Zaheer Mustafa - Academia.edu (original) (raw)
Papers by Zaheer Mustafa
Pakistan Postgraduate Medical Journal
Hepatocellular carcinoma is the most common type of liver cancer. Liver cancer usually is caused ... more Hepatocellular carcinoma is the most common type of liver cancer. Liver cancer usually is caused by liver scarring or cirrhosis. Cirrhosis typically is caused by alcohol abuse, hepatitis, or autoimmune disease. People with hepatitis B or C may be at risk for hepatocellular carcinoma, even though they do not have cirrhosis. In Asia and Africa viral infection is most common cause whereas alcoholism being the most common cause of hepatic cirrhosis in USA and Europe leading to HCC. HCC is an aggressive tumor known for its propensity to directly invade the portal and hepatic veins, but lymphatic and distant metastases are not rare, especially in tumors greater than 5 cm [6]. Most extrahepatic HCC occurs in patients with an advanced intrahepatic tumor stage (stage IVa), as expected [5, 7]. The prognosis of patients with extrahepatic metastases is generally very poor. Ascariasis, the most common helminthic infection is caused by ascaris lumbricoides. Usually the adult worm lives in the sma...
Pakistan Postgraduate Medical Journal, Mar 1, 2013
De partm e nt of Radiol ogy, Sh e ik h Z aye d M e dical Col l e ge , Rah im Yar K h an, Pak is tan.
Pjr, Sep 14, 2014
De partm e nt of Radiol ogy, Sh e ik h Z aye d M e dical Col l e ge , Rah im Yar K h an, Pak is tan.
The pancreas is located in the midline of the back of the abdomen, closely associated with the li... more The pancreas is located in the midline of the back of the abdomen, closely associated with the liver, stomach, and duodenum. The pancreas is an unusual gland because it has both endocrine and exocrine functions. There are various types of congenital anomalies of the pancreas in humans. These include Anomalous pancreaticobiliary junction (APBJ) , Choledochal cysts, Annular pancreas and pancreas divisum. Pancreas divisum is a congenital anomaly in which ventral and dorsal pancreatic ducts do not fuse together. The presence of pancreatic calcifications signifies the pancreatic disease. Today, our ability to image the pancreas has greatly advanced with modalities including sonography, CT, endoscopic retrograde cholangiopancreatography, and MR imaging. This improved visualization of the pancreas allows better identification of pancreatic calcifications and their underlying cause. Common causes of pancreatic calcifications include inflammatory such as chronic alcoholic pancreatitis, devel...
Background: Ophthatamic ultrasonography is a useful diagnostic tool for intraocular evaluation. O... more Background: Ophthatamic ultrasonography is a useful diagnostic tool for intraocular evaluation. Objectives: The objective of this study was to detect and characterize the ocular and orbital tumors with the help of B-scan ultrasound. Patients & Methods: This was a prospective descriptive study conducted in Sheikh Zayed Medical College/ Hospital, Rahim Yar Khan, for a period of two years from January 2009. Contact Bscan methodology with 7.5 MHZ linear probe was used in which probe was directly placed on closed eyelids. Scanning was performed in longitudinal as well as transverse planes and with eye movements in all directions. 51 consecutive patients of either sex and age were examined, referred from different ophthalmology centers and clinics having clinical suspicion of orbital masses. Results: Total 51 cases were examined, 27 (53%) were males and 24 (47%) were females. Right eye was involved in 51% cases, left was in 43% cases and both eyes were involved in 6% cases. Out of 51 case...
Background: Congenital hearing loss sensorineural variety is one of the most common birth defects... more Background: Congenital hearing loss sensorineural variety is one of the most common birth defects. Imaging is very important to determine the underlying pathology of such cases. Objective: To assess the various cochlea vestibular bony and nerve anomalies by HRCT scan of temporal bone and MRI scan with 3D reconstruction images of inner ear. Methodology: A total of 140(280 st th ears) children with congenital deafness (88 males and 52 females), between 1 January 2012 to 30 September 2014 were included in this cross sectional study. All patients were assessed radiologically by HRCT scan of temporal bone and MRI with 3D scan of inner ear. This study was conducted at Al Razi Health Care Hospital, Lahore and Sheikh Zayed Medical College/Hospital, Rahim Yar Khan. The frequency of cochlear, vestibular aqueduct anomalies were noted. The data was entered an analyzed by using SPSS version 15. Results: We found various congenital anomalies of bony labyrinth and vestibulocochlear nerve in this s...
Journal of Sheikh Zayed Medical College
Background: Saline infused Sono hysterosalpingography (SSG) is the new and safe modality as compa... more Background: Saline infused Sono hysterosalpingography (SSG) is the new and safe modality as compared to conventional hysterosalpingogrphy (HSG) for diagnosis of tubal blockage. Objective: To determine the diagnostic accuracy of saline infused Sono hysterosalpingohgraphy, for detection of fallopian tube blockage, in cases with infertility taking conventional hysterosalpingography as gold standard. Methodology: This was a cross sectional study conducted in Department of Radiology, Sheikh Zayed Hospital, Rahim Yar Khan, conducted from May to November, 2017. A total of 150 cases, with age range of 20-40 years, irrespective of type and duration of infertility, were included. Findings of tubal blockage with saline infused Sono hysterosalpingography (SSG), were compared to conventional hysterosalpingogrphy (HSG). Sensitivity, Specificity, PPV, NPV and Diagnostic accuracy of saline infused Sono-hysterosalpingography, for detection of fallopian tube blockage, in cases with infertility were calculated, taking conventional hysterosalpingography as gold standard. Results: A total of 150 cases were examined, with mean age 32±5 years and mean duration of infertility was 3.51±1.86 years. Overall, 99 (66%) cases had primary infertility. Tubal obstruction was seen in 92 (61.33%) cases on HSG and 90 (60%) on SSG. The sensitivity of SSG for tubal obstruction was 77.14%, PPV 78.89% and diagnostic accuracy 75.33% with p= 0.001. The specificity and PPV was 100% in cases with age 30-40 years with p= 0.001. The diagnostic accuracy in multiparous women was 81.82. (p=0.001) Conclusion: Saline infused sono hysterosalpingography revealed high sensitivity, specificity, PPV, NPV and diagnostic accuracy, which were comparable with conventional hysterosalpingography.
Pakistan Postgraduate Medical Journal
Hepatocellular carcinoma is the most common type of liver cancer. Liver cancer usually is caused ... more Hepatocellular carcinoma is the most common type of liver cancer. Liver cancer usually is caused by liver scarring or cirrhosis. Cirrhosis typically is caused by alcohol abuse, hepatitis, or autoimmune disease. People with hepatitis B or C may be at risk for hepatocellular carcinoma, even though they do not have cirrhosis. In Asia and Africa viral infection is most common cause whereas alcoholism being the most common cause of hepatic cirrhosis in USA and Europe leading to HCC. HCC is an aggressive tumor known for its propensity to directly invade the portal and hepatic veins, but lymphatic and distant metastases are not rare, especially in tumors greater than 5 cm [6]. Most extrahepatic HCC occurs in patients with an advanced intrahepatic tumor stage (stage IVa), as expected [5, 7]. The prognosis of patients with extrahepatic metastases is generally very poor. Ascariasis, the most common helminthic infection is caused by ascaris lumbricoides. Usually the adult worm lives in the sma...
Pakistan Postgraduate Medical Journal, Mar 1, 2013
De partm e nt of Radiol ogy, Sh e ik h Z aye d M e dical Col l e ge , Rah im Yar K h an, Pak is tan.
Pjr, Sep 14, 2014
De partm e nt of Radiol ogy, Sh e ik h Z aye d M e dical Col l e ge , Rah im Yar K h an, Pak is tan.
The pancreas is located in the midline of the back of the abdomen, closely associated with the li... more The pancreas is located in the midline of the back of the abdomen, closely associated with the liver, stomach, and duodenum. The pancreas is an unusual gland because it has both endocrine and exocrine functions. There are various types of congenital anomalies of the pancreas in humans. These include Anomalous pancreaticobiliary junction (APBJ) , Choledochal cysts, Annular pancreas and pancreas divisum. Pancreas divisum is a congenital anomaly in which ventral and dorsal pancreatic ducts do not fuse together. The presence of pancreatic calcifications signifies the pancreatic disease. Today, our ability to image the pancreas has greatly advanced with modalities including sonography, CT, endoscopic retrograde cholangiopancreatography, and MR imaging. This improved visualization of the pancreas allows better identification of pancreatic calcifications and their underlying cause. Common causes of pancreatic calcifications include inflammatory such as chronic alcoholic pancreatitis, devel...
Background: Ophthatamic ultrasonography is a useful diagnostic tool for intraocular evaluation. O... more Background: Ophthatamic ultrasonography is a useful diagnostic tool for intraocular evaluation. Objectives: The objective of this study was to detect and characterize the ocular and orbital tumors with the help of B-scan ultrasound. Patients & Methods: This was a prospective descriptive study conducted in Sheikh Zayed Medical College/ Hospital, Rahim Yar Khan, for a period of two years from January 2009. Contact Bscan methodology with 7.5 MHZ linear probe was used in which probe was directly placed on closed eyelids. Scanning was performed in longitudinal as well as transverse planes and with eye movements in all directions. 51 consecutive patients of either sex and age were examined, referred from different ophthalmology centers and clinics having clinical suspicion of orbital masses. Results: Total 51 cases were examined, 27 (53%) were males and 24 (47%) were females. Right eye was involved in 51% cases, left was in 43% cases and both eyes were involved in 6% cases. Out of 51 case...
Background: Congenital hearing loss sensorineural variety is one of the most common birth defects... more Background: Congenital hearing loss sensorineural variety is one of the most common birth defects. Imaging is very important to determine the underlying pathology of such cases. Objective: To assess the various cochlea vestibular bony and nerve anomalies by HRCT scan of temporal bone and MRI scan with 3D reconstruction images of inner ear. Methodology: A total of 140(280 st th ears) children with congenital deafness (88 males and 52 females), between 1 January 2012 to 30 September 2014 were included in this cross sectional study. All patients were assessed radiologically by HRCT scan of temporal bone and MRI with 3D scan of inner ear. This study was conducted at Al Razi Health Care Hospital, Lahore and Sheikh Zayed Medical College/Hospital, Rahim Yar Khan. The frequency of cochlear, vestibular aqueduct anomalies were noted. The data was entered an analyzed by using SPSS version 15. Results: We found various congenital anomalies of bony labyrinth and vestibulocochlear nerve in this s...
Journal of Sheikh Zayed Medical College
Background: Saline infused Sono hysterosalpingography (SSG) is the new and safe modality as compa... more Background: Saline infused Sono hysterosalpingography (SSG) is the new and safe modality as compared to conventional hysterosalpingogrphy (HSG) for diagnosis of tubal blockage. Objective: To determine the diagnostic accuracy of saline infused Sono hysterosalpingohgraphy, for detection of fallopian tube blockage, in cases with infertility taking conventional hysterosalpingography as gold standard. Methodology: This was a cross sectional study conducted in Department of Radiology, Sheikh Zayed Hospital, Rahim Yar Khan, conducted from May to November, 2017. A total of 150 cases, with age range of 20-40 years, irrespective of type and duration of infertility, were included. Findings of tubal blockage with saline infused Sono hysterosalpingography (SSG), were compared to conventional hysterosalpingogrphy (HSG). Sensitivity, Specificity, PPV, NPV and Diagnostic accuracy of saline infused Sono-hysterosalpingography, for detection of fallopian tube blockage, in cases with infertility were calculated, taking conventional hysterosalpingography as gold standard. Results: A total of 150 cases were examined, with mean age 32±5 years and mean duration of infertility was 3.51±1.86 years. Overall, 99 (66%) cases had primary infertility. Tubal obstruction was seen in 92 (61.33%) cases on HSG and 90 (60%) on SSG. The sensitivity of SSG for tubal obstruction was 77.14%, PPV 78.89% and diagnostic accuracy 75.33% with p= 0.001. The specificity and PPV was 100% in cases with age 30-40 years with p= 0.001. The diagnostic accuracy in multiparous women was 81.82. (p=0.001) Conclusion: Saline infused sono hysterosalpingography revealed high sensitivity, specificity, PPV, NPV and diagnostic accuracy, which were comparable with conventional hysterosalpingography.