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Ultrasound in Medicine & Biology

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https://www.readbyqxmd.com/read/28216111/anatomical-regurgitant-orifice-detection-and-quantification-from-3-d-echocardiographic-images
#1
Miguel Sotaquirá, Mauro Pepi, Gloria Tamborini, Enrico G Caiani
The vena contracta and effective regurgitant orifice area (EROA) are currently used for the clinical assessment of mitral regurgitation (MR) from 2-D color Doppler imaging. In addition to being highly user dependent and having low repeatability, these methods do not represent accurately the anatomic regurgitant orifice (ARO), which affects the adequate assessment of MR patients. We propose a novel method for semi-automatic detection and quantitative assessment of the 3-D ARO shape from 3-D transesophageal echocardiographic images...
February 16, 2017: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/28214035/transesophageal-echocardiography-in-swine-establishment-of-a-baseline
#2
Katharina Huenges, Saskia Pokorny, Rouven Berndt, Jochen Cremer, Georg Lutter
The porcine model is a commonly used animal model in cardiovascular research. Along with new innovative operative techniques, choice of the optimal imaging technique is crucial. Transesophageal echocardiography (TEE) is a reliable imaging tool is highly important in a large number of experimental evaluations. But so far, TEE data for swine are limited, and few standard values have been established for the porcine model. The experience and baseline results for TEE in 45 swine are presented in this study. A full TEE examination was conducted in 45 German landrace or German large white swine, with an average body weight of 49 ± 3 kg, before experimental off-pump mitral valved stent implantation...
February 15, 2017: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/28214036/impact-of-filling-gas-on-subharmonic-emissions-of-phospholipid-ultrasound-contrast-agents
#3
Emma Kanbar, Damien Fouan, Charles A Sennoga, Alexander A Doinikov, Ayache Bouakaz
Subharmonic signals backscattered from gas-filled lipid-shelled microbubbles have generated significant research interest because they can improve the detection and sensitivity of contrast-enhanced ultrasound imaging. However, the emission of subharmonic signals is strongly characterized by a temporal dependence, the origins of which have not been sufficiently elucidated. The features that influence subharmonic emissions need to be identified not only to better develop next-generation microbubble contrast agents, but also to develop more efficient subharmonic imaging (SHI) modes and therapeutic strategies...
February 14, 2017: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/28196770/effect-of-low-intensity-cavitation-on-the-isolated-human-thoracic-artery-in%C3%A2-vitro
#4
Algimantas Bubulis, Vida Garalienė, Vytautas Jurėnas, Jonas Navickas, Saulius Giedraitis
Reported here are the results of an experimental study on the response to low-intensity cavitation induced by low-frequency (4-6 W/cm(2), 20 kHz and 32.6 kHz) ultrasound of isolated human arterial samples taken during conventional myocardial revascularization operations. Studies have found that low-frequency ultrasound results in a significant (48%-54%) increase in isometric contraction force and does not depend on the number of exposures (10 or 20) or the time passed since the start of ultrasound (0, 10 and 20 min), but does depend on the frequency and location (internal or external) of the blood vessels for the application of ultrasound...
February 10, 2017: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/28190623/guidelines-for-cleaning-transvaginal-ultrasound-transducers-between-patients
#5
Jacques S Abramowicz, David H Evans, J Brian Fowlkes, Karel Maršal, Gail terHaar
The purpose of this article is to provide guidance regarding the cleaning and disinfection of transvaginal ultrasound probes. These recommendations are also applicable to transrectal probes.
February 9, 2017: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/28190622/effect-of-carbon-dioxide-on-the-twinkling-artifact-in-ultrasound-imaging-of-kidney-stones-a-pilot-study
#6
Julianna C Simon, Yak-Nam Wang, Bryan W Cunitz, Jeffrey Thiel, Frank Starr, Ziyue Liu, Michael R Bailey
Bone demineralization, dehydration and stasis put astronauts at increased risk of forming kidney stones in space. The color-Doppler ultrasound "twinkling artifact," which highlights kidney stones with color, can make stones readily detectable with ultrasound; however, our previous results suggest twinkling is caused by microbubbles on the stone surface which could be affected by the elevated levels of carbon dioxide found on space vehicles. Four pigs were implanted with kidney stones and imaged with ultrasound while the anesthetic carrier gas oscillated between oxygen and air containing 0...
February 9, 2017: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/28189282/assessment-of-structural-heterogeneity-and-viscosity-in-the-cervix-using-shear-wave-elasticity-imaging-initial-results-from-a-rhesus-macaque-model
#7
Ivan M Rosado-Mendez, Mark L Palmeri, Lindsey C Drehfal, Quinton W Guerrero, Heather Simmons, Helen Feltovich, Timothy J Hall
Shear wave elasticity imaging has shown promise in evaluation of the pregnant cervix. Changes in shear wave group velocity have been attributed exclusively to changes in stiffness. This assumes homogeneity within the region of interest and purely elastic tissue behavior. However, the cervix is structurally/microstructurally heterogeneous and viscoelastic. We therefore developed strategies to investigate these complex tissue properties. Shear wave elasticity imaging was performed ex vivo on 14 unripened and 13 misoprostol-ripened cervix specimens from rhesus macaques...
February 8, 2017: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/28187928/2-d-and-3-d-ultrasound-for-tumor-volume-analysis-a%C3%A2-prospective%C3%A2-study
#8
Segundo J González, Blaise Mooney, Hui-Yi Lin, Xiuhua Zhao, John V Kiluk, Nazanin Khakpour, Christine Laronga, M Catherine Lee
Ultrasound (US) allows real-time tumor assessment. We evaluated the volumetric limits of 2-D and 3-D US, compared with magnetic resonance imaging (MRI), with a prospective institutional review board-approved clinical evaluation of US-to-MRI volumetric correlation. US images of pre- and post-neoadjuvant breast cancers were obtained. Volume discrepancy was evaluated with the non-parametric Wilcoxon signed-rank test. Expected inter-observer variability <14% was evaluated as relative paired difference (RPD); clinical relevance was gauged with the volumetric standard error of the mean (SEM)...
February 7, 2017: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/28187927/value-of-shear-wave-elastography-in-the-diagnosis-of-gouty-and-non-gouty-arthritis
#9
Yuanjiao Tang, Feng Yan, Yujia Yang, Xi Xiang, Liyun Wang, Lingyan Zhang, Li Qiu
Our aim was to analyze the diagnostic performance of shear wave elastography (SWE) in the diagnosis of gouty arthritis (GA) and non-gouty arthritis (non-GA). Thirty-nine patients in the GA group and 55 patients in the non-GA group were included in the study. Based on the echo intensity of the joint lesions, the GA group was subdivided into hypo-echoic GA, slightly hyper-echoic GA and hyper-echoic GA subgroups. Quantitative SWE features were evaluated and receiver operating characteristic analysis was performed...
February 7, 2017: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/28185694/role-of-bowel-ultrasound-in-the-diagnosis-and-follow-up-of-patients-with-crohn-s-disease
#10
REVIEW
Clara Benedetta Conti, Mariangela Giunta, Daniele Gridavilla, Dario Conte, Mirella Fraquelli
Crohn's disease (CD) is an inflammatory chronic bowel disorder; it can involve the whole gastrointestinal tract, but its localization in the ileum or colon is most common. The reference standard for the diagnosis of CD is ileocolonoscopy with histologic assessment. The reference standard for the detection of any complications is surgery. However, imaging techniques have an important role both in the detection/localization of CD and in the follow-up of CD patients. In the last few years, the technical development of ultrasound equipment, the advent of new technologies such as elastography and mostly the increased expertise of sonographers have boosted the role of bowel ultrasound in assessment of the gastrointestinal tract...
February 6, 2017: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/28153351/non-invasive-identification-of-vulnerable-atherosclerotic-plaques-using-texture-analysis-in-ultrasound-carotid-elastography-an-in%C3%A2-vivo-feasibility-study-validated-by-magnetic-resonance-imaging
#11
Chengwu Huang, Qiong He, Manwei Huang, Lingyun Huang, Xihai Zhao, Chun Yuan, Jianwen Luo
The aims of this study were to quantify the textural information of strain rate images in ultrasound carotid elastography and evaluate the feasibility of using the textural features in discriminating stable and vulnerable plaques with magnetic resonance imaging as an in vivo reference. Ultrasound radiofrequency data were acquired in 80 carotid plaques from 52 patients, mainly in the longitudinal imaging view, and axial strain rate images were estimated with an ultrasound carotid elastography technique based on an optical flow algorithm...
January 30, 2017: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/28109698/microbubble-assisted-ultrasound-induced-transient-phosphatidylserine-translocation
#12
Jean-Michel Escoffre, Marc Derieppe, Bart Lammertink, Clemens Bos, Chrit Moonen
Microbubble-assisted ultrasound (sonopermeabilization) results in reversible permeabilization of the plasma membrane of cells. This method is increasingly used in vivo because of its potential to deliver therapeutic molecules with limited cell damage. Nevertheless, the effects of sonopermeabilization on the plasma membrane remain not fully understood. We investigated the influence of sonopermeabilization on the transverse mobility of phospholipids, especially on phosphatidylserine (PS) externalization. We performed studies using optical imaging with Annexin V and FM1-43 probes to monitor PS externalization of rat glioma C6 cells...
January 18, 2017: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/28108042/diagnostic-accuracy-of-transabdominal-ultrasound-in-chronic-pancreatitis
#13
Trond Engjom, Dag A Sangnes, Roald F Havre, Friedemann Erchinger, Khanh Do-Cong Pham, Ingfrid S Haldorsen, Odd H Gilja, Georg Dimcevski
The performance of transabdominal ultrasound (US) in chronic pancreatitis (CP) following the advances in US technology made during recent decades has not been explored. Our aim in this prospective study was to evaluate the diagnostic accuracy of modern abdominal US compared with the Mayo score in CP. One hundred thirty-four patients referred for suspected CP were included in the study. Fifty-four patients were assigned the diagnosis CP. After inclusion, transabdominal US was performed. Ductal features (calculi, dilations and caliber variations, side-branch dilations and hyper-echoic duct wall margins) and parenchymal features (calcifications, cysts, hyper-echoic foci, stranding, lobulation and honeycombing) were recorded...
January 17, 2017: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/28108041/strain-elastography-as-a-new-method-for-assessing-pelvic-floor-biomechanics
#14
Jana Marie Kreutzkamp, Sebastian Daniel Schäfer, Susanne Amler, Felix Strube, Ludwig Kiesel, Ralf Schmitz
Strain elastography (SE) is a new technique of parametric imaging that allows quantification of the elasticity of tissue. The aim of our study was to determine if the elasticity of para-urethral tissue correlates with urethral mobility and urinary incontinence (UI). Ninety-nine unselected women were investigated with SE. They were given a standardized interview about UI, and SE raw data for the para-urethral tissue were acquired in a sagittal standard urethra-symphysis view while being stimulated by a coughing fit...
January 17, 2017: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/28094067/differential-intensity-projection-for-visualisation-and-quantification-of-plaque-neovascularisation-in-contrast-enhanced-ultrasound-images-of-carotid-arteries
#15
Wing Keung Cheung, Benoy N Shah, Antonio Stanziola, Dorothy M Gujral, Navtej S Chahal, David O Cosgrove, Roxy Senior, Meng-Xing Tang
Studies have reported that intraplaque neovascularisation (IPN) is closely correlated with plaque vulnerability. In this study, a new image processing approach, differential intensity projection (DIP), was developed to visualise and quantify IPN in contrast-enhanced non-linear ultrasound image sequences of carotid arteries. DIP used the difference between the local temporal maximum and the local temporal average signals to identify bubbles against tissue non-linear artefact and noise. The total absolute and relative areas occupied by bubbles within each plaque were calculated to quantify IPN...
January 13, 2017: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/28094066/implementation-of-elastography-score-and-strain-ratio-in-combination-with-b-mode-ultrasound-avoids-unnecessary-biopsies-of-breast-lesions
#16
Kristina Bojanic, Natasa Katavic, Martina Smolic, Marija Peric, Kristina Kralik, Miroslav Sikora, Kristina Vidačić, Mirta Pacovski, Damir Stimac, Gordana Ivanac
The aim of this study was to evaluate whether the combination of B-mode ultrasound, elastography score (ES) and strain ratio (SR) improves diagnostic performance with respect to breast lesions. One hundred thirty lesions were prospectively evaluated by B-mode ultrasound and strain elastography, followed by fine-needle aspiration cytology/biopsy in 117 woman who were scheduled for regular breast BUS. The median ES (4.5 vs. 2.9, p < 0.001) and SR (4.9 vs. 2.3, p < 0.001) were significantly higher for malignant than for benign lesions...
January 13, 2017: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/28073593/integrative-cardiopulmonary-ultrasound-for-interstitial-lung-disease-assessment-correlation-between-lung-ultrasound-performance-and-cardiac-involvement
#17
Wei-Wei Zhu, Yi-Dan Li, Hong Li, Xiu-Zhang Lu, Ling-Yun Kong, Xiao-Guang Ye, Qi-Zhe Cai, Lan-Lan Sun, Wei Jiang, Li Wang
The aims of this study were to apply integrative cardiopulmonary ultrasound (thoracic ultrasound) to the evaluation of patients with interstitial lung disease (ILD) and to determine the relationship between lung ultrasound signs and echocardiographic parameters such as systolic pulmonary artery pressure (SPAP) and various right ventricular parameters. ILD patients and healthy controls underwent lung ultrasound (LUS) and echocardiographic tests. In addition to traditional echocardiographic parameters, right ventricular free wall longitudinal strain (RVLS_FW) was measured using 2-D speckle-tracking echocardiography...
January 7, 2017: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/28065541/nodular-fasciitis-sonographic-pathologic-correlation
#18
Ho-Hsian Yen, Hong-Jen Chiou, Yi-Hong Chou, Chih-Hsueh Chen, Wan-Yuo Guo
We evaluated nodular fasciitis (NF) in 19 patients, focusing on the correlation between its sonographic and histopathologic features. Sonograms were retrospectively reviewed, and the location, shape, margin, echogenicity, echogenic rim, peripheral hyper-echoic nodules, posterior enhancement and vascularity of the lesions were recorded. In the histopathologic analysis, three patterns-infiltrating, pushing border and well circumscribed-were identified, and culture-like tissue centers were classified according to the distribution of focal keloid-like collagen bundles: uneven or even...
January 5, 2017: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/28065540/cardiac-shear-wave-velocity-detection-in-the-porcine-heart
#19
Hendrik J Vos, Bas M van Dalen, Ilkka Heinonen, Johan G Bosch, Oana Sorop, Dirk J Duncker, Antonius F W van der Steen, Nico de Jong
Cardiac muscle stiffness can potentially be estimated non-invasively with shear wave elastography. Shear waves are present on the septal wall after mitral and aortic valve closure, thus providing an opportunity to assess stiffness in early systole and early diastole. We report on the shear wave recordings of 22 minipigs with high-frame-rate echocardiography. The waves were captured with 4000 frames/s using a programmable commercial ultrasound machine. The wave pattern was extracted from the data through a local tissue velocity estimator based on one-lag autocorrelation...
January 5, 2017: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/28065539/atlas-based-mosaicing-of-left-atrial-3-d-transesophageal-echocardiography-images
#20
Harriët W Mulder, Marijn van Stralen, Ben Ren, Alexander Haak, Max A Viergever, Johan G Bosch, Josien P W Pluim
Transesophageal echocardiography (TEE) is a promising imaging modality used to guide cardiac interventions, such as catheter ablation for the treatment of cardiac arrhythmias. These procedures rely on good visualization of the left atrium and pulmonary veins. To visualize these structures in a single volume, the acquisition, registration and fusion of multiple TEE views of the left atrium are required. We introduce atlas-based mosaicing as a method for the registration of images that are acquired according to a standardized protocol...
January 5, 2017: Ultrasound in Medicine & Biology
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