• Title/Summary/Keyword: Echogenicity

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Changes in Sonographic Findings after Treatment of Patients with Clonorchiasis in a Heavy Endemic Area

  • Choi, Dong-Il;Jeon, Yong-Hwan;Lee, Geun-Chan;Choi, Min-Ho;Hong, Sung-Tae
    • Parasites, Hosts and Diseases
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    • v.47 no.1
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    • pp.19-23
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    • 2009
  • We measured changes in sonographic findings of patients with clonorchiasis after a treatment in a highly endemic area. A total of 347 residents showed positive stool results for Clonorchis sinensis eggs in a village in northeastern China, and were treated with praziquantel. Of them, 132 patients underwent abdominal sonography both before and 1 year after treatment, and the changes in sonographic findings of 83 cured subjects were compared. Diffuse dilatation of intrahepatic bile ducts (DDIHD) was found in 82 patients (98.2%) before and 80 (96.4%) after treatment, which was improved in 3, aggravated in 1, and unchanged in 79 patients. Increased periductal echogenicity (IPDE) as observed in 42 patients (50.6%) before and 45 (54.2%) after treatment, which was improved in 5, aggravated in 8, and unchanged in 70 patients. Floating echogenic foci in the gallbladder (FEFGB) was detected in 32 patients (38.6%) before and 17 (20.5%) after treatment, which was improved in 20, aggravated in 5, and unchanged in 58 patients. Improvement of FEFGB only was statistically significantly (P = 0.004). The present results confirm that DDIHD and IPDE persist but FEFGB decreases significantly at 1 year after treatment. In a heavy endemic area, the sonographic finding of FEFGB may suggest active clonorchiasis 1 year after treatment.

Sonographic Findings of Second Branchial Cleft Cysts; Variable Appearances and Helpful Diagnostic Findings (제2새열 낭종의 초음파 소견;다양한 소견들과 진단에 도움이 될 만한 소견들)

  • Kim, Heung-Cheol;Lee, Jun-Ho;NamKung, Sook;Hong, Myung-Sun;Hwang, Im-Kyung
    • Korean Journal of Head & Neck Oncology
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    • v.24 no.1
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    • pp.53-56
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    • 2008
  • Objectives:The purpose of this study was to evaluate the variable sonographic features in addition to classic findings and to find the helpful characteristic findings for diagnosis of branchial cleft cysts. Subjects and Methods:We retrospectively analyzed the sonographic finding of 16 histopathologically proven branchial cleft cysts. Assessment involved the following variables : location related to carotid artery, size, cyst wall, border, margin, shape, internal echotexture, post echoic enhancement, orientation of longitudinal axis relative to the long axis of the neck, and tapering edge. Results:Most branchial cleft cysts were seen as well defined(15/16), oval shape(13/16), smooth inner (12/16) and outer margin(13/16), and post echoic enhancement(16/16). Their diameter varied from 1 to 6cm (mean 3.3cm). The branchial cleft cysts showed variable internal echopatterns;hyperechogenicity or pseudosolid appearance(1/16), heterogeneous echogenicity(4/16) in addition to classic form of anechoic(5/16) or hypoechoic internal echogenicity(6/16). Longitudinal axis of most branchial cleft cysts were arranged in the direction of the long axis of the neck(13/16) and some branchial cleft cysts had tapering edge(6/16). Conclusion:If both atypical sonographic findings and location are showed, longitudinal arrangement of long axis and tapering edge of branchial cleft cysts are helpful findings for differential diagnosis.

Can distinction between the renal cortex and outer medulla on ultrasonography predict estimated glomerular filtration rate in canine chronic kidney diseases?

  • Lee, Siheon;Hong, Sungkyun;Kim, Seungji;Oh, Dayoung;Choen, Sangkyung;Choi, Mincheol;Yoon, Junghee
    • Journal of Veterinary Science
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    • v.21 no.4
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    • pp.58.1-58.11
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    • 2020
  • Background: Quantitative evaluation of renal cortical echogenicity (RCE) has been tried and developed in human and veterinary medicine. Objectives: The objective of this study was to propose a method for evaluating RCE quantitatively and intuitively, and to determine associations between ultrasonographic renal structural distinction and estimated glomerular filtration rate (eGFR) in canine chronic kidney disease (CKD). Methods: Data were collected on 63 dogs, including 27 with normal kidney function and 36 CKD patients. Symmetric dimethylarginine and creatinine concentrations were measured for calculating eGFR. RCE was evaluated as 3 grades on ultrasonography images according to the distinction between the renal cortex and outer medulla. The RCE grade of each kidney was measured. Results: There was a significant difference in eGFR between the group normal and CKD (p < 0.001). As mean of RCE grades (the mean values of each right and left kidney's RCE grade) increases, the proportion of group CKD among the patients in each grade increases (p < 0.001). Also, severity of RCE (classified as "high" if any right or left kidney evaluated as RCE grade 3, "low" otherwise) and eGFR is good indicator for predicting group CKD (p < 0.001). Conclusions: The degree of distinction between the renal cortex and the outer medulla is closely related to renal function including eGFR and the RCE grade defined in this study can be used as a method of objectively evaluating RCE.

Serial ultrasonographic appearance of postpartum uterine involution in Korea Jin-do dogs (진도개에서 분만후 자궁수복의 연속적 초음파상)

  • Son, Chang-ho;Kang, Byong-kyu;Choi, Han-sun;Kim, Ki-won;Kang, Hyun-gu;Shin, Chang-rok;Park, In-chul
    • Korean Journal of Veterinary Research
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    • v.39 no.3
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    • pp.653-664
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    • 1999
  • This study was undertaken to determine the normal appearance of the postpartum uterine involution. Postpartum changes in uterine shape, architecture, echogenicity and diameter were monitored with ultrasonography in 11 Korea Jin-do dogs. Serial ultrasonographic examination was done daily during the first week, 3 days interval from 8 to 30 days, and weekly from 31 to 100 days postpartum, respectively. Of 11 postpartum bitches, 10 bitches (90.9%) had normal involution and 1 bitch (9.1%) had subinvolution of the placental sites (SIPS) by gross findings, vaginal discharges, and by ultrasographic findings, uterine shape and echogenicity. The excretory period of vaginal discharges in 10 normal bitches of uterine involution was finished completely at $20.2{\pm}4.6$ days (Mean${\pm}$SD) postpartum, but in 1 SIPS at 50 days postpartum. The short axis shape of the uterus was initially often flaccid-appearing. It varied from circular to crescent shaped to polygonal. This lasted until $16.5{\pm}3.7$ days postpartum, during which time the short axis uterine shape gradually changed to circular. Also, the long axis shape of the uterus was created a beaded appearance of the horns until $29.9{\pm}3.2$ days postpartum. After 30 days, it was appeared as tubular shape without distinguished between placental and interplacental sites. The ultrasonographic image of the postpartum uterus consisted of four echogenicity distinct layers. Uterine wall was represented the very hyperechoic serosa, hypoechoic myometrium, hyper echoic endometrium and anechoic structures of fluid in the uterine cavity until 7 days postpartum. The individual uterine layers were most prominent during the first week postpartum, and they became progressively less distinct throughout the course of uterine involution. Anechoic structures of fluid in the uterine cavity was detected until $25.0{\pm}6.4$ days postpartum, after which time it was not reliably detected. The uterine diameter was decreased not only in the placental sites frorm $24.1{\pm}2.5mm$ at 1 day to $15.4{\pm}1.4mm$ at 7 days postpartum, but also in the interplacental sites $14.9{\pm}1.5mm$ at 1 day, $10.6{\pm}0.8mm$ at 7 days postpartum. There was a general trend of decreasing uterine diameter, which occurred more rapidly at the placental sites. At 31 days pastpartum, these diameter reached almost same size, after that time, they could be not distinguished between placental and interplacental sites. At 87 days postpartum, the uterine diameter was $5.6{\pm}0.6mm$ both placental and interplacental sites, and the uterine horns were uniform hypoechoic, tubular structures without enlargement. Therefore, complete involution of the uterus occurred at that time. It was concluded that normal postpartum uterine involution in Korea Jin-do bitches appeared to be completed around 87 days postpartum by gross findings such as vaginal discharges, and by ultrasonographic findings, uterine shape and echogenicity. Also ultrasonographic characteristics of the postpartum uterine involution were described. Therefore, these result suggest that ultrasonographic assessment is a reliable method for diagnosing the SIPS and uterine dysfunction, such as pyometra in bitch.

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A Case Report of Malignant Mixed Mammary Tumor in Left Caudal Thoracic Mammary Gland of a Dog (개의 좌측후흉측 유선에 발생한 악성혼합유선종양의 발생례)

  • 정순욱;박수현;박남용
    • Journal of Veterinary Clinics
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    • v.16 no.1
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    • pp.199-202
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    • 1999
  • In a 10-year old mixed dog, a $10{\times}10{\times}4$ cm mass was palpated around the left caudal thoracic mammary gland with abdomen expension. In hormonal assay, serum concentrate of progesterone was 0 pg/ml and serum concentrate of estradiol was 66.7 pg/ml. Radiological finding of the mammary gland showed higher density than that of soft tissue and ultrasonographic finding showed inhomogeneous in echogenicity. Light microscopic view of mammary gland showed neoplastic hyperplasia of epithelial and myoepithelial cells and showed some metaplastic lesion of these cells to cartilage or bone tissues with metastasis to the lung. This case was diagnosed as malignant mixed mammary tumor.

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Molecular Imaging of Stretch-Induced Tissue Factor Expression in Carotid Arteries with Intravascular Ultrasound

  • Park Byung-Rae
    • Biomedical Science Letters
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    • v.11 no.1
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    • pp.23-29
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    • 2005
  • Molecular imaging with targeted contrast agents enables tissues to be distinguished by detecting specific cell-surface receptors. In the present study, a ligand-targeted acoustic nanoparticle system is used to identify angioplasty-induced expression of tissue factor by smooth muscle cell within carotid arteries. Pig carotid arteries were overstretched with balloon catheters, treated with tissue factor-targeted or a control nanoparticle system, and imaged with intravascular ultrasound before and after treatment. Tissue factor-targeted emulsion bound and increased the echogenicity and gray-scale levels of overstretched smooth muscle cell within the tunica media, versus no change in contralateral control arteries. Expression of stretch-induced tissue factor in carotid artery media was confirmed by immunohistochemistry. The potential for abnormal thrombogenicity of balloon-injured arteries, as reflected by smooth muscle expression of tissue factor, was imaged using a novel, targeted, nanoparticulate ultrasonic contrast agent.

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Ultrasonographic Evaluation of the Normal Porcine Postpartum Uterus (분만 모돈에서 자궁의 초음파상 평가)

  • 이재영;강성수;김일화;최석화
    • Journal of Veterinary Clinics
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    • v.17 no.2
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    • pp.416-419
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    • 2000
  • Ultrasonographic appearance of the normal involution process of the porcine postpartum uterus was examined. Six, sows were used to determine the normal Ultrasonographic appearance of the involution postpartum uterus. Ultrasonographic examinations were performed daily from days one through eight, then on days 15 and 21 postpartum. Ultrasonographic the mean local uterine wall thickness was 12.00 mm on day one postpartum. By day 15 the mean total uterine wall thickness was about 7.21 mm and on day 21 postpartum the uterus was about 6.12 mm. From one day to five days postpartum, intraluminal contents were isoechoic to the endometrium. From 15 days to 21 days, the luminal 7ont7llts were of mixed echogenicity compared to the endometrillm.

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Hypertrophic Osteodystrophy in a Dog (비대섬 골이형성증의 진단 영상)

  • 최지혜;조태현;김현욱;박성민;최민철;윤정희
    • Journal of Veterinary Clinics
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    • v.17 no.2
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    • pp.490-494
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    • 2000
  • 2달령의 수컷 로트와 일러가 4일간 설사와 통증.보행 실조 등의 증상을 보여 (주)해 마루 소동물 임상 의자 연구소에 의뢰되었다 흉부 방사선 검사에서 폐야 전반에 걸친 페포성 침윤과 흉벽의 심란 비후가 관찰되어 흉막폐렴으로 진단하였으며 복강 초음파 검사에서 상 복부에서 소량의 복수가 관찰되었고 전반적인 간 echogenicity가 증가되어 있었다. 치료 후 설사 증상은 사라지고 전신 상태가 다소 호전되어 내원 후 7일째에 흉부 방사선 검사를 재 실시하였다. 흉막과 폐의 병변은 변화가 없었으나 상완골과 요골의 골간단 부분에 이상 소견 이 발견되어 골격계 방사선 검사를 실시한 결과 상완골, 요골, 대퇴골 그리고 경골의 골간단에 경화성 변화와 무정형의 골막 반응이 관찰되었고 요골, 척골과 경골의 골간단 부분에 성 장판 외의 방사선 투과성 선이 관찰되었다. 이상의 특이적인 방사선 소견을 바탕으로 비록 본 질환의 정확한 원인은 밝힐 수 없었으나, 감염성 원인에 의한 비대성 골이형성증으로 진단하였다.

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Ultrasound Elasticity Imaging Methods (초음파 탄성 영상법)

  • Jeong, Mok-Kun;Kwon, Sung-Jae
    • The Journal of the Acoustical Society of Korea
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    • v.29 no.1E
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    • pp.1-10
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    • 2010
  • The difference in echogenicity between cancerous and normal tissues is not quite distinguishable in ultrasound B-mode imaging. However, tumor or cancer in breast or prostate tends to be stiffer than the surrounding normal tissue. Thus, imaging the stiffness contrast between the two different tissue types is helpful for quantitative diagnosis, and such a method of imaging the elasticity of human tissue is collectively referred to as ultrasound elasticity imaging. Recently, elasticity imaging has established itself as an effective diagnostic modality in addition to ultrasound B-mode imaging. The purpose of this paper is to present various elasticity imaging methods that have been reported up to now and to describe their principles of operation and characteristics.

Imaging diagnosis of clonorchiasis

  • Choi, Don-Gil;Hong, Sung-Tae
    • Parasites, Hosts and Diseases
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    • v.45 no.2 s.142
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    • pp.77-85
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    • 2007
  • Among several diagnostic tools for clonorchiasis (Clonorchis sinensis infection), radiologic examinations are commonly used in clinical practices. During the 2 past decades, many reports regarding imaging findings of clonorchiasis were introduced. The basic imaging finding of clonorchiasis is diffuse dilatation of the peripheral intra-hepatic bile ducts, without dilation of the large intrahepatic or extrahepatic bile ducts. By this finding, however, active clonorchiasis cannot be differentiated from cured infection. Some recent radiologic studies suggested specific findings of active clonorchiasis. Besides direct demonstration of worms, increased periductal echogenicity on sonography and periductal enhancement on dynamic contrast-enhanced CT or MR imaging possibly represent active clonorchiasis. Those images of the liver clonorchiasis are known to be correlated with worm burdens (EPG counts) in their frequency and also severity. The images of cholangiocarcinoma associated with clonorchiasis show both the tumor with obstruction images and diffuse dilatation of the peripheral intrahepatic bile ducts. Radiological images can be a good practical alternative diagnostic method of clonorchiasis.