84&nbsp;years. Genotypes rs1799983 and rs207074 were determined in the blood of patien
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Özbek, Emre Anıl, Mahmut Kalem, and Hakan Kınık. "Do the Loss of Thigh Muscle Strength and Tibial Malrotation Cause Anterior Knee Pain after Tibia Intramedullary Nailing?" BioMed Research International 2019 (March 27, 2019): 1–6. http://dx.doi.org/10.1155/2019/3072105.

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Purpose. Anterior knee pain (AKP) is a common complication after tibia intramedullary nailing surgery, but yet the etiology is not fully revealed. Our study had two hypotheses. The first one is “after tibia intramedullary nailing with transtendinous approach, thigh muscles strength decreases and this loss of muscle strength causes AKP.” Secondly, “lower extremity rotational profile is affected after tibia intramedullary nailing.” Methods. Our study was planned retrospectively and included 40 patients, who underwent tibia intramedullary nailing surgery. Mean follow-up time was 22.5 months. Tegn
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Malvasi, Antonio, Lorenzo E. Malgieri, Ettore Cicinelli, et al. "AIDA (Artificial Intelligence Dystocia Algorithm) in Prolonged Dystocic Labor: Focus on Asynclitism Degree." Journal of Imaging 10, no. 8 (2024): 194. http://dx.doi.org/10.3390/jimaging10080194.

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Asynclitism, a misalignment of the fetal head with respect to the plane of passage through the birth canal, represents a significant obstetric challenge. High degrees of asynclitism are associated with labor dystocia, difficult operative delivery, and cesarean delivery. Despite its clinical relevance, the diagnosis of asynclitism and its influence on the outcome of labor remain matters of debate. This study analyzes the role of the degree of asynclitism (AD) in assessing labor progress and predicting labor outcome, focusing on its ability to predict intrapartum cesarean delivery (ICD) versus n
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Kajmina, Natasha, Sayedur Rahman, Golam Shah Newaz, and Wasim Selimul Haque. "Contrast Sensitivity Change– A Tool of Monitoring Glaucoma Progression." Journal of Armed Forces Medical College, Bangladesh 12, no. 2 (2016): 90–92. http://dx.doi.org/10.3329/jafmc.v12i2.41101.

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Introduction: Glaucoma is a potentially blinding disease,causing gradual loss of sight. It is often associated with increased intraocular pressure that can damage the optic nerve, which transmits images to the brain. Glaucoma can lead to permanent vision loss, if the damage continues. Without treatment, glaucoma can cause total permanent blindness within a few years. Glaucoma is one of the major causes of ocular morbidity and primary open–angle glaucoma is a major health problem. The prevalence of primary open- angle glaucoma (POAG) is estimated as being from 1.1-3% of western populations, ove
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Lee, Kyu Yeol, Min-Woo Kim, Chul Soon Im, and Young Hoon Jung. "Radiologic and Clinical Courses of Degenerative Lumbar Scoliosis (10°–25°) after a Short-Segment Fusion." Asian Spine Journal 11, no. 4 (2017): 570–79. http://dx.doi.org/10.4184/asj.2017.11.4.570.

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&lt;sec&gt;&lt;title&gt;Study Design&lt;/title&gt;&lt;p&gt;Retrospective study.&lt;/p&gt;&lt;/sec&gt;&lt;sec&gt;&lt;title&gt;Purpose&lt;/title&gt;&lt;p&gt;We report the surgical outcomes of small degenerative lumbar scoliosis (DLS) patients treated by a short-segment fusion and followed for a minimum of 5 years.&lt;/p&gt;&lt;/sec&gt;&lt;sec&gt;&lt;title&gt;Overview of Literature&lt;/title&gt;&lt;p&gt;Several surgical options are available for the treatment of DLS, such as decompression only, decompression plus a short-segment fusion, or decompression with a long segment fusion. Few studies hav
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Gavrilova, Tatyana V., Aliya R. Kinkulkina, Hasmik S. Avagyan, and Oksana A. Svitich. "Association between polymorphic <i>eNOS</i> gene markers and risk of primary open-angle glaucoma in the Perm Region population." Russian Journal of Immunology 25, no. 1 (2022): 83–92. http://dx.doi.org/10.46235/1028-7221-1081-abp.

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Glaucoma is widely known to have a progressive course and occupy a leading place among the causes of vision loss and blindness. Increased intraocular pressure is the key harmful factor among the causes of glaucoma occurrence. In some cases, however, the progressive disease is also observed at normal values of ophthalmic tonus. Early diagnosis of glaucoma will allow for timely therapy, which in turn will reduce the risk of complications and prevent neuroopticopathy progression. According to the literature data, the pathogenesis of primary open-angle glaucoma is associated with nitric oxide (NO)
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JTN, Senevirathne. "Use of Fetal Occiput – Spinal Angle at Early Active Phase of First Stage of Labour in Predicting the Labour Outcome – A CrossSectional Observational Study." Open Access Journal of Gynecology 8, no. 2 (2023): 1–9. http://dx.doi.org/10.23880/oajg-16000258.

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Introduction: Fetal head deflexion plays an important role during the labour process and predicts the outcome of labour. Though traditionally it was assessed via digital examination, recent advancements in medicine have shown ultrasonographic parameters might be useful to measure of head flexion via fetal occiput-spine angle (OSA). Aim of this study was to evaluate its role. Method: We conducted a cross-sectional observational study on 292 uncomplicated singleton pregnant mothers without occiput posterior position. At early active phase of labour (OS= 4 – 6cm), angle between two tangential lin
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Bhide, Prajakta, and Sandeep Vaidya. "In Toeing & Out Toeing in children." Journal of Clinical Orthopaedics 7, no. 2 (2022): 22–26. http://dx.doi.org/10.13107/jcorth.2022.v07i02.519.

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Intoed and out-toed gait in children can occur due to foot deformities or torsional alignment of the femur and/or tibia. In most cases, these deformities are physiological and resolve with age. Physical examination consists of assessment of rotational profile of the lower limb which includes foot progression angle, torsional alignment of the femur and tibia, and foot shape. Few cases may be due to underlying pathological conditions which need to be identified and treated.
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B, K. Pattnaik, Behara T, and Mohapatra S. "To Study Changes in Anterior Segment Morphology after Laser Peripheral Iridotomy (LPI) in Different Stages of Primary Angle Closure Glaucoma Using Gonioscopy and Ultrasound Biomicroscopy (UBM): A Comparative Study in a Tertiary Care Hospital." International Journal of Pharmaceutical and Clinical Research 15, no. 4 (2023): 1479–85. https://doi.org/10.5281/zenodo.12682128.

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<strong>Aim:&nbsp;</strong>To prospectively evaluate the efficacy and study the anatomical changes in the angle of anterior chamber following Nd- YAG laser Peripheral iridotomy (LPI) in different stages of primary angle closure glaucoma &amp; complications of Nd YAG laser PI.&nbsp;<strong>Materials &amp; Methods:</strong>&nbsp;Between October 2019 to September 2021, 243 eyes of 243 patients of primary angle closure glaucoma presenting with less than 180 degree peripheral anterior synechiae were selected at the glaucoma clinic of SCBMCH, Cuttack and assement of angles and their comparision were
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R., Gnanapriya, P. Mahalakshmi, Chitra K.S., A. Ramya, R. Udhayarajapriya, and Venkateshvaran Sriandaal. "Predicting the Progress and Outcome of Labor Using a New Sonographic Index Occiput Spine Angle in a Tertiary Care Hospital, Madurai." International Journal of Pharmaceutical and Clinical Research 16, no. 7 (2024): 165–73. https://doi.org/10.5281/zenodo.12741147.

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<strong>Background:</strong>&nbsp;Universal flexion is the most common attitude of the fetus at birth which allows normal progression of labor. The attitude of the fetus head during the active phase of labor is generally identified by per vaginal digital examination. Recently a newer ultrasound parameter, Occiput spine angle can aid our conventional clinical examination to assess fetal head deflection.&nbsp;<strong>Objectives:</strong>&nbsp;(1). To measure occiput spine angle during first stage of labor using Tran&rsquo;s abdominal ultrasound. (2).To determine whether this occiput spine angle
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Isaiev, O. A., and V. M. Serdiuk. "Prediction of the rate of progression of primary open-angle glaucoma depending on gender and polymorphism of the endothelial NO-synthase (NOS3) gene." Medicni perspektivi 27, no. 4 (2022): 159–68. http://dx.doi.org/10.26641/2307-0404.2022.4.271215.

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Relevance – it is promising to develop a system for the diagnosis and prevention of primary open-angle glaucoma (POAG), which would be based on the determination of constitutive propensity factors and would be able to predict the onset and progression of the disease. The aim of the study was to develop a model for predicting the rate of progression of primary open-angle glaucoma depending on gender and endothelial NO-synthase (NOS3) gene polymorphism. There were genotyped 153 patients with POAG aged 36-84 years. Genotypes rs1799983 and rs207074 were determined in the blood of patients by real-
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Mitta, Kyriaki, Ioannis Tsakiridis, Themistoklis Dagklis, et al. "Ultrasonographic Evaluation of the Second Stage of Labor according to the Mode of Delivery: A Prospective Study in Greece." Journal of Clinical Medicine 13, no. 4 (2024): 1068. http://dx.doi.org/10.3390/jcm13041068.

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Background and Objectives: Accurate diagnosis of labor progress is crucial for making well-informed decisions regarding timely and appropriate interventions to optimize outcomes for both the mother and the fetus. The aim of this study was to assess the progress of the second stage of labor using intrapartum ultrasound. Material and methods: This was a prospective study (December 2022–December 2023) conducted at the Third Department of Obstetrics and Gynecology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Greece. Maternal–fetal and labor characteristics
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Noman, Shams Mohammed. "Juvenile open angle glaucoma –A case series study." Indian Journal of Clinical and Experimental Ophthalmology 7, no. 2 (2021): 448–51. http://dx.doi.org/10.18231/j.ijceo.2021.089.

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Juvenile open angle glaucoma is a rare form of glaucoma that differs from primary open angle glaucoma in its age of onset and magnitude of intraocular pressure.Juvenile open angle glaucoma has its onset between 3-40 years of age with relatively high intraocular pressure. For the documentation and describe clinical manifestations management and outcome of management of the patients diagnosed as Juvenile open-angle glaucoma at the glaucoma department, CEITC, Chittagong, Bangladesh. This is a hospital based prospective observational case series review. 20 patients who were diagnosed as Juvenile o
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Shree B V, Sowmya, Bharathi N, Shwetha Kumari C, Ranjitha C. Sadananda, and Madhura M. Khanapur. "Comparitive study between normal tension glaucoma and primary open-angle glaucoma." Indian Journal of Clinical and Experimental Ophthalmology 7, no. 3 (2021): 562–67. http://dx.doi.org/10.18231/j.ijceo.2021.110.

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The study is conducted to determine the functional and structural differences between NTG and POAG, to assess the rate of conversion of NTG into POAG and its early intervention. It is a hospital based prospective, cross-sectional study of 56 NTG and 56 POAG patients. History was taken and comprehensive ophthalmic examination with glaucoma work up was done.Majority of the patients belonged to the age group between 51 and 60 years i.e. 48.2% in NTG and 62.5% in POAG. Majority of the NTG patients i.e. 33 (58.9%) were females while 41(73.2%) were males in POAG. 40% of NTG patients had systemic ass
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Hernández, Rodolfo A., Jennifer M. Burr, and Luke D. Vale. "Economic evaluation of screening for open-angle glaucoma." International Journal of Technology Assessment in Health Care 24, no. 02 (2008): 203–11. http://dx.doi.org/10.1017/s0266462308080288.

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Objectives:The aim of this study was to assess the cost-effectiveness of screening for open-angle glaucoma (OAG) in the United Kingdom, given that OAG is an important cause of blindness worldwide.Methods:A Markov model was developed to estimate lifetime costs and benefits of a cohort of patients facing, alternatively, screening or current opportunistic case finding strategies. Strategies, varying in how screening would be organized (e.g., invitation for assessment by a glaucoma-trained optometrist [GO] or for simple test assessment by a technician) were developed, and allowed for the progressi
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Hwang, Miriam, Ann Flanagan, Adam Graf, et al. "Gait Characteristics in Youth With Transverse Myelitis." Topics in Spinal Cord Injury Rehabilitation 27, no. 3 (2021): 38–48. http://dx.doi.org/10.46292/sci20-00048.

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Background: Transverse myelitis (TM) in childhood is a rare disorder characterized by the presence of spinal cord inflammation. Gait difficulty in children with TM is common; however, there is a paucity of literature regarding quantitative assessment of gait in children and adolescents with TM. Objectives: To characterize gait patterns in a cohort of ambulatory children with TM and age-matched, typically developing peers in order to better understand the functional mobility of patients diagnosed with childhood TM. Methods: This was a retrospective study of 26 ambulatory pediatric patients with
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Johnson, Camille, Ethan Ruh, Naomi Frankston, et al. "OP1.4 Asymptomatic Cam FAI or DDH Impacts Dynamic Hip Joint Coverage During Both Low and High-Flexion Activities." Journal of Hip Preservation Surgery 12, Supplement_1 (2025): i27. https://doi.org/10.1093/jhps/hnaf011.083.

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Abstract Pathomorphologies such as femoroacetabular impingement (FAI) and developmental dysplasia of the hip (DDH) impact hip stability, pain, and osteoarthritis progression. In vivo coverage of the femoral head by the acetabulum has been described during low-flexion activities, but dynamic in vivo coverage during higher-flexion activities, where morphologies may have a greater impact on maintaining dynamic hip stability, have not been fully described. The goal of the study was to determine in vivo dynamic coverage during activities of daily living in an asymptomatic cohort and explore the rel
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Parambir, Kumar Bharti, Kumar Amrendra, Ambastha Anita, Bhaskar Gyan, and P. Sinha Bibhuti. "Normal Tension Glaucoma versus Primary Open-Angle Glaucoma: A Comparative Study." International Journal of Current Pharmaceutical Review and Research 15, no. 08 (2023): 357–62. https://doi.org/10.5281/zenodo.12566814.

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AbstractAim: The study was conducted to determine the functional and structural differences between NTG and POAG,to assess the rate of conversion of NTG into POAG and its early intervention.Material &amp; Methods: A comparative study including 200 patients attending the Department of RegionalInstitute of Ophthalmology screened during the period of 2 years.Results: Mean age was found to be 57.73 years in NTG and 56.04 in POAG. NTG was more common infemales (60%), whereas POAG was more common in males (72%). Systemic involvement was more common inNTG (70%). There was no significant difference in
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Scheidegger, P., T. Horn Lang, C. Schweizer, L. Zwicky, and B. Hintermann. "A flexion osteotomy for correction of a distal tibial recurvatum deformity." Bone & Joint Journal 101-B, no. 6 (2019): 682–90. http://dx.doi.org/10.1302/0301-620x.101b6.bjj-2018-0932.r2.

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Aims There is little information about how to manage patients with a recurvatum deformity of the distal tibia and osteoarthritis (OA) of the ankle. The aim of this study was to evaluate the functional and radiological outcome of addressing this deformity using a flexion osteotomy and to assess the progression of OA after this procedure. Patients and Methods A total of 39 patients (12 women, 27 men; mean age 47 years (28 to 72)) with a distal tibial recurvatum deformity were treated with a flexion osteotomy, between 2010 and 2015. Nine patients (23%) subsequently required conversion to either a
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Harris, Michael D., Susan Thapa, Elizabeth Lieberman, et al. "FP8.9 Identifying Risk Factors for Disease Progression in Developmental Dysplasia of the Hip Using a Contralateral Hip Model." Journal of Hip Preservation Surgery 12, Supplement_1 (2025): i24. https://doi.org/10.1093/jhps/hnaf011.075.

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Abstract Background: Developmental dysplasia of the hip can cause pain and premature osteoarthritis. The risk factors and timing for disease progression in adolescents and young adults has not been fully defined. This study aimed to determine the incidence and risk factors for contralateral hip pain and surgery after periacetabular osteotomy (PAO) on an index dysplastic hip. Methods: Patients undergoing unilateral PAO were followed for at least two years and categorized into contralateral pain or no-pain groups and surgery or no-surgery groups. Pain was defined with the modified Harris Hip Sco
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Swaby, Lizzie, Daniel C. Perry, Kerry Walker, et al. "Bracing Adolescent Idiopathic Scoliosis (BASIS) study – night-time versus full-time bracing in adolescent idiopathic scoliosis: study protocol for a multicentre, randomized controlled trial." Bone & Joint Open 4, no. 11 (2023): 873–80. http://dx.doi.org/10.1302/2633-1462.411.bjo-2023-0128.

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AimsScoliosis is a lateral curvature of the spine with associated rotation, often causing distress due to appearance. For some curves, there is good evidence to support the use of a spinal brace, worn for 20 to 24 hours a day to minimize the curve, making it as straight as possible during growth, preventing progression. Compliance can be poor due to appearance and comfort. A night-time brace, worn for eight to 12 hours, can achieve higher levels of curve correction while patients are supine, and could be preferable for patients, but evidence of efficacy is limited. This is the protocol for a r
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Divya VC and Nishaath Nikhath. A. "Monostotic fibrous dysplasia of anterior & posterior mandible: A rare case report & review of literature." IP International Journal of Maxillofacial Imaging 10, no. 2 (2024): 73–77. http://dx.doi.org/10.18231/j.ijmi.2024.017.

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Fibrous dysplasia is a lesion, characterized by the replacement of osseous tissue with fibro-osseous tissue. It mainly occurs in the calf bones and facial bones, with about 30% of cases affecting the cranial bones. Typically seen during adolescence, fibrous dysplasia can persist into adulthood. The maxilla is roughly twice as likely to be afflicted as the mandible, and it generally manifests unilaterally in the vertical rami and angle of the lower jaw. We report a case of 14-year-old adolescent with symptomatic monostotic fibrous dysplasia of the left posterior and anterior lower jaw region, s
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Graber, Jerome, Reed Ritterbusch, and Lia Halasz. "NIMG-64. DISTINCT IMAGING PATTERNS OF PSEUDOPROGRESSION IN GLIOMA PATIENTS FOLLOWING PROTON VERSUS PHOTON RADIATION THERAPY." Neuro-Oncology 22, Supplement_2 (2020): ii162. http://dx.doi.org/10.1093/neuonc/noaa215.677.

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Abstract PURPOSE Radiologic Assessment in Neuro-Oncology (RANO) criteria define pseudoprogression (Ps) after photon radiation for gliomas, as occurring less than twelve weeks from radiation, within the high dose radiation field. However, some patients receiving proton manifest lesions that appear subjectively different from photon Ps based on timing and location (more than six months from radiation and deeper to the prior tumor), which would be called tumor progression by RANO. We retrospectively reviewed MRI changes after proton or photon radiation for gliomas. We propose criteria to characte
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