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Ultrasound of dialysis fistulae: Factors influencing Australian practice 透析瘘管的超声诊断:影响澳大利亚实践的因素
IF 0.4 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2021-09-29 DOI: 10.1002/sono.12288
D. Oomens, Samantha Thomas, Jillian L. Clarke
Due to the increasing prevalence of kidney failure in Australia, more sonographers are being expected to perform ultrasound examinations of arteriovenous fistulae (AVF), even when they may receive little support to do so.
由于肾衰竭在澳大利亚越来越普遍,越来越多的超声医师被期望对动静脉瘘(AVF)进行超声检查,即使他们可能很少得到这样做的支持。
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引用次数: 0
Pressed for time: The sonographic signs of testicular compartment syndrome 时间紧迫:睾丸室综合征的超声征象
IF 0.4 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2021-09-13 DOI: 10.1002/sono.12287
Khara Johnson‐Smith
Testicular compartment syndrome (TCS) is the compromise of microcirculation as a result of extraluminal compression or increased venous resistance, which leads to hypoxia and eventual infarction. Injury occurs as a result of increased pressure within a small or low-compliance compartment resulting in a reduction or complete loss of perfusion to the tissues and subsequent ischemia. Compartment syndrome is most commonly reported in the upper and lower limbs; however the testicles are susceptible and sensitive to expansive processes due to the low compliance of the surrounding tunica albuginea. This case report aims to add to the small number of case reports currently available on this topic. There are multiple known causes of compartment syndromes such as crush injury, arterial occlusion, fractures associated with trauma and prolonged malposition of the limb. Due to the fragility of the capillaries and testicular microvasculature any expansive conditions of the testicle or scrotum such a hydrocele, abscess, epididymitis or epididymo-orchitis can cause TCS. As TCS results in hypoxia, it is considered a urological emergency and the success of intervention is time dependant. Ultrasound is well-recognised as the modality of choice for testicular imaging as it does not use ionising radiation, is non-invasive and readily available. Technological advancements have resulted in high resolution imaging which is highly sensitive to scrotal pathology when used in conjunction with colour and spectral Doppler. Ultrasound can provide detailed information about testicular perfusion and detect hypervascularity; the cardinal sign of inflammation. With spectral Doppler, sonographic assessment of the testes can differentiate between inflammatory causes of pain and torsion or other surgically treatable urgent conditions. Therefore, the success of surgical intervention for patients with TCS may be highly dependent upon its diagnosis and the recognition of sonographic signs. This case report aims to raise awareness about TCS for both treating physicians and sonographers and demonstrates two possible outcomes that may result from different management strategies. This case report also highlights the relevance of reversed end diastolic flow (REDF) and the importance of spectral Doppler in sonographic assessment of the testes.
睾丸室综合征(TCS)是由于腔外压迫或静脉阻力增加导致微循环受损,导致缺氧和最终梗死。损伤的发生是由于小室或低顺应性室内的压力增加,导致组织灌注减少或完全丧失,从而导致缺血。筋膜室综合征最常见于上肢和下肢;然而,由于周围白膜的低顺应性,睾丸易受膨胀过程的影响和敏感。本病例报告的目的是增加目前关于该主题的少量病例报告。有多种已知的筋膜室综合征的原因,如挤压损伤,动脉闭塞,骨折相关的创伤和肢体的长期错位。由于毛细血管和睾丸微血管的脆弱性,睾丸或阴囊的任何扩张情况,如鞘膜积液、脓肿、附睾炎或附睾-睾丸炎均可引起TCS。由于TCS导致缺氧,它被认为是泌尿科急症,干预的成功与否取决于时间。超声被公认为睾丸成像的首选方式,因为它不使用电离辐射,无创且容易获得。技术进步导致高分辨率成像,当与彩色和光谱多普勒结合使用时,对阴囊病理高度敏感。超声可以提供睾丸灌注的详细信息,检测血管增生;炎症的主要征兆。利用谱多普勒,睾丸的超声评估可以区分炎症引起的疼痛和扭转或其他可手术治疗的紧急情况。因此,手术干预对TCS患者的成功可能高度依赖于其诊断和超声征象的识别。本病例报告旨在提高治疗医生和超声检查人员对TCS的认识,并展示不同管理策略可能导致的两种可能结果。本病例报告还强调了舒张末期血流逆转(REDF)的相关性以及多普勒频谱在睾丸超声评估中的重要性。
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引用次数: 0
The initial impact of COVID-19 on Australasian sonographers part 3: Sonographer professional, personal, and social wellbeing. COVID-19 对澳大利亚超声技师的初步影响第 3 部分:超声技师的职业、个人和社会福祉。
IF 0.4 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2021-09-01 Epub Date: 2021-07-04 DOI: 10.1002/sono.12264
Jessie Childs, Brooke Osborne, Kathryn Lamb, Sandhya Maranna, Adrian Esterman

Introduction: The wellbeing of front-line healthcare workers can be impacted during a pandemic. This paper reports the initial impact on the wellbeing of COVID-19 on Australasian sonographers.

Methods: An online qualitative and quantitative survey was conducted between March and June 2020 to explore the wellbeing of Australasian sonographers in the early stages of the COVID-19 pandemic.

Results: Whilst most sonographers felt supported at work (300/379), those working in public hospitals felt more so than those in private practice. Sonographers in private practice felt more as though their job was at risk and were more likely to consider an alternate source of income. Sonographers felt they were working on the front line and many felt anxious about themselves (74%) or family (78%) contracting COVID-19 due to their employment. Forty-one percent of sonographers felt more isolated than normal, with younger age groups (18-34 years) feeling less like they had enough hobbies or selfcare activities to get them through. Twelve percent of sonographers reported never, or rarely, coping with the juggle of work and home life.

Conclusion: The initial impact of the COVID-19 pandemic on the wellbeing of sonographers is evident. Longitudinal data will enable wellbeing to be tracked over time.

导言:在大流行病期间,一线医护人员的健康会受到影响。本文报告了 COVID-19 对澳大利亚超声技师健康的初步影响:方法: 2020 年 3 月至 6 月期间进行了一项在线定性和定量调查,以了解 COVID-19 大流行初期澳大拉西亚超声技师的健康状况:尽管大多数超声技师(300/379)认为自己在工作中得到了支持,但在公立医院工作的超声技师比在私人诊所工作的超声技师更有这种感觉。在私人诊所工作的超声技师认为他们的工作更有风险,更有可能考虑其他收入来源。超声技师认为自己工作在第一线,许多人担心自己(74%)或家人(78%)会因为工作而感染 COVID-19。41%的超声技师感到比正常人更孤独,年轻的年龄组(18-34 岁)感到他们没有足够的爱好或自我保健活动来帮助他们渡过难关。12%的超声技师表示从未或很少处理好工作与家庭生活的关系:COVID-19大流行对超声技师健康的初步影响显而易见。纵向数据将有助于长期跟踪健康状况。
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引用次数: 0
Continuing professional development (CPD) test 持续专业发展(CPD)测试
IF 0.4 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2021-09-01 DOI: 10.1002/sono.12281
Attending conferences, seminars, courses relevant to professional expertise Presenting papers, leading/facilitating professional meetings and discussions Delivering lectures Delivering training courses Authoring books Authoring papers, chapters, articles, web-pages and reports (in full or in part) Consultancy Advisory work Mentoring and Assessing Work shadowing Visiting/working with partners or other professional groups Expert witness Press and media activity International collaboration Taking part in public and educational out-reach Chairing courses and specialist meetings Attending internal courses and specialist meetings Research work Professional projects Resource development Careers development work Promoting and presenting Attending events e.g. Conferences, Exhibitions, Seminars, Networking events Structured learning e.g Studying for a qualification, training courses, tests Informal learning e.g. Reading, on-the job training, research, being coached or mentored Voluntary work and Other e.g. volunteering for the Institute, a charity or within your community
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引用次数: 0
The initial impact of COVID-19 on Australasian sonographers part 2: Changes to sonographic examination protocols and access to personal protective equipment. COVID-19 对澳大利亚超声技师的初步影响(第二部分):超声检查规程和个人防护设备使用的变化。
IF 0.4 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2021-09-01 Epub Date: 2021-07-04 DOI: 10.1002/sono.12275
Jessie Childs, Sandhya Maranna, Brooke Osborne, Kathryn Lamb, Adrian Esterman

Introduction: COVID-19 brought with it the requirement for healthcare workers to limit community transmission of the virus as much as possible by limiting patient contact and wearing Personal Protective Equipment (PPE). This study aimed to capture the initial adaptations to sonographic examination protocols within ultrasound departments and sonographer access to PPE.

Methods: An online survey was used to gather data on sonographer reflections of sonographic examination protocol changes seen in their departments and access to PPE between the 11th of March 2020 and the 14th of June 2020.

Results: To reduce the time sonographers spent with the patients and hence reduce the risk of exposure to COVID-19, sonographers reported adjustments to sonographic examination protocols including their duration and scheduling. Access to PPE was reported as poor.

Conclusion: Numerous sonographic examination protocol changes were observed within ultrasound departments in Australasia in the initial response to COVID-19. Access to PPE was varied along with sonographer feelings around the impact of these changes.

导言:COVID-19 要求医护人员通过限制接触患者和穿戴个人防护设备 (PPE) 来尽可能减少病毒的社区传播。本研究旨在了解超声科室对超声检查规程的初步调整情况以及超声技师使用个人防护设备的情况:方法:采用在线调查的方式收集超声技师对其所在科室超声检查方案变化的反映以及在 2020 年 3 月 11 日至 2020 年 6 月 14 日期间获得个人防护设备情况的数据:结果:为了减少超声技师与患者在一起的时间,从而降低接触 COVID-19 的风险,超声技师报告对超声检查方案进行了调整,包括持续时间和时间安排。结论:结论:在应对 COVID-19 的初期,澳大拉西亚的超声科室对超声检查方案进行了大量调整。获得个人防护设备的情况各不相同,超声技师对这些变化的影响也有不同的感受。
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引用次数: 0
The initial impact of COVID-19 on Australasian Sonographers Part 1: Changes in scan numbers and sonographer work hours. COVID-19对澳大利亚超声医师的初步影响第一部分:扫描次数和超声医师工作时间的变化
IF 0.4 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2021-09-01 Epub Date: 2021-05-28 DOI: 10.1002/sono.12263
Jessie Childs, Kathryn Lamb, Brooke Osborne, Sandhya Maranna, Adrian Esterman

Introduction: COVID-19 has seen a series of lockdowns and suspension on non-urgent elective surgeries. Subsequently, there was a drop in the number of diagnostic imaging services billed in April, May, 2020. A survey was undertaken from March to June 2020 to determine the initial impact of COVID-19 on Australasian Sonographers. This article, the first in a 3-part series presents and discusses the results of this survey pertaining to changes in the number of scans performed, and changes in the working hours of sonographers. The remaining two articles in this series address other initial COVID-19 impacts on Australasian Sonographers.

Methods: An online survey was conducted containing questions regarding changes to work hours and examination numbers.

Results: 444 participants answered the survey. Seventy eight percent of sonographers reported a decrease in the number of examinations being performed in their department A decrease in work hours was reported by 68% of sonographers with almost a quarter of these reporting that they had lost all their hours. A higher percentage of work hours changes were seenin private practices. Many reductions in work hours were reported to be voluntary.

Conclusion: Scan numbers in ultrasound departments were affected by COVID-19, as were sonographers' work hours.

导语:新冠肺炎疫情导致一系列非紧急选择性手术被封锁和暂停。随后,2020年4月和5月的诊断成像服务收费数量有所下降。2020年3月至6月进行了一项调查,以确定COVID-19对澳大利亚超声医师的初步影响。本文是由3部分组成的系列文章中的第一篇,介绍并讨论了有关扫描次数变化和超声医师工作时间变化的调查结果。本系列的其余两篇文章讨论了COVID-19对澳大利亚超声医师的其他初步影响。方法:采用在线调查的方式,对工作时间和考试次数的变化进行调查。结果:444名参与者回答了调查。78%的超声技师报告说他们部门的检查次数减少了,68%的超声技师报告说他们的工作时间减少了,其中近四分之一的人报告说他们失去了所有的工作时间。私人诊所的工作时间变化比例更高。据报道,许多工作时间的减少是自愿的。结论:新型冠状病毒肺炎影响超声科室扫描次数,影响超声医师工作时间。
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引用次数: 4
Fetal urinary ascites and spontaneous bladder rupture—A rare case of anterior urethral valves: A case report 胎儿腹水并发自发性膀胱破裂-前尿道瓣膜1例报告
IF 0.4 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2021-09-01 DOI: 10.1002/sono.12285
Anitha Reddy Naini, Natasha Kapkanova, M. Zelesco
Fetal lower urinary tract obstruction (LUTO) affects 2.2 per 10,000 births. It can be a consequence of a range of pathological processes. It has a high mortality and morbidity. Ultrasound plays a pivotal role in the diagnosis of fetal obstructive uropathies, both pre and postnatally. In a study published in 2014, Dias et al. stated that prenatal ultrasound has a 95% sensitivity and 80% specificity in diagnosing LUTO. Posterior urethral valves (PUVs), ureterocele, bladder stone, bladder diverticulum, and meatal stenosis are common causes of urinary obstruction. Anterior urethral valves (AUVs) are a rare cause of congenital obstruction of the male urethra compared to the more commonly encountered PUV. AUV has a profound effect on the bladder, urethra, and upper urinary tract. It shares common prenatal sonographic features with other causes of LUTO. Sonographic features depend on the time of presentation and the severity of the obstruction. Antenatally, on ultrasound megacystis, hydronephrosis, and oligohydramnios may be seen. Postnatally, LUTO may result in severe renal dysfunction. In these cases, renal transplantation may be the only option to facilitate normal renal function. Rarely, extravasation of urine from the upper urinary tract, or rupture of the bladder may occur to relieve urinary pressure and prevent further renal damage. Spontaneous rupture of the fetal bladder in utero is a rare complication of LUTO. We present a case of late presentation of spontaneous bladder rupture in a 34-week 1-day-old male fetus with a postnatal diagnosis of AUV.
胎儿下尿路梗阻(LUTO)发生率为2.2 / 10000。它可能是一系列病理过程的结果。它有很高的死亡率和发病率。超声在产前和产后诊断胎儿梗阻性尿路病变中起着关键作用。Dias等在2014年发表的一项研究中指出,产前超声诊断LUTO的敏感性为95%,特异性为80%。后尿道瓣膜、输尿管膨出、膀胱结石、膀胱憩室和尿道狭窄是尿路梗阻的常见原因。与更常见的前尿道瓣膜相比,前尿道瓣膜是男性尿道先天性梗阻的罕见原因。AUV对膀胱、尿道和上尿路有深远的影响。它与其他原因的LUTO有共同的产前超声特征。超声特征取决于出现的时间和梗阻的严重程度。在产前,超声检查可以看到巨囊、肾积水和羊水过少。产后,LUTO可能导致严重的肾功能障碍。在这种情况下,肾移植可能是促进肾功能正常的唯一选择。很少发生上尿路外渗或膀胱破裂,以减轻尿压,防止进一步的肾脏损害。胎儿膀胱在子宫内自然破裂是一种罕见的并发症。我们提出了一例晚期自发性膀胱破裂在34周1天大的男性胎儿与产后诊断AUV。
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引用次数: 0
The frequency and types of violence experienced by Australian sonographers from patients and visitors: A pilot study 澳大利亚超声医师对病人和来访者的暴力行为的频率和类型:一项试点研究
IF 0.4 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2021-08-30 DOI: 10.1002/sono.12286
Chelsey Lloyd‐Jones, Narelle Kennedy, A. Quinton, Larissa Bligh
There is paucity of literature examining violence against sonographers. The aim of this research was to provide insight into the frequency and types of violence from patients and visitors against sonographers in Australia.
关于针对超声医师的暴力行为的文献很少。这项研究的目的是为了深入了解澳大利亚患者和来访者对超声检查人员的暴力行为的频率和类型。
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引用次数: 0
Case report: Cardiac strangulation from redundant epicardial pacemaker lead 病例报告:多余的心外膜起搏器导联导致心脏绞窄
IF 0.4 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2021-08-24 DOI: 10.1002/sono.12283
Aleisha Hornick
Cardiac strangulation has been documented as a rare complication from epicardial leads. It is the mechanical restriction of the heart muscle by the epicardial leads. Epicardial pacing leads are leads surgically inserted to pace the heart extrinsically, when the hearts own intrinsic pacing system is faulty. Movement or slippage of lead position can effectively result in physical restriction of heart muscle growth. This strangulation of the heart has been documented to cause ischaemia and systolic dysfunction (as a result of compressed coronary arteries), mitral valve dysfunction (obstruction or regurgitation) or right ventricular outflow tract obstruction. This case discusses a 16-year-old male who underwent epicardial lead pacing as an infant for congenital heart block and presented at review with new symptoms of lethargy and “falling behind his peers.” The transthoracic echocardiogram (TTE) showed moderately reduced left ventricular (LV) function with a bright, compressed mitral valve annulus, as well as subtle right ventricle (RV) cavity indentation suggesting possible strangulation from redundant epicardial leads.
心脏绞窄是一种罕见的心外膜导联并发症。这是心外膜导线对心肌的机械限制。心外膜起搏导联是在心脏内部起搏系统出现故障时通过外科手术插入的体外起搏导联。引线位置的移动或滑动可有效地导致心肌生长的物理限制。这种心脏绞窄已被证明可引起缺血和收缩功能障碍(由于冠状动脉受压),二尖瓣功能障碍(阻塞或反流)或右心室流出道阻塞。本病例讨论了一名16岁的男性,他在婴儿时期因先天性心脏传导阻滞接受心外膜导联起搏,并在复查时出现嗜睡和“落后于同龄人”的新症状。经胸超声心动图(TTE)显示左心室(LV)功能中度降低,二尖瓣环明显受压,右心室(RV)腔凹痕轻微,提示可能是多余的心外膜导联造成的绞窄。
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引用次数: 0
Midtarsal joint sprain: A case report 跗骨中关节扭伤1例
IF 0.4 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2021-08-23 DOI: 10.1002/sono.12284
S. O'Brien
Injuries involving the midtarsal joint complex are relatively rare and frequently missed or misdiagnosed, resulting in poor functional outcomes. They are hard to diagnose clinically and poor diagnostic recognition may lead to painful sequelae in the absence of appropriate treatment. This case report presents a patient with a history of ankle trauma where ultrasound recognition of midtarsal joint changes resulted in diagnostic recognition of a midtarsal joint sprain.
涉及跗骨中关节复合体的损伤是相对罕见的,并且经常被遗漏或误诊,导致较差的功能预后。它们在临床上很难诊断,并且在缺乏适当治疗的情况下,诊断认识不佳可能导致痛苦的后遗症。本病例报告介绍了一个踝关节创伤史的患者,超声识别的跗骨中关节改变导致了诊断识别的跗骨中关节扭伤。
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引用次数: 0
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