sunima maskey | Kathmandu University School of Medical Sciences (original) (raw)

Papers by sunima maskey

Research paper thumbnail of A Study on Morphological Variations of Fissures and Lobes of Human Lungs with its Clinical Significance

Journal of Nobel Medical College, 2019

Background: Fissures of lungs facilitate the movement of lobes which helps in expansion of lungs ... more Background: Fissures of lungs facilitate the movement of lobes which helps in expansion of lungs during breathing. The fissures may be complete, incomplete or absence. Sometime the accessory fissures may also present. Awareness of variations is essential during segmental resections as well as during radiological interpretation of lungs. Hence, the present study was aimed to study the morphological variations in fissures and lobes. Material and Methods: This study was consisted of sixty nine human lungs with irrespective of sex which were available in the department of anatomy of various medical colleges. All lung specimens were carefully observed and recorded for the presence of any variations in fissures and lobes. Results: The present study revealed that the absence of horizontal fissure was observed in 7.89%, while no specimen showed absence of oblique fissure on both sides. 35.48% of left lungs had incomplete oblique fissure compared to 28.95% of the right lungs. In addition, 2...

Research paper thumbnail of Mean Atd Angle among Type 2 Diabetes Mellitus Patients Visiting a Tertiary Care Centre: A Descriptive Cross-sectional Study

Journal of Nepal Medical Association

Introduction: An atd angle is one of the dermatoglyphic patterns which is an indication of the de... more Introduction: An atd angle is one of the dermatoglyphic patterns which is an indication of the degree of distal displacement of the axial triradius on the palm. This is one of the markers of diabetes mellitus that is used as a screening tool in order to reduce the risk of onset and initiate early treatment. The aim of this study is to find the mean atd angle among type 2 diabetes mellitus patients visiting a tertiary care centre. Methods: This descriptive cross-sectional study was done among diabetic patients in a tertiary centre from 9 June 2021 to 5 May 2022. Ethical approval was taken from Institutional Review Committee (Reference number: KUSMS/IRC 40/2021). Both palm prints of study subjects were taken and the atd angle was measured. Convenience sampling was done. Point estimate and 95% confidence interval were calculated. Results: Among 133 palm prints of diabetic patients, the mean atd angle was 42.13±4.73° (male: 41.90±4.75° and female: 42.35±4.70°). The right palms showed me...

Research paper thumbnail of Morphometric Study of Lumbar Intervertebral Spaces (discs) by Using MRI

Journal of Lumbini Medical College, 2020

Introduction: The radiological space between two vertebrae is known as intervertebral space (heig... more Introduction: The radiological space between two vertebrae is known as intervertebral space (height) which corresponds to the thickness of the intervertebral disc. Lumbar intervertebral disc is the most important structure which maintains the spinal function. An early diagnosis of pathological changes in disc has clinical significance. Hence the study aimed to determine normal height of the intervertebral disc space and effect of aging. Methods: It was a cross-sectional analytical study performed on 106 images of MRI scans of lumbar region. Dimensions of lumbar intervertebral spaces (discs) such as the anterior, middle, posterior intervertebral space height were measured in millimeter. Results: The mean anterior intervertebral space height was gradually increased from L1-L2 level (6.91 mm) to L5-S1 level (13.55 mm). The middle intervertebral space height increased from L1-L2 level (7.89 mm) to L4-L5 level (11.96 mm) whereas at L5-S1 level, there was a decrease (11.10 mm). Similarly,...

Research paper thumbnail of Atypical Pattern of the Intrahepatic Biliary Duct on Magnetic Resonance Cholangiopancreatography in a Tertiary Care Centre: A Descriptive Cross-sectional Study

Journal of Nepal Medical Association

Introduction: The liver possesses different patterns of intrahepatic duct confluences. Even thoug... more Introduction: The liver possesses different patterns of intrahepatic duct confluences. Even though the typical pattern of the intrahepatic biliary duct is common, atypical variations are also frequently witnessed. The knowledge of the atypical intrahepatic biliary confluences is inevitable during hepato-biliary surgery to reduce post-operative complications. The aim of the study was to find out the prevalence of the atypical pattern of intrahepatic biliary duct pattern on magnetic resonanace cholangiopancreatography in a tertiary care centre. Methods: This descriptive cross-sectional study was done in a tertiary care centre after receiveing ethical approval from the Institutional Review Committee [Reference number: KUSMS/IRC (248/2021)]. The branching patterns of the atypical intrahepatic biliary pattern were observed in Magnetic resonance cholangiopancreatography images and were classified. Convenience sampling was used. Point estimate and 95% Confidence Interval were calculated. R...

Research paper thumbnail of Evan’s Index in adult Nepalese population: A Computerized Tomographic Study

Birat Journal of Health Sciences

Introduction: Evan's Index is a linear measurement of the ventricular size which is used as a... more Introduction: Evan's Index is a linear measurement of the ventricular size which is used as an indirect marker of ventricular volume. It is used widely as a screening tool to rule out ventricular enlargement. As the ventricular enlargement indicates the neuropathological state of the brain, Evan's Index serves as the quick and reliable method to assess ventricular size. Objectives: The study aims to generate a baseline value of Evan's Index among the Nepalese population and also investigates the effect of age and gender on EI. Methodology: A quantitative study was conducted in the Department of Anatomy, Kathmandu University School of Medical Sciences and data was collected from the Department of Radiodiagnosis, Dhulikhel Hospital, Kathmandu University Hospital. The study was done on 385 head CT Scans of the individuals of mean age of 45.44years. The ratio of inter anterior horns distance of the lateral ventricles and maximal internal diameter of the skull at the same l...

Research paper thumbnail of Digital Radiographic Assessment of Knee Joint Space with its Clinical Significances

Birat Journal of Health Sciences, 2020

Introduction: The knee joint space is seen on anteroposterior radiograph as a radiolucent area be... more Introduction: The knee joint space is seen on anteroposterior radiograph as a radiolucent area between lower end of femur and upper end of tibia which is an indirect way of evaluating the knee cartilage thickness. Objective: This study was aimed to determine the knee joint space in the medial and lateral compartments of the knee joint using digital radiograph. Methodology : This was cross-sectional study. It consisted of digital radiographs of knee joint of 320 individuals. The medial and lateral joint space width of each knee joint was measured using the scale in the computerized software. Results: The mean values for medial and lateral joint space widths were found to be 6.11±1.57 mm and 7.92±1.66 mm of the right knee joint respectively and 5.99±1.47 mm and 8.18±1.69 mm of the left knee joint respectively. In males, mean values for joint space widths were 6.37±1.58 mm on medial side and 8.21±1.67 mm on lateral side of the right knee; and 6.24±1.56 mm on medial side and 8.33±1.6...

Research paper thumbnail of Radiometric Analysis of Body and Canal of Lumbar Vertebrae among Population of Central Nepal

Journal of College of Medical Sciences-Nepal, 2020

Background: Lumbar region is the most vulnerable area for the common symptom of backache. The lum... more Background: Lumbar region is the most vulnerable area for the common symptom of backache. The lumbar part of spinal canal encloses the cauda equina. Narrowing of the canal can be either developmental or acquired. This leads to compression of the cauda equina and subsequently pain develops which may be further associated with neurological features. The aim of the present study was to measure the dimensions of lumbar vertebrae. Methods: The present study was a descriptive and cross-sectional type. It consisted of 266 images of computed tomography scan of individuals. The various dimensions of lumbar vertebral canal and body were measured in millimeter. The descriptive statistical analysis was done. Results: The mean of the transverse diameter of lumbar vertebral canal increased from L1 to L5 but the antero-posterior diameter decreased from L1 to L4 followed by increased at L5. It was also observed that both transverse and antero-posterior diameter of body progressively increased from...

Research paper thumbnail of Study of Cephalic Index in Newborns of Kavre Region

Journal of Chitwan Medical College, 2021

Background: The cephalometry of newborn within first few days is important for assessment of heal... more Background: The cephalometry of newborn within first few days is important for assessment of health status, neonatal death, growth and development. The objective of the study is to provide a baseline data for cephalic index and to observe sexual dimorphism. Methods: The present study was cross sectional type. It consisted of 138(72 males, 66 females) healthy neonates born in Dhulikhel hospital via vaginal delivery. It was conducted from June 2019 to March 2020 after receiving ethical approval. The cephalic index was derived after measuring length and breadth of head. The collected data was entered in excel and analyzed with SPSS (16.0). Results: The conducted study revealed the overall cephalic index as 86.51±4.95 and head circumference to be 336.05±13.87 mm. The values of head circumference and head length of males were higher than that of females. The head breadth of males was found to be significantly higher than that of females. The most common type of head type was hyperbrachyc...

Research paper thumbnail of Morphometric Study of Lumbar Intervertebral Spaces (discs) by Using MRI

Journal of Lumbini Medical College, 2020

Introduction: The radiological space between two vertebrae is known as intervertebral space (heig... more Introduction: The radiological space between two vertebrae is known as intervertebral space (height) which corresponds to the thickness of the intervertebral disc. Lumbar intervertebral disc is the most important structure which maintains the spinal function. An early diagnosis of pathological changes in disc has clinical significance. Hence the study aimed to determine normal height of the intervertebral disc space and effect of aging. Methods: It was a cross-sectional analytical study performed on 106 images of MRI scans of lumbar region. Dimensions of lumbar intervertebral spaces (discs) such as the anterior, middle, posterior intervertebral space height were measured in millimeter. Results: The mean anterior intervertebral space height was gradually increased from L1-L2 level (6.91 mm) to L5-S1 level (13.55 mm). The middle intervertebral space height increased from L1-L2 level (7.89 mm) to L4-L5 level (11.96 mm) whereas at L5-S1 level, there was a decrease (11.10 mm). Similarly,...

Research paper thumbnail of Measurement of cephalic and facial indices among students of KUSMS

Background: The description of the human face has been a major concern since long time. Indi­vidu... more Background: The description of the human face has been a major concern since long time. Indi­vidual identification is one such field where anthropometric parameters, especially cephalo-facial measurements, are an important tool in determining the various shapes of head and face. Hence the objective of the study was to determine the shapes of head and face. Methods: The present study was a cross-sectional and observational type which consisted of 222 individuals (115 female and 107 male). It was conducted from January to June, 2019 after receiving ethical approval. The cephalic and facial indices were derived after measuring length and breadth of head and face. The collected data was entered in excel and analyzed with SPSS (22.0). Results: The present study observed that the most common type of face was hyperleptoprosopic 168 (75.68%) followed by leptoprosopic 43 (19.37%), mesoprosopic 10 (4.50% female only) and euryprosopic 1 (0.93% male only). Similarly, the most common type of hea...

Research paper thumbnail of Radiometric Analysis of Body and Canal of Lumbar Vertebrae among Population of Central Nepal

Background: Lumbar region is the most vulnerable area for the common symptom of backache. The lum... more Background: Lumbar region is the most vulnerable area for the common symptom of backache. The lumbar part of spinal canal encloses the cauda equina. Narrowing of the canal can be either developmental or acquired. This leads to compression of the cauda equina and subsequently pain develops which may be further associated with neurological features. The aim of the present study was to measure the dimensions of lumbar vertebrae. Methods: The present study was a descriptive and cross-sectional type. It consisted of 266 images of computed tomography scan of individuals. The various dimensions of lumbar vertebral canal and body were measured in millimeter. The descriptive statistical analysis was done. Results: The mean of the transverse diameter of lumbar vertebral canal increased from L1 to L5 but the antero-posterior diameter decreased from L1 to L4 followed by increased at L5. It was also observed that both transverse and antero-posterior diameter of body progressively increased from...

Research paper thumbnail of Morphometric Study of Pituitary Gland with Correlation of Age and Gender using Magnetic Resonance Imaging

Birat Journal of Health Sciences

Introduction: The pituitary gland is the master gland of the body. It’s size varies with age and ... more Introduction: The pituitary gland is the master gland of the body. It’s size varies with age and gender. MRI is the safest and effective diagnostic tool for pituitary gland examination. Objectives: This study was aim to determine the anteroposterior, height and transverse dimensions of normal pituitary gland in different age groups of both sex with MRI. Methodology: It was a descriptive cross-sectional study. It consisted of 567 images of individuals (242 males and 325 females) of various age from 20 to 70 years from the Department of Radio- diagnosis, Dhulikhel Hospital. Results: The mean anteroposterior, height and transverse dimension of pituitary gland is 9.74±1.18 mm, 5.95±1.11 mm and 11.65±2.15 mm respectively in which females have higher value. Independent sample t test showed highly significant differences (p< 0.05) between the mean anteroposterior dimension in males and females. The present study showed the mean value of anteroposterior dimension is maximum at age group...

Research paper thumbnail of A morphometric analysis of pedicles of lumbar vertebrae by using computed tomography scan

Journal of Kathmandu Medical College

Background: The vertebral column is the central pillar of the body which has cervical, thoracic, ... more Background: The vertebral column is the central pillar of the body which has cervical, thoracic, lumbar, sacral and coccygeal parts. Out of these, the lumbar part is made up of five lumbar vertebrae which lies between the thoracic part above and the sacral part below. Objective: The study aimed to measure pedicle dimensions of lumbar vertebrae by using computed tomography scan. Methodology: This is a descriptive cross-sectional study which was conducted on 115 images of computed tomography scan collected from the Department of Radio-Diagnosis, Dhulikhel Hospital between May and October 2019 after receiving ethical approval from the Institutional Review Committee. All the scans available in the department were taken for the study. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Data analysis was done in the Statistical Package for the Social Sciences version 16 (SPSS 16.0). Results: The pedicle chord length and breadth pr...

Research paper thumbnail of Foot index: is it a tool for gender determination among Nepalese population?

Journal of Chitwan Medical College

Background: The human foot shows variations in its dimensions and shape in different age group of... more Background: The human foot shows variations in its dimensions and shape in different age group of both male and female. It can be used as gender predictor of an individual in forensic science investigations which may have a great value for identification of unknown deceased body. This study was aimed to measure the various dimensions of foot and derive a tool to predict gender of an individual. Methods: This study was the cross-sectional type which consisted of 556 individuals (268 males and 288 females). Foot dimensions (foot length and foot breadth) were measured in centimeter and the foot index was derived for both sexes separately. The data was analyzed using descriptive statistics with SPSS vesion 20.0. Results: It was concluded that there were gender differences in foot length and breadth. The foot length and foot breadth were found to be higher among males than females. The bilateral differences of foot dimensions were not recorded in both male and female. There were gender d...

Research paper thumbnail of Digital Radiographic Assessment of Knee Joint Space with its Clinical Significances

Birat Journal of Health Sciences

Introduction: The knee joint space is seen on anteroposterior radiograph as a radiolucent area be... more Introduction: The knee joint space is seen on anteroposterior radiograph as a radiolucent area between lower end of femur and upper end of tibia which is an indirect way of evaluating the knee cartilage thickness. Objective: This study was aimed to determine the knee joint space in the medial and lateral compartments of the knee joint using digital radiograph. Methodology : This was cross-sectional study. It consisted of digital radiographs of knee joint of 320 individuals. The medial and lateral joint space width of each knee joint was measured using the scale in the computerized software. Results: The mean values for medial and lateral joint space widths were found to be 6.11±1.57 mm and 7.92±1.66 mm of the right knee joint respectively and 5.99±1.47 mm and 8.18±1.69 mm of the left knee joint respectively. In males, mean values for joint space widths were 6.37±1.58 mm on medial side and 8.21±1.67 mm on lateral side of the right knee; and 6.24±1.56 mm on medial side and 8.33±1.6...

Research paper thumbnail of A Study on Morphological Variations of Fissures and Lobes of Human Lungs with its Clinical Significance

Journal of Nobel Medical College

Background: Fissures of lungs facilitate the movement of lobes which helps in expansion of lungs ... more Background: Fissures of lungs facilitate the movement of lobes which helps in expansion of lungs during breathing. The fissures may be complete, incomplete or absence. Sometime the accessory fissures may also present. Awareness of variations is essential during segmental resections as well as during radiological interpretation of lungs. Hence, the present study was aimed to study the morphological variations in fissures and lobes. Material and Methods: This study was consisted of sixty nine human lungs with irrespective of sex which were available in the department of anatomy of various medical colleges. All lung specimens were carefully observed and recorded for the presence of any variations in fissures and lobes. Results: The present study revealed that the absence of horizontal fissure was observed in 7.89%, while no specimen showed absence of oblique fissure on both sides. 35.48% of left lungs had incomplete oblique fissure compared to 28.95% of the right lungs. In addition, 2...

Research paper thumbnail of Radiographic assessment of mandibular canal in Nepalese population: a study based on cone beam computed tomography images

Journal of Chitwan Medical College

Background: Mandibular canal runs in the body and ramus of mandible and provides pas­sage for inf... more Background: Mandibular canal runs in the body and ramus of mandible and provides pas­sage for inferior alveolar nerve. Knowledge on spatial relationship of canal with adjacent structures prevent damage to nerve during surgical procedures. This study aims to find three-dimensional relationship of canal as well as its relation with third molar. Methods: This was a cross sectional and retrospective study conducted on Cone Beam Com­puted Tomography images. The relation and position of canal with third molar and position of canal in vertical and horizontal dimensions were analyzed. Results: Mandibular canal was found to be progressively descended in 43% of the canals. The canal was located apical to third molar in 61.9% cases and regarding contact relation, 121(56%) of the third molars had no contact with the canal. Buccal cortical plate was maxi­mum at the level of distal root of second molar and minimum at the level of mesial root of first molar and was reverse for lingual cortical pla...

Research paper thumbnail of A Sonographic Study of Kidney Dimensions Among Nepalese Children

Journal of Nepal Paediatric Society

Introduction: Any variations in shape or size of either one or both kidneys may indicate sign of ... more Introduction: Any variations in shape or size of either one or both kidneys may indicate sign of its pathology. The study was aimed to determine normal values for renal dimensions among Nepalese children. Methods: This was a cross-sectional study of the renal dimensions among 211 children. The length, breadth and thickness of kidneys were measured by computerised in built calliper in centimetre by using ultrasound and volume of the kidney was calculated. Results: The mean values of length, breadth, thickness and volume were 7.05 ± 1.80 cm, 2.95 ± 0.48 cm, 1.35 ± 0.15 cm and 15.09 ± 5.91 cc for right kidneys respectively; and 7.36 ± 1.89 cm, 2.98 ± 1.89 cm, 1.35 ± 0.18 cm and 15.98 ± 6.44 cc for left kidneys respectively. The mean values for length, breadth, thickness and volume of right kidney was 7.57 ± 1.99 cm, 3.11 ± 0.46 cm, 1.38 ± 0.14 cm and 17.38 ± 6.20 cc among boys respectively; and 6.50 ± 1.39 cm, 2.78 ± 0.44 cm, 1.31 ± 0.17 cm and 12.69 ± 4.43 cc among girls respectively....

Research paper thumbnail of A Study on Morphological Variations of Fissures and Lobes of Human Lungs with its Clinical Significance

Journal of Nobel Medical College, 2019

Background: Fissures of lungs facilitate the movement of lobes which helps in expansion of lungs ... more Background: Fissures of lungs facilitate the movement of lobes which helps in expansion of lungs during breathing. The fissures may be complete, incomplete or absence. Sometime the accessory fissures may also present. Awareness of variations is essential during segmental resections as well as during radiological interpretation of lungs. Hence, the present study was aimed to study the morphological variations in fissures and lobes. Material and Methods: This study was consisted of sixty nine human lungs with irrespective of sex which were available in the department of anatomy of various medical colleges. All lung specimens were carefully observed and recorded for the presence of any variations in fissures and lobes. Results: The present study revealed that the absence of horizontal fissure was observed in 7.89%, while no specimen showed absence of oblique fissure on both sides. 35.48% of left lungs had incomplete oblique fissure compared to 28.95% of the right lungs. In addition, 2...

Research paper thumbnail of Mean Atd Angle among Type 2 Diabetes Mellitus Patients Visiting a Tertiary Care Centre: A Descriptive Cross-sectional Study

Journal of Nepal Medical Association

Introduction: An atd angle is one of the dermatoglyphic patterns which is an indication of the de... more Introduction: An atd angle is one of the dermatoglyphic patterns which is an indication of the degree of distal displacement of the axial triradius on the palm. This is one of the markers of diabetes mellitus that is used as a screening tool in order to reduce the risk of onset and initiate early treatment. The aim of this study is to find the mean atd angle among type 2 diabetes mellitus patients visiting a tertiary care centre. Methods: This descriptive cross-sectional study was done among diabetic patients in a tertiary centre from 9 June 2021 to 5 May 2022. Ethical approval was taken from Institutional Review Committee (Reference number: KUSMS/IRC 40/2021). Both palm prints of study subjects were taken and the atd angle was measured. Convenience sampling was done. Point estimate and 95% confidence interval were calculated. Results: Among 133 palm prints of diabetic patients, the mean atd angle was 42.13±4.73° (male: 41.90±4.75° and female: 42.35±4.70°). The right palms showed me...

Research paper thumbnail of Morphometric Study of Lumbar Intervertebral Spaces (discs) by Using MRI

Journal of Lumbini Medical College, 2020

Introduction: The radiological space between two vertebrae is known as intervertebral space (heig... more Introduction: The radiological space between two vertebrae is known as intervertebral space (height) which corresponds to the thickness of the intervertebral disc. Lumbar intervertebral disc is the most important structure which maintains the spinal function. An early diagnosis of pathological changes in disc has clinical significance. Hence the study aimed to determine normal height of the intervertebral disc space and effect of aging. Methods: It was a cross-sectional analytical study performed on 106 images of MRI scans of lumbar region. Dimensions of lumbar intervertebral spaces (discs) such as the anterior, middle, posterior intervertebral space height were measured in millimeter. Results: The mean anterior intervertebral space height was gradually increased from L1-L2 level (6.91 mm) to L5-S1 level (13.55 mm). The middle intervertebral space height increased from L1-L2 level (7.89 mm) to L4-L5 level (11.96 mm) whereas at L5-S1 level, there was a decrease (11.10 mm). Similarly,...

Research paper thumbnail of Atypical Pattern of the Intrahepatic Biliary Duct on Magnetic Resonance Cholangiopancreatography in a Tertiary Care Centre: A Descriptive Cross-sectional Study

Journal of Nepal Medical Association

Introduction: The liver possesses different patterns of intrahepatic duct confluences. Even thoug... more Introduction: The liver possesses different patterns of intrahepatic duct confluences. Even though the typical pattern of the intrahepatic biliary duct is common, atypical variations are also frequently witnessed. The knowledge of the atypical intrahepatic biliary confluences is inevitable during hepato-biliary surgery to reduce post-operative complications. The aim of the study was to find out the prevalence of the atypical pattern of intrahepatic biliary duct pattern on magnetic resonanace cholangiopancreatography in a tertiary care centre. Methods: This descriptive cross-sectional study was done in a tertiary care centre after receiveing ethical approval from the Institutional Review Committee [Reference number: KUSMS/IRC (248/2021)]. The branching patterns of the atypical intrahepatic biliary pattern were observed in Magnetic resonance cholangiopancreatography images and were classified. Convenience sampling was used. Point estimate and 95% Confidence Interval were calculated. R...

Research paper thumbnail of Evan’s Index in adult Nepalese population: A Computerized Tomographic Study

Birat Journal of Health Sciences

Introduction: Evan's Index is a linear measurement of the ventricular size which is used as a... more Introduction: Evan's Index is a linear measurement of the ventricular size which is used as an indirect marker of ventricular volume. It is used widely as a screening tool to rule out ventricular enlargement. As the ventricular enlargement indicates the neuropathological state of the brain, Evan's Index serves as the quick and reliable method to assess ventricular size. Objectives: The study aims to generate a baseline value of Evan's Index among the Nepalese population and also investigates the effect of age and gender on EI. Methodology: A quantitative study was conducted in the Department of Anatomy, Kathmandu University School of Medical Sciences and data was collected from the Department of Radiodiagnosis, Dhulikhel Hospital, Kathmandu University Hospital. The study was done on 385 head CT Scans of the individuals of mean age of 45.44years. The ratio of inter anterior horns distance of the lateral ventricles and maximal internal diameter of the skull at the same l...

Research paper thumbnail of Digital Radiographic Assessment of Knee Joint Space with its Clinical Significances

Birat Journal of Health Sciences, 2020

Introduction: The knee joint space is seen on anteroposterior radiograph as a radiolucent area be... more Introduction: The knee joint space is seen on anteroposterior radiograph as a radiolucent area between lower end of femur and upper end of tibia which is an indirect way of evaluating the knee cartilage thickness. Objective: This study was aimed to determine the knee joint space in the medial and lateral compartments of the knee joint using digital radiograph. Methodology : This was cross-sectional study. It consisted of digital radiographs of knee joint of 320 individuals. The medial and lateral joint space width of each knee joint was measured using the scale in the computerized software. Results: The mean values for medial and lateral joint space widths were found to be 6.11±1.57 mm and 7.92±1.66 mm of the right knee joint respectively and 5.99±1.47 mm and 8.18±1.69 mm of the left knee joint respectively. In males, mean values for joint space widths were 6.37±1.58 mm on medial side and 8.21±1.67 mm on lateral side of the right knee; and 6.24±1.56 mm on medial side and 8.33±1.6...

Research paper thumbnail of Radiometric Analysis of Body and Canal of Lumbar Vertebrae among Population of Central Nepal

Journal of College of Medical Sciences-Nepal, 2020

Background: Lumbar region is the most vulnerable area for the common symptom of backache. The lum... more Background: Lumbar region is the most vulnerable area for the common symptom of backache. The lumbar part of spinal canal encloses the cauda equina. Narrowing of the canal can be either developmental or acquired. This leads to compression of the cauda equina and subsequently pain develops which may be further associated with neurological features. The aim of the present study was to measure the dimensions of lumbar vertebrae. Methods: The present study was a descriptive and cross-sectional type. It consisted of 266 images of computed tomography scan of individuals. The various dimensions of lumbar vertebral canal and body were measured in millimeter. The descriptive statistical analysis was done. Results: The mean of the transverse diameter of lumbar vertebral canal increased from L1 to L5 but the antero-posterior diameter decreased from L1 to L4 followed by increased at L5. It was also observed that both transverse and antero-posterior diameter of body progressively increased from...

Research paper thumbnail of Study of Cephalic Index in Newborns of Kavre Region

Journal of Chitwan Medical College, 2021

Background: The cephalometry of newborn within first few days is important for assessment of heal... more Background: The cephalometry of newborn within first few days is important for assessment of health status, neonatal death, growth and development. The objective of the study is to provide a baseline data for cephalic index and to observe sexual dimorphism. Methods: The present study was cross sectional type. It consisted of 138(72 males, 66 females) healthy neonates born in Dhulikhel hospital via vaginal delivery. It was conducted from June 2019 to March 2020 after receiving ethical approval. The cephalic index was derived after measuring length and breadth of head. The collected data was entered in excel and analyzed with SPSS (16.0). Results: The conducted study revealed the overall cephalic index as 86.51±4.95 and head circumference to be 336.05±13.87 mm. The values of head circumference and head length of males were higher than that of females. The head breadth of males was found to be significantly higher than that of females. The most common type of head type was hyperbrachyc...

Research paper thumbnail of Morphometric Study of Lumbar Intervertebral Spaces (discs) by Using MRI

Journal of Lumbini Medical College, 2020

Introduction: The radiological space between two vertebrae is known as intervertebral space (heig... more Introduction: The radiological space between two vertebrae is known as intervertebral space (height) which corresponds to the thickness of the intervertebral disc. Lumbar intervertebral disc is the most important structure which maintains the spinal function. An early diagnosis of pathological changes in disc has clinical significance. Hence the study aimed to determine normal height of the intervertebral disc space and effect of aging. Methods: It was a cross-sectional analytical study performed on 106 images of MRI scans of lumbar region. Dimensions of lumbar intervertebral spaces (discs) such as the anterior, middle, posterior intervertebral space height were measured in millimeter. Results: The mean anterior intervertebral space height was gradually increased from L1-L2 level (6.91 mm) to L5-S1 level (13.55 mm). The middle intervertebral space height increased from L1-L2 level (7.89 mm) to L4-L5 level (11.96 mm) whereas at L5-S1 level, there was a decrease (11.10 mm). Similarly,...

Research paper thumbnail of Measurement of cephalic and facial indices among students of KUSMS

Background: The description of the human face has been a major concern since long time. Indi­vidu... more Background: The description of the human face has been a major concern since long time. Indi­vidual identification is one such field where anthropometric parameters, especially cephalo-facial measurements, are an important tool in determining the various shapes of head and face. Hence the objective of the study was to determine the shapes of head and face. Methods: The present study was a cross-sectional and observational type which consisted of 222 individuals (115 female and 107 male). It was conducted from January to June, 2019 after receiving ethical approval. The cephalic and facial indices were derived after measuring length and breadth of head and face. The collected data was entered in excel and analyzed with SPSS (22.0). Results: The present study observed that the most common type of face was hyperleptoprosopic 168 (75.68%) followed by leptoprosopic 43 (19.37%), mesoprosopic 10 (4.50% female only) and euryprosopic 1 (0.93% male only). Similarly, the most common type of hea...

Research paper thumbnail of Radiometric Analysis of Body and Canal of Lumbar Vertebrae among Population of Central Nepal

Background: Lumbar region is the most vulnerable area for the common symptom of backache. The lum... more Background: Lumbar region is the most vulnerable area for the common symptom of backache. The lumbar part of spinal canal encloses the cauda equina. Narrowing of the canal can be either developmental or acquired. This leads to compression of the cauda equina and subsequently pain develops which may be further associated with neurological features. The aim of the present study was to measure the dimensions of lumbar vertebrae. Methods: The present study was a descriptive and cross-sectional type. It consisted of 266 images of computed tomography scan of individuals. The various dimensions of lumbar vertebral canal and body were measured in millimeter. The descriptive statistical analysis was done. Results: The mean of the transverse diameter of lumbar vertebral canal increased from L1 to L5 but the antero-posterior diameter decreased from L1 to L4 followed by increased at L5. It was also observed that both transverse and antero-posterior diameter of body progressively increased from...

Research paper thumbnail of Morphometric Study of Pituitary Gland with Correlation of Age and Gender using Magnetic Resonance Imaging

Birat Journal of Health Sciences

Introduction: The pituitary gland is the master gland of the body. It’s size varies with age and ... more Introduction: The pituitary gland is the master gland of the body. It’s size varies with age and gender. MRI is the safest and effective diagnostic tool for pituitary gland examination. Objectives: This study was aim to determine the anteroposterior, height and transverse dimensions of normal pituitary gland in different age groups of both sex with MRI. Methodology: It was a descriptive cross-sectional study. It consisted of 567 images of individuals (242 males and 325 females) of various age from 20 to 70 years from the Department of Radio- diagnosis, Dhulikhel Hospital. Results: The mean anteroposterior, height and transverse dimension of pituitary gland is 9.74±1.18 mm, 5.95±1.11 mm and 11.65±2.15 mm respectively in which females have higher value. Independent sample t test showed highly significant differences (p< 0.05) between the mean anteroposterior dimension in males and females. The present study showed the mean value of anteroposterior dimension is maximum at age group...

Research paper thumbnail of A morphometric analysis of pedicles of lumbar vertebrae by using computed tomography scan

Journal of Kathmandu Medical College

Background: The vertebral column is the central pillar of the body which has cervical, thoracic, ... more Background: The vertebral column is the central pillar of the body which has cervical, thoracic, lumbar, sacral and coccygeal parts. Out of these, the lumbar part is made up of five lumbar vertebrae which lies between the thoracic part above and the sacral part below. Objective: The study aimed to measure pedicle dimensions of lumbar vertebrae by using computed tomography scan. Methodology: This is a descriptive cross-sectional study which was conducted on 115 images of computed tomography scan collected from the Department of Radio-Diagnosis, Dhulikhel Hospital between May and October 2019 after receiving ethical approval from the Institutional Review Committee. All the scans available in the department were taken for the study. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Data analysis was done in the Statistical Package for the Social Sciences version 16 (SPSS 16.0). Results: The pedicle chord length and breadth pr...

Research paper thumbnail of Foot index: is it a tool for gender determination among Nepalese population?

Journal of Chitwan Medical College

Background: The human foot shows variations in its dimensions and shape in different age group of... more Background: The human foot shows variations in its dimensions and shape in different age group of both male and female. It can be used as gender predictor of an individual in forensic science investigations which may have a great value for identification of unknown deceased body. This study was aimed to measure the various dimensions of foot and derive a tool to predict gender of an individual. Methods: This study was the cross-sectional type which consisted of 556 individuals (268 males and 288 females). Foot dimensions (foot length and foot breadth) were measured in centimeter and the foot index was derived for both sexes separately. The data was analyzed using descriptive statistics with SPSS vesion 20.0. Results: It was concluded that there were gender differences in foot length and breadth. The foot length and foot breadth were found to be higher among males than females. The bilateral differences of foot dimensions were not recorded in both male and female. There were gender d...

Research paper thumbnail of Digital Radiographic Assessment of Knee Joint Space with its Clinical Significances

Birat Journal of Health Sciences

Introduction: The knee joint space is seen on anteroposterior radiograph as a radiolucent area be... more Introduction: The knee joint space is seen on anteroposterior radiograph as a radiolucent area between lower end of femur and upper end of tibia which is an indirect way of evaluating the knee cartilage thickness. Objective: This study was aimed to determine the knee joint space in the medial and lateral compartments of the knee joint using digital radiograph. Methodology : This was cross-sectional study. It consisted of digital radiographs of knee joint of 320 individuals. The medial and lateral joint space width of each knee joint was measured using the scale in the computerized software. Results: The mean values for medial and lateral joint space widths were found to be 6.11±1.57 mm and 7.92±1.66 mm of the right knee joint respectively and 5.99±1.47 mm and 8.18±1.69 mm of the left knee joint respectively. In males, mean values for joint space widths were 6.37±1.58 mm on medial side and 8.21±1.67 mm on lateral side of the right knee; and 6.24±1.56 mm on medial side and 8.33±1.6...

Research paper thumbnail of A Study on Morphological Variations of Fissures and Lobes of Human Lungs with its Clinical Significance

Journal of Nobel Medical College

Background: Fissures of lungs facilitate the movement of lobes which helps in expansion of lungs ... more Background: Fissures of lungs facilitate the movement of lobes which helps in expansion of lungs during breathing. The fissures may be complete, incomplete or absence. Sometime the accessory fissures may also present. Awareness of variations is essential during segmental resections as well as during radiological interpretation of lungs. Hence, the present study was aimed to study the morphological variations in fissures and lobes. Material and Methods: This study was consisted of sixty nine human lungs with irrespective of sex which were available in the department of anatomy of various medical colleges. All lung specimens were carefully observed and recorded for the presence of any variations in fissures and lobes. Results: The present study revealed that the absence of horizontal fissure was observed in 7.89%, while no specimen showed absence of oblique fissure on both sides. 35.48% of left lungs had incomplete oblique fissure compared to 28.95% of the right lungs. In addition, 2...

Research paper thumbnail of Radiographic assessment of mandibular canal in Nepalese population: a study based on cone beam computed tomography images

Journal of Chitwan Medical College

Background: Mandibular canal runs in the body and ramus of mandible and provides pas­sage for inf... more Background: Mandibular canal runs in the body and ramus of mandible and provides pas­sage for inferior alveolar nerve. Knowledge on spatial relationship of canal with adjacent structures prevent damage to nerve during surgical procedures. This study aims to find three-dimensional relationship of canal as well as its relation with third molar. Methods: This was a cross sectional and retrospective study conducted on Cone Beam Com­puted Tomography images. The relation and position of canal with third molar and position of canal in vertical and horizontal dimensions were analyzed. Results: Mandibular canal was found to be progressively descended in 43% of the canals. The canal was located apical to third molar in 61.9% cases and regarding contact relation, 121(56%) of the third molars had no contact with the canal. Buccal cortical plate was maxi­mum at the level of distal root of second molar and minimum at the level of mesial root of first molar and was reverse for lingual cortical pla...

Research paper thumbnail of A Sonographic Study of Kidney Dimensions Among Nepalese Children

Journal of Nepal Paediatric Society

Introduction: Any variations in shape or size of either one or both kidneys may indicate sign of ... more Introduction: Any variations in shape or size of either one or both kidneys may indicate sign of its pathology. The study was aimed to determine normal values for renal dimensions among Nepalese children. Methods: This was a cross-sectional study of the renal dimensions among 211 children. The length, breadth and thickness of kidneys were measured by computerised in built calliper in centimetre by using ultrasound and volume of the kidney was calculated. Results: The mean values of length, breadth, thickness and volume were 7.05 ± 1.80 cm, 2.95 ± 0.48 cm, 1.35 ± 0.15 cm and 15.09 ± 5.91 cc for right kidneys respectively; and 7.36 ± 1.89 cm, 2.98 ± 1.89 cm, 1.35 ± 0.18 cm and 15.98 ± 6.44 cc for left kidneys respectively. The mean values for length, breadth, thickness and volume of right kidney was 7.57 ± 1.99 cm, 3.11 ± 0.46 cm, 1.38 ± 0.14 cm and 17.38 ± 6.20 cc among boys respectively; and 6.50 ± 1.39 cm, 2.78 ± 0.44 cm, 1.31 ± 0.17 cm and 12.69 ± 4.43 cc among girls respectively....