• Title/Summary/Keyword: Ultrasound Diagnosis

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Diagnostic Value of Ultrasound-Guided Fine Needle Aspiration Biopsy in Malignant Thyroid Nodules: Utility for Micronodules

  • Unal, Betul;Sezer, Cem
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.20
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    • pp.8613-8616
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    • 2014
  • Background: The diagnostic approach to thyroid nodules involves ultrasound-guided fine needle aspiration biopsy (US-FNAB). We especially aimed to evaluate the contribution and the place of US-FNAB in preoperative evaluation of the malignant cases and draw attention to discordant cases diagnosed with papillary thyroid microcarcinoma (PTMC). Materials and Methods: A total of 276 cases were retrospectively reviewed who were subsequently diagnosed with a malignancy and who underwent US-FNAB. Results: Some 45 were found to have previously undergone the US-FNAB procedure. Of the patients in whom the surgical specimen was diagnosed with a malignancy, 21 (46.7%) were diagnosed as malignant or suspicious for malignancy, and 24 (53.3%) were concluded as benign or insufficient for diagnosis. Patients with the diagnosis of PTMC outnumbering the others was a striking finding (11 cases, 24%). Conclusions: We suggest performing repeat aspiration biopsy considering sampling errors in cases where inconsistency exists between clinical findings and cytological results in thyroid nodules smaller than 10 mm in diameter and with suspicious findings on ultrasonography.

A Case of Pseudoaneurysm of the Common Carotid Artery secondary to Deep Neck Infection (심경부 감염과 동반된 총경동맥 가성동맥류 1례)

  • 정필섭;조정석;정필상
    • Korean Journal of Bronchoesophagology
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    • v.3 no.1
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    • pp.159-163
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    • 1997
  • The complications of deep neck infection have become much less common in the antibiotic era. The vascular complications of deep neck infection can have devasting consequences. Most commonly, the internal carotid artery is involved, although the common carotid and external carotid artery can also be affected.0 the cases of patients with a protracted course, recurrent bleeding, cranial neuropathies, or trismus, the presence of vascular complications must be considered. Appropriate imaging should be carried out to allow the localization of the infection and ascertain the status of the vessels in the neck The vascular structures can be imaged with duplex doppler or color doppler flow ultrasound to see the flow between the mass and vessels. Also angiography plays a key role in the diagnosis and management of vascular complication of deep neck infection. Prompt diagnosis and treatment of these patients is necessary to prevent significant hemmorrhagic complications. We experienced a case of pseudoaneurysm of the common carotid artery secondary to deep neck infection treated successfully with surgical excision in 45-year-old-male.

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Tentative diagnosis and monitoring using ultrasound in a cat with pansteatitis: a case report

  • Kang, Hyesun;Noh, Daji;Lee, Sang-Kwon;Lee, Kija
    • Korean Journal of Veterinary Research
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    • v.62 no.1
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    • pp.7.1-7.4
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    • 2022
  • A 7-year-old Scottish Straight cat presented with hypersalivation and generalized hyperesthesia. The cat was provided tuna-based food for 2 to 3 weeks before clinical symptoms appeared. Abdominal ultrasonography showed a heterogeneous, hyperechoic mesentery with hypoechoic foci. Pansteatitis was tentatively diagnosed and the cat was treated with vitamin E, anti-inflammatory drugs, and dietary changes. The clinical signs and changes in mesenteric fat on serial ultrasonography resolved. After feeding tuna-based food again, the same clinical signs and mesenteric changes on ultrasound recurred, which recovered through the same treatment. This study suggests that ultrasonography can be useful for diagnosis and monitoring of feline pansteatitis.

A Study On Temperature Changes In Thigh According To Diagnostic Ultrasonography Scan Time (진단용 초음파 검사시간에 따른 허벅지의 온도 변화에 관한 고찰)

  • Kim, Ji-Won;Lim, Hyun-Soo
    • Journal of the Korean Society of Radiology
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    • v.6 no.3
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    • pp.201-206
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    • 2012
  • Effect of prenatal ultrasound diagnosis have serious damage for the possibility has been reported very low. Long time ultrasound scan can rise the temperature in body tissues and affect the physical. Changes in body temperature have been studied with ultrasound scan time. Fetal ultrasonography were evaluated without the influence of time. The findings, ultrasound scan time in 40 minutes the temperature was reduced. 50 minute tissue temperature rose more than $1^{\circ}C$. If within 40 minutes of ultrasound to be safe guess

Image-based Approach for Surgical Resection of Gastric Submucosal Tumors

  • Kim, Yoo-Min;Lim, Joon-Seok;Kim, Jie-Hyun;Hyung, Woo-Jin;Noh, Sung-Hoon
    • Journal of Gastric Cancer
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    • v.10 no.4
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    • pp.188-195
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    • 2010
  • Purpose: This study was done to evaluate the usefulness of preoperative computed tomography (CT) and intraoperative laparoscopic ultrasound to facilitate treatment of gastric submucosal tumors. Materials and Methods: The feasibility of laparoscopic wedge resection as determined by CT findings of tumor size, location, and growth pattern was correlated with surgical findings in 89 consecutive operations. The role of laparoscopic ultrasound for tumor localization was analyzed. Results: Twenty-three patients were considered unsuitable for laparoscopic wedge resection because of large tumor size (N=13) or involvement of the gastroesophageal junction (N=9) or pyloric channel (N=1). Laparoscopic wedge resection was not attempted in 11 of these patients because of large tumor size. Laparoscopic wedge resection was successfully performed in 65 of 66 (98.5%) patients considered suitable for this procedure. Incorrect interpretation of preoperative CT resulted in a change of surgery type in seven patients (7.9%): incorrect CT diagnosis on gastroesophageal junction involvement (N=6) and on growth pattern (N=1). In 18 patients without an exophytic growth pattern, laparoscopic ultrasound was necessary and successfully localized all lesions. Conclusions: Preoperative CT and laparoscopic ultrasound are useful for surgical planning and tumor localization in laparoscopic wedge resection.

Clinical Situations in which Musculoskeletal Ultrasound is Helpful (근골격계 초음파검사가 도움이 되는 진료 상황)

  • Cho, Kil-Ho
    • Journal of Yeungnam Medical Science
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    • v.18 no.2
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    • pp.170-186
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    • 2001
  • Musculoskeletal ultrasound (MSUS) has newly evolved by the mechanical improvement of the machine over past several years, becoming a part of imaging techniques for the evaluation of variable diseases in the musculoskeletal system. MSUS has proven diagnostic superiority in pathologies including rotator cuff disease of the shoulder, lateral epicondylitis of the elbow, diseases of the peripheral nerve, detection of intra-articular loose bodies and soft tissue foreign bodies, and in evaluating small superficial soft tissue tumors such as ganglion, epidermoid cyst, and glomus tumor. Besides, MSUS is very useful for obtaining tissue or fluid via percutaneous fine needle aspiration and/or biopsy for the histopathologic diagnosis. Combining MSUS with MR would play a great role in the field of the diagnostic imaging of the musculoskeletal system. The MSUS examiner should have the knowledge of cross-sectional anatomy, and of the mechanical and physical properties of ultrasound in order to interpret the ultrasound findings accurately and properly, and to avoid diagnostic errors due to variable artifacts subsequently. The goal of this article is to introduce the capabilities of MSUS in certain kinds of clinical situation and to familiarize the reader with MSUS. For the purpose, author intends to describe this article according not to the disease-, or organ-based, but to the clinical problem-based format.

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Gage R&R Study on Abdominal Sonography for Measuring Distance from Sangwan (CV13) to Pancreas - A Pilot Study - (복부초음파를 이용한 상완혈(上脘穴)-췌장 수직거리 측정시스템의 재현성 반복성 평가실험-A Pilot Study-)

  • Nam, Dong-Hyun
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.14 no.2
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    • pp.75-84
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    • 2010
  • Objectives: The objective of the current study is to determine whether an ultrasound device system is adequate for measuring distance from Sangwan (CV13) to pancreas. Methods: We recruited 3 healthy young male subjects and 2 sonographers. The each sonographer measured vertical shortest distance from CV13 to pancreas with a ultrasound device three times in random order. Because the total variation could be divided into repeatability, reproducibility and subject-to-subject variation in Gage R&R method, we compared the sources of variation associated with the measurement system with an analysis of variance model. Results & Conclusions: Number of distinct categories is calculated on the basis of standard deviation of subject-to-subject divided by standard deviation of total Gage R&R. If the number of categories is five or more, the measurement system may be acceptable for the analysis of the process. The number of distinct categories of the ultrasound device system for measuring distance from CV13 to pancreas was 6.29. So we concluded that repeatability and reproducibility of the ultrasound device system for measuring distance from CV13 to pancreas was acceptable.

Signal Processing in Medical Ultrasound B-mode Imaging (의료용 초음파 B-모드 영상을 위한 신호처리)

  • Song, Tai-Kyong
    • Journal of the Korean Society for Nondestructive Testing
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    • v.20 no.6
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    • pp.521-537
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    • 2000
  • Ultrasonic imaging is the most widely used modality among modern imaging device for medical diagnosis and the system performance has been improved dramatically since early 90's due to the rapid advances in DSP performance and VLSI technology that made it possible to employ more sophisticated algorithms. This paper describes "main stream" digital signal processing functions along with the associated implementation considerations in modern medical ultrasound imaging systems. Topics covered include signal processing methods for resolution improvement, ultrasound imaging system architectures, roles and necessity of the applications of DSP and VLSI technology in the development of the medical ultrasound imaging systems, and array signal processing techniques for ultrasound focusing.

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Retrospective Analysis of Cytopathology using Gray Level Co-occurrence Matrix Algorithm for Thyroid Malignant Nodules in the Ultrasound Imaging (갑상샘 악성결절의 초음파영상에서 GLCM 알고리즘을 이용한 세포병리 진단의 후향적 분석)

  • Kim, Yeong-Ju;Lee, Jin-Soo;Kang, Se-Sik;Kim, Changsoo
    • Journal of radiological science and technology
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    • v.40 no.2
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    • pp.237-243
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    • 2017
  • This study evaluated the applicability of computer-aided diagnosis by retrospective analysis of GLCM algorithm based on cytopathological diagnosis of normal and malignant nodules in thyroid ultrasound images. In the experiment, the recognition rate and ROC curve of thyroid malignant nodule were analyzed using 6 parameters of GLCM algorithm. Experimental results showed 97% energy, 93% contrast, 92% correlation, 92% homogeneity, 100% entropy and 100% variance. Statistical analysis showed that the area under the curve of each parameter was more than 0.947 (p = 0.001) in the ROC curve, which was significant in the recognition of thyroid malignant nodules. In the GLCM, the cut-off value of each parameter can be used to predict the disease through analysis of quantitative computer-aided diagnosis.