Elżbieta Czekajska−Chehab

Medical University of Lublin

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Andrzej Drop

Medical University of Lublin

Grzegorz Staśkiewicz

Medical University of Lublin

A. Tomaszewski

Medical University of Lublin

Janusz Milanowski

Medical University of Lublin

Ryszard Maciejewski

John Paul II Catholic University of Lublin

Sebastian Uhlig

Fraunhofer Institute for Ceramic Technologies and Systems

Kamil Torres

Medical University of Lublin

Andrzej Wysokiński

Medical University of Lublin

Anna Torres

Medical University of Lublin

Anna Szymańska

Medical University of Lublin

Cooperative Institutions

Medical University of Lublin

193

Society of Thoracic Surgeons

Medical University of Warsaw

Instytut Medycyny Wsi im. Witolda Chodźki

Institute of Cardiology

1 Military Clinical Hospital with Outpatient Clinic

Harvard University

Jagiellonian University

Medical University of Silesia

Massachusetts General Hospital

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Fatty foci within the heart diagnosed with ECG-gated multi-slice computed tomography: Frequency and morphology

Medical Science Monitor (2014)

Monika Tomaszewska Elżbieta Czekajska−Chehab Grażyna Olchowik Marek Tomaszewski Andrzej Drop

Background:The purpose of our study was to analyze the frequency of focal fatty replacement (FR) of the heart, as well as the distribution and detailed morphology of FR in a large group of patients referred to multi-slice computed tomography with ECG-gating examinations (ECG-MSCT) for various clinical reasons. Material/Methods:The ECG-MSCT examinations of 1830 consecutive patients were analyzed.The examinations were performed using 8-row (1015 patients) and 64-row (815 patients) MSCT, in pre-and post-contrast scanning.We analyzed the morphology of FR, the dimensions and densities of changes, as well as the morphology and localization of FR with regard to clinical diagnosis. Results:204 subjects (11.1%) had FR within the heart (113 men; 91 women; mean age 57.8 years); 66% of fatty foci were seen only in the native scanning.The distribution of the fat was: right ventricle (RV) 31.9%,left ventricle (LV) 21.5%, biventricular 39.7%, interventricular or atrial septum 5.9%, and atria 1%.In the RV, fat was localized mainly in the papillary muscles, while in the LV fat was mainly subendocardial (p<0.001).The morphology of the fat was: linear 61.6%, oval 14.8%, punctuate 10.6%, irregular 10.2%, and bilobular 2.8%.Fat was primarily located subendocardially in the LV in patients after myocardial infarction.In patients with suspected coronary artery disease, it was mainly observed subpericardially in the RV and in papillary muscles (p<0.001). Conclusions:The incidental frequency of FR within the heart in patients diagnosed with the ECG-MSCT examinations is about 11%.Pre-contrast scanning is the most valuable for FR assessment.

Interventricular septum

Papillary muscle

10.12659/msm.890271

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Citations (2)

Bronchial carcinoid in a 39-year-old man treated for bronchial asthma: a case report

Cases Journal (2008)

Justyna Emeryk Elżbieta Czekajska−Chehab Elżbieta Korobowicz Marta Korbel Irena Węgrzyn-Szkutnik

10.1186/1757-1626-1-400

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Giant retroperitoneal lipomas--radiological case report.

PubMed (2003)

Andrzej Drop Elżbieta Czekajska−Chehab Ryszard Maciejewski

A 72-years woman presented with a 4-weeks history of abdominal pain and sickness. Physical examination was normal except for a large, smooth, non-tender solid mass in the right upper quadrant. US demonstrated a 12 x 9 x 4-cm solid, homogeneous, hyperechogenic mass between the posterior abdominal wall and the right kidney and the right lobe of the liver. The primary diagnosis was established as Tumor hepatis. The CT showed a great mass of measurements between - 80 and - 100 Hounsfield units; it filled right half of the abdominal cavity, with focal intratumoral calcifications. The right lobe of the liver, gallbladder, the right kidney, and loops of the small intestine were dislocated and pressured to anterior abdominal wall. The lower pole of the tumor was located in right iliac fosse. It was easily dissected from the adjacent tissues and removed completely. The histopathological diagnosis was lipomas. The next case was a 60-years woman with a 2-months history of pain and gastrointestinal symptoms. US demonstrated a 13 x 12-cm solid, homogeneous, hyperechogenic mass in right epigastria, below the liver. The primary diagnosis was established as abdominal tumor. The CT showed lipomas with numerous septa and calcifications of measurements between -20 and -61 Hounsfield units filling the right half of the abdominal cavity. The right kidney and loops of the small intestine were dislocated to the left side. The root of the tumor seems to be connected with the mesentery of the small intestine. The patient was treated surgically and remains well under regular follow-up.

Hounsfield scale

Abdominal cavity

Abdominal mass

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Citations (13)

[Partial anomalous pulmonary venous drainage with atrial septal defect of the sinus venosus type. Diagnostic role of multi-slice spiral computerised tomography--a case report].

PubMed (2004)

Jakub Drozd A. Tomaszewski Elżbieta Czekajska−Chehab Andrzej Drop T Widomska-Czekajska

A case of a 53-year-old male with a long-lasting pulmonary hypertension of an unknown cause is presented. Both transthoracic and transesophageal echocardiography as well as cardiac catheterisation failed to document any cardiac defect. Finally, a multi-slice spiral computerised tomography revealed the presence of an anomalous pulmonary vein drainage to the superior vena cava with concomitant inter-atrial septal defect of a sinus venosus type. The patient was selected for surgery.

Sinus venosus

Concomitant

Spiral computed tomography

Sinus (botany)

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Amazing anatomy: roadmaps of venous collateral circulation in patients with SVC obstruction.

Grzegorz Staśkiewicz Elżbieta Czekajska−Chehab Sebastian Uhlig Kamil Torres Anna Torres

Poster: ECR 2011 / C-1962 / Amazing anatomy: roadmaps of venous collateral circulation in patients with SVC obstruction. by: G. Staskiewicz, E. Czekajska-Chehab, S. Uhlig, K. Torres, A. Torres, R. Maciejewski, A. Drop; LUBLIN/PL

Collateral circulation

Circulation (fluid dynamics)

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Atypowa koarktacja aorty u dzieci. Prezentacja dwóch przypadków

Pediatria Polska (2008)

Elżbieta Sadurska E Stazka-Gregosiewicz Barbara Połecka Elżbieta Czekajska−Chehab Renata Zbyszyńska

10.1016/s0031-3939(08)70260-9

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Comparison of multidetector row CT cross-sectional source images with multiplanar 2D-, 3D- reconstructions and virtual endoscopy in assessment of the middle ear

Journal of Neuroradiology (2006)

Agnieszka Trojanowska Elżbieta Czekajska−Chehab Piotr Trojanowski Witold Olszański Janusz Klatka

Multidetector computed tomography

10.1016/s0150-9861(06)77280-7

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Citations (5)

Outcomes of Open Repair Treatment for Acute Versus Chronic Achilles Tendon Ruptures: Long-Term Retrospective Follow-Up of a Minimum 10 Years—A Pilot Study

Medical Sciences (2023)

Marta Tarczyńska Mateusz Szubstarski Krzysztof Gawęda Piotr Przybylski Elżbieta Czekajska−Chehab

The aim of the present study was to compare repaired Achilles tendon (AT) remodelling, whether its function was restored and what effects the surgery had on our patients’ gait cycle in a long-term follow-up study. The study population comprised 30 human subjects treated acutely and chronically for AT ruptures, using the same surgical technique in all cases. The study group was divided into two subgroups regarding the age of their AT injury, i.e., how much time elapsed between the injury and when a correct diagnosis was made and when adequate treatment was applied. Following these criteria, persons presenting at less than 4 weeks postinjury were classified as acute rupture (AR) patients and those presenting at more than 4 weeks after injury were grouped as chronic rupture (CR) patients. Both patient groups were operated on using a surgical method favoured at least a decade ago, i.e., open repair through a posteromedial approach. The AT was augmented with a plantaris longus tendon autograft, followed by suturing using the pull-out suture technique. The results were measured using clinical, ultrasonographic (US) and pedobarographic methods. Our ultrasonographic and pedobarographic findings revealed differences between both patient groups, thus indicating that delayed surgery had negative impacts on treatment success, however, with good long-term functional score outcomes in both patient groups. Nevertheless, delayed treatment of AT ruptures did not leave individual gait phases unaffected, as it also affected the plantar surface and balance performance of the affected limb. As per the results, the Achilles tendon manifested decreased capacity following delayed treatment; however, its long-term functional outcomes were favourable, irrespective of whether it was for acute or chronic patients.

Achilles tendon rupture

10.3390/medsci11020025

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Is CT still a method of monitoring patients after endovascular treatment of abdominal aortic aneurysms?

Postępy Nauk Medycznych (2015)

Anna Drelich‐Zbroja Tomasz Jargiełło Elżbieta Czekajska−Chehab Monika Miazga Michał Sojka

Introduction. The endovascular treatment of patient with abdominal aorta aneurysms has been a recognized alternative to classic surgery. One of the most common complications is an endoleak developing due to incomplete exclusion of the aneurysmal sac from circulation. Aim. To assess the value of ultrasound contrast agents for the diagnosis of endoleaks in patients with AAA treated by stent graft implantation. Material and methods. One hundred and ninety-eight patients with AAA were treated with stent graft implantation. Follow-up examinations, i.e. preand post-contrast ultrasound and angio-CT, were performed 6 months after treatment in all patients. In each ultrasound examination, colour, power, Bflow options were used before and after contrast injection; additionally, contrast-enhanced ultrasound (CEUS) was performed after contrast administration. Results. During the follow-up examinations after 6 months, pre-contrast ultrasound performed in all options (colour, power, Bflow) revealed 16 endoleaks: 6 type IA, 4 type IB, type 2 IIA and 4 type IIB; in post-contrast ultrasound using CEUS 22 endoleaks were confirmed and additionally 4 endoleaks were diagnosed: 2 type IIA, and 2 type IIB. In angio-CT, 22 endoleaks were diagnosed: 1 type IA, 5 type IB, 4 type IIA, and 7 type IIB. None of the four additional endoleaks observed with CEUS was found in angio-CT. Conclusions. The use of ultrasound contrast media significantly increases the sensitivity of ultrasound in the diagnosis of endoleaks, particularly type II ones. CEUS examinations show the greatest sensitivity in detecting endoleaks, as they disclose the endoleaks unrecognized by other techniques, including angio-CT. Post-contrast ultrasound can replace angio-CT in monitoring patients after stent graft implantations.

10.5604/08606196.1150847

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The professional burnout syndrome in radiologists.

PubMed (2003)

Elżbieta Czekajska−Chehab Wiesława Okła Andrzej Drop Michał Skrzypek

The aim of the study was to assess the incidence of professional burnout syndrome among radiologists. The study was conducted in a group of 70 radiologists of the Lublin region using a questionnaire designed by the authors and Burnout Scale prepared by Steuden and Okła. In the whole group, the level of burnout was found to be moderate, the individual indices, however, showed high burnout levels in 37.1% of the radiologists, moderate levels in 51.5% and low ones in only 11.4% The individual elements of the burnout syndrome (reduced emotional control, loss of the subject's commitment, reduced effectiveness of action, limited interpersonal contacts and physical fatigue) were moderate in relation to the whole group with the highest incidence (52.9%) of high levels in the subscale evaluating physical fatigue. No correlation was found between sex, length of work and level of burnout, yet the relationship with the number of additional jobs was significant. The highest level of burnout was observed in the radiologists working 10 - 19 years (71.4% of high indices, 23.8% of moderate indices); in this group, the levels of all structural elements of professional burnout syndrome were high.

Burnout Syndrome

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Citations (8)