Ilievski, Mitko
Preferred name
Ilievski, Mitko
Official Name
Ilievski, Mitko
Translated Name
Митко Илиевски
Alternative Name
Илиевски, Митко
Ilievski, M.
Илиевски, М.
Main Affiliation
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Item type:Publication, Preoperative localization of occult breast lesions and microcalcifications in breast(Balkan Society of Radiology, 2019-10-17); ; ; ; Jakimovska, MajaIntroduction: Early detection of occult breast lesion and microcalcifications can reduce mortality of breast carcinoma. The preoperative wire localization of mammographic identified occult breast lesions and microcalcifications is a relatively simple and safe procedure. The wire has been removed at surgery. Purpose: To present a value of preoperative localization in successful removal of occult breast lesions and microcalcifications. Materials and methods: A review of locating procedures done for 35 patients during 2017 – May 2019 period. In our institution both symptomatic and asymptomatic patients undergo mammography. The preoperative wire localization was performed only for mammographic identified occult breast lesions and microcalcifications. We used a perforated mammography compression plate and hook wires. The goal of preoperative wire localization is to place the tip of the needle as close to lesion. Local anesthesia is used in the skin and subcutaneous tissue. Our routine mammograms include a craniocaudal view and oblique view. The patient is always seated for the procedure. The specimen was radiographed in all cases. Results: The study included 35 patients, mean age 52 years. All localizations were performed by radiologists. Surgery was performed by two different surgeons. Reasons for wire localizations were masses (13), calcifications (18) and masses with calcifications (4). Primary malignancy detected in 20 patients, CIS in 5 patients. We were not aware of any infections or other complications that resulted from this procedure in our series. The localization procedure takes approximately 45 minutes. Conclusion: Preoperative wire localization of breast lesions is an integral component of the early detection of breast carcinoma. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Role of gadolinium enhanced MRI and DWI in diagnosis of renal abscess in children(Balkan Society of Radiology, 2019-10-17); ; ; ; INTRODUCTION: Renal abscess is a localized collection of infected fluid in kidneys. It develops as a complication of focal pyelonephritis or hematogenous infection, when inflammation may occasionally result in liquefactive necrosis and abscess formation. MRI is increasingly important pediatric imaging modality because of great spatial resolution and sparing patients from potential risks of ionizing radiation exposure, especially children and adolescents PURPOSE: The purpose of this article is to present a case report of 10 years old child with renal abscess, diagnosed by MRI. MATERIALS AND METHODS: We present a 10 years old female with symptoms of fever, left flank pain, dysuria, vomiting and fatigue 5 days before examination. Blood tests shows leukocytosis and bacteria and leukocytes were present in urine. CT and US was performed previously, but were inconclusive. MR was used to confirm the diagnosis. 1.5 Siemens Avanto scanner was used with whole body MRI coil exploited. Standard MRI abdominal examination involved T1 and T2 weighted pulse sequences, Fat Sat technique, DWI and SPC 3D sequence and post Gadolinium T1 sequences. RESULTS: MRI confirmed a renal abscess formation in upper pole of left kidney, especially DWI and postcontrast T1 sequence. DW and corresponding ADC map show that the lesion has restricted diffusion with thin walled post Ga enhancement. Lesion has drained in perirenal space and collecting system. CONCLUSION: MRI is increasingly important pediatric imaging modality because of great spatial resolution and sparing patients from potential risks of ionizing radiation exposure, especially children and adolescents. - Some of the metrics are blocked by yourconsent settings
Item type:Publication,