• Title/Summary/Keyword: Ultrasound Medical Imaging

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Clinical outcome of ultrasound-guided atelocollagen injection for patients with partial rotator cuff tear in an outpatient clinic: a preliminary study

  • Chae, Sang Hoon;Won, Jae Yeon;Yoo, Jae Chul
    • Clinics in Shoulder and Elbow
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    • v.23 no.2
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    • pp.80-85
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    • 2020
  • Background: Atelocollagen has been studied for restoration of rotator cuff tendon. In this study, we attempted to evaluate the clinical outcome of ultrasound-guided atelocollagen injection in an outpatient clinic for patients with partial rotator cuff tear. Methods: We recruited 42 outpatients who visited our hospital from May 2019 to September 2019. Atelocollagen injection was performed in patients with partial rotator cuff tear diagnosed by magnetic resonance imaging and ultrasound. American Shoulder and Elbow Surgeons (ASES), Constant, Korean Shoulder Score (KSS) and Simple Shoulder Test (SST) scores, and range of motion were assessed before injection and after 2 months. Statistically, we analyzed the clinical results using the Wilcoxon signed-rank test. Results: Finally, 15 patients were enrolled for analysis. There was no significant difference between pre- and post-injection in terms of range of motion, ASES (57.0 vs. 60.4), Constant (56.4 vs. 58.9), KSS (64.6 vs. 68.5), and pain-visual analog scale (4.2 vs. 3.7), except function-visual analog scale (F-VAS; 6.3 vs. 7.1) and SST (6.6 vs. 6.9). A significant difference was found in SST (P=0.046) and F-VAS (P=0.009). According to the ultrasound results at 2 months, we found hyperechoic materials in three of seven patients. The most common complication of atelocollagen injection was post-injection pain (53%, 8/15). Conclusions: Ultrasound-guided atelocollagen injection for partial rotator cuff tear showed no significant change in terms of clinical outcomes, except for F-vas and SST score. Tendon regeneration was not clear due to the remnants of atelocollagen present at 2-month follow-up ultrasound. There seems to be alarming post-injection pain for 2 to 3 days in the patients who received atelocollagen injection in an outpatient clinic.

Hepatic Angiomyolipoma: Contrast Patterns with SonoVue-enhanced Real-time Gray-scale Ultrasonography

  • Wei, Rui-Xue;Wang, Wen-Ping;Ding, Hong;Huang, Bei-Jian;Li, Chao-Lun;Fan, Pei-Li;Hou, Jun;He, Nian-An
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.2
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    • pp.493-497
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    • 2012
  • This study was conducted to retrospectively evaluate the pattern of contrast enhancement with SonoVue on gray-scale ultrasonography of hepatic angiomyolipoma (HAML). Imaging features of 33 pathologically proven HAML lesions in 33 patients who underwent baseline ultrasound and contrast-enhanced ultrasonography (CEUS) were assessed retrospectively. All lesions were enhanced in the arterial phase and showed whole-tumor filling in. Thirty-two of 33 (97%) lesions showed early positive enhancement in the arterial phase. Twenty-three of these exhibited isoechoic or hyperechoic features in the portal phase. HAML demonstrate characteristic manifestations with SonoVue-enhanced real-time gray-scale ultrasonography.

Hypertrophic pyloric gastropathy with Helicobacter spp. in a dog

  • Jang, Hyunyoung;Lee, Seoung-Woo;Jang, Min;Yun, Sungho;Kwon, Young-Sam;Park, Jin-Kyu;Lee, Kija
    • Korean Journal of Veterinary Research
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    • v.61 no.1
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    • pp.3.1-3.5
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    • 2021
  • A 12-year-old, castrated male, mixed dog presented with a history of gradual abdominal distention for a year and anorexia recently, with abdominal radiographs showing a gastric pylorus distention. A solitary, pedunculated, heterogeneous mass arising from the mucosal layer in the pylorus with intact wall layers was identified during ultrasound and computed tomography. The gastric muscular layer was evenly thick. After surgical excision of the mass, histological examination confirmed hypertrophic pyloric gastropathy with polypoid growth and Helicobacter spp. infiltrating the gastric mucosal epithelium. This is the first reported diagnostic imaging case of hypertrophic pyloric gastropathy with Helicobacter spp. in a dog.

Laser induced ultrasound generation via reduced graphene oxide coated aluminum transmitter (환원된 산화 그래핀을 이용한 레이저 유도초음파의 64배 압력 상승 및 40dB 세기 상승)

  • Lee, Seok Hwan;Park, Mi-Ae;Yoh, Jai-Ick
    • Laser Solutions
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    • v.15 no.4
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    • pp.1-5
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    • 2012
  • We demonstrate that reduced graphene oxide (rGO) coated thin aluminum film is an effective optoacoustic transmitter for generating high pressure and high frequency ultrasound previously unattainable by other techniques. The rGO layer of different thickness is deposited between a 100 nm-thick aluminum film and a glass substrate. Under a pulsed laser excitation, the transmitter generates enhanced optoacoustic pressure of 64 times the aluminum-alone transmitter. A promising optoacoustic wave generation is possible by optimizing thermoelasticity of metal film and thermal conductivity of rGO in the proposed transmitter for laser-induced ultrasound (LIUS) applications.

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Automated Breast Ultrasound Screening for Dense Breasts

  • Sung Hun Kim;Hak Hee Kim;Woo Kyung Moon
    • Korean Journal of Radiology
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    • v.21 no.1
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    • pp.15-24
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    • 2020
  • Mammography is the primary screening method for breast cancers. However, the sensitivity of mammographic screening is lower for dense breasts, which are an independent risk factor for breast cancers. Automated breast ultrasound (ABUS) is used as an adjunct to mammography for screening breast cancers in asymptomatic women with dense breasts. It is an effective screening modality with diagnostic accuracy comparable to that of handheld ultrasound (HHUS). Radiologists should be familiar with the unique display mode, imaging features, and artifacts in ABUS, which differ from those in HHUS. The purpose of this study was to provide a comprehensive review of the clinical significance of dense breasts and ABUS screening, describe the unique features of ABUS, and introduce the method of use and interpretation of ABUS.

Real-time Ultrasound Contexts Segmentation Based on Ultrasound Image Characteristic (초음파 영상 특성을 이용한 실시간 초음파 영역 추출방법)

  • Choi, Sung Jin;Lee, Min Woo
    • Journal of Biomedical Engineering Research
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    • v.40 no.5
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    • pp.179-188
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    • 2019
  • In ultrasound telemedicine, it is important to reduce the size of the data by compressing the ultrasound image when sending it. Ultrasound images can be divided into image context and other information consisting of patient ID, date, and several letters. Between them, ultrasound context is very important information for diagnosis and should be securely preserved as much as possible. In several previous papers, ultrasound compression methods were proposed to compress ultrasound context and other information into different compression parameters. This ultrasound compression method minimized the loss of ultrasound context while greatly compressing other information. This paper proposed the method of automatic segmentation of ultrasound context to overcome the limitation of the previously described ultrasound compression method. This algorithm was designed to robust for various ultrasound device and to enable real-time operation to maintain the benefits of ultrasound imaging machine. The operation time of extracting ultrasound context through the proposed segmentation method was measured, and it took 311.11 ms. In order to optimize the algorithm, the ultrasound context was segmented with down sampled input image. When the resolution of the input image was reduced by half, the computational time was 126.84 ms. When the resolution was reduced by one-third, it took 45.83 ms to segment the ultrasound context. As a result, we verified through experiments that the proposed method works in real time.

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
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    • v.56 no.3
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    • pp.334-341
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    • 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.

In vivo Evaluation of Flow Estimation Methods for 3D Color Doppler Imaging

  • Yoo, Yang-Mo
    • Journal of Biomedical Engineering Research
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    • v.31 no.3
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    • pp.177-186
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    • 2010
  • In 3D ultrasound color Doppler imaging (CDI), 8-16 pulse transmissions (ensembles) per each scanline are used for effective clutter rejection and flow estimation, but it yields a low volume acquisition rate. In this paper, we have evaluated three flow estimation methods: autoregression (AR), eigendecomposition (ED), and autocorrelation combined with adaptive clutter rejection (AC-ACR) for a small ensemble size (E=4). The performance of AR, ED and AC-ACR methods was compared using 2D and 3D in vivo data acquired under different clutter conditions (common carotid artery, kidney and liver). To evaluate the effectiveness of three methods, receiver operating characteristic (ROC) curves were generated. For 2D kidney in vivo data, the AC-ACR method outperforms the AR and ED methods in terms of the area under the ROC curve (AUC) (0.852 vs. 0.793 and 0.813, respectively). Similarly, the AC-ACR method shows higher AUC values for 2D liver in vivo data compared to the AR and ED methods (0.855 vs. 0.807 and 0.823, respectively). For the common carotid artery data, the AR provides higher AUC values, but it suffers from biased estimates. For 3D in vivo data acquired from a kidney transplant patient, the AC-ACR with E=4 provides an AUC value of 0.799. These in vivo experiment results indicate that the AC-ACR method can provide more robust flow estimates compared to the AR and ED methods with a small ensemble size.

Magnetic Resonance Findings of a Canine Benign Uveal Melanocytoma

  • Yoon, Hyounglok;An, Taegeon;Lee, Hanbin;Kim, Dongwook;Chang, Jinhwa;Kang, Ji-houn;Kim, Gonhyoung;Chang, Dongwoo
    • Journal of Veterinary Clinics
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    • v.35 no.6
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    • pp.315-318
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    • 2018
  • A 13-year-old spayed female Beagle dog was referred with high intraocular pressure, hyperemia, and exophthalmos of the left eye and underwent ultrasound, which revealed a mass in the ciliary body of the left eye. Magnetic resonance (MR) imaging was ordered to evaluate invasion of surrounding structures and metastasis to the brain via the optic nerve. On MR imaging, a single, well-defined, smoothly marginated, triangular-to-oval-shaped mass was found. The mass was hyperintense on T1-weighted images and hypointense on T2-weighted images, similar to a previous case of ocular melanoma. The mass originated from the ciliary body and extended from the anterior chamber to the posterior chamber. Slight enhancement was observed in the mass. There was no evidence of invasion into surrounding structures or the optic nerve, and no sign of metastasis to the brain. The mass was histopathologically diagnosed as benign uveal melanocytoma.