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Medical Ultrasonography

Ioana Duca, Flaviu Rusu, Nicolae Nicula, Dan Lucian Dumitrascu
We present the case of a 60-year-old male patient, with refractory ulcers in the groin. Ultrasoundand CT showed a large vascularized tumor of the kidney with cystic parts and inhomogeneous dynamic behaviour. Histology demonstrated Pyoderma gangrenosum (ulcer) and well differentiated adenocarcinoma (kidney). Pyoderma gangrenosum appears as paraneoplastic manifestation in about 7% of cases, especially in lymphomas and tumors involving the digestive tract.Particularities of the case consisted in the accidental discovery of the renal tumor, in spite of the lack of urinary syndromes...
December 8, 2018: Medical Ultrasonography
Ke-Vin Chang, Wei-Ting Wu, Levent Özçakar
We reported a 43-year-old man with right-foot numbness under the tentative diagnosis of tarsal tunnel syndrome. The initial ultrasound examination did not identify any remarkable findings at the level of the medial malleolus. Owing to the failure of conservative treatments, he was referred for US-guided injection of the tibial nerve. When tracking the entire course of the nerve, a ganglion cyst was observed on top of the tibial nerve, in proximity to the medial and lateral plantar branches. The symptom disappeared after surgical excision...
December 8, 2018: Medical Ultrasonography
Razvan O Mada, Raluca Tomoaia, Vasile Sasarman, Svetlana Encica, Dan Bindea
December 8, 2018: Medical Ultrasonography
Giovanna Negrao de Figueiredo, Johannes Rübenthaler, Katharina Müller-Peltzer, Dirk-André Clevert
This case report relates the use of contrast-enhanced ultrasound (CEUS) for the assessment and treatment of a postinterventional cholecystitis, a rare but important complication after transcatheter arterial embolization of a giant hemangioma. Regarding the imaging diagnosis, hemangiomas have specific features allowing a fast recognition by all radiological modalities,and in recent years, especially by CEUS.
December 8, 2018: Medical Ultrasonography
Claudiu Marginean, Vladut Sasarean, Cristina Oana Marginean, Lorena Elena Melit, Maria Oana Marginean
AIM: Orofacial clefts comprise cleft lip (CL) or cleft lip-palate (CLP) and are the most frequently encountered malformation of the facial region, accounting for approximately 1-2.2/1,000 live births. The aim of this study was to reveal the particularities regarding the prenatal diagnosis of orofacial clefts in a series of 11 cases diagnosed in a tertiary center.Material and methods: The study was performed in a tertiary diagnostic center for a period of 8 years (January 2010 - December 2017), on8125 patients that were assessed for screening or suspicion of malformations...
December 8, 2018: Medical Ultrasonography
Lavinia Maghear, Oana Serban, Iulia Papp, Ovidiu Otel, Simona Manole, Emil Botan, Daniela Fodor
Primary synovial osteochondromatosis is a rare disorder and its diagnosis remains a challenge to the physician. We present the case of 36 year old patient with right knee monoarthritis in which ultrasound findings, corroborated with clinical and histopathological evidence confirmed the diagnosis of unossified primary synovial osteochondromatosis. The arthroscopy with synovectomy found multiple intra-articular loose bodies occupying the entire joint. The ultrasonographic findings were extensively evaluated.
December 8, 2018: Medical Ultrasonography
Daniela Vrinceanu, Mihai Dumitru, Romica Cergan, Alina Georgiana Anghel, Adrian Costache, Elena Tatiana Patrascu, Codrut Caius Sarafoleanu
Thyroglossal duct cyst (TDC) has an increasing incidence. We present a series of three cases that benefited from the use of ultrasonography performed first hand by the ENT specialist. All cases underwent Sistrunk procedure and the diagnosis was confirmed by pathology results: one uncomplicated TDC, a thyroglossal duct carcinoma, and an infected TDC with the risk of becoming a diffuse cervical suppuration. Ultrasonography performed first hand by the ENT specialist enables a quick and thorough planning of the surgical procedure and management of the case...
December 8, 2018: Medical Ultrasonography
Dominik Janusz Tyloch, Janusz Ferdynand Tyloch, Jan Adamowicz, Kajetan Juszczak, Adam Ostrowski, Patryk Warsiński, Jacek Wilamowski, Joanna Ludwikowska, Tomasz Drewa
Transrectal prostate biopsies under ultrasonography guidance remain the gold standard for the detection of prostate cancer (PCa). Transrectal ultrasonography (TRUS), however, has a limited sensitivity in PCa detection. Prostate elastography (TRES) increases the sensitivity of a TRUS examination. Therefore, the aim of this review is to discuss the usefulness of TRES in prostate gland imaging for the diagnosis and management of prostate cancer based on published literature. The advantages of transrectal elastography were analysed in the context of better diagnostic performance provided by this method...
December 8, 2018: Medical Ultrasonography
Alexandru Iordache, Catalin Baston, Guler-Margaritis Silviu-Stelian, Emil Angelescu, Vasile Cerempei, Traxer Olivier, Ioanel Sinescu
Nowadays percutaneous nephrolithotomy (PCNL) is the standard of care for renal staghorn calculus or large (>20 mm) pelvic or caliceal stones, as well as for the failure of other treatment options. This review aims to evaluate the contemporary use of ultrasound imaging in PCNL, by comparing it to conventional fluoroscopy, reviewing data regarding the complication and success rate of nephrostomy tract creation and stone free rate (SFR), as well as data concerning the learning curve for these procedures and cost indicators...
December 8, 2018: Medical Ultrasonography
Cosmin Caraiani, Yi Dong, Anthony G Rudd, Christoph F Dietrich
Even if imaging has developed considerably during the last decades there still exist several factors which limit its capacities. These factors can either limit the usage of a technique or degrade images making them difficult to interpret. Magnetic resonance imaging (MRI) has, as an absolute contraindication, the presence of metallic devices marked as "MRI unsafe" and metallic foreign bodies close to the eye or vital structures. Claustrophobia and artefacts reduce the application and performance of MRI in a significant proportion of patients...
December 8, 2018: Medical Ultrasonography
Yang Li, Guo-Wei Tao, Ming-Zhi Pan, Guang-Rui Shao
AIM: To explore the value of Omniview (OV) technology in assessing the fetus corpus callosum. MATERIAL AND METHODS: For the ultrasound examination of 189 fetuses (gestational week range 19-28 weeks), two-dimensional (2D) ultrasound imaging and Omniview technology were used by two physicians (A and B). The acquisition time and the quality of images were recorded. RESULTS: The acquisition time of Omniview technology was shorter comparing with the aquisition time of 2D ultrasound imaging (A2D vs...
December 8, 2018: Medical Ultrasonography
Carmen Elena Bucuri, Razvan Ciortea, Doru Diculescu, Andrei Malutan, Radu Mocan-Hognogi, Costin Berceanu, Renata Nicula, Maria Rada, Dan Mihu
AIMS: Embryonic demise is a frequent complication of the first trimester pregnancy. The purpose of this study was to evaluate the correlation between a serum biomarker, the soluble form of the vasculo-endothelial growth factor (sFlt-1) and the distance between the yolk sac (YS) and embryo (DYSE), determined by ultrasonography. MATERIAL AND METHODS: The study was a prospective case-control study that included 2 groups of patients - the control group with 81 first-trimester pregnancies in evolution and the case group with 89 first-trimester pregnancies with a potentially reserved evolutivity...
December 8, 2018: Medical Ultrasonography
Martin Freesmeyer, Leonard Knichel, Christian Kuehnel, Thomas Winkens
AIMS: Thyroid volume has to be measured in goiters prior to radioiodine treatment to calculate the needed amount of radioactivity. Modern clinical equipment for ultrasonography shows the trend to smaller probes, so that larger goiters do not fit any longer into the probe's field of view. This study evaluated the feasibility and accuracy of stitching procedures applied to thyroid volumetric analysis performed using three-dimensional ultrasound (3D-US). MATERIAL AND METHODS: Ad hoc thyroid phantoms of different shapes (regular, nodular, thickened isthmus) and volumes (ranging between 50 and 400 mL) were developed...
December 8, 2018: Medical Ultrasonography
Albina Nikolaevna Khlebnikova, Vladimir Alekseevich Molochkov, Elena Vladimirovna Selezneva, Lyubov Anatolevna Belova, Artur Bezugly, Anton Vladimirovich Molochkov
AIM: To describe the ultrasonographic findings of surface and nodular basal cell skin cancer (BCC) using high frequency ultrasonography. MATERIALS AND METHODS: We examined 60 primary BCCs in different locations with the High Frequency Ultrasound (HFU) system DUB Skin Scanner using 75 MHz and 30 MHz probes. Epidermis, dermis, and depth of tumors spread in the region of interest (ROI) were measured. Visually unchanged, contralateral skin areas were examined as the control...
December 8, 2018: Medical Ultrasonography
Kemal Osgur Demiralp, Kaan Orhan, Emine Şebnem Kurşun-Çakmak, Cansu Gorurgoz, Seval Bayrak
AIM: The aim of this study was to compare the diagnostic accuracy of intra-oral and extra-oral ultrasonographic (US) examinations performed with linear and convex probes in the detection of opaque and non-opaque foreign bodies (FBs) located in the maxillofacial area. MATERIALS AND METHODS: Thirteen different type of FBs were inserted into a sheep's head: a) on the external bone surface of mandible (between the mandibular corpus and masseter muscle), b) in the intrinsic muscular tissue (in the dorsum of the tongue) and c) in the hollow structures (into the maxillary sinus of the sheep's head)...
December 8, 2018: Medical Ultrasonography
Tolga Ergonenc, Serbulent Gokhan Beyaz
AIM: Pulsed radiofrequency (PRF) therapy has become increasingly popular in the treatment of chronic shoulder pain due to its long duration of action and non-destructive method. The aim of the study was to reveal the effects of PRF therapy of the suprascapular nerve (SSN) under ultrasound guidance (UG) in patients with chronic shoulder pain on both shoulder pain and function. MATERIAL AND METHODS: This study included 74 patients diagnosed with at least one of the following: adhesive capsulitis, rotator cuff syndrome and impingement syndrome of shoulder...
December 8, 2018: Medical Ultrasonography
Tanya Sapundzhieva, Rositsa Karalilova, Anastas Batalov
AIMS: To assess the role of musculoskeletal ultrasound (MSUS) as a biomarker of remission and to compare the rates of clinical and imaging remission in patients with rheumatoid arthritis (RA) on different types of treatment. MATERIAL AND METHODS: One hundred and forty-one patients underwent physical and ultrasound examination at 5 visits (at baseline and after 1, 3, 6 and 12 months). Patients were divided into two groups according to the type of treatment, which involved synthetic (sDMARDs) and biologic (bDMARDs) disease-modifying antirheumatic drugs...
December 8, 2018: Medical Ultrasonography
Deniz Alis, Emine Sebnem Memis Durmaz, Ceren Civcik, Melih Tutuncu, Sabahattin Saip, Naci Kocer, Civan Islak, Osman Kizilkilic
AIM: To evaluate endothelial dysfunction and subclinical atherosclerosis in Behcet's disease (BD) by measuring the common carotid artery (CCA) wall stiffness and carotid intima-media thickness (CIMT). MATERIALS AND METHODS: We prospectively evaluated CIMT and the CCA wall stiffness of 34 BD patients and 28 age/sex-matched controls. CIMT measurements were performed from the posterior wall of the carotid artery approximately 10 mm proximal to the initiation of the carotid bulb using B-mode ultrasound...
December 8, 2018: Medical Ultrasonography
Fabian Steinkohl, Anna Katharina Luger, Renate Pichler, Jasmin Bektic, Peter Rehder, Andrei Lebovici, Friedrich Aigner
AIM: Prostate biopsies are usually done with transrectal ultrasound (TRUS) in B-mode (B TRUS) but multiparametric MRI (mpMRI) is the gold imaging standard for the visualization of clinically significant prostate cancer (PCa), since a lowPCa detection rate is reported for B TRUS. The aim of this study was to assess the visibility of MRI lesions on B TRUS and to determine which factors may influence the visibility on B TRUS. MATERIAL AND METHODS: 142 men with 148 lesions reported on mpMRI underwent a B TRUS/mpMRI fusion targeted biopsy of the prostate and were included in this retrospective study...
December 8, 2018: Medical Ultrasonography
Jakub Krukowski, Adam Kałużny, Jakub Kłącz, Marcin Matuszewski
AIM: To evaluate the urethral lesions and the degree of spongiofibrosis using cystourethrography (CUG) and sonourethrography (SUG) in order to propose the best imaging method for further surgical treatment. MATERIAL AND METHODS: The study involved 66 patients with anterior urethral strictures with indication for urethroplasty. Results of CUG and SUG were compared with each other and data from surgical protocol. RESULTS: Totally 72 strictures were detected; 47 in the bulbar part of urethra and 25 in the penile urethra...
December 8, 2018: Medical Ultrasonography
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