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Thalassemic Imaging

Author(s): A. A. Ameri | J. Jalal Shokouki | M. H. Bagheri | F. Habibzadeh | Gh. Bakhshandepour | H. Mohammadpour

Journal: Iranian Journal of Radiology
ISSN 1735-1065

Volume: 5;
Issue: S1;
Start page: 46;
Date: 2008;
Original page

Clinical, laboratory, and imaging tests can help us to diagnose thalassemic patients (both minor, and major).These can help them relatively for normal life in minor group, and almost a good life in major group until third or forth decade of their lives. The oldest patient in our investigation was 35 years old who has a very big head (round the head was twice a normal adult).Eighteen patients of minor group or inter-mediate, referred to us due to discal herniation,MS, quadriplegia, and etc. None of these patients were diagnosed as Thalassemia or they were in minor group of Thalassemia. Their signs were because of extramedullary hematopoiesis beside spinal cord compression. "Eight cases were introduced at ECR, and published at ICR"."nAll patients both diagnosed and non-diagnosed, were investigated by different pulses of MRI, and compared with Radiology, and CT. There was no report for MRI without seeing radiology. All patients were tested by ultra field, low field, mid field and high field."nFinally, 1) MRI helps a lot to diagnose minor cases or non-diagnosed cases. 2) MRI helps to diagnose neurologic complications and it is a selected way. 3) It is mandatory to evaluate accessory spleen at major cases before Splenectomy, otherwise six months later there will manifest hyperactivity of spleen, and accessory spleen will become 8 to 12 cm larger, which CT is the best way of evaluation in these cases. 4) Radiology has its value at major group. 5) It is mandatory for paravertebral, and intradural extramedullary, at ages between 10 to 22 and it is the best point. The most interesting images among 35 patients will be shown.
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