• 제목/요약/키워드: Ultrasonographic

검색결과 540건 처리시간 0.029초

초기 편마비 보행 환자에서 양측 무릎의 초음파 검사 소견 (Ultrasonographic Findings of Both Knee in Hemiplegic Ambulators with Recent Stroke)

  • 박순아;양충용;김지희;이강근;신병철;이인
    • 동의생리병리학회지
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    • 제26권4호
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    • pp.539-545
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    • 2012
  • To evaluate of the ultrasonographic changes in hemiplegic and unaffected knee joints of hemiplegic ambulators with recent onset stroke. Twenty patients (40 knees) with prevalence duration of 14-39 weeks (mean 24.70 weeks) after a stroke insult were included. All participants were walking independently without leg dragging, had no previous knee injury. There were significant differences in intercondylar cartilage thickness and pes anserinous tendinopathy (PAT) between hemiplegic and unaffected knees (p<0.05). There were no differences in cartilage thickness of medial condyle and lateral condyle, patellar tendinitis/bursitis, suprapatellar effusion, synovitis, joint space narrowing, and Baker's cyst of ultrasonographic findings and x-ray findings in hemiplegic knee compared to the control except PAT (p<0.05). In hemiplegic knee, medial or lateral condylar cartilage thickness was significantly correlated with body weight, intercondylar cartilage thickness, and PAT (p<0.05). PAT was significantly correlated with Brunnnstrom stage and condylar cartilage thickness (p<0.05). Knee pain was significantly correlated with lateral condylar cartilage thickness (p<0.1). The hemiplegic knee had more ultrasonographic abnormalities including PAT and more cartilage thickness preservation in patient with recent onset stroke. Intraarticular sonographic findings including cartilage thickness was significantly correlated with extraarticular findings including PAT and a symptom of knee pain.

Evaluation of ultrasonography as a diagnostic tool in the management of periapical cysts and granulomas: A clinical study

  • Avci, Fatma;Etoz, Meryem;Ustun, Yakup;Arslan, Tugrul
    • Imaging Science in Dentistry
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    • 제52권2호
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    • pp.209-217
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    • 2022
  • Purpose: The aim of this study was, firstly, to determine the concordance of ultrasonographic and histopathological diagnoses in patients in whom apical resection was already indicated. Secondly, this study aimed to determine whether lesions were periapical granulomas or cysts, and to compare them after root canal treatment using ultrasonography and periapical radiographs. Materials and Methods: In the first stage of the study, ultrasonographic and histopathologic diagnoses of 10 lesions were compared. Secondly, the periapical radiographs and ultrasonographic images of 44 lesions were measured. The presence of internal vascularity was determined by ultrasonographic color and power Doppler modes. Follow-up examinations of healing after root canal treatment were performed using ultrasonography and periapical radiographs, and these modalities were compared. Results: In the periapical granuloma and cyst groups, the measurement values decreased for all variables. There was no significant difference in the dimensional changes of lesions between the 2 groups, and ultrasonography and periapical radiographs were compatible. The pre-diagnoses were compared with histopathological diagnoses and were found to be compatible. Conclusion: The ultrasonographic color and power Doppler techniques could be an effective method for diagnosing periapical lesions as cysts or granulomas. After root canal treatment of granulomas and cysts, the dimensional shrinkage and healing patterns appear to be similar. Ultrasonography and periapical radiographs were consistent in terms of dimensional comparisons, and ultrasonography may be an alternative method for follow-up of the healing of periapical lesions.

족부 및 족관절의 초음파 (Ultrasonography of the Foot and Ankle)

  • 여의동;김학준
    • 대한정형외과 초음파학회지
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    • 제6권1호
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    • pp.20-27
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    • 2013
  • 족부 및 족관절의 해부학적 구조물은 다른 신체 부위 보다 피부에 가깝게 위치하고 있어서 초음파를 이용한 검사가 유용하다. 그러나 해부학적인 위치와 초음파의 특성을 제대로 이해하지 못한다면 초음파 영상 해석에 오류가 발생할 수 있다. 그러므로 족부 및 족관절에서 초음파 영상을 통한 해부학적인 위치와 특징을 이해하고 반복적인 연습을 통해 초음파의 술기를 습득함으로써 외래에서 빠르고 간편한 진단 기기로 이용할 수 있다.

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개에서 절개성 겸상인대 허니아 발생례 (A case of incisional falciform ligament hernia in a bitch)

  • 정순욱;박인철;정월순;강병규
    • 한국임상수의학회지
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    • 제14권2호
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    • pp.352-356
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    • 1997
  • 5 years Poodle was referred to the Veterinary Teaching Hospital, Chonnam National University in January 1997, with progressive swelling on the rear xiphoid process after cesarean section last year in local-vet clinic. Physical, radiographic, ultrasonographic and intraoperative findings that were obtained from this case were as follow; Physical findings were known as no pain, no fever in the hernia] sal at palpation. Radiographic findings revealed the decreased density of swelling contents more than peritoneum and did not identify the abdominal wall defect line. Ultrasonographic findings showed abdominal wall defect line of 3mm and intra-abdominal originated fat contents with mixed echo(hypoechoic). During the operation, falciform ligament into the hernial sac was observed and not excised, manipulated back into the cavity. The dog was given an herniorraphy with no recurrence and infection.

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손가락 힘줄 손상환자에서 육안 검사와 초음파 검사의 순응도, 시간, 통증의 비교 (Comparison of Compliance, Time Required for Diagnosis and Pain of Patients with Finger Tendon Injury Between Gross and Ultrasonographic Confirmation)

  • 이서우;박현재;이정원;박세훈;김재우
    • Journal of Trauma and Injury
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    • 제23권2호
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    • pp.83-88
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    • 2010
  • Purpose: It is not always easy to determine the existence of tendon injuries when it comes to patients with finger lacerations. Thus, we tried to find the difference in effectiveness and in compliance of patients when we employed two different types of diagnosis, conventional gross confirmation and ultrasonographic confirmation. Methods: From December 2009 to March 2010, we enrolled 14 patients with finger tendon injury at Soonchunhyang University Cheonan Hospital. The median age of the patients was $35.9{\pm}14.4$, and the ratio of females to males was 1:2.5 We evaluated the compliance of each patient by measuring four different categories (level of cooperativeness in showing their wound and in following the instructions, level of movement of their fingers during the diagnosis and total number of attempts to diagnose) by using a score from 1 to 3 for each category, for a total possible score of 12 for each patient. We also measured the painfulness of each patient by using a score of 1 to 10 and the time required for each diagnosis. Results: The levels of patients' compliance was $8.9{\pm}2.1$ when diagnosed with gross confirmation and $9.8{\pm}2.1$ when diagnosed with ultrasonographic confirmation (p value=0.042). The pain score of the patients was $3.7{\pm}1.7$ with gross confirmation and $2.9{\pm}1.2$ with ultrasonographic confirmation (p value=0.020). The median duration of time in each test was $6.7{\pm}4.8$ minutes with gross confirmation and $10.5{\pm}4.2$ minutes with ultrasonography (p value=0.006). Conclusion: Comparing gross confirmation and ultrasonographic confirmation, gross confirmation is a better method than ultrasonography because of time efficiency. However, ultrasonographic confirmation has advantages over gross confirmation in pain scale and better compliance of patients. Emergency physicians generally employ gross confirmation rather than ultrasonography in determining the existence of tendon injury in patients. In patients with finger lacerations without bone injury, ultrasonography can be considered as a secondary diagnostic tool, especially when patients have much pain.

선천성 근성 사경 환아의 흉쇄유돌근 초음파 소견과 사경종합평가 사이의 상관관계 (Correlations Between Ultrasonographic Findings of Sternocleidomastoid Muscle and Torticollis Overall Assessment of Congenital Muscular Torticollis in Infants)

  • 김용욱;김문환;김경모
    • 한국콘텐츠학회논문지
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    • 제11권5호
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    • pp.233-241
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    • 2011
  • 본 연구의 목적은 사경의 진단 및 평가에 많이 사용되고 있는 초음파 검사와 이학적 검사 도구인 사경종합평가의 상관성 검증을 통해 사경종합평가의 유용성을 알아보는 것이다. 선천성 근성 사경으로 진단 받은 환아 78명을 연구 대상으로 하였다. 사경 환아를 초음파 소견을 통한 흉쇄유돌근(목빗근) 섬유화 정도에 따라 네 유형으로 분류하였고, 사경종합평가를 통한 장애 정도에 따라 세 가지 유형으로 분류하였다. 초음파 영상 소견을 통해 분류된 환아 중 제1유형이 42명(53.8%); 제2유형이 21명(26.9%); 제3유형이 7명(9.0%); 제4유형이 8명(10.3%)이었다. 발현 연령은 초음파 제1유형에서 2.3${\pm}$0.8개월로 다른 유형에 비해 유의하게 빨랐으며(p<0.01), 제4유형에서 20.2${\pm}$12.1개월로 가장 늦었다(p<0.01). 유형별로 분류된 초음파 검사와 사경종합평가의 상관관계에서 파이상관계수는 ${\phi}$=0.893으로 통계적으로 유의한 높은 상관관계를 보였다(p<0.01). 본 연구의 결과, 간단하며 객관적 검사 도구인 사경종합평가는 사경을 치료하는 물리치료사가 쉽게 적용할 수 있어 임상에서 폭넓게 활용될 수 있을 것으로 기대한다.

개에서 방광내 이행세포암종의 초음파학적 진단 (Ultrasonographic Findings of Transitional Cell Carcinoma in a Dog)

  • 엄기동;오태호;장광호;이영원;장동우;이기창;윤정희
    • 한국임상수의학회지
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    • 제19권2호
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    • pp.268-271
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    • 2002
  • Transitional cell carcinoma(TCC) was identified by cytological and ultrasonographic findings in an 11-year-old, intact female Yorkshire terrier with intermittent hematuria for three years. In color-doppler ultrasound images there was marked irregular wall thickness of the bladder surface and well-defined hyperechoic focal lesions within the mass. Active vascular response was observed in the surroundings of hyperechoic lesions.

전국 소동물 병원의 초음파 진단기기 및 활용도 현황조사 (Survey on Utilization of Ultrasonographic Machine in Small Animal Clinics in South Korea)

  • 장진화;백민지;장동우
    • 한국임상수의학회지
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    • 제28권4호
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    • pp.408-414
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    • 2011
  • This study was carried out to analyze the utilization of ultrasound machines in animal hospitals and focused on surveying the present condition of diagnostic ultrasound on veterinary medicine in South Korea. Total 279 veterinary hospitals were surveyed with e-mail questionnaires or telephone survey. E-mail questionnaires consist of 17 items of questions including existence of ultrasound machine, types of ultrasound machine, ultrasound examination costs, frequency, purposes, other diagnostic imaging equipments, and referring system of ultrasound. Telephone surveys asked about the existence of the ultrasound machine and types of the ultrasound machine to 279 animal hospitals. Two hundred and seventy-one out of 279 animal hospitals holds ultrasound machine. Seventy-two percents clinics purchased used ultrasonographic machines and mean years after the date of manufacture is 7.5 years and the proportion of superannuated machines are relatively high. Also many clinicians prefer single organ scanning rather than general scan technique and more than 60% of clinics perform ultrasonographic examination less than 5 times a week. Clinics located in Seoul area tend to have more expensive and brand-new ultrasonographic machines and the distribution of radiology specialist are higher in this area. Problems associated with the present condition were oversupply of machines, unequal distribution of the medical equipment in different localities, ineffective use of the medical equipment, and high percentage of old poor-quality medical equipments. There should be a viable alternative proposal to control amount and quality of the ultrasound machines. Also, the improved management system for the ultrasound machine is required.

Clinical Characteristics and Ultrasonographic Findings of Acute Bacterial Enterocolitis in Children

  • Chun, Peter;Lim, Taek Jin;Hwang, Eun Ha;Mun, Sang Wook;Lee, Yeoun Joo;Park, Jae Hong
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제20권2호
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    • pp.107-113
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    • 2017
  • Purpose: This study clarified the bacterial pathogens currently causing acute infectious enterocolitis (AIE) in children and evaluated the clinical characteristics and ultrasonographic findings according to the different pathogens. Methods: Medical records regarding age, sex, clinical symptoms, laboratory data, identified enteropathogens, ultrasonographic findings, treatment, and outcome of 34 patients who were diagnosed with AIE via stool examination using multiplex polymerase chain reaction (PCR) or culture, were retrospectively reviewed. Results: Twenty-four patients (70.6%) were male. The mean age of the patients was $8.5{\pm}6.2$ (range, 1.1-17.1) years. Six bacterial pathogens were isolated: Salmonella species (spp.) (32.4%), Campylobacter spp. (20.6%), verotoxin-producing Escherichia coli (14.7%), Staphylococcus aureus (11.8%), Clostridium difficile (8.8%), and Shigella spp. (2.9%). Abdominal pain occurred in all patients regardless of pathogen. The patients infected with Salmonella were older than those infected with verotoxin-producing E. coli (p<0.05). C-reactive protein levels were higher in patients with Salmonella and Campylobacter infections than in those with verotoxin-producing E. coli infection (p< 0.05), the other clinical and laboratory data were indistinguishable between pathogens. Ultrasonography demonstrated diverse involvement of bowel segments according to pathogen. Wall thickening of both the ileum and the entire colon was the most common lesion site regardless of pathogen. Conclusion: Various bacterial agents cause AIE and the symptoms are diverse symptoms, however, all most children recovered spontaneously. Use of multiplex PCR on stool samples warrants improvement of its sensitivity for diagnosis of enteropathogenic bacteria. Ultrasonographic examination is useful for diagnosis of AIE; it can also detect the disease extent and severity.

Ultrasonographic Measurements in Comparison with the Rectal Palpation and Echotexture of Reproductive Organs of Buffaloes (Bubalus bubalis) during Different Stages of the Estrous Cycle

  • Honparkhe, M.;Gandotra, V.K.;Nanda, A.S.
    • Asian-Australasian Journal of Animal Sciences
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    • 제17권7호
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    • pp.919-923
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    • 2004
  • Ultrasonographic study was undertaken to establish the echogenecity and size of reproductive organs of 18 cycling buffaloes of different parities and compared with the sizes measured by palpation per rectum at estrus (day 0), met estrus (day 2), mid diestrus (day 10) and late diestrus (day 16). The overall mean size of cervix, uterine body, right horn, left horn, right ovary and left ovary measured by palpation per rectum were 2.70$\pm$0.43, 2.36$\pm$0.36, 2.17$\pm$0.37, 2.12$\pm$0.38, 2.63$\pm$0.41 and 2.72$\pm$0.37 cm, respectively. The corresponding ultrasonographic observations were 2.10$\pm$0.40, 1.85$\pm$0.30, 1.73$\pm$0.36, 1.64$\pm$0.37, 2.16$\pm$0.36 and 2.29$\pm$0.38 cm respectively. Variations in the size of genitalia due to stages of estrous cycle were non-significant. The size of genitalia measured by palpation per rectum was significantly higher (p<0.05) than by ultrasonography. However, there was linear positive correlation (r=+0.87) in the measurements by the two techniques. The ultrasonographic characteristics of tubular genitalia revealed different echogenic gray shades around the nonechogenic (black) central area of lumen depending upon the stage of cycle. The ovarian stroma appeared as hyperechoic (white) area with nonechogenic (black) follicle. The corpus luteum (CL) exhibited different echogenic texture viz. grayish black, grayish granular and grayish white at met estrus, mid diestrus and late diestrus, respectively. Therefore, ltrasonography can be effectively employed to record the exact size and echotexture of the buffalo genitalia during different stages of estrous cycle.