Articles

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31 results found
Article

Glucagon

Glucagon is a polypeptide hormone central to the regulation of glucose homeostasis, acting as an antagonist to insulin. In imaging, it is used as an antiperistaltic agent in GI studies, although its clinical efficacy is controversial.  Structure Glucagon is a 29-amino acid polypeptide hormone ...
Article

Lipoma

Lipomas are benign tumors composed of mature adipocytes. They are the most common soft tissue tumor, seen in ~2% of the population.  Epidemiology Patients typically present in adulthood (5th-7th decades). Associations In some cases, multiple lipomas are associated with syndromes and other di...
Article

Fecal calprotectin

Fecal calprotectin (FCAL) is a protein marker of gut inflammation. It is used as a diagnostic tool and marker of disease activity for Crohn disease and ulcerative colitis. Biochemistry Calprotectin is a protein complex from the S-100 family, which is formed of three polypeptide chains, two hea...
Article

Sessile

Sessile is a pathological term which is used for lesions that are attached by their base, that is they lack a stalk i.e. are not pedunculated. It is most commonly used for intraluminal polyps in the GI tract. History and etymology Sessile is derived from the Latin word "sessilis" which means s...
Article

Helicobacter pylori

Helicobacter pylori (H. pylori) is a gram-negative spiral flagellate microaerophilic bacterium found in the human gastric mucosa 1. It is classified as a Group I carcinogen and is considered necessary but insufficient alone to cause gastric adenocarcinoma. More often than not, it results in chro...
Article

CEA

Serum CEA (carcinoembryonic antigen) is a cell-adhesive glycoprotein that was discovered in colorectal cancer in 1965, and is hence one of the oldest and most used tumor markers. Its name derives from its normal expression in fetoembryonic liver, gut and pancreas tissue. Normal range of CEA is ...
Article

Diverticulum

Diverticula are outpouchings of a hollow viscus and can be either true or false. Occasionally a diverticulum is used in a more general sense to mean the outpouching of other anatomical structures, e.g. frontal intersinus septal cells are hypothesized to form as diverticula from the frontal sinu...
Article

Metaplasia

Metaplasia is a general pathology term that refers to the process when one cell type is replaced by another. It usually occurs in the context of a changed cellular environment to which the new cell type is better adapted 1. Examples include 2-5: Barrett esophagus: normal squamous epithelium re...
Article

Perianal genital warts

Perianal genital warts, also known as condyloma acuminata (singular: condyloma acuminatum), are a complication of human papillomavirus (HPV) infection. They are diagnosed clinically and are usually painless and benign, but can rarely undergo malignant transformation into squamous cell carcinoma....
Article

Alpha-fetoprotein

Alpha-fetoprotein (AFP) is an important plasma protein synthesized by the yolk sac and fetal liver. In adults, its main utility is as a tumor marker, primarily for hepatocellular carcinoma or teratoma. Functionally it is the fetal homologue of albumin, i.e. it acts as a major carrier protein in ...
Article

CA 19-9

CA 19-9 (carbohydrate antigen 19-9 or cancer antigen 19-9) is a serum antigen (monosialoganglioside) that has increased diagnostic use in the management of several malignancies, mainly of hepatopancreaticobiliary origin. It is non-specific, however, and can rise in both malignant and non-maligna...
Article

Fistula

A fistula (plural: fistulae or fistulas) is an abnormal connection between two epithelial surfaces such as between hollow organs, skin or vessels. Conventionally, the name of a specific fistula type is a combination of the two organs. For discussions of specific fistulae please refer to individu...
Article

Atresia

Atresia (plural: atresias) refers to a situation where there is absence, underdevelopment or abnormal closure, of a normal anatomical tubular structure or opening.  Contrast this with agenesis which refers to the complete absence of any anatomical structure including its primordial precursors. ...
Article

Traditional serrated adenoma

Traditional serrated adenomas are a type of premalignant serrated colonic polyp. Epidemiology They are thought to account for <1% of all colonic polyps and 1-7% of all serrated lesions. They tend to occur in older patients (usually over 50 years) with no significant gender predilection. Patho...
Article

Feces

Feces, also known as stool, is the solid component of human waste. Almost half of its dry mass is bacterial biomass, with the remainder comprised of undigested dietary matter, exfoliated cells of the gut, intestinal secretions, small metabolites and mucus.  Composition Fecal matter is semisoli...
Article

Haggitt level

The Haggitt level is a histopathological term used for describing the degree of infiltration from a malignant polypoidal lesion. Levels of invasion 0: carcinoma in situ or intramucosal carcinoma 1: invasion of the submucosa, but limited to the head of the polyp 2: invasion extending into the...
Article

KRAS mutation

KRAS (shortened name for the gene Kirsten RAt Sarcoma viral oncogene homolog) mutations are associated in a number of malignancies including:  certain adenocarcinomas of the lung colorectal carcinoma 1 pancreatic ductal adenocarcinoma Several germline KRAS mutations have also been found to b...
Article

Circumferential resection margin

Circumferential resection margin (CRM) is a term used to denote the standard plane of excision of total mesorectal excision, used for resection of rectal cancers. The anatomic correlate is the mesorectal fascia. The distance between tumor tissue or satellite tumor deposits and the mesorectal fas...
Article

Serum ascites albumin gradient

The serum–ascites albumin gradient (SAAG) is the difference between the concurrently obtained serum albumin concentration and the albumin concentration of the ascitic fluid obtained during paracentesis.  Pathology A difference ≥1.1 grams/deciliter (g/dL) indicates portal hypertension as the li...
Article

Vitamin B3

Vitamin B3 (niacin or nicotinic acid) is a water-soluble vitamin, part of the vitamin B complex, that is an important part of the coenzyme nicotinamide adenine dinucleotide (NAD+) which is involved in many reactions of cellular metabolism. Vitamin B3 is one of the hematinics. Related pathology ...

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