Pub Date : 2023-11-23DOI: 10.1177/87564793231212921
Erin Manley, Ben Buentipo, Amber Blair, Alison Dilly, Andy Switzky
To evaluate the effectiveness of a tech-enabled telesonography service in an under-resourced obstetrics and gynecology (OB/Gyn) clinic. Quantitative data were collected for each sonographic exam to determine its efficiency and accuracy. A survey was also offered to measure patient satisfaction. Data were collected and analyzed to produce early trends following the implementation of the service. The tech-enabled telesonography service decreased patient exam and report turnaround times in an under-resourced OB/Gyn clinic, which correlated with decreases in the time until the next appointment and the clearing of scheduling backlogs. Importantly, this efficiency was achieved without forfeiting diagnostic accuracy or patient satisfaction. This project demonstrated that the service provided reduced wait times for this under-resourced clinic without sacrificing diagnostic accuracy.
{"title":"A Service Evaluation of Telesonography® and the Measured Outcomes, Within an Under-Resourced Obstetrics and Gynecology Practice","authors":"Erin Manley, Ben Buentipo, Amber Blair, Alison Dilly, Andy Switzky","doi":"10.1177/87564793231212921","DOIUrl":"https://doi.org/10.1177/87564793231212921","url":null,"abstract":"To evaluate the effectiveness of a tech-enabled telesonography service in an under-resourced obstetrics and gynecology (OB/Gyn) clinic. Quantitative data were collected for each sonographic exam to determine its efficiency and accuracy. A survey was also offered to measure patient satisfaction. Data were collected and analyzed to produce early trends following the implementation of the service. The tech-enabled telesonography service decreased patient exam and report turnaround times in an under-resourced OB/Gyn clinic, which correlated with decreases in the time until the next appointment and the clearing of scheduling backlogs. Importantly, this efficiency was achieved without forfeiting diagnostic accuracy or patient satisfaction. This project demonstrated that the service provided reduced wait times for this under-resourced clinic without sacrificing diagnostic accuracy.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139243795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-22DOI: 10.1177/87564793231211316
Zahraa Akbar, Hadeel Alenezi
A sacrococcygeal teratoma (SCT) is one of the most common fetal extragonadal germ cell neoplasms and carries high risk of maternal and perinatal complications. An example of a fetal SCT, associated with polyhydramnios, is presented in this case report. An antenatal surveillance sonogram revealed an increase in the size of the teratoma size and the amniotic fluid index. The patient underwent Cesarean delivery and postnatally, the infant’s teratoma was surgically excised. The pathologic examination of the specimen revealed a benign mature teratoma. This case demonstrated the important role that serial sonography had in monitoring this fetal pathology. Prenatal fetal sonographic assessment can play an important role for patients who need counseling and surgical planning.
{"title":"The Sonographic Diagnosis and Clinical Management of a Fetal Sacrococcygeal Teratoma: A Case Report","authors":"Zahraa Akbar, Hadeel Alenezi","doi":"10.1177/87564793231211316","DOIUrl":"https://doi.org/10.1177/87564793231211316","url":null,"abstract":"A sacrococcygeal teratoma (SCT) is one of the most common fetal extragonadal germ cell neoplasms and carries high risk of maternal and perinatal complications. An example of a fetal SCT, associated with polyhydramnios, is presented in this case report. An antenatal surveillance sonogram revealed an increase in the size of the teratoma size and the amniotic fluid index. The patient underwent Cesarean delivery and postnatally, the infant’s teratoma was surgically excised. The pathologic examination of the specimen revealed a benign mature teratoma. This case demonstrated the important role that serial sonography had in monitoring this fetal pathology. Prenatal fetal sonographic assessment can play an important role for patients who need counseling and surgical planning.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139248476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-15DOI: 10.1177/87564793231211325
J. Bagley, Danielle Amos, Jonathan D. Baldwin
Work-related musculoskeletal disorders (WRMSDs) are injuries developed through repetitive use or strain. These may lead to an early career-ending injury. Work-related burnout has also been documented among sonographers, but the potential relationship between WRMSDs and burnout has not been well studied. A 43-question survey was sent to sonographers and included questions regarding work culture, presence of WRMSDs, early career-ending injury, and occupational burnout. The Oldenburg Burnout Inventory was used to determine gauge occupational burnout. Of 127 respondents, 64% (n = 81) reported a WRMSD and 76% (n = 96) self-reported occupational burnout. The total burnout score was 3.3 points higher among those reporting a WRMSD, compared with those not reporting. ( P = .0077). Work-related musculoskeletal disorders and occupational burnout were associated conditions among this group of sonographers. Hospital and clinic administrators should listen to employees to identify potential occupational burnout or a WRMSD, prior to either condition resulting in an exit from the profession.
{"title":"Exploring the Relationship Between Sonographers’ Work-Related Musculoskeletal Disorders and Occupational Burnout","authors":"J. Bagley, Danielle Amos, Jonathan D. Baldwin","doi":"10.1177/87564793231211325","DOIUrl":"https://doi.org/10.1177/87564793231211325","url":null,"abstract":"Work-related musculoskeletal disorders (WRMSDs) are injuries developed through repetitive use or strain. These may lead to an early career-ending injury. Work-related burnout has also been documented among sonographers, but the potential relationship between WRMSDs and burnout has not been well studied. A 43-question survey was sent to sonographers and included questions regarding work culture, presence of WRMSDs, early career-ending injury, and occupational burnout. The Oldenburg Burnout Inventory was used to determine gauge occupational burnout. Of 127 respondents, 64% (n = 81) reported a WRMSD and 76% (n = 96) self-reported occupational burnout. The total burnout score was 3.3 points higher among those reporting a WRMSD, compared with those not reporting. ( P = .0077). Work-related musculoskeletal disorders and occupational burnout were associated conditions among this group of sonographers. Hospital and clinic administrators should listen to employees to identify potential occupational burnout or a WRMSD, prior to either condition resulting in an exit from the profession.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139274021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-15DOI: 10.1177/87564793231211323
Evan Benjamin, Robert Siegelbaum
Pelvic lymphoceles, which are collections of leaked lymphatic fluid and can be a post-surgical complication. This can be more prevalent following a radical prostatectomy and simultaneous pelvic lymph node dissections, to address prostate cancer. Although a common occurrence after this type of procedure, a small percentage may cause significant complications, including deep vein thrombosis. This case study demonstrated an obstructive pelvic lymphocele that was incidentally detected with sonography, during a lower-extremity venous Doppler examination.
{"title":"The Sonographic Detection of an Obstructive Pelvic Lymphocele","authors":"Evan Benjamin, Robert Siegelbaum","doi":"10.1177/87564793231211323","DOIUrl":"https://doi.org/10.1177/87564793231211323","url":null,"abstract":"Pelvic lymphoceles, which are collections of leaked lymphatic fluid and can be a post-surgical complication. This can be more prevalent following a radical prostatectomy and simultaneous pelvic lymph node dissections, to address prostate cancer. Although a common occurrence after this type of procedure, a small percentage may cause significant complications, including deep vein thrombosis. This case study demonstrated an obstructive pelvic lymphocele that was incidentally detected with sonography, during a lower-extremity venous Doppler examination.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139274265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: Pregnancy can induce the slowing of blood flow in the lower extremity veins and associated complications such as varicose veins. The objective of this study was to report the hemodynamic alterations in uncomplicated pregnancies during second and third trimesters using spectral Doppler. The specific aim was to compare the venous diameter and mean flow velocities of maternal common femoral veins (CFVs) during second and third trimesters of pregnancy. This was designed to assess the extent of pregnancy-induced hemodynamic changes as well as to establish a normative range of these values. Materials and Methods: This cohort study was conducted with 230 women during second and third trimesters of pregnancy. Grayscale sonography and spectral Doppler were used to record the diameter and mean flow velocity of maternal CFVs bilaterally. An independent sample t test was performed for the comparison of these between women with second and third trimesters of pregnancy. Statistical significance was set a P ≤ .05, a priori. Results: There was significant dilatation and a corresponding decrease in mean blood flow velocities in the CFVs in the participants in their third trimester compared with the second trimester of pregnancy. Conclusion: In this large cohort of participants, the CFV demonstrated statistically significant distension and slowing of blood flow with the advancement of their pregnancies.
{"title":"The Use of Doppler to Assess Hemodynamic Alterations in Maternal Common Femoral Veins in Uncomplicated Pregnancies: A Cohort Study","authors":"Erah Yasin, Ifra Mehmood, Zareen Fatima, Mahjabeen Liaqat, Sabar Butt, Zeshan Haider","doi":"10.1177/87564793231207826","DOIUrl":"https://doi.org/10.1177/87564793231207826","url":null,"abstract":"Objective: Pregnancy can induce the slowing of blood flow in the lower extremity veins and associated complications such as varicose veins. The objective of this study was to report the hemodynamic alterations in uncomplicated pregnancies during second and third trimesters using spectral Doppler. The specific aim was to compare the venous diameter and mean flow velocities of maternal common femoral veins (CFVs) during second and third trimesters of pregnancy. This was designed to assess the extent of pregnancy-induced hemodynamic changes as well as to establish a normative range of these values. Materials and Methods: This cohort study was conducted with 230 women during second and third trimesters of pregnancy. Grayscale sonography and spectral Doppler were used to record the diameter and mean flow velocity of maternal CFVs bilaterally. An independent sample t test was performed for the comparison of these between women with second and third trimesters of pregnancy. Statistical significance was set a P ≤ .05, a priori. Results: There was significant dilatation and a corresponding decrease in mean blood flow velocities in the CFVs in the participants in their third trimester compared with the second trimester of pregnancy. Conclusion: In this large cohort of participants, the CFV demonstrated statistically significant distension and slowing of blood flow with the advancement of their pregnancies.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135243043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-07DOI: 10.1177/87564793231208938
Eric Kallstrom
Objective: The aim was to explore the existence of health care leadership gaps in communication, which occurred during the COVID-19 pandemic, by utilizing a qualitative research approach. Materials and Methods: Participants were recruited from a single professional organization. The volunteer leadership group was the frame for recruiting study participation. This work was conducted with a flexible research design method. A demographic survey, interview guide, and data triangulation survey were used to collect data from 21 participants over a four-week period. The participant responses were then analyzed through a process of coding and thematic analysis. Results: Five themes were generated from this cohort’s data, which alluded to gaps in leadership communication. These gaps occurred in the leader/employee relationship, at their respective institutions. Triangulation of the data from surveys underscored the presence of these communication gaps. Conclusion: The findings of this study may suggest the importance of a set of communication competencies for those in health care leadership, regardless of the complexities of a pandemic.
{"title":"Exploring Leadership Communication Competencies, Within Health Care, That May Have Been Exacerbated by the Pandemic","authors":"Eric Kallstrom","doi":"10.1177/87564793231208938","DOIUrl":"https://doi.org/10.1177/87564793231208938","url":null,"abstract":"Objective: The aim was to explore the existence of health care leadership gaps in communication, which occurred during the COVID-19 pandemic, by utilizing a qualitative research approach. Materials and Methods: Participants were recruited from a single professional organization. The volunteer leadership group was the frame for recruiting study participation. This work was conducted with a flexible research design method. A demographic survey, interview guide, and data triangulation survey were used to collect data from 21 participants over a four-week period. The participant responses were then analyzed through a process of coding and thematic analysis. Results: Five themes were generated from this cohort’s data, which alluded to gaps in leadership communication. These gaps occurred in the leader/employee relationship, at their respective institutions. Triangulation of the data from surveys underscored the presence of these communication gaps. Conclusion: The findings of this study may suggest the importance of a set of communication competencies for those in health care leadership, regardless of the complexities of a pandemic.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135479714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-01DOI: 10.1177/87564793231193396
Buwen Yao, Kevin D Evans, Shawn C Roll
Objective: This study examined the implementation of a Doppler sonography imaging protocol to assess intraneural blood flow, within the median nerve, in healthy individuals.
Materials and methods: A total of 176 participants were examined, and this involved 717 retrospective observations of the images collected. The implemented imaging protocol was assessed, and the data that were collected were cleaned and checked for fidelity and validity.
Results: A large percentage of missing evidence (11%-35%) across proximal, mid, and distal carpal tunnel locations. Only a quarter of cases with evidence of intraneural blood flow had the strongest evidence of a power Doppler video clip, of which only three-quarters were valid. The study identified potential areas for improving the imaging protocol to reduce missing data and improve data quality.
Conclusion: This study demonstrates the significance of a standardized imaging protocol to guide the sonographic acquisition of Doppler images and provides important insights into potential issues with data quality. The recommendations have the potential to help future studies assess intraneural blood flow in healthy populations in a more rigorous and reliable way. Incorporating the study's recommendations into a standardized protocol, there is potential to enhance the diagnostic accuracy of carpal tunnel syndrome and improve diagnosis and treatment.
{"title":"Assessing the Potential for Error in Investigating Intraneural Vascularity: A Need for a Standardized Imaging Protocol.","authors":"Buwen Yao, Kevin D Evans, Shawn C Roll","doi":"10.1177/87564793231193396","DOIUrl":"10.1177/87564793231193396","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the implementation of a Doppler sonography imaging protocol to assess intraneural blood flow, within the median nerve, in healthy individuals.</p><p><strong>Materials and methods: </strong>A total of 176 participants were examined, and this involved 717 retrospective observations of the images collected. The implemented imaging protocol was assessed, and the data that were collected were cleaned and checked for fidelity and validity.</p><p><strong>Results: </strong>A large percentage of missing evidence (11%-35%) across proximal, mid, and distal carpal tunnel locations. Only a quarter of cases with evidence of intraneural blood flow had the strongest evidence of a power Doppler video clip, of which only three-quarters were valid. The study identified potential areas for improving the imaging protocol to reduce missing data and improve data quality.</p><p><strong>Conclusion: </strong>This study demonstrates the significance of a standardized imaging protocol to guide the sonographic acquisition of Doppler images and provides important insights into potential issues with data quality. The recommendations have the potential to help future studies assess intraneural blood flow in healthy populations in a more rigorous and reliable way. Incorporating the study's recommendations into a standardized protocol, there is potential to enhance the diagnostic accuracy of carpal tunnel syndrome and improve diagnosis and treatment.</p>","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10701715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72824120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-31DOI: 10.1177/87564793231205526
Hafiza Iqra Kanwal, Munaza Shahid, Raham Bacha
Objective: Diabetes mellitus (DM) and hypertension are among the most common causes of arteriosclerotic diseases. Intima-media thickness is usually increased with arterial diseases and an increase in carotid intima-media thickness (cIMT) is associated with the presence and extent of coronary artery disease (CAD). This study was designed to sonographically compare the cIMT in hypertensive and DM patient volunteers. Materials and Methods: A case-control stratified study was conducted at Lahore imaging center. Patients were invited to the study had to more than 30 years of age, DM, and hypertension. Individuals from the same age group without hypertension and DM were invited as study controls. Patients with an endarterectomy, or other arterial interventional procedure, as well as a previous history of cardiovascular disease and stroke, were excluded. Results: The mean cIMT, within the right carotid artery was 0.53 mm for the control group, 0.69 mm for the DM group, 0.67 mm for the hypertensive group, and 0.98 mm for the DM and hypertensive patients. The mean cIMT of the left carotid artery was 0.56 mm for the control group, 0.7 mm for DM group, 0.68 mm for hypertensive group, and 1.01 mm for the DM and hypertensive patients. Conclusion: There was a significant difference between the mean cIMT among DM and non-DM individuals. The control group and the DM or hypertension group also differed significantly. However, a more significant difference was found in the mean cIMT within the common carotid artery of control group as well as those with both DM and hypertension.
目的:糖尿病(DM)和高血压是动脉硬化性疾病最常见的病因。内膜-中膜厚度通常随着动脉疾病而增加，颈动脉内膜-中膜厚度(cIMT)的增加与冠状动脉疾病(CAD)的存在和程度有关。本研究旨在超声比较高血压和糖尿病患者志愿者的cIMT。材料与方法:在拉合尔影像中心进行病例对照分层研究。被邀请参加研究的患者必须年龄在30岁以上，患有糖尿病和高血压。来自同一年龄组的无高血压和糖尿病的个体被邀请作为研究对照。排除有动脉内膜切除术或其他动脉介入手术的患者，以及既往有心血管疾病和中风史的患者。结果:右颈动脉内cIMT均值，对照组0.53 mm, DM组0.69 mm，高血压组0.67 mm, DM和高血压组0.98 mm。对照组左颈动脉平均cIMT为0.56 mm，糖尿病组为0.7 mm，高血压组为0.68 mm，糖尿病合并高血压组为1.01 mm。结论:糖尿病患者与非糖尿病患者的平均cIMT有显著性差异。对照组与糖尿病或高血压组也有显著差异。然而，对照组和糖尿病合并高血压组颈总动脉内平均cIMT的差异更为显著。
{"title":"Sonographic Assessment of Intima-Media Thickness of Carotid Arteries in Hypertensive and Diabetic Volunteers","authors":"Hafiza Iqra Kanwal, Munaza Shahid, Raham Bacha","doi":"10.1177/87564793231205526","DOIUrl":"https://doi.org/10.1177/87564793231205526","url":null,"abstract":"Objective: Diabetes mellitus (DM) and hypertension are among the most common causes of arteriosclerotic diseases. Intima-media thickness is usually increased with arterial diseases and an increase in carotid intima-media thickness (cIMT) is associated with the presence and extent of coronary artery disease (CAD). This study was designed to sonographically compare the cIMT in hypertensive and DM patient volunteers. Materials and Methods: A case-control stratified study was conducted at Lahore imaging center. Patients were invited to the study had to more than 30 years of age, DM, and hypertension. Individuals from the same age group without hypertension and DM were invited as study controls. Patients with an endarterectomy, or other arterial interventional procedure, as well as a previous history of cardiovascular disease and stroke, were excluded. Results: The mean cIMT, within the right carotid artery was 0.53 mm for the control group, 0.69 mm for the DM group, 0.67 mm for the hypertensive group, and 0.98 mm for the DM and hypertensive patients. The mean cIMT of the left carotid artery was 0.56 mm for the control group, 0.7 mm for DM group, 0.68 mm for hypertensive group, and 1.01 mm for the DM and hypertensive patients. Conclusion: There was a significant difference between the mean cIMT among DM and non-DM individuals. The control group and the DM or hypertension group also differed significantly. However, a more significant difference was found in the mean cIMT within the common carotid artery of control group as well as those with both DM and hypertension.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135814158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-30DOI: 10.1177/87564793231207831
Garth S. Nanni
Varied diagnostic imaging techniques may often be used in tandem, to enhance and complement each other, when an initial imaging diagnosis appears equivocal. Diagnostic medical sonography and magnetic resonance imaging (MRI) are imaging techniques that often complement each another. Sonography is an excellent diagnostic technique to determine the consistency of a soft tissue mass (e.g., solid vs cystic), and its relationship to adjacent structures, size, and shape. Sonography is especially useful for evaluating palpable lumps and allows sonographers to perform targeted examinations around the area of interest. In addition, color and pulsed-wave Doppler enable further characterization of a lesion’s presence or lack of vascularity. Sonography can also guide core-needle biopsy of superficial lesions. However, sonography is less reliable for deep masses in large anatomical regions. The American College of Radiology recommends MRI for deeper lesions of this type. Magnetic resonance imaging is also recommended for soft tissue masses suspected to be localized to the peripheral nervous system.
{"title":"Case Series: Multiple Soft Tissue Lesions Demonstrated by Sonography and MRI Correlation","authors":"Garth S. Nanni","doi":"10.1177/87564793231207831","DOIUrl":"https://doi.org/10.1177/87564793231207831","url":null,"abstract":"Varied diagnostic imaging techniques may often be used in tandem, to enhance and complement each other, when an initial imaging diagnosis appears equivocal. Diagnostic medical sonography and magnetic resonance imaging (MRI) are imaging techniques that often complement each another. Sonography is an excellent diagnostic technique to determine the consistency of a soft tissue mass (e.g., solid vs cystic), and its relationship to adjacent structures, size, and shape. Sonography is especially useful for evaluating palpable lumps and allows sonographers to perform targeted examinations around the area of interest. In addition, color and pulsed-wave Doppler enable further characterization of a lesion’s presence or lack of vascularity. Sonography can also guide core-needle biopsy of superficial lesions. However, sonography is less reliable for deep masses in large anatomical regions. The American College of Radiology recommends MRI for deeper lesions of this type. Magnetic resonance imaging is also recommended for soft tissue masses suspected to be localized to the peripheral nervous system.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136022605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-21DOI: 10.1177/87564793231205612
Yoko E. Fukumura, Carolyn M. Sommerich, Kevin D. Evans, Shawn C. Roll
Objective: Explore the differing associations of Sonography Work Systems (SWS) model factors with work-related discomfort outcomes among sonographers in four sonographic practice areas. Materials and Methods: Survey data from a national cross-disciplinary cohort of sonographers was analyzed to explore experiences of work factors and work-related discomfort in sonographers across four practice areas: abdominal (ABD+), adult echocardiography (Echo), obstetrics/gynecology (OB/GYN), and vascular technology (VT). One-way analyses of variance (ANOVAs) and chi-square tests were conducted on SWS factors and work-related discomfort to examine differences across practice area groups. Associative analyses were conducted between upper extremity musculoskeletal discomfort and hand used during sonography examinations. For each practice group, regression analyses examined associations of SWS factors with work-related discomfort (i.e., musculoskeletal and visual discomfort, headaches). Results: 2924 survey respondents (n = 1747 ABD+, n = 519 Echo, n = 351 VT, and n = 307 OB/GYN) were identified. Descriptive differences were identified in SWS factors and discomfort across practice area groups. Significant differences were noted in distribution of upper extremity pain compared with the hand used to complete sonography examinations ( P < .001). Conclusion: This study identified multiple organizational, tool, and process factors commonly associated with discomfort across specialties, which underscores the need for multidimensional approaches to worker health that include effective administrative and engineering controls.
{"title":"Work-Related Musculoskeletal Disorders and Associated Work Systems Factors: Are There Differences Between Sonography Practice Areas?","authors":"Yoko E. Fukumura, Carolyn M. Sommerich, Kevin D. Evans, Shawn C. Roll","doi":"10.1177/87564793231205612","DOIUrl":"https://doi.org/10.1177/87564793231205612","url":null,"abstract":"Objective: Explore the differing associations of Sonography Work Systems (SWS) model factors with work-related discomfort outcomes among sonographers in four sonographic practice areas. Materials and Methods: Survey data from a national cross-disciplinary cohort of sonographers was analyzed to explore experiences of work factors and work-related discomfort in sonographers across four practice areas: abdominal (ABD+), adult echocardiography (Echo), obstetrics/gynecology (OB/GYN), and vascular technology (VT). One-way analyses of variance (ANOVAs) and chi-square tests were conducted on SWS factors and work-related discomfort to examine differences across practice area groups. Associative analyses were conducted between upper extremity musculoskeletal discomfort and hand used during sonography examinations. For each practice group, regression analyses examined associations of SWS factors with work-related discomfort (i.e., musculoskeletal and visual discomfort, headaches). Results: 2924 survey respondents (n = 1747 ABD+, n = 519 Echo, n = 351 VT, and n = 307 OB/GYN) were identified. Descriptive differences were identified in SWS factors and discomfort across practice area groups. Significant differences were noted in distribution of upper extremity pain compared with the hand used to complete sonography examinations ( P < .001). Conclusion: This study identified multiple organizational, tool, and process factors commonly associated with discomfort across specialties, which underscores the need for multidimensional approaches to worker health that include effective administrative and engineering controls.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135511822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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