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This paper presents brain lesion segmentation of diffusion-weighted magnetic resonance images (DW-MRI or DWI) based on thresholding technique. The lesions are solid tumour, acute infarction, haemorrhage, and abscess. Preprocessing is applied to the DWI for normalization, background removal and enhancement. Two different techniques which are Gamma-law(More)
Background. In the past the occurrence of neuromyelitis optica in Malaysia was thought to be uncommon and the frequency of anti-aquaporin-4 Ig G antibody was unknown. Objective. To evaluate the frequency of anti-aquaporin-4 Ig G antibody (Anti-AQP4 antibody) amongst patients with neuromyelitis optica (NMO) and its spectrum disorders (NMOSD) and the(More)
BACKGROUND Reversible focal lesions in the splenium of the corpus callosum (SCC) or reversible splenial lesion syndrome are rare and little is known about their pathophysiology. CASE SUMMARY The authors describe a case of a 65-year-old female who presented with fever, abnormal behaviour and mild hypernatremia. She was on neuropsychiatric treatment for(More)
PURPOSE To report our early experience in image-guided chemoport insertions by interventional radiologists. MATERIALS AND METHODS This was a cross-sectional study conducted in a tertiary center with 161 chemoport insertions done from June 2008 to June 2010. The chemoports were inserted either at the angiography suite or at the mobile operation theater(More)
Lemierre's syndrome (LS) is a rare life-threatening infective condition typically starting with an oropharyngeal infection causing thrombophlebitis and metastatic abscesses. The most common aetiology of LS is Fusobacterium necrophorum; however, it can also occur after infection with other organisms. LS mainly affects young healthy adults. The initial(More)
This paper presents an automatic segmentation of brain lesions from diffusion-weighted imaging (DWI) using Fuzzy C-Means (FCM) algorithm. The lesions are acute stroke, tumour and chronic stroke. Pre-processing is applied to the DWI for intensity normalization, background removal and enhancement. After that, FCM is used for the segmentation process. FCM is(More)
Vessel enhancement in magnetic resonance angiography (MRA) is an important preprocessing step for stroke surgical planning and further processing. Bilateral filter has been widely used to reduce noise due to its ability for smoothing an image and preserve the edges. It suffers a drawback of over smoothing that leads to discontinuity of blood vessels when(More)
This was a case of a 35-year-old man with mediastinal mass requiring computed tomography (CT)-guided biopsy for tissue diagnosis. A posterior approach with an 18-gauge biopsy needle was used to obtain tissue sample. Post biopsy, patient condition deteriorated and multiphase CT study detected active bleeding in arterial phase at the biopsy site with massive(More)
Pulmonary thromboembolism is a life-threatening cardiovascular condition. The mortality rate is high in its current management. Besides supportive treatments, systemic thrombolysis and surgical thrombectomy play important roles in the comprehensive management of pulmonary embolism (PE). The percutaneous catheter-based rheolytic thrombectomy is a promising(More)
Background. Multiple sclerosis (MS) is an uncommon disease in multiracial Malaysia. Diagnosing patients with idiopathic inflammatory demyelinating diseases has been greatly aided by the evolution in diagnostic criterion, the identification of new biomarkers, and improved accessibility to neuroimaging in the country. Objectives. To investigate the spectrum(More)