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Differential Diagnosis and Detection of Malignancy of Ovarian Tumors 卵巢肿瘤的鉴别诊断和恶性检测
Q4 Medicine Pub Date : 2024-03-28 DOI: 10.5005/jp-journals-10009-2010
Asim Kurjak, Z. Petanovski
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引用次数: 0
Congenital Pulmonary Airway Malformation 先天性肺气道畸形
Q4 Medicine Pub Date : 2024-03-28 DOI: 10.5005/jp-journals-10009-2006
Asim Kurjak, Edin Medjedović
Congenital pulmonary airway malformations (CPAM) refer to an unusual lesion of the pulmonary airways which combines features of hamartoma malformation and dysplastic proliferation. CPAM includes cystic pulmonary airway malformations, bronchopulmonary sequestration, bronchogenic cysts, hybrid lesions and lobar/segmental emphysema causing respiratory distress in 20-40% of affected babies in the postnatal period. The remaining cases continue asymptomatic or develop symptoms later in life such as chest infections. Most CPAM can be detected on the 20-week antenatal ultrasound increasing the diagnostic yield if MRI is utilized. Children with symptoms early in life are managed with surgery. The management of asymptomatic CPAM is a source of controversy in the literature. CPAM is classified 0 to IV. Type 0 is very rare described as acinar aplasia or agenesis and incompatible with life. Type I the most common is primarily macrocystic with large single or multiple cysts several centimeters in size. Type II is microcystic and associated with other anomalies. Type III appears more solid or with very small cysts similar to immature lungs without bronchi. Type IV originates from the acinus and present with small cysts on the periphery of the lung lobes. Once a cystic lesion is detected in antenatal ultrasound, the location, volume, size, macrocystic or microcystic classification and blood supply should be evaluated. CPAM volume to head circumference ratio (CVR) greater than 1.6 results in fetal demise in about 80% of cases without fetal intervention. CVR < 1.6 will often not continue to grow past the 28th week of gestation. The reasons used to remove asymptomatic lesions in the first year of life include the rate of empyema, abscess, recurrent pneumonia, air leak, pneumothorax and malignancy. Almost 25% of asymptomatic children show histologic evidence of infection. CPAM have a long-term risk of malignancy. Multiple courses of antenatal betamethasone for high-risk fetal CPAM often results in favorable short-term outcomes without the need for open fetal resection.
先天性肺气道畸形(CPAM)是指肺气道的一种异常病变,它结合了仓瘤畸形和发育不良增生的特征。先天性肺气道畸形包括囊性肺气道畸形、支气管肺栓塞、支气管源性囊肿、混合性病变和肺叶/肺段气肿,20%-40%的患儿在出生后会出现呼吸困难。其余病例持续无症状或在出生后出现症状,如胸部感染。大多数 CPAM 可在 20 周的产前超声波检查中发现,如果使用核磁共振成像,诊断率会更高。早期出现症状的患儿可通过手术进行治疗。无症状 CPAM 的处理在文献中存在争议。CPAM 可分为 0 至 IV 型。0 型非常罕见,描述为尖状体增生或缺失,与生命不相容。最常见的 I 型主要是大囊肿,单个或多个囊肿大的可达几厘米。II 型为微囊性,伴有其他异常。III 型表现为实性或非常小的囊肿,类似于没有支气管的未成熟肺。IV 型起源于尖叶,在肺叶外围出现小囊肿。产前超声检查一旦发现囊性病变,就应该对其位置、体积、大小、大囊肿或小囊肿分类以及血供情况进行评估。CPAM 体积与头围比值(CVR)大于 1.6 时,约 80% 的病例会导致胎儿死亡,而无需对胎儿进行干预。CVR < 1.6 通常在妊娠 28 周后不会继续增长。在出生后第一年内切除无症状病灶的原因包括肺水肿、脓肿、复发性肺炎、漏气、气胸和恶性肿瘤的发生率。近 25% 的无症状儿童会出现组织学上的感染证据。CPAM 有长期恶变的风险。对高风险胎儿 CPAM 进行产前多个疗程的倍他米松治疗,往往能在短期内取得良好的疗效,而无需进行开放性胎儿切除术。
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引用次数: 0
Trustworthiness of Four-dimensional Ultrasound and Artificial Intelligence in Improving KANET Test for Detection of Fetuses at Neurorisk 四维超声波和人工智能在改进 KANET 检测神经风险胎儿中的可信度
Q4 Medicine Pub Date : 2024-03-28 DOI: 10.5005/jp-journals-10009-2011
Asim Kurjak, Milan Stanojević, A. Badnjević, L. G. Pokvic, Lemana Spahić
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引用次数: 0
Transposition of the Great Arteries 大动脉移位
Q4 Medicine Pub Date : 2024-03-28 DOI: 10.5005/jp-journals-10009-2007
Milan Stanojević, Edin Medjedović, Sabaheta Jonuzović-Prošić
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引用次数: 0
Three-dimensional Ultrasound in Early Pregnancy—Part II: Quantity and Quality of Early Pregnancy 妊娠早期的三维超声--第二部分:妊娠早期的数量和质量
Q4 Medicine Pub Date : 2024-03-28 DOI: 10.5005/jp-journals-10009-2013
Z. Petanovski
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引用次数: 0
Three-dimensional Ultrasound, HDlive, HDlive Silhouette, and SlowflowHD Features of Fetal OEIS Complex in the First-trimester of Pregnancy 妊娠头三个月胎儿 OEIS 复合体的三维超声、HDlive、HDlive 剪影和 SlowflowHD 特征
Q4 Medicine Pub Date : 2024-03-28 DOI: 10.5005/jp-journals-10009-2009
T. Miyake, Riko Takayoshi, Yasuo Nakahara, Miyuki Konishi, Toshiyuki Hata, Aya Itoh, Naoki Okimoto
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引用次数: 0
Multicystic Dysplastic Kidney of Fetus in First Trimester of Pregnancy 妊娠头三个月胎儿多囊性肾脏发育不良
Q4 Medicine Pub Date : 2024-03-28 DOI: 10.5005/jp-journals-10009-2008
T. Miyake, Riko Takayoshi, Yasuo Nakahara, Tomomi Kawahara, Toshiyuki Hata
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引用次数: 0
Music and Ultrasound: Origins of Our Emotional Connection to Music 音乐与超声波我们与音乐情感联系的起源
Q4 Medicine Pub Date : 2024-03-28 DOI: 10.5005/jp-journals-10009-2004
Helena Dukić
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引用次数: 0
Three-dimensional Ultrasound in Early Pregnancy—Part I: Pathological Conditions Affecting Early Pregnancy 妊娠早期的三维超声--第一部分:影响妊娠早期的病理情况
Q4 Medicine Pub Date : 2024-03-28 DOI: 10.5005/jp-journals-10009-2014
Z. Petanovski
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引用次数: 0
First-trimester HDlive Flow Features of Congenital Heart Anomalies 第一胎先天性心脏畸形的高清血流特征
Q4 Medicine Pub Date : 2023-12-28 DOI: 10.5005/jp-journals-10009-2001
T. Miyake, Tomomi Kawahara, Miyuki Konishi, Toshiyuki Hata
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引用次数: 0
期刊
Donald School Journal of Ultrasound in Obstetrics and Gynecology
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