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Focused ultrasonography

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https://www.readbyqxmd.com/read/29774696/future-perspectives-on-endoscopic-ultrasonography-guided-therapy-for-pancreatic-neoplasm
#1
Woo Hyun Paik, Sang Hyub Lee, Sunguk Jang
Endoscopic ultrasonography (EUS)-guided therapy with ethanol injection or catheter-based radiofrequency ablation for pancreatic neoplasm has been conducted as a potential alternate treatment modality for patients who are not eligible for surgery. On the basis of the limited number of studies available, EUS-guided ablation therapy with the aforementioned methods for small pancreatic neoplasms has demonstrated promising technical feasibility and safety profiles. To be considered as a legitimate alternative option to surgery, however, EUS-guided ablation therapy must provide a long-term efficacy profile along with the consensus among experts regarding its treatment parameter...
May 18, 2018: Clinical Endoscopy
https://www.readbyqxmd.com/read/29770501/correlation-between-cycling-power-and-muscle-thickness-in-cyclists
#2
Hyung-Jin Lee, Kang-Woo Lee, Yong-Woo Lee, Hee-Jin Kim
INTRODUCTION: The aim of this study was to determine the correlation between muscle thickness (MT) and cycling power in varsity cyclists using ultrasonography (US) and to identify any differences in MT between short- and long-distance cyclists. MATERIALS AND METHODS: Twelve cyclists participated in this study. Real-time two-dimensional B-mode US was used to measure the MT in the anterior thigh, anterior lower leg, and trunk, especially in the abdominal and lumbar regions...
May 17, 2018: Clinical Anatomy
https://www.readbyqxmd.com/read/29770262/cross-sectional-imaging-of-parotid-gland-nodules-a-brief-practical-guide
#3
REVIEW
Giuseppe Cicero, Tommaso D'angelo, Sergio Racchiusa, Ignazio Salamone, Carmela Visalli, Antonio Bottari, Alfredo Blandino, Silvio Mazziotti
Clinical evaluation and ultrasound examination are the first steps in the evaluation of a patient with a swelling of the parotid region. After the detection of a nodular lesion, cytological or histological confirmation is usually performed to achieve the diagnosis, while the choice of cross-sectional imaging (computed tomography scan and magnetic resonance imaging) may significantly vary from one physician to another, on the basis of the degree of confidence that both radiologist and surgeon have with this kind of imaging...
2018: Journal of Clinical Imaging Science
https://www.readbyqxmd.com/read/29756228/comparison-of-ultrasonographic-findings-of-schwannomas-and-angioleiomyomas
#4
Dai Ogata, Masaaki Takeji, Takuo Murakami, Hiroto Yanagisawa, Akira Kuramochi, Tetsuya Tsuchida
A subcutaneous tumor accompanied by tenderness has a myriad of differential diagnoses. Indeed, using physical findings alone to achieve a diagnosis is often challenging. In this study, we focused on schwannomas and angioleiomyomas, which usually develop as hard subcutaneous tumors and are often associated with tenderness. We aimed to determine significant differentiating features between the tumor types, using ultrasonography. We compared clinical findings and ultrasonographic imaging and calculated the statistical significance for each item...
May 14, 2018: Journal of Dermatology
https://www.readbyqxmd.com/read/29746179/collaborative-task-sharing-to-enhance-the-point-of-care-ultrasound-pocus-access-among-expectant-women-in-kenya-the-role-of-midwife-sonographers
#5
Sudhir Vinayak, Sharon Brownie
Unrealized maternal and child health goals continue to challenge Kenya where adverse outcomes remain high and diagnostic services are limited. The acute shortage of doctors and radiographers requires alternate human resources for health (HRH) with the ability to identify risk factors in pregnancy through Point-Of-Care Ultrasound (POCUS). A specialist radiologist and ultrasonography team partnered with midwives to adopt interprofessional task sharing and capacity building. Faculty from the Radiology Department of our hospital designed and implemented the project which was carried out at three outreach health service centres...
May 10, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29733103/improvement-in-abdominal-and-flank-contouring-by-a-novel-adipocyte-selective-non-contact-radiofrequency-device
#6
Sun Young Choi, Young Jae Kim, So Yeon Kim, Woo Jin Lee, Sung Eun Chang, Mi Woo Lee, Jee Ho Choi, Chonghyun Won
BACKGROUND: The demand for undergoing subcutaneous fat reduction has been gradually increasing, and there are many methods and devices for performing non-surgical and non-invasive fat reduction, such as high-intensity focused ultrasound, cryolipolysis, radiofrequency (RF) devices, and lasers. OBJECTIVES: This study evaluated the efficacy and safety of a novel adipocyte-selective non-contact RF device for improving abdominal contouring in Asian subjects. METHODS: Twenty-four Asian subjects with abundant subcutaneous abdominal and love handle fat tissues were enrolled in this prospective clinical study...
May 7, 2018: Lasers in Surgery and Medicine
https://www.readbyqxmd.com/read/29731396/critical-shoulder-angle-in-an-east-asian-population-correlation-to-the-incidence-of-rotator-cuff-tear-and-glenohumeral-osteoarthritis
#7
Kiyotsugu Shinagawa, Taku Hatta, Nobuyuki Yamamoto, Jun Kawakami, Yuki Shiota, Mitsuyoshi Mineta, Eiji Itoi
BACKGROUND: Focus has recently been on the critical shoulder angle (CSA) as a factor related to rotator cuff tear and osteoarthritis (OA) in the European population. However, whether this relationship is observed in the Asian population is unclear. METHODS: The correlation between the CSAs measured on anteroposterior radiographs and the presence or absence of rotator cuff tears or OA changes was assessed in 295 patients. Rotator cuff tears were diagnosed with magnetic resonance imaging or ultrasonography...
May 3, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29716799/emergency-and-critical-care-applications-for-contrast-enhanced-ultrasound
#8
REVIEW
Tobias Kummer, Laura Oh, Mary Beth Phelan, Robert D Huang, Jason T Nomura, Srikar Adhikari
INTRODUCTION: Contrast-enhanced ultrasound (CEUS) using intravascular microbubbles has potential to revolutionize point-of-care ultrasonography by expanding the use of ultrasonography into clinical scenarios previously reserved for computed tomography (CT), magnetic resonance imaging, or angiography. METHODS: We performed a literature search and report clinical experience to provide an introduction to CEUS and describe its current applications for point-of-care indications...
April 22, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29707227/diabetes-mellitus-remission-in-a-cat-with-pituitary-dependent-hyperadrenocorticism-after-trilostane-treatment
#9
Adriana Cunha Muschner, Fernanda Venzon Varela, Katarina Hazuchova, Stijn Jm Niessen, Álan Gomes Pöppl
Case summary: An 8-year-old male neutered Persian cat was presented with polyuria, polydipsia, polyphagia and muscle weakness associated with a 7 month history of diabetes mellitus (DM). The cat had initially been treated with neutral protamine Hagedorn (NPH) insulin 2 U q12h, followed by porcine lente insulin 2 U q12h and, most recently, 3 U glargine insulin q12h, without improvement of clinical signs. The cat also suffered from concurrent symmetrical bilateral alopecia of thorax and forelimbs, abdominal distension and lethargy...
January 2018: JFMS Open Reports
https://www.readbyqxmd.com/read/29693935/perioperative-point-of-care-ultrasonography-preface-and-comments
#10
Yoshitsugu Yamada
Recent years have witnessed remarkable progress in the medical equipment including ultrasound devices. There has also been an increasing interest in point-of-care ultrasound in the field of perioperative medicine. This editorial outlines the basis of point-of-care ultrasound to aid anesthesiologists, focusing on how to make better use of this useful tool.
May 2017: Masui. the Japanese Journal of Anesthesiology
https://www.readbyqxmd.com/read/29692689/evaluation-of-deceased-kidney-donors-for-renal-stone-disease-is-computed-tomography-needed
#11
REVIEW
Senol Tonyali, Ahmet M Aydin
Objective: To investigate the clinical consequences of neglected risk of urolithiasis in deceased kidney donors in routine clinical practice, this study focused on different management options for transplanted allograft stones, and tried to find new solutions for more accurate detection of urolithiasis in deceased kidney donors prior to renal transplantation. Methods and Results: The overall prevalence of stone disease in endemic countries is between 7 and 29%. Because of the increased risk for stone disease in epidemic countries, screening renal grafts from deceased donors necessitates more sensitive imaging tests...
March 2018: Current Urology
https://www.readbyqxmd.com/read/29669691/resistance-index-of-hepatic-artery-can-predict-anastomotic-biliary-complications-after-liver-transplantation-in-children
#12
Fang-Min Liao, Mei-Hwei Chang, Ming-Chih Ho, Huey-Ling Chen, Yen-Hsuan Ni, Hong-Yuan Hsu, Jia-Feng Wu
BACKGROUND/PURPOSE: Biliary complications remain a major morbidity after liver transplantation in children. Inadequate arterial supply to the bile duct after transplantation plays an important role in developing anastomotic biliary complications. We aimed to elucidate the relationship between the resistance index (RI) of hepatic artery and the anastomotic biliary complications after liver transplantation in children. METHODS: This is a retrospective, case-control design study...
April 16, 2018: Journal of the Formosan Medical Association, Taiwan Yi Zhi
https://www.readbyqxmd.com/read/29667463/performance-of-protein-induced-by-vitamin-k-absence-or-antagonist-ii-assessed-by-chemiluminescence-enzyme-immunoassay-for-hepatocellular-carcinoma-detection-a-meta-analysis
#13
Gian Paolo Caviglia, Davide Giuseppe Ribaldone, Maria Lorena Abate, Alessia Ciancio, Rinaldo Pellicano, Antonina Smedile, Giorgio Maria Saracco
OBJECTIVES: In the setting of surveillance for hepatocellular carcinoma (HCC) detection, the use of serum biomarkers in addition to ultrasonography (US) is still a matter of debate. Hence, we performed a meta-analysis to evaluate the diagnostic accuracy of protein induced by vitamin K absence or antagonist-II (PIVKA-II) and alpha-fetoprotein (AFP) alone or in combination for HCC detection in patients at risk of tumor development. MATERIALS AND METHODS: We performed a systematic search in PubMed and Scopus database for original articles published in English from 2011 to 2017, investigating the accuracy of PIVKA-II alone or in combination with AFP (reported as area under the curve [AUC]) for HCC detection among patients at risk of tumor development...
April 18, 2018: Scandinavian Journal of Gastroenterology
https://www.readbyqxmd.com/read/29664811/assessment-of-endothelium-independent-vasodilation-from-methodology-to-clinical-perspectives
#14
Tatsuya Maruhashi, Yasuki Kihara, Yukihito Higashi
: Vascular response to exogenously administered nitroglycerine, an index of endothelium-independent vasodilation, has been used as a control test for the assessment of endothelium-dependent vasodilation (endothelial function) in humans. However, evidence has been accumulating that not only endothelium-dependent vasodilation but also endothelium-independent vasodilation per se is impaired in individuals with cardiovascular risk factors and cardiovascular disease. Impaired endothelium-independent vasodilation is associated with structural vascular alterations and alterations in vascular smooth muscle cells...
April 16, 2018: Journal of Hypertension
https://www.readbyqxmd.com/read/29622590/carotid-atherosclerosis-detected-by-ultrasonography-a-national-cross-sectional-study
#15
Xiaojun Wang, Wenzhen Li, Fujian Song, Longde Wang, Qian Fu, Shiyi Cao, Yong Gan, Wei Zhang, Wei Yue, Feng Yan, Wenhuan Shi, Xiaoli Wang, Hong Zhang, Hao Zhang, Zhihong Wang, Zuxun Lu
BACKGROUND: Carotid atherosclerosis (CA) is a reflector of generalized atherosclerosis that is associated with systemic vascular disease. Data are limited on the epidemiology of carotid lesions in a large, nationally representative population sample. We aimed to evaluate the prevalence of CA detected by carotid ultrasonography and related risk factors based on a national survey in China. METHODS AND RESULTS: A total of 107 095 residents aged ≥40 years from the China National Stroke Prevention Project underwent carotid ultrasound examination...
April 5, 2018: Journal of the American Heart Association
https://www.readbyqxmd.com/read/29619581/approach-to-undifferentiated-dyspnea-in-emergency-department-aids-in-rapid-clinical-decision-making
#16
Siva Nageswara Rao Guttikonda, Kiran Vadapalli
BACKGROUND: Diagnosis and management of patients presenting with acute dyspnea is one of the major challenges for physicians in emergency department (ED). A correct diagnosis is frequently delayed and difficult to ascertain, and clinical uncertainty is common, explaining the need for rapid diagnosis and a management plan. The primary aim of our study is to assess a diagnostic strategy using multiorgan point of care ultrasonography (USG) to differentiate patients presenting with acute dyspnea to ED into different diagnostic categories for timely management in a resource-limited setting...
April 4, 2018: International Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29619120/preoperative-ultrasonographic-evaluation-for-malignancy-of-soft-tissue-sarcoma-a-retrospective-study
#17
Takeshi Morii, Tomonori Kishino, Naoko Shimamori, Mitsue Motohashi, Hiroaki Ohnishi, Keita Honya, Takayuki Aoyagi, Takashi Tajima, Shoichi Ichimura
Background: Ultrasonography is useful for distinguishing between benign and malignant soft-tissue tumors. However, no study has focused on its usefulness in the differential diagnosis between low-grade and high-grade soft-tissue sarcomas. We conducted a retrospective study to determine the usefulness of the parameters of ultrasonograph and to develop a practical scoring system for distinguishing between high-grade and low-grade sarcomas. Methods: Twenty-two cases of low-grade and 43 cases of high-grade malignant soft-tissue sarcoma were enrolled...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29618474/cruciferous-and-total-vegetable-intakes-are-inversely-associated-with-subclinical-atherosclerosis-in-older-adult-women
#18
Lauren C Blekkenhorst, Catherine P Bondonno, Joshua R Lewis, Richard J Woodman, Amanda Devine, Nicola P Bondonno, Wai H Lim, Kun Zhu, Lawrence J Beilin, Peter L Thompson, Richard L Prince, Jonathan M Hodgson
BACKGROUND: Dietary patterns rich in fruits and vegetables are considered to reduce atherosclerotic disease presentation and are reported to be inversely associated with subclinical measures of atherosclerosis, such as carotid artery intima-media thickness (IMT) and plaque. However, the effect of vegetable intake alone, and relationships to specific types of vegetables containing different phytochemical profiles, is important. The aim of this study was to investigate the associations of total vegetable intake and specific vegetables grouped according to phytochemical constituents with common carotid artery IMT (CCA-IMT) and carotid plaque severity in a cohort of older adult women (aged ≥70 years)...
April 4, 2018: Journal of the American Heart Association
https://www.readbyqxmd.com/read/29616352/efast-for-the-diagnosis-of-a-perioperative-complication-during-percutaneous-nephrolithotomy
#19
Achyut Sharma, Prajjwal Bhattarai, Apurb Sharma
A 29-year-old patient with normal preanesthetic evaluation was planned for percutaneous nephrolithotomy (PCNL) for right nephrolithiasis with right pyelolithiasis. Surgery was performed under general anesthesia with endotracheal intubation with muscle relaxation. At the conclusion of surgery, when the patient was turned over to supine position, tense abdomen was noted. Immediately extended focused assessment with sonography in trauma (eFAST) was done in which both right and left quadrants of abdomen including pericardial and suprapubic region, right and left thoracic, and both lung basis were examined...
April 3, 2018: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/29580349/efast-for-pneumothorax-real-life-application-in-an-urban-level-1-center-by-trauma-team-members
#20
Steven Maximus, Cesar Figueroa, Matthew Whealon, Jacqueline Pham, Eric Kuncir, Cristobal Barrios
The focused assessment with sonography for trauma (FAST) examination has become the standard of care for rapid evaluation of trauma patients. Extended FAST (eFAST) is the use of ultrasonography for the detection of pneumothorax (PTX). The exact sensitivity and specificity of eFAST detecting traumatic PTX during practical "real-life" application is yet to be investigated. This is a retrospective review of all trauma patients with a diagnosis of PTX, who were treated at a large level 1 urban trauma center from March 2013 through July 2014...
February 1, 2018: American Surgeon
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