• Title/Summary/Keyword: Ultrasonography imaging

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Biliary Ascariasis: MR Cholangiography Findings in Two Cases

  • Cheol Mok Hwang;Tae Kyoung Kim;Hyun Kwon Ha;Pyo Nyun Kim;Moon-Gyu Lee
    • Korean Journal of Radiology
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    • v.2 no.3
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    • pp.175-178
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    • 2001
  • We describe the imaging features of two cases of biliary ascariasis. Ultrasonography and CT showed no specific abnormal findings, but MR cholangiography clearly demonstrated an intraductal linear filling defect that led to the correct diagnosis. MR cholangiography is thus a useful technique for the diagnosis of biliary ascariasis.

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Diagnosing Hepatocellular Carcinoma Using Sonazoid Contrast-Enhanced Ultrasonography: 2023 Guidelines From the Korean Society of Radiology and the Korean Society of Abdominal Radiology

  • Woo Kyoung Jeong;Hyo-Jin Kang;Sang Hyun Choi;Mi-Suk Park;Mi Hye Yu;Bohyun Kim;Myung-Won You;Sanghyeok Lim;Young Seo Cho;Min Woo Lee;Jeong Ah Hwang;Jae Young Lee;Jung Hoon Kim;Ijin Joo;Jae Seok Bae;So Yeon Kim;Yong Eun Chung;Dong Hwan Kim;Jeong Min Lee
    • Korean Journal of Radiology
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    • v.24 no.6
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    • pp.482-497
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    • 2023
  • Sonazoid, a second-generation ultrasound contrast agent, was introduced for the diagnosis of hepatic nodules. To clarify the issues with Sonazoid contrast-enhanced ultrasonography for the diagnosis of hepatocellular carcinoma (HCC), the Korean Society of Radiology and Korean Society of Abdominal Radiology collaborated on the guidelines. The guidelines are de novo, evidence-based, and selected using an electronic voting system for consensus. These include imaging protocols, diagnostic criteria for HCC, diagnostic value for lesions that are inconclusive on other imaging results, differentiation from non-HCC malignancies, surveillance of HCC, and treatment response after locoregional and systemic treatment for HCC.

Imaging of the Brachial Plexus (상완신경총의 영상)

  • Suh, Kyung-Jin;Lee, Jeong-Hyun;Lee, Gyung Kyu
    • Investigative Magnetic Resonance Imaging
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    • v.11 no.2
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    • pp.119-126
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    • 2007
  • MR (magnetic resonance) imaging of the brachial plexus is challenging because of the complex and tangled anatomy of the brachial plexus and the multifariouness of pathologies that can put on it. Improvements in imaging techniques, including the availability of high resolution MR image systems and high channels multidetector computed tomography (CT), have led to more accurate diagnoses and improved serve for treatment planning. For the purpose of imaging and treatment of the brachioplexopathy, it is considerate to divide traumatic and nontraumatic diseases affecting the brachial plexus. MRI is the current gold standard imaging modality for nontraumatic brachial plexopathy. CT myelography is the preferred for the diagnosis of nerve root avulsions affecting the brachial plexus. Other modalities, such as CT, ultrasonography and positron emission tomography, have a limited role in the evaluation of brachial plexus pathology. High-quality, high-resolution MRI remains the main tool for imaging the brachial plexopathy.

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Ultrasound Imaging and Electrophysiological Characteristic According to Activity Levels of Myofascial Trigger Point (근근막 발통점의 활성도에 따른 초음파 영상구조 및 전기생리학적 특성)

  • Kim, Hyun-Jin;Kim, Su-Hyun;Park, Young-Hyun;Oh, Seok;Choi, Ji-Ho;Kim, Tae-Youl
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.8 no.1
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    • pp.23-29
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    • 2010
  • Purpose : This study is to offer clinical primary data that examines the change of imaging structure and the quantitative evaluation of muscle activity on myofascial trigger points. This study examines neuromuscular physiological characteristic by comparing the differences in physical findings, pressure pain threshold, imaging, and electrophysiological characteristics in latent and active myofascial trigger points muscle and normal muscle through the following experimental procedures. Methods : The participants for the study were thirty-three adults in their twenties. We divided three groups into normal, latent and active myofascial trigger points groups by physical findings. We analyzed the results of measured pressure pain, threshold for pain, ultrasound imaging perform for structure characteristic of muscle, surface EMG according to type of muscle contraction for function of muscle contraction. Results : Significant differences were indicated in pressure pain threshold (p<0.05). Significant differences were discovered in the ultrasound imaging analysis. There were increases in muscle Echogenicity white area index (p<0.001). There were significant differences that decrease in %MVIC (p<0.05), increase in MDF (p<0.05). Conclusion : From these results, active rnyotascial trigger points muscle showed quality deterioration on ultrasound imaging and decreased function of muscle contraction, increased motor unit action potential of II type fiber, and electrophysiologically. Imaging structure and neuromuscular physiological characteristic can be diagnostic and quantitative analytical techniques for myofascial pain syndrome and a primary factor that reflected in physical therapy intervention.

Pancreatic metastasis from malignant phyllodes tumor of the breast

  • Lee, Seung Eun;Bae, Young Kyung;Choi, Joon Hyuk
    • Journal of Yeungnam Medical Science
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    • v.38 no.1
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    • pp.78-82
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    • 2021
  • Pancreatic metastasis from malignant phyllodes tumor (PT) of the breast is rare, and only a few cases have been reported in the literature. Here, we report a case of pancreatic metastasis from malignant PT of the breast in a 48-year-old woman. She had had three episodes of recurrence of malignant PT in her right breast. She presented with epigastric pain for 2 months. Computed tomography and magnetic resonance imaging revealed a 6 cm-sized, well-defined, heterogeneous mass with peripheral enhancement in the body of the pancreas. Endoscopic ultrasonography-guided fine-needle aspiration was performed, and the pathologic report suggested spindle cell mesenchymal neoplasm. Subsequently, surgical excision was performed, and the mass was confirmed as a metastatic malignant PT. The imaging findings are discussed and the literature is briefly reviewed in this report.

Ultrasound Contrast Agent (초음파 조영제)

  • Kim, Gi-Wook
    • Clinical Pain
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    • v.20 no.2
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    • pp.86-92
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    • 2021
  • Ultrasound imaging in clinical practice is one of the widely used diagnostic methods because there is no radiation risk, more cost- effective compared to MRI or CT, and possible to perform an intervention through fast real-time imaging. In order to increase the diagnostic value, the studies of contrast-enhanced ultrasound (CEUS) using an ultrasound contrast agent have been actively conducted since about 50 years ago and are being used clinically in vascularity and microcirculation of internal organs. Although ultrasound is actively used for the diagnosis and treatment of various diseases in musculoskeletal disorders, there are some limitations in diagnosing mild or small lesions, inflammatory reactions, or abnormalities at the molecular level. In this review, the principles, types, and research, and clinical applications of ultrasound contrast agents have been summarized and introduced. If we understand the characteristics of the ultrasound contrast agents and anatomical knowledge, as well as molecular changes, the ultrasound contrast agents are widely applied in musculoskeletal disorders and have tremendous potential for diagnosis and treatment.

Ultrasound-assisted subarachnoid block in a patient with severe kyphosis

  • Sun Kyung Park;Yun Suk Choi;Hyun Jung Kim
    • Journal of Medicine and Life Science
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    • v.19 no.2
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    • pp.70-73
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    • 2022
  • Here, we report a case of ultrasound-assisted subarachnoid block in a patient with severe kyphosis. A 69-year-old man was scheduled for metal removal from hip screws. He had a previous experience with subarachnoid block using the landmark-guided technique, but it was very difficult due to severe kyphosis. However, we could easily determine the correct needle insertion point using ultrasound imaging and performed a successful dural puncture on the first attempt. This case demonstrates the clinical usefulness of ultrasound imaging for subarachnoid blocks in patients with severe kyphosis.

Contrast Enhanced Ultrasonography and CT Features of Gastrointestinal Stromal Tumor in a Dog

  • Saran Chhoey;Soyeon Kim;Kroesna Kang;Sath Keo;Jihye Choi
    • Journal of Veterinary Clinics
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    • v.40 no.5
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    • pp.375-381
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    • 2023
  • A large abdominal mass was incidentally found in a 13-year-old mixed-breed dog and was confirmed to be a cecal gastrointestinal stromal tumor (GIST). Contrast-enhanced ultrasound and post-contrast computed tomography (CT) showed mild contrast enhancement of the mass, indicating low blood flow. The tumor origin was determined to be the cecum by identifying the vessels supplying the mass on post-contrast CT. The exophytic growth of the tumor left the cecal lumen intact without obstruction. This report described the CEUS and CT perfusion of the cecal GIST and perfusion evaluation can help diagnose and characterize GISTs in dogs.

A Rare Angioleiomyoma of the Uterine Cervix: A Case Report with Peculiar MRI Findings (드문 형태의 자궁 경부 혈관근종: 특이한 자기공명영상 소견을 포함한 증례 보고)

  • Yun Chul Hwang;Seo Young Park
    • Journal of the Korean Society of Radiology
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    • v.83 no.3
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    • pp.693-698
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    • 2022
  • Angioleiomyoma (vascular leiomyoma) of the uterine cervix is an extremely rare type of benign tumor composed of smooth muscle cells and thick-walled blood vessels. Only a few cases of cervical angioleiomyoma have been reported. Here, we present imaging, including ultrasonography, contrast-enhanced CT, MRI, and histopathological findings of a 38-year-old female with an angioleiomyoma of the uterine cervix.

Inguinal and Scrotal Diseases in Children and Adolescents (소아와 청소년의 서혜부와 음낭 질환)

  • Jaeyoung Lee;Youngtong Kim;Sungshick Jou;Chanho Park
    • Journal of the Korean Society of Radiology
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    • v.83 no.4
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    • pp.792-807
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    • 2022
  • In children and adolescents, inguinal and scrotal diseases are relatively common, and imaging is very useful for the diagnosis and differential diagnosis of these diseases. Therefore, it is important to understand the imaging findings of these diseases. In this article, we classify these diseases into small testes, cryptorchidism, patent processus vaginalis, acute scrotum pain, trauma, testicular tumors, and others and describe their characteristic findings.