• 제목/요약/키워드: Ultrasonography Imaging

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음낭 종양의 영상 소견 (Imaging of Scrotal Tumors)

  • 이승수;오영택;정대철
    • 대한영상의학회지
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    • 제82권5호
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    • pp.1053-1065
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    • 2021
  • 음낭 종양은 고환, 부고환, 정삭, 고환막 등에서 발생하며 악성 가능성을 평가하는데 가장 중요한 요소는 병변의 위치이다. 추가적인 영상 소견과 임상 정보를 종합하여 효과적으로 진단할 수 있다. 초음파검사는 표재성 기관인 음낭을 관찰하기 용이하며, 우수한 영상 품질을 바탕으로 병변의 유무뿐만 아니라 위치와 성상까지 확인 가능하다. 초음파검사로 감별이 어려울 경우에는 자기공명영상을 이용하여 지방, 출혈, 섬유화, 조영증강 등 추가적인 종양의 특징을 확인하는 것이 진단에 도움이 된다. 전산화단층촬영은 고환암의 병기결정이나 복강 내 미하강고환의 위치를 탐색하는데 유용하다. 본 종설에서는 고환 내외에서 발생하는 음낭 종양의 영상 소견을 살펴보고자 한다.

Standardized Imaging and Reporting for Thyroid Ultrasound: Korean Society of Thyroid Radiology Consensus Statement and Recommendation

  • Min Kyoung Lee;Dong Gyu Na;Leehi Joo;Ji Ye Lee;Eun Ju Ha;Ji-Hoon Kim;So Lyung Jung;Jung Hwan Baek
    • Korean Journal of Radiology
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    • 제24권1호
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    • pp.22-30
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    • 2023
  • Ultrasonography (US) is a primary imaging modality for diagnosing nodular thyroid disease and has an essential role in identifying the most appropriate management strategy for patients with nodular thyroid disease. Standardized imaging techniques and reporting formats for thyroid US are necessary. For this purpose, the Korean Society of Thyroid Radiology (KSThR) organized a task force in June 2021 and developed recommendations for standardized imaging technique and reporting format, based on the 2021 KSThR consensus statement and recommendations for US-based diagnosis and management of thyroid nodules. The goal was to achieve an expert consensus applicable to clinical practice.

Ultrasonography for long-term evaluation of hyaluronic acid filler in the face: A technical report of 180 days of follow-up

  • Rocha, Luiz Paulo Carvalho;Rocha, Tania de Carvalho;Rocha, Stephanie de Cassia Carvalho;Henrique, Patricia Valeria;Manzi, Flavio Ricardo;Silva, Micena Roberta Miranda Alves e
    • Imaging Science in Dentistry
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    • 제50권2호
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    • pp.175-180
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    • 2020
  • Purpose: In this study, we used ultrasonography to monitor the use of hyaluronic acid (HA) as a filler in the face for esthetic reasons. We monitored changes in the filler shape, distribution, and relationship with adjacent anatomical structures over a 180-day period. Materials and Methods: Two patients each received an ultrasound-guided injection of HA, with different products and application sites for each patient. In 1 patient, the injection was administered in the angle of the mandible, while in the other, it was administered in the zygomatic region. The injection sites were monitored via ultrasonography at 24 hours, 30 days, and 180 days, at which times the imaging characteristics of the filler were observed. All injections were performed by the same professional, as were the ultrasound exams, which were conducted using the same equipment. Results: In both cases, the HA fillers were visualized using ultrasound at all time points. Some differences were observed between the cases in the images and the distribution of the pockets of filler. In 1 case, the filler appeared as a dark hypoechoic region with well-defined contours, and the material was observed to have moved posteriorly by the 180-day mark. In the other case, the material appeared hyperechoic relative to the previous case and presented no noticeable changes in its anteroposterior distribution over time. Conclusion: Based on these 2 cases, ultrasonography can be a complementary tool used to monitor facial fillers over the long term, allowing for the dynamic observation of different fillers.

정상근과 근막 유발점이 활성화된 근육의 초음파 영상의 비교 (Comparison of Ultrasonography Images on Normal Muscle and Myofascial Trigger Points Activated Muscle)

  • 김명훈;김수현;김현진
    • The Journal of Korean Physical Therapy
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    • 제25권2호
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    • pp.76-80
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    • 2013
  • Purpose: The objective of this study was to offer primary clinical data examining whether change of imaging structure and quantitative evaluation of muscle activity on myofascial trigger points can lead to implementation of an analytical technique for evaluation of myofascial pain diagnoses. In addition, we examined the effect of a variety of mediation techniques, in order to examine neuromuscular physiological characteristics of myofascial trigger points muscle by comparing differences in pressure pain threshold and ultrasound imaging. Methods: Participants in the study included 30 adults in their twenties. The subjects were divided into the normal and myofascial trigger points groups. Clinical outcomes were evaluated by pressure pain threshold for pain and ultrasound imaging was performed for evaluation of the structural characteristics of muscle. Independent t-test was used for statistical analysis. Results: The two groups showed statistical significance in the change in pressure pain threshold (p<0.05). Findings of ultrasound imaging analysis showed no significant differences, increased muscle thickness was observed (p>0.05). Findings of ultrasound imaging analysis showed significant differences, increased muscle echodensity was observed (p<0.05). Findings on ultrasound imaging analysis showed significant differences, increased muscle white area index was observed (p<0.05). Conclusion: From these results, active myofascial trigger points muscle showed quality deterioration on ultrasound imaging. Thorough evaluation of imaging structure and physiological characteristics can be useful quantitative analytical techniques for diagnosis of myofascial pain syndrome and a primary factor reflected in physical therapy intervention.

Skin malignancy initially misdiagnosed as a benign epidermal cyst

  • Chung, Chan Min;Wee, Sung Jae;Lim, Hyoseob;Cho, Sang Hun;Lee, Jong Wook
    • 대한두개안면성형외과학회지
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    • 제21권2호
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    • pp.123-126
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    • 2020
  • Skin cancer, which often occurs as a result of skin exposure to ultraviolet light radiation, usually presents with characteristic abnormal features, such as ulcerative lesions, irregular morphology, bleeding, and excessive growth. Therefore, skin cancer rarely resembles a benign tumor on visual inspection. Nonetheless, squamous cell carcinoma and basal cell carcinoma with nodular or polypoid features can have a similar appearance to that of benign tumors, meaning that they are sometimes misdiagnosed as benign. As benign and malignant tumors have some overlapping features, clinicians sometimes use additional imaging techniques such as ultrasonography to improve the accuracy of the diagnosis because even a malignant tumor that externally resembles a benign tumor generally has internal morphological features characteristic of malignancy, such as invasion and irregular borders. However, these imaging tools also have limitations, and punch or excisional biopsy can be needed if malignancy cannot be completely ruled out. Herein, we report a case of skin malignancy initially misdiagnosed as a benign epidermal cyst based on external visual inspection and ultrasonography.

재발성 손톱밑 사구맥관근종에 대한 초음파를 이용한 진단 - 증례보고 - (Ultrasonographic Diagnosis of Recurrent Subungal Glomangiomyoma - Case Report -)

  • 이상영;임태강
    • 대한정형외과 초음파학회지
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    • 제8권1호
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    • pp.16-20
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    • 2015
  • 사구종은 신경근동맥성 사구에서 발생하는 손톱 밑의 피하 지방층에 발생하는 드문 종양이다. 조직학적으로 고유 사구종양, 사구맥관종, 사구맥관근종으로 분류하고 있는데 이 중 사구맥관근종은 가장 드물다고 알려져 있다. 또한 다른 사구체 종양과는 다르게 사지나 손톱 밑에서 호발하지 않는다. 사구체 종양은 특징적인 임상 증상으로 일차 진단이 가능하지만 방사선학적으로는 초음파 또는 자기공명 영상이 이용되고 있다. 저자들은 수지에 발생한 재발성 손톱밑 사구맥관근종에 대한 초음파를 이용한 진단 및 수술적 치료에 대한 경험을 보고하고자 한다.

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Prenatal ultrasonographic diagnosis of cleft lip with or without cleft palate; pitfalls and considerations

  • Kim, Dong Wook;Chung, Seung-Won;Jung, Hwi-Dong;Jung, Young-Soo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제37권
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    • pp.24.1-24.5
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    • 2015
  • Ultrasonographic examination is widely used for screening of abnormal findings on prenatal screening. Cleft lip with or without cleft palate of the fetus can also be screened by using ultrasonography. Presence of abnormal findings of the fetal lip or palate can be detected by the imaging professionals. However, such findings may not be familiar to oral and maxillofacial surgeons. Oral and maxillofacial surgeons can use ultrasonographic imaging of fetal cleft lip with or without cleft palate to provide information regarding treatment protocols and outcomes to the parent. Therefore, surgeons should also be able to identify the abnormal details from the images, in order to setup proper treatment planning after the birth of the fetus. We report two cases of cleft lip with or without cleft palate that the official readings of prenatal ultrasonography were inconsistent with the actual facial structure identified after birth. Also, critical and practical points in fetal ultrasonographic diagnosis are to be discussed.

Diagnostic imaging of malignant insulinoma in a dog

  • Choi, Jihye;Keh, Seoyeon;Kim, Sungsoo;Lee, Su-Hyung;Kim, Hyejin;Choi, Heeyeon;Lim, Younji;Kim, Hyunwook;Kim, Ahyoung;Kim, Dae-Yong
    • 대한수의학회지
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    • 제52권3호
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    • pp.205-208
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    • 2012
  • Endocrine test data from a 13-year old intact female Maltese was indicative of the presence of an insulinoma, however ultrasonography identified a pancreatic mass only after 10 months after the first admission. Following identification of both pancreatic tumor and hepatic metastasis on computed tomography (CT), surgical excision of the mass was attempted. However, total excision failed because of tumor adhesion to adjacent large vessels. The pancreatic mass was monitored over the next 25 months via ultrasonography, CT, and positron emission tomography-computed tomography (PET-CT). Histopathological and immunohistochemical data confirmed the diagnosis of insulinoma with hepatic metastasis.

두 케이스에서 복강내 육아종의 영상학적 특징 (Imaging Features of the Intra-abdominal Granulomas in Two Cases)

  • 최미현;장진화;이혜연;김준영;김완희;윤정희;최민철
    • 한국임상수의학회지
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    • 제27권3호
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    • pp.302-306
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    • 2010
  • 몇 일간 설사, 식욕부진 활력감소를 주 증상으로 보이는 개와 고양이가 내원하였다. 신체검사, 혈액검사와 더불어 영상학적 검사가 진행되었다. 복부 방사선 사진상 둥근 연부조직 밀도를 보이는 종괴가 중복부에서 확인 되었고 이는 복부 초음파 검사상 이질적 에코를 나타내는 것을 확인하였다. 세포학적 검사를 통해 염증으로 확인되었고, 수술적 제거 후 임상증상은 개선되었다. 조직 병리학적 검사 결과 육아종증 또는 호산구성 염증으로 확인되었다.