• Title/Summary/Keyword: Medical Ultrasonography

Search Result 670, Processing Time 0.022 seconds

Anatomical study of the bone morphology of the anterior talofibular ligament attachment

  • Hitomi Fujishiro;Akimoto Nimura;Mizuki Azumaya;Soichi Hattori;Osamu Hoshi;Keiichi Akita
    • Anatomy and Cell Biology
    • /
    • v.56 no.3
    • /
    • pp.334-341
    • /
    • 2023
  • Anterior talofibular ligament (ATFL) injuries are the most common cause of ankle sprains. To ensure anatomically accurate surgery and ultrasound imaging of the ATFL, anatomical knowledge of the bony landmarks around the ATFL attachment to the distal fibula is required. The purpose of the present study was to anatomically investigate the ATFL attachment to the fibula with respect to bone morphology and attachment structures. First, we analyzed 36 feet using micro-computed tomography. After excluding 9 feet for deformities, the remaining 27 feet were used for chemically debrided bone analysis and macroscopic and histological observations. Ten feet of living specimens were observed using ultrasonography. We found that a bony ridge was present at the boundary between the attachments of the ATFL and calcaneofibular ligament (CFL) to the fibula. These two attachments could be distinguished based on a difference in fiber orientation. Histologically, the ATFL was attached to the anterodistal part of the fibula via fibrocartilage anterior to the bony ridge indicating the border with the CFL attachment. Using ultrasonography in living specimens, the bony ridge and hyperechoic fibrillar pattern of the ATFL could be visualized. We established that the bony ridge corresponded to the posterior margin of the ATFL attachment itself. The ridge was obvious, and the superior fibers of the ATFL have directly attached anteriorly to it. This bony ridge could become a valuable and easy-to-use landmark for ultrasound imaging of the ATFL attachment if combined with the identification of the fibrillar pattern of the ATFL.

Second-trimester fetal genetic ultrasonography to detect chromosomal abnormalities

  • Hong, Seong-Yeon
    • Journal of Genetic Medicine
    • /
    • v.11 no.2
    • /
    • pp.49-55
    • /
    • 2014
  • Genetic ultrasonography refers to the evaluation of risk of chromosomal abnormalities via various soft sonographic markers. Although the maternal serum test is the primary screening method for chromosomal abnormalities, genetic ultrasonography is also widely used and can help increase detection rates. To date, many soft markers, including choroid plexus cysts, echogenic intracardiac foci, mild ventriculomegaly, nuchal fold thickening, echogenic bowel, mild pyelectasis, short femur and humerus length, and absent or hypoplastic nasal bone, have been reported. An aberrant right subclavian artery was the most novel soft marker introduced. Because these soft markers involve diverse relative risks of chromosomal abnormalities, it is difficult to apply them to clinical practice. To optimize the efficacy of genetic ultrasonography, it is important to understand the precise relative risks of chromosomal abnormalities innumerous soft markers and integrate these risks with each other and the results of maternal serum screening.

Ultrasonography for Diagnosing Sports-Related Shoulder Pain (스포츠 관련 견관절 통증에서 초음파 영상 검사)

  • Song, Hyun Seok
    • Journal of the Korean Orthopaedic Association
    • /
    • v.54 no.5
    • /
    • pp.384-392
    • /
    • 2019
  • Ultrasonography is used for making the diagnosis and treatment decisions for those patients who complain of shoulder pain related with sports activity. Ultrasonography is especially helpful for diagnosing issues with the rotator cuff, the long head of biceps tendon and the acromio-clavicular joint. The medical decisions about shoulder pain can be promptly made when portable ultrasonography is used in the field of sports.

Ultrasonography for Facial Nerve Palsy: A Systematic Review and Meta-Analysis Protocol

  • Seojung Ha;Bo-In Kwon;Joo-Hee Kim
    • Journal of Acupuncture Research
    • /
    • v.41 no.1
    • /
    • pp.63-68
    • /
    • 2024
  • Background: Facial nerve palsy presents a significant healthcare challenge, impacting daily life and social interactions. This systematic review investigates the potential utility of ultrasonography as a diagnostic tool for facial nerve palsy. Methods: Electronic searches will be conducted across various databases, including MEDLINE, EMBASE, CENTRAL (Cochrane Central register of Controlled Trials), CNKI (China National Knowledge Infrastructure), KMBASE (Korean Medical Database), ScienceON, and OASIS (Oriental Medicine Advanced Searching Integrated System), up to February 2024. The primary outcome will focus on ultrasonography-related parameters, such as facial nerve diameter and muscle thickness. Secondary outcomes will encompass clinical measurements, including facial nerve grading scales and electrodiagnostic studies. the risk of bias in individual study will be assessed using the Cochrane Risk of Bias assessment tool, while the grading of recommendations, assessment, development, and evaluations methodology will be utilized to evaluate the overall quality of evidence. Conclusion: This study aims to review existing evidence and evaluate the diagnostic and prognostic value of ultrasonography for peripheral facial nerve palsy.

The Value of High Resolution Ultrasonography in Diagnosis of Thyroid Nodule (갑상선 결절의 진단에 있어서 고해상능 초음파검사의 가치)

  • Shim Hyung-Jin;Choung Hue-Moon;Yoon Jung-Han;JeGal Young-Jong;Park Jin-Gyoon
    • Korean Journal of Head & Neck Oncology
    • /
    • v.6 no.2
    • /
    • pp.114-118
    • /
    • 1990
  • A clinical study of 37 cases with thyroid nodules, which were treated by surgical excision and confirmed pathologically at the Department of Surgery, Chonnam National University Medical School, from Dec. 1988 to Feb. 1990, was conducted and following results were obtained in ultrasonographic evaluation of thyroid nodules. 1) The thyroid adenoma were showed well-defined margin, homogenous internal echo and surrounding Halo, but thyroid cancer were showed ill-defined margin, inhomogenous internal echo and no surrounding Halo. 2) The sensitivity of high resoution ultrasonography compared with pathologic diagnosis to thyroid cancer was 87.5%, specificity 94.1%, accuracy 88%, false positive 5.88%, and negative 12.5%.

  • PDF

Torsion of Ovarian Cyst in the Fetal Period - a Case Report - (신생아에서의 난소낭종염전 -1 예 보고-)

  • Yang, Sung-Hoon;Jeong, Yeon-Jun;Kim, Jin-Hyung;Jung, Sung-Hoo;Yu, Hee-Chul;Kim, Jae-Chun
    • Advances in pediatric surgery
    • /
    • v.10 no.1
    • /
    • pp.56-59
    • /
    • 2004
  • Ovarian cyst is found in 32% of necropsies in neonates, and can be visualized during gestation by ultrasonography. The clinical evolution of these Cysts is variable, but in most cases the prognosis is favorable. Ovarian torsion, bleeding, rupture, and peritonitis have been described as complications. We report a newborn girl with torsion of ovarian cyst. A cystic mass measuring $41.9{\times}31.9mm$ on left side of abdomen was identified at 32 weeks of gestation by fetal ultrasonography. Surgery was performed after birth.

  • PDF

Incidence of Deep Vein Thrombosis before Hip Fracture Surgery Diagnosed by Color Doppler Sonography Surveillance (고관절 주위 골절환자에서 술 전 색 도플러 초음파를 이용하여 진단한 심부 정맥 혈전의 빈도)

  • Jung, Jae-Hoon;Lee, Kyung-Jae;Min, Byung-Woo;Son, Eun-Seok;Koo, Tae-Won
    • The Journal of Korean Orthopaedic Ultrasound Society
    • /
    • v.7 no.2
    • /
    • pp.98-104
    • /
    • 2014
  • Purpose: To evaluate the incidence of deep vein thrombosis (DVT) before hip fracture by duplex color Doppler ultrasonography. Materials and Methods: From June 2013 to May 2014, 27 patients who had agreed to perform color Doppler ultrasonography before hip fracture surgery were evaluated for the incidence of DVT. Patients who had history of DVT were excluded. Five patients were men and 19 patients were women. The mean age was 74.3 years old (41-87). There were 15 cases of femoral neck fracture, 11 cases of intertrochanteric fractures and one case of acetabular fracture. Surgical intervention underwent within 48 hours from admission and duplex color Doppler ultrasonography was carried out at the day of admission. Results: DVT occurred in six cases (22.2%). Four cases (14.8%) occurred in proximal deep vein and two cases (7.4%) occurred in distal deep vein. The mean period of immobilization was longer in patients who had DVT. But there was no significant difference. The mean age was 79 years old (75-87) in patients who had DVT and 72 years old (65-86) in patients who had not. There was significant difference (p=0.038). Conclusion: The incidence of DVT which was diagnosed by duplex color Doppler ultrasonography before hip fracture surgery was relatively high (22.2%). So it is necessary to undergo duplex color Doppler ultrasonography more aggressively to rule out DVT before hip fracture surgery.

  • PDF

Medical Imaging of Hepatolithiasis in a Dogs (개에서 간관내 담석의 영상의학적 진단례)

  • Wang, Ji-Hwan;Park, Ki-Tae;Lee, Kyung-Woo;Yeon, Seong-Chan;Lee, Hyo-Jong;Lee, Hee-Chun
    • Journal of Veterinary Clinics
    • /
    • v.26 no.1
    • /
    • pp.91-94
    • /
    • 2009
  • A 6-year-old, intact female mixed dog was referred to Veterinary Medical Teaching Hospital of Gyeongsang National University due to vomiting, anorexia, depression of 1 month's duration. On abdominal radiography, numerous irregularly marginated mineralized branching structures were present within the liver. On ultrasonography, irregular hyperechoic spots with an strong acoustic shadow was identified, but evidence of ductal dilatation was absent. Based on radiography and ultrasonography, intrahepatic gallstones were diagnosed incidentally.

Role of contrast-enhanced harmonic endoscopic ultrasonography (EUS) and EUS elastography in pancreatic lesions

  • Yasunobu Yamashita;Masayuki Kitano
    • Clinical Endoscopy
    • /
    • v.57 no.2
    • /
    • pp.164-174
    • /
    • 2024
  • Pancreatic cancers have a poor prognosis, and their incident rates have risen. Endoscopic ultrasonography (EUS) is an efficient and reliable diagnostic modality for pancreatic lesions, providing high spatial resolution. However, while EUS helps to detect minor pancreatic lesions, nearly all solid pancreatic lesions are hypoechoic, which creates difficulty in making differential diagnoses of pancreatic lesions. When diagnosing pancreatic lesions, the performance of image-enhanced EUS techniques is essential, such as EUS elastography or contrast-enhanced harmonic EUS (CH-EUS). CH-EUS diagnosis is based on assessing the vascularity of lesions, whereas tissue elasticity is measured via EUS elastography. Elastography is either strain or shear-wave, depending on the different mechanical properties being evaluated. The usefulness of enhanced EUS techniques is demonstrated in this review for the differential diagnosis of pancreatic lesions, including solid and cystic lesions, and pancreatic cancer staging.