• 제목/요약/키워드: Ultrasonography guided aspiration

검색결과 44건 처리시간 0.034초

개 고립 결절 형태의 소화기계 림프종에 대한 진단영상 1례 (Diagnostic Imaging for Solitary Nodular Form of Alimentary Lymphoma in a Dog)

  • 최지혜;김현욱;장재영;김혜진;김준영;윤정희
    • 한국임상수의학회지
    • /
    • 제24권3호
    • /
    • pp.467-472
    • /
    • 2007
  • Alimentary lymphoma accounts for approximately 5% of neoplasm and diffuse lesion is more common than solitary nodular form in dogs. An eleven year-old male Yorkshire terrier was examined because of nonspecific gastrointestinal symptoms such as anorexia and vomiting for 10 days. An abdominal mass was palpated, which was originated from small intestinal wall in abdominal ultrasonography. Small intestine was obstructed by hypoechoic mass and lost normal layering and measured 24.5m. After fine-needle aspiration, septic peritonitis due to intestinal rupture occurred and emergency surgery was performed. Solitary mass was found in small intestine and diagnosed as alimentary lymphoma through histopathologic examination. Conclusively, abdominal ultrasonouaphy could verify the thickened bowel, loss of wall layering and decrease of motility and percutaneous ultrasound-guided fine-needle aspiration is considered as useful diagnostic technique, especially in nodular form of alimentary lymphoma.

과배란 처치시 우세난포 조절에 의한 한우 수정란 생산성 향상에 관한 연구 II. 과배란 처치 시기에 따른 난소반응 (Superovulation response after follicular wave synchronization with follicular aspiration by ultrasonography in HanWoo II. Ovarian response following superovulation treatment at different day of estrus)

  • 이동원;이병천;황우석
    • 대한수의학회지
    • /
    • 제40권4호
    • /
    • pp.769-775
    • /
    • 2000
  • This study was investigated the ovarian response following superovulation treatment at different day of diestrus. The criterion for the presence or absence of a dominant follicle based on their morphological examination. Dominant follicle was puntured 48 hrs before the oneset of superovulation treatment by ultrasonography guided aspiration needle. Superovulation was induced by subcutaneous administration of FSH twice a day for 4 day in a decreasing regimen. There was no significant different between presence of dominont follicle and progesterone concentration/diameter of corpus luteum in HanWoo. Number of corpus luteum of donor after superovulation treatment was not significantly different in FSH administration at day 9, 11 and day 13 of estrus($14.5{\pm}4.5$, $15.5{\pm}5.6$ and $11.0{\pm}5.5$, respectively). But, the diameter of CL was significantly correlate(R2 = 0.757) with progesterone levels on day of superovulatory induction. After 7 days of artificial insemination, the embryos at 7 days were collected by uterine flushing after dominant follicle aspiration and superovulation treatment, and evaluated their quality by morphological criteria. Fifty five embryos with excellent, good and fair grade were transferred into 24 recipient cows. Seventeen offsprings, 1 of triplet, 4 of twins and 6 of singlet, were yield from 10 recipient cow. In conclusion, the present study showed that 1) dominant follicle can be determined by ultrasonography with rectal palpation by morphological evaluations, 2) superovulation response after follicular aspiration was not differ at day 9, 11 and 13 of estrus, 3) dominant follicle did not affect to progesterone concentration and diameter of CL, and 4) diameter of CL was significantly correlate to the level of progesterone concentrations in HanWoo.

  • PDF

초음파 유도 흡인을 이용한 견갑 상 낭종의 치료 - 증례보고 - (Treatment of Suprascapular Cyst by Ultrasound Guided Aspiration - A Case Report -)

  • 이효진;김양수
    • 대한정형외과 초음파학회지
    • /
    • 제5권1호
    • /
    • pp.41-45
    • /
    • 2012
  • 견갑 상 신경의 압박을 초래할 수 있는 많은 질환중에서, 견갑 상 낭종에 의한 압박은 흔치 않으며, 많은 수에서 간과되거나 오진되기도 한다. 저자들은 견갑 상 신경 압박 증상을 초래하고 있는 낭종을 자기공명영상 및 초음파로 확진하였다. 환자의 증상은 견갑 상 신경 중, 하극 신경에만 국한되어 있었다. Neviaser portal과 같은 위치에서 초음파 유도하에 경피적 흡인을 시행하였다. 시술 8주 후 경과에서 재발 소견은 없었으며, 객관적인 기능 평가에서도 호전된 소견을 보였다. 견갑 상 신경의 압박이 의심되는 증상이 있으면, 우선적으로 초음파로 병변을 찾는 것에 주력해야 한다. 낭종의 압박에 의한 증상은 낭종의 단순 제거 혹은 축소로도 증상은 호전되기 때문이다. 하지만, 동반하고 있는 질환 혹은 원인 질환 등이 강력하게 의심될 경우, 추가적인 진단 후에 침습적인 치료를 요할 수도 있다.

  • PDF

견관절 석회화 건염의 초음파 감시하 다발성 천공술 (Ultrasonography-Guided Multiple Needling for Calcific Tendinitis of the Shoulder)

  • 정웅교;박정호;문준규;김호중;이순혁
    • 대한정형외과 초음파학회지
    • /
    • 제2권2호
    • /
    • pp.74-78
    • /
    • 2009
  • 목적: 견관절에 발생한 석회화 건염에 대해 초음파 감시하 다발성 천공술의 유용성을 알아보고자 하였다. 대상 및 방법: 어깨 통증으로 내원하여 견관절 석회화 건염을 진단받은 환자 중 초음파 감시하에 다발성 천공술을 시행받은 18예를 대상으로 하였고 추시 기간은 평균 17주 였다. 시술은 초음파 감시 하에 침착된 석회에 대한 흡인 혹은 다발성 천공을 시행하였고 인접 점액낭에 국소마취제와 스테로이드를 주입하였다. 임상적 평가는 시술 전과 최종 추시 시의 통증에 대한 시각점수척도(visual analogue scale), UCLA 점수(UCLA score)와 한국견관절 점수(KSS score)를 사용하여 평가하였고, 초음파상 평가는 석회 침착의 크기와 상태를 비교하였다. 결과: 시술 후 통증에 대한 시각척도점수와 UCLA 점수 및 한국견관절 점수는 모두 통계적으로 의미 있게 호전되었고(p<0.05), 침착 된 석회는 39%에서 거의 대부분 혹은 완전하게 소실되었으며, 61%에서는 크기가 감소하였다. 결론: 초음파를 이용한 다발성 천공술은 견관절의 석회화 건염에서 즉각적인 통증 조절과 임상 증상의 회복을 도모할 수 있으며 침착 된 석회를 효과적으로 감소시킬 수 있는 유용한 방법으로 판단된다.

  • PDF

과배란 처치시 우세난포 조절에 의한 한우 수정란 생산성 향상에 관한 연구 I. 우세난포 처리에 따른 난소반응 (Superovulation Response after Follicular Wave Synchronization with Follicular Aspiration by Ultrasonography in HanWoo I. Effect of Follicular Aspiration on Ovarian Response Following Superovulation)

  • 이병천;이동원;신수정;박종임;황우석
    • 한국수정란이식학회지
    • /
    • 제14권3호
    • /
    • pp.203-210
    • /
    • 1999
  • In this stuyd, the effect of the dominant follicle aspiration for the superovulatory response in HanWoo was investigated. The criterion for the presence or absence of a dominant follicle based on their morphological examination. The dominant follicle was aspirated 48hr before the onset of superovulation treatment by 6.5MHz convex probe connected with a carrier and superovulation induced by FSH (Super-Ov Tyrer, Texas, U.S.A) adminstered twic a day s.c. over 4 day in a decreasing regimen. From 13 HanWoo scanned daily to determine the presence and growth of the dominant follicle, its an average diameter of 15.4mm was measured and an average diameter of corpora lutea was 18.7mm on day of follicular aspiration. In the experiment, a follicular remove by ultrasound-guided aspiration, the ovarian response was significantly enhanced when animals were superovulated in the aspiation of a dominant follicle compare with animals superovulated non-aspiration of a dominat follicle. In the aspiration of a dominant follicle donors yieleded more corpora lutea(14.4$\pm$4.7 vs 8.6$\pm$3.4) and transferable embryos(8.9$\pm$4.2 vs 5.4$\pm$2.7) than control. In cows in which the dominant follicle had been aspirated under sonographical control 2 days before superovuation, the number of corpus lutea and transferable embryos were significantly enhanced compared with animals superovulated in the presence of a dominant follicle (14.4$\pm$4.7 vs 6.9$\pm$2.7, ; 8.9$\pm$4.2 vs 3.3$\pm$1.6). After 7 days of artificial insemination, the embryos at 7 days were cllected by uterine flushing after dominant follicle insemination, the embryos at 7 days were collected by uterine flushing after dominant follicle aspiration and superovulation treatment, and evaluated their quality by morphological criteria. Sixteen embryos with excellent and good grade were transferred into 8 recipient cows. Six pregnancies were identified at 60 and 120 days of gestation by rectal palpations. In conclusion, the present study showed that 1) the presence or absence of a dominant follicle signficicnatly affects superovulatory responses, and 2) ultrasound-guided follicular aspiration of the dominant follicle and superovuation treatment provides an accurate and procedure to increase ovarian responses in HanWoo.

  • PDF

Technical Report: A Cost-Effective, Easily Available Tofu Model for Training Residents in Ultrasound-Guided Fine Needle Thyroid Nodule Targeting Punctures

  • Yun-Fei Zhang;Hong Li;Xue-Mei Wang
    • Korean Journal of Radiology
    • /
    • 제20권1호
    • /
    • pp.166-170
    • /
    • 2019
  • Objective: To establish a cost-effective and easily available phantom for training residents in ultrasound-guided fine needle thyroid nodule targeting punctures. Materials and Methods: Tofu, drinking straws filled with coupling gel, a urine tube, and 21-gauge needles were used to generate a phantom thyroid with nodules for training. Twelve radiology residents were involved in the study. The puncture success rates were recorded and compared before and after phantom training using the Wilcoxon signed-rank test. Results: On ultrasonography, tofu mimicked the texture of the thyroid. Drinking straws filled with coupling gel mimicked vessels. The urine tube filled with air mimicked the trachea, and 21-gauge needles mimicked small nodules in the transverse section. The entire phantom was similar to the structure of the thyroid and surrounding tissues. The puncture success rates of radiology residents were significantly increased from 34.4 ± 14.2% to 66.7 ± 19.5% after training (p = 0.003). The phantom was constructed in approximately 10 minutes and materials cost less than CNY 10 (approximately $ 1.5) at a local store. Conclusion: The tofu model was cost-effective, easily attainable, and effective for training residents in ultrasound-guided fine needle thyroid nodule targeting punctures in vitro.

개에서 발생한 연부조직 섬유종 2례 (Soft Tissue Fibroma in Two Dogs)

  • 최호정;이정우;안지영;오이세;안세준;정성목;박성준;조성환;이영원
    • 한국임상수의학회지
    • /
    • 제25권5호
    • /
    • pp.424-428
    • /
    • 2008
  • A 10-year-old castrated male Schnauzer (case 1) and a 13-year-old intact male Schnauzer (case 2) was referred with mass of left hind limb. We performed hemogram, serum chemistry, radiography, ultrasonography, computed tomography, fine needle aspiration and histopathology. The complete blood counts and serum biochemistry results were within the reference range. Radiography showed cutaneous mass with soft tissue density. The lesions of two dogs were revealed a definite marginated hyperechoic mass with vascularization in ultrasonography. Computed tomography showed an isodense mass in the left hind limb region with minimal contrast enhancing in case 1 and heterogenous enhancement in case 2. Cytology from ultrasonographic guided aspiration of the mass was suspected fibrous tissue-derived benign cell in two dogs. A surgical excision was performed in two dogs. In histological examination of the resected mass, cutaneous fibroma was revealed. The two patients were successfully treated by surgery and postoperative care. This report decribes and compares radiographic, ultrasonographic, computed tomographic, cytologic and histopathologic features of the cutaneous fibroma of two schnauzer dogs.

Ultrasound Score to Select Subcentimeter-sized Thyroid Nodules Requiring Ultrasound-guided Fine Needle Aspiration Biopsy in Eastern China

  • Cheng, Pu;Chen, En-Dong;Zheng, Hua-Min;He, Qiu-Xiang;Li, Quan
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제14권8호
    • /
    • pp.4689-4692
    • /
    • 2013
  • Ultrasound-guided fine needle aspiration biopsy (FNAB) is a costly diagnostic item with a low yield in identifying the tiny proportion of nodules that actually represent malignant disease. Our aim through this study was to obtain an ultrasound (US) score for selecting subcentimeter-sized thyroid nodules requiring FNAB in eastern China. Some 248 patients for a total of 270 thyroid nodules less than 1 cm in diameter underwent FNAB and subsequent surgery from January 2006 to March 2012 at our hospital. The clinicopathological and US data from all the nodules were analyzed retrospectively. An US score was developed on the basis of independent predictive factors for malignancy. Irregular shape, hypoechogenicity, no well-defined margin, presence of calcifications and ratio between antero-posterior and transversal diameters (AP/TR) ${\geq}1$ were independent predictive factors for malignancy on logistic regression analysis. US score were statistically significant, with ${\leq}2$ favoring benignancy with an 80.3% sensitivity and a 72.7% specificity. US score is useful for differentiating between malignant and benign subcentimeter-sized thyroid nodules. We suggest FNAB for nodules when the US score is higher than 2.

초음파유도 난포란 채취를 위한 기본 기술의 개발 II. 소의 마취방법과 채란기구의 개발 (Development of Basic Techniques for Ultrasound-guided Follicular Aspiration II. Anesthesic Methods and Development of a Disposable Simplified Needle Guidance System for Ovum Pick-up)

  • 최민철;조성근;강태영;박준규;손우진;이효종
    • 한국수정란이식학회지
    • /
    • 제12권2호
    • /
    • pp.211-218
    • /
    • 1997
  • This experiment was carried out to develop the anesthetic methods for ultrasonography and a new simplified disposable needle guidance device for ovum pick-up(OPU) in cows. Three different anesthetic methods were applied as. 1) epidural analgesia only with 2% lidocaine(20~30 ml), 2) epidural analgesia with 2% under general sedation with xylazine, 3) epidural analgesia with 2% lidocaine under general sedation with detomidine. We evaluated the anesthetic effects with items such as relaxation of anal sphincter, tail movement and rectal wall, retractability of both ovaries, additional anesthesia and possibility of OPU. Through this experiment, the above three anesthetic methods were applicable to OPU, but the epidural anlagesia under general sedation with detomldine was most effective for OPU. We developed a new disposable needle guidance device with stainless steel tube. With this, disposable needles can be easily attatchable to any other intravaginal probes. And also, it was found to he practical, economic and effective for OPU with the recovery rate of 51.2%.

  • PDF

초음파유도 난포란 채취를 위한 기본 기술의 개발 I. 초음파상에 나타난 한우 난소, 난포 및 황체의 크기 측정 (Development of Basic Techniques for Ultrasound-guided Follicular Aspiration I. Measurement of Size of Ovaries, Follicles and Corpora Lutea of Korean Native Cows by Ultrasonography)

  • 최민철;강태영;조성근;최상용;손우진;이효종
    • 한국수정란이식학회지
    • /
    • 제12권2호
    • /
    • pp.203-209
    • /
    • 1997
  • This study was carried out to compare the actual size(length and height) of ovaries, follicles and corpora lutea of Korean native cow with those on sonograms. We used 3 different probes(3.5 MHz abdominal probe, 6.5 MHz transvaginal probe and 5.0 MHz transrectal probe) and a calipher for measurements of ovaries, follicles and corpora lutea on sonograms and actual size. Under water immersion, 157 ovaries were scanned with 3 probes and measured in actual size and compared each other. The average height and width of ovaries of Korean native cows were 17.40$\pm$3.99 and 34.23$\pm$6.02mm, respectively. In comparison of height, length of ovaries and preovulation follicles, we found that image with a transvaginal probe was nearly the same as the actual size(p<0.01), but with an abdominal probe the image was appeared larger than the actual size. In measurement(diameter) of preovulation follicles the transvaginal probe was proven to be more accurate to the actual size than other probes and in corpus luteum measurement all probes were accurate. In the comparison of number of follicles by different size ranges, there was no statistical difference in the count of follicles over 10 mm in diameter between the transvaginal probe and naked eyes.

  • PDF