Radiology Department

Assistant Prof. Medhat Madbouly

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Staff Members

• • Lecturer Mostafa Farag El-Shafie
  • Lecturer Mohamed Hosni Kamel
  • Lecturer Medhat Moahmed Madbouly
  • Lecturer Amir Elhami Shokry
  • Lecturer Shaimaa Hamed Ibrahem
  • Lecturer Mona Hussain Abdelkader
  • Assistant Lecturer Dina Mostafa Hamzawy
  • Assistant Lecturer Mohamed Zaki Ismael
  • Assistant Lecturer Mohamed Abdelhamed Ahmed
  • Assistant Lecturer Mohamed Ahmed AbdElrazek
  • Assistant Lecturer Lamiaa Raafat Elsayed
  • Assistant Lecturer Mohamed Moharam
  • Resident Ahmed Hamdy Elsayed
  • Resident Karim Magdy Salah Eldin
  • Resident Osama Mohamed Abu el salheen
  • Resident Ahmed Salama
  • Resident Nourhan mahmoud
  • Resident Martina Fares
  • Resident Adham Hazem
  • Resident Youmna Osama

• Diagnosis of endemic diseases affecting liver, gastrointestinal & urinary tract using different imaging modalities (X-ray, Fluoroscopy, ultrasonography, computed tomography and magnetic resonance imaging).
• Treatment of liver diseases using less invasive interventional techniques (Hepatic angiography, chemoembolization of hepatic tumors – percutaneous trans hepatic drainage – trans jugular intrahepatic portosystemic shunt).
• Helping in diagnosis and treatment of some renal & gastrointestinal diseases by angiography.

External projects

Published researches (National and international) 

National and international conferences

Work progress in the department

1101 CT examinations (rate 91.75 month)
1677 X-ray examinations (rate 139.75/month)
3199 US examination (rate 266.6/month)
203 intervention cases (rate 16.9/month)

Running Techniques

X – Ray

• • Plain X – Ray
  • Imaging techniques using oral & intravenous contrast media for gastrointestinal diseases
  • Imaging techniques using intravenous contrast media for urinary tract diseases
  • Fluoroscopic techniques for assessment of motility disorders.

Ultrasonography unit

• • Imaging of the gastrointestinal, hepatic and urinary tract disorders using abdominal and endo-luminal probes
  • Ultrasound guided biopsies
  • Ultrasound guided aspirations
  • Doppler assessment of the vascular structures

Computed Tomography Unit

• • CT examinations on different body oragns and tissues.
  • Triphasic assessment of the hepatic focal lesion
  • CT portography
  • CT volumetry for living donor liver transplantation
  • Detection of urinary tract stones using dedicated CT protocols
  • CT urography for assessment of pelvi- ureteric systems
  • Multiphasic study for renal masses
  • CT virtual colonoscopy
  • CT virtual cystoscopy
  • CT virtual gastroscopy
  • CT guided biopsy
  • CT angiography

Intervention unit

• • Transarterial chemoembolization of hepation focal lesions
  • Splenic embolization
  • Percutanoustranshepatic drainage of bil

• 3 X – Ray machines. One equipped with fluoroscopy
• Computed tomography unit
• Ultrasound unit
• Intervention radiology unit
• Two reporting rooms
• Computed radiography unit

Every resident spends two years at different radiological units, then spends one year as visitor resident at a university hospital.

1. Internal training programs
   1. 1. Lecturers & assistant lectures can spend short training periods at different research institutes and university hospitals.
2. The department offers training programs for visitor radiologists at different units.
3. External training programs.
   1. 1. Dr.Mohamed Hosni Kamel (Interventional radiology in Stanford University in USA).
      2. Dr.Mohamed Farouk Hussain (Interventional Radiology in Beaujon Hospitals Paris in France).
      3. Dr. Mohamed Ahmed Abdelrazek (Interventional Radiology in Stanford University in USA).
4. Scholarships.
5. Fellow ships.

•  The diagnosis and treatment of endemic diseases and their complications especially these affecting the liver, gastrointestinal and urinary tract mainly as a result of schistosomiasis and viral hepatitis. This is to meet the social, economic and technological needs of Egypt and the regional areas.
•  Improving the service offered and increasing number of served patients by purchasing new advanced radiological equipment “MRI”.

Routine out and in patient services :

Daily numbers of in and out patients services:

•  X-ray: 40 patients (15 inpatient & 25 outpatients)
•  CT : 15 patients (5 inpatient & 10 outpatients)
•  US : 25 patients (10 inpatient & 15 outpatients)
•   Interventional radiology : 2 patients

2012-present

• • Project title: “Impact of occult B&C viral infection on the development of hepatocellular carcinoma”.

2013-present

• • Project title: “Evaluation of portal hypertension with special emphasis on abdominal collaterals inEgyptian Cirrhotic Patients by Using Endoscopic Ultrasound (EUS) as a step to possible Therapeutic Role of EUS in Preventing and Treating Bleeding Esophageal Varices”.

2013-present

• • Project title: “A Prospective Randomized Study Comparing Conventional versus Drug-Eluting Microsphere Chemoembolization for Treatment of Early and Intermediate Hepatocellular Carcinoma”.

Abdel Razek M, Kothary N, Louie J and Sze D (2017). Hepatic abscess after transarterial chemoembolization (TACE): a complication with possible therapeutic effect via serendipitous immunotherapy. Journal of Vascular and Interventional Radiology, Vol. 28, Issue 2, S126

Abdel Razek M, Hwang W, Abdelmaksoud M, Louie J, Kothary N and Sze D (2017). Drug eluting bead chemoembolization for neuroendocrine tumor metastases: risk factors for biliary toxicity Journal of Vascular and Interventional Radiology, Vol. 28, Issue 2, S206

Abdel Razek M, Hwang W, Abdelmaksoud M, Louie J, Kothary N, Kunz P and Sze D (2017). Selection between locoregionalembolotherapies for hepatic metastases from neuroendocrine tumor: Stratification by tumor burden. Journal of Vascular and Interventional Radiology, Vol. 28, Issue 2, S19

Abdel Razek M, Lungren M, Hwang G, Wang D, Louie J and Kothary N (2017). Albumin/bilirubin grade (ALBI): a robust predictor of decompensation and poor outcome in high-risk patients undergoing TACE for HCC. Journal of Vascular and Interventional Radiology, Vol. 28, Issue 2, S82

Abdel Razek M, Hwang W, Abdelmaksoud M, Louie J, Kothary N and Kunz P (2017). Selection between locoregionalembolotherapies for hepatic metastases from neuroendocrine tumor: Stratification by tumor burden. Journal of Vascular and Interventional Radiology, 2(28-19), S19

Abdel Razek M, Hwang W, Abdelmaksoud M, Louie J, Kothary N and Sze D (2017). Drug eluting bead chemoembolization for neuroendocrine tumor metastases: risk factors for biliary toxicity. Journal of Vascular and Interventional Radiology, 2 (28), S206

Duan F, Wang EQ, Lam MGEH, Abdelmaksoud MHK and Louie JD (2016).Superselective chemoembolization of HCC: comparison of short-term safety and efficacy between drug-eluting LC beads, quadraspheres, and conventional ethiodized oil emulsion. Radiology, 278 (2), 612-621

Abdelmaksoud MHK, Louie JD, Hwang GL, Sze DY and Hofmann LV (2015).Transarterial chemoembolization for hepatocellular carcinomas in watershed segments: utility of C-arm computed tomography for treatment planning. Journal of Vascular and Interventional Radiology 23 (2), 281-283

Wahba M, Abdel Sayed R and Abdel Samie A (2014). The functional role of transperineal ultrasound in the evaluation of females with urinary incontinence compared to urodynamic studies. The Medical Journal of Cairo University, 82(2).

Abdel Samie A, Barsoum N and El-Assaly H (2014). Can Gd-DTPA MR renography could be a one stop imaging technique for Assessment of Human Renal Allograft complications? The Medical Journal of Cairo University, 82(3).

Lam MGEH, Louie JD, Abdelmaksoud M, Fisher GA and Cho-Phan C (2014). Limitations of body surface area–based activity calculation for radioembolization of hepatic metastases in colorectal cancer. Journal of Vascular and Interventional Radiology, 25 (7), 1085-1093

Duan F, Wang EQ, Lam MG, Abdelmaksoud M, Kothary N, Hwang G (2014). Superselective chemoembolization: efficacy and toxicity comparison between drug-eluting bead and ethiodated oil delivery. Journal of Vascular and Interventional Radiology, 25 (3), S25

Abdelmaksoud M, Abdelmaksoud A, Mostafa M, Zakaria S, and El Garem N (2013). Y-90 radioembolization of hepatocellular carcinoma with portal vein tumor thrombus associated with hepatitis C genotype 4. Journal of Vascular and Interventional Radiology 25 (3)

Barsoum N, Abdel Samie A, Adel L and Asaad R (2013). Role of MRCP in assessment of biliary variants in living donor liver transplantation The Egyptian Journal of Radiology and Nuclear Medicine, 44(2).

Abdel Aziz O, Abdel Samie A and Metwally L (2013). Multi-slice computed tomography imaging of the post-transplant complications in the recipients after living donor liver transplantation. The Egyptian Journal of Radiology and Nuclear Medicine, Volume 44(4).

Lam MGEH, Banerjee S, Louie JD, Abdelmaksoud MHK and Iagaru AH (2013). Root cause analysis of gastroduodenal ulceration after yttrium-90 radioembolization. Cardiovascular and interventional radiology 36 (6), 1536-1547

Lam MG, Louie JD, Abdelmaksoud M, Fisher GA and Cho-Phan C (2013). Dose-response analysis in metastatic colorectal cancer patients treated with hepatic Yttrium-90 radioembolization. Journal of Vascular and Interventional Radiology 24 (4), S37.

Abdelmaksoud MHK, Louie JD, Hwang GL, Kothary N, Minor DR and Sze DY (2013). Yttrium-90 radioembolization of renal cell carcinoma metastatic to the liver. Journal of Vascular and Interventional Radiology 23 (3), 323-330.

Kothary N, Abdelmaksoud MHK, Tognolini A, Fahrig R and Rosenberg J (2011). Imaging guidance with C-arm CT: prospective evaluation of its impact on patient radiation exposure during transhepatic arterial chemoembolization. Journal of Vascular and Interventional Radiology 22 (11), 1535-1543

Abdelmaksoud MHK, Louie JD, Kothary N, Hwang GL and Kuo WT (2011). Embolization of parasitized extrahepatic arteries to reestablish intrahepatic arterial supply to tumors before yttrium-90 radioembolization. Journal of Vascular and Interventional Radiology 22 (10), 1355-1362

MHK Abdelmaksoud, JD Louie, N Kothary, GL Hwang and WT Kuo (2011). Consolidation of hepatic arterial inflow by embolization of variant hepatic arteries in preparation for yttrium-90 radioembolization. Journal of Vascular and Interventional Radiology 22 (10), 1364-1371.

Murphy TP, Kuo MD, Benenati JF, Dixon RG, Goodwin SC and Hicks M (2011). Position Statement by the Society of Interventional Radiology: Maintenance of Privileges for Image-guided Interventions.

Meer AB , Louie JD, Abdelmaksoud MHK, Kothary N and Hovsepian DM (2011). Intrahepatic collateral supply to the previously embolized right gastric artery: a potential pitfall for nontarget radioembolization. Journal of Vascular and Interventional Radiology 22 (4), 575-577

Hickey RM, Mulcahy MF, Lewandowski RJ, Gates VL, Gonda E and Salem R (2011). Dose-escalating study of Yttrium-90 microspheres with capecitabine for intrahepatic cholangiocarcinoma or metastatic disease to the liver: Preliminary results. Journal of Vascular and Interventional Radiology 22 (3), S87-S88

Kothary N, Tognolini A, Abdelmaksoud M, Louie JD, Hwang GL and Sze DY (2011). C-arm CT for hepatic interventions: TIPS and tricks for optimal imaging. Journal of Vascular and Interventional Radiology 22 (3), S123

Abdelmaksoud M, Louie JD, Kothary N, Hwang GL, Kuo WT and Hofmann L (2011). Y90 radioembolization of renal cell carcinoma metastatic to the liver: A pilot study. Journal of Vascular and Interventional Radiology 22 (3), S87

Abdelmaksoud M, Hwang GL, Louie JD, Hofmann L, Sze DY and Kothary N (2011). Detection of small hepatocellular carcinoma during transarterial chemoembolization: Comparison between C-arm CT and digital subtraction angiography. Journal of Vascular and Interventional Radiology 22 (3), S118

Abdelmaksoud M, Hwang GL, Louie JD, Sze DY and Kothary N (2011). Incidence and detection of dual blood supply to hepatocellular carcinoma located in watershed regions of segment IV and VIII during transarterial chemoembolization. Journal of Vascular and Interventional Radiology 22 (3), S118