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Imaging Studies VII: Vascular Imaging01:19

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DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...
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Peripapillary hyperreflective ovoid mass-like structures: Multimodal imaging-A review.

Rachael C Heath Jeffery1,2, Fred K Chen1,2,3,4

  • 1Centre for Ophthalmology and Visual Science (incorporating Lions Eye Institute), The University of Western Australia, Nedlands, Western Australia, Australia.

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Summary
This summary is machine-generated.

Peripapillary hyperreflective ovoid mass-like structures (PHOMS) are axonal herniations, not solely optic disc drusen. Their association with various optic nerve pathologies highlights their significance in neuro-ophthalmology.

Keywords:
optic disc drusenoptic disc oedemaoptic nerveoptical coherence tomographyperipapillary hyperreflective ovoid mass-like structures

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Area of Science:

  • Ophthalmology
  • Neuro-ophthalmology
  • Medical Imaging

Background:

  • Peripapillary hyperreflective ovoid mass-like structures (PHOMS) are characterized as herniations of distended axons.
  • Previously, PHOMS were often misidentified as buried optic disc drusen (ODD).
  • Advancements in enhanced depth imaging-optical coherence tomography (EDI-OCT) have improved visualization of the optic nerve head (ONH).

Purpose of the Study:

  • To differentiate PHOMS from other optic nerve pathologies.
  • To review the association of PHOMS with various neuro-ophthalmic conditions.
  • To identify knowledge gaps regarding PHOMS classification and prognosis.

Main Methods:

  • Review of current literature on PHOMS.
  • Analysis of imaging modalities for differential diagnosis.
  • Exploration of the relationship between PHOMS and optic nerve diseases.

Main Results:

  • PHOMS are distinct from buried ODD and associated with a wide range of optic nerve pathologies.
  • Frequent coexistence of PHOMS with ODD, papilledema, and anterior ischemic optic neuropathy observed.
  • Pathophysiology insights gained from association with conditions causing axoplasmic stasis.

Conclusions:

  • PHOMS represent a significant finding beyond buried ODD.
  • Understanding PHOMS' associations is crucial for neuro-ophthalmic diagnosis.
  • Further research is needed for PHOMS classification and prognosis.