• 제목/요약/키워드: Ultrasound Examinations

검색결과 99건 처리시간 0.026초

Sonographic Pattern Recognition of Endometriomas Mimicking Ovarian Cancer

  • Saeng-Anan, Ubol;Pantasri, Tawiwan;Neeyalavira, Vithida;Tongsong, Theera
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권9호
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    • pp.5409-5413
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    • 2013
  • Background: To assess the accuracy of ultrasound in differentiating endometrioma from ovarian cancer and to describe pattern recognition for atypical endometriomas mimicking ovarian cancers. Materials and Methods: Patients scheduled for elective surgery for adnexal masses were sonographically evaluated for endometrioma within 24 hours of surgery. All examinations were performed by the same experienced sonographer, who had no any information of the patients, to differentiate between endometriomas and non-endometriomas using a simple rule (classic ground-glass appearance) and subjective impression (pattern recognition). The final diagnosis as a gold standard relied on either pathological or post-operative findings. Results: Of 638 patients available for analysis, 146 were proven to be endometriomas. Of them, the simple rule and subjective impression could sonographically detect endometriomas with sensitivities of 64.4% (94/146) and 89.7% (131/146), respectively. Of 52 endometriomas with false negative tests by the simple rule, 13 were predicted as benign masses and 39 were mistaken for malignancy. Solid masses and papillary projections were the most common forms mimicking ovarian cancer, consisting of 38.5% of the missed diagnoses. However, with pattern recognition (subjective impression), 32 from 39 cases mimicking ovarian cancer were correctly predicted for endometriomas. All endometriomas subjectively predicted for ovarian malignancy were associated with high vascularization in the solid masses. Conclusions: Pattern recognition of endometriomas by subjective assessment had a higher sensitivity than the simple rule in characterization of endometriomas. Most endometriomas mimicking ovarian malignancy could be correctly predicted by subjective impression based on familiarity of pattern recognition.

초음파영상을 이용한 정상 교근의 평가 (Evaluation of normal masseter muscles on ultrasonography)

  • 황형주;김규태;최용석;황의환
    • Imaging Science in Dentistry
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    • 제38권2호
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    • pp.73-79
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    • 2008
  • Purpose: To assess the internal echo intensity and morphological variability of masseter muscles on ultrasonography and to establish diagnostic criterion of estimation. Materials and Methods: Participants consisted of 50 young adults (male 25, female 25) without pathologic conditions and with full natural dentitions. Sonographic examinations were done with real time ultrasound equipment as Logiq 500 (GE Medical Systems, Seoul, Korea) at 3 parts according to lines paralleling with ala-tragus line as reference line. The thickness and area of masseter muscles according to reference line in cross-sectional images were measured at rest and at maximum contraction. The visibility and width of the internal echogenic intensity of the masseter muscles were also assessed and the muscle appearance was classified into 4 types. Data were statistically analyzed by paired t-test and $x^2$-test. Results: 1. When comparing the thickness and area of masseter muscles concerning with gender, there was few significant difference between right and left sides, however, there were significant differences between males and females except for the greatest thickness of left side. 2. The changes of the greatest thickness and the area between rest and maximum contraction showed that the part of the least thickness manifested more increase at maximum contraction. 3. Each part the manifestations of the internal echogenic intensity of the masseter muscles were different depending on the locations. But there was no statistically significance. Conclusion: Changes of muscles thickness with contraction and internal echogenic intensity with locations showed great disparity within the masseter muscles, which will be diagnostic criteria for pathophysiologic and anatomic changes of masseter muscles.

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두 케이스에서 복강내 육아종의 영상학적 특징 (Imaging Features of the Intra-abdominal Granulomas in Two Cases)

  • 최미현;장진화;이혜연;김준영;김완희;윤정희;최민철
    • 한국임상수의학회지
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    • 제27권3호
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    • pp.302-306
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    • 2010
  • 몇 일간 설사, 식욕부진 활력감소를 주 증상으로 보이는 개와 고양이가 내원하였다. 신체검사, 혈액검사와 더불어 영상학적 검사가 진행되었다. 복부 방사선 사진상 둥근 연부조직 밀도를 보이는 종괴가 중복부에서 확인 되었고 이는 복부 초음파 검사상 이질적 에코를 나타내는 것을 확인하였다. 세포학적 검사를 통해 염증으로 확인되었고, 수술적 제거 후 임상증상은 개선되었다. 조직 병리학적 검사 결과 육아종증 또는 호산구성 염증으로 확인되었다.

Shih-tzu견에서 초음파 검사에 의한 분만일 예시표 확립 (Establishment of a prediction table of parturition day in Shih-tzu bitches with ultrasound scanning)

  • 김방실;고진성;이순애;조양택;김재풍;오기석;김종택;박인철;김영홍;손창호
    • 대한수의학회지
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    • 제44권2호
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    • pp.303-310
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    • 2004
  • To establish a prediction table of parturition day real-time B-mode ultrasonographic examinations were performed in 12 pregnant Shih-tzu bitches. Measurement of inner chorionic cavity diameter and fetal head diameter was performed from 15 days of gestation to parturition. These were converted retrospectively based on the day of parturition (Day 0). The data of inner chorionic cavity diameter obtained from Day -44 to Day -25 and fetal head diameter obtained from Day -25 to Day -1 were used to compile a prediction table of parturition day. The 22 pregnant Shih-tzu with unknown mating time were examined to assess an accuracy of the table established in this study. And these results were applied to the prediction of parturition day and compared to actual parturition day. Parturition day prediction based on the inner chorionic cavity diameter and fetal head diameter was 100% accurate within ${\pm}2$ days. In addition, the accuracy for parturition day within 0, ${\pm}1$, and ${\pm}2$ days interval using the prediction table of parturition day were 68, 82, and 100%, respectively. Therefore, the prediction table of parturition day seems to be a useful tool for the prediction of parturition day in practice.

Fibrin Sealant and Lipoabdominoplasty in Obese Grade 1 and 2 Patients

  • Mabrouk, Amr Abdel Wahab;Helal, Hesham Aly;Al Mekkawy, Soha Fathy;Mahmoud, Nada Abdel Sattar;Abdel-Salam, Ahmed Mohamed
    • Archives of Plastic Surgery
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    • 제40권5호
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    • pp.621-626
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    • 2013
  • Background Ever since lipoabdominoplasty was first developed to achieve better aesthetic outcomes and less morbidity, the rate of seroma formation, especially in obese patients, has disturbed plastic surgeons. The aim of this study was to evaluate the effect of fibrin sealant in the prevention of seroma formation after lipoabdominoplasty in obese patients. Methods Sixty patients with a body mass index (BMI) between 30 and 39.9 were assigned randomly to 1 of 2 groups (30 patients each). Group A underwent lipoabdominoplasty with fibrin glue, while group B underwent traditional lipoabdominoplasty; both had closed suction drainage applied to the abdomen. The patients' demographics and postoperative complications were recorded. Seroma was detected using abdominal ultrasound examinations at two postoperative periods: between postoperative days 10 and 12 and, between postoperative days 18 and 21. Results The age range was 31 to 55 years ($38.5{\pm}9.5$ years) in group A and 25 to 58 years ($37.8{\pm}9.1$ years) in group B, while the mean BMI was 31.4 to 39.9 $kg/m^2$ (32.6 $kg/m^2$) in group A and 32.7 to 37.4 $kg/m^2$ (31.5 $kg/m^2$) in group B. In group A, the patients had a complication rate of 10% in group A versus 43% in group B (P<0.05). The incidence of seroma formation was 3% in the fibrin glue group but 37% in the lipoabdominoplasty-alone group (P<0.05). Conclusions Lipoabdominoplasty with the use of autologous fibrin sealant is a very effective method that significantly reduces the rate of postoperative seroma.

Serum Antigen and Antibody Detection in Echinococcosis: Application in Serodiagnosis of Human Hydatidosis

  • Sadjjadi, Seyed Mahmoud;Sedaghat, Farzaneh;Hosseini, Seyed Vahid;Sarkari, Bahador
    • Parasites, Hosts and Diseases
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    • 제47권2호
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    • pp.153-157
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    • 2009
  • Diagnosis of hydatidosis is based on immunodiagnostic methods along with radiological and ultrasound examinations. The objectives of the present study were to develop a specific and simple antigen-based ELISA method for diagnosis of hydatidosis and compare it with antibody detection method. The subjects in this study included 89 patients in the following groups: surgically confirmed hydatidosis patients (35 cases), control with other parasitic diseases (29 cases), and healthy controls (25 cases). Hyperimmune serum was raised against hydatid cyst fluid in rabbits. Anti-hydatid cyst IgG was purified by affinity chromatography using protein A column and labeled with horseradish peroxidase. Collected sera were assessed for hydatid cyst antigens and antibody by ELISA. Circulating hydatid antigen was found in 9 out of 35 patients with surgically confirmed hydatidosis. A sensitivity of 25.7% and a specificity of 98.0% were calculated for the antigen detection assay. Antibody detection by indirect ELISA, using antigen B, showed that 94.2% of patients (33 cases) have anti-hydatid cyst antibodies in their serum while cross reaction was noted in a few of non-hydatidosis patients. A sensitivity of 94.2% and specificity of 81.6% were found for the antibody detection assay. Findings of this study indicated that antibody detection assay is a sensitive approach for diagnosis of hydatid cyst while antigen detection assay might be a useful approach for assessment of the efficacy of treatment especially after removal of the cyst.

개의 원발성 폐 종양 5증례 (Primary Lung Tumors in Five Dogs)

  • 김유석;방동하;김민규;서경원;주민석;박정현;최을수;정주현;최은화;윤정희;윤화영;최민철;이창우
    • 한국임상수의학회지
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    • 제22권3호
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    • pp.288-295
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    • 2005
  • Five dogs at the age of 2-13 years, with variant respiratory signs like as dry cough, dyspnea, exercise intorelance and lameness were presented. On thoracic radiographs, all dogs had abnormalities such as soft tissue density, round mass image, increased pulmonary infiltration and pleural effusion. All dogs were diagnosed as adenocarcinoma on cytopathologic examinations by fine needle aspiration with ultrasound guidance. Computed tomography was performed in three cases to evaluate clinical stage. Primary papillary adenocarcinoma was confirmed after necropsy in one case.

진도개에서 초음파검사에 의한 분만일 예정표 확립 (Establishment of prediction table of parturition day by ultrasonography in Korean Jindo bitches)

  • 김세라;강현구;오기석;박인철;박상국;김성호;손창호
    • 대한수의학회지
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    • 제40권2호
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    • pp.373-381
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    • 2000
  • Serial ultrasonographic examinations were performed on pregnant Korean Jindo bitches. Measurements of inner chorionic cavity diameter and fetal head diameter were made from pregnancy day 15 to parturition. These measurements were converted retrospectively based on the day of parturition (day 0). The data of inner chorionic cavity diameter obtained from day -42 to day -25 and fetal head diameter obtained from day -24 to day -1 were used to prediction of parturition day. Formulas for the prediction of parturition day using the method of least squares were derived. These formulas were then used to predict parturition dates based on single measurements of inner chorionic cavity diameter or fetal head diameter in 17 additional pregnant Korean Jindo bitches. Predicted date of parturition was then compared to actual whelping date. In the prediction of parturition based on inner chorionic cavity diameter, 7 of 10 bitches were coincided prediction date and actual whelping date, and the prediction was accurate to within 1 day in 3 of 10 bitches. The prediction of parturition based on fetal head diameter was accurate to within 1 day in 6 of 7 bitches and within 2 days in 1 of 7 bitches. In conclusion, the ultrasound measurement of inner chorionic cavity diameter and fetal head diameter are practical and accurate tool in the prediction of parturition.

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Comparative evaluation of ultrasonography with clinical respiratory score in diagnosis and prognosis of respiratory diseases in weaned dairy buffalo and cattle calves

  • Hussein, Hussein Awad;Binici, Cagri;Staufenbiel, Rudolf
    • Journal of Animal Science and Technology
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    • 제60권12호
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    • pp.29.1-29.11
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    • 2018
  • Background: Respiratory troubles have economic impacts in countries where livestock industry is an important segment of the agricultural sector, as well as these problems may cause significant economic losses for bovine producers. Various practical methods are used to assess diseases that affect the bovine respiratory system. Ultrasonography is a noninvasive tool that has been used frequently in diagnosis of various animal diseases. The present study was designed to establish whether thoracic ultrasonography is a diagnostic tool for detection of respiratory troubles in weaned buffalo and cattle calves, as well as to assess its prognostic value in comparison with clinical respiratory scores. Thirty five (15 buffalo and 20 cattle) calves were included. Twelve (6 buffalo and 6 cattle) clinically healthy calves were enrolled as controls. Results: Based on physical examinations, clinical respiratory scores (CRS), ultrasound lung scores (ULS) and postmortem findings, animals were classified into 4 groups as pulmonary emphysema (n = 8), interstitial pulmonary syndrome (n = 7), bronchopneumonia (n = 12), and pleurisy (n = 8). The mean values of CRS and ULS were significantly higher in diseased calves (P < 0.01). In calves with pulmonary emphysema and interstitial syndrome, thoracic ultrasonography revealed numerous comet-tail artifacts, which varied in numbers and imaging features. Furthermore, variable degrees of pulmonary consolidation with alveolograms and bronchograms were noticed in bronchopneumonic calves. In addition, thick irregular or fragmented pleura with pleural effusions and fibrin shreds were imaged in calves with pleurisy. A weak correlation was calculated between CRS and ULS (r = 0.55, P < 0.01). Hematologically, the counts of white blood cells, activities of aspartate aminotransferase and partial tensions of carbon dioxide were significantly increased in all diseased groups. Serum concentrations of total globulins were higher in claves with bronchopneumonia (P < 0.05). The partial tension of oxygen was decreased in all diseased calves (P < 0.05). Conclusions: Thoracic ultrasonography is a diagnostic tool for various lung troubles and assessment the grade and severity of pulmonary diseases, as well as it can be used as a follow-up tool for evaluating the prognosis of respiratory troubles and monitoring the efficacy of therapies.

디지털 유방촬영술을 이용한 선별적 유방암 검진의 효용성에 대한 연구(2차 병원을 중심으로) (A Study on the Effectiveness of Screening for Selective Breast Cancer Using Digital Mammography Centered on General Hospital)

  • 김현진
    • 한국방사선학회논문지
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    • 제15권2호
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    • pp.147-152
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    • 2021
  • 본 연구에서는 선별적 유방촬영술 방법의 하나인 디지털 유방촬영술을 시행한 5320명의 유방암검진 결과를 후향적으로 분석하여 디지털 유방촬영술을 통한 유방암검진의 효용성을 살펴보았다. 유방암 검진을 시행한 환자들의 평균 나이는 57.7세(범위 30~87세)이며 암 발견율은 26건으로 1000명당 4.6건에서 유방암이 발견 되었다. 유방암 검진을 실시한 환자들의 위험인자별 암 발견율을 살펴보면 대부분 아무런 기저질환이나 기왕력이 없는 환자에서 유방암이 발견되는 비율이 높았다. 추가적인 초음파 검사등을 통해 확인된 위음성율은 3.6 %로 Film-Screen system의 위음성율에 비해 상대적으로 매우 낮은 것을 확인할 수 있다.