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A Biliary Stent in the Gallbladder Lumen: Misplacement or Migration? 胆道内支架:错位还是移位?
IF 0.3 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2023-07-22 DOI: 10.1177/87564793231189009
R. Bhoil, A. Jhobta, Nidhi Rana
This case report describes a patient who presented with cholangitis gallbladder sludge, choledocolithiasis, and biliary dilatation. The patient’s magnetic resonance cholangiopancreatography demonstrated that the cystic duct had low and medial insertion on common bile duct. However, the patient presented with abdominal discomfort after the completion of an endoscopic retrograde cholangiopancreatography stenting. Subsequent imaging revealed the proximal stent lying in the gallbladder lumen. The case highlights the importance of having the endoscopists recheck and confirm the positioning of the stent, post-procedure. In addition, it is important to raise awareness among physicians/gastroenterologists regarding the possibility of presence of biliary stent in gallbladder lumen, especially in those patients with a history of endoscopic biliary intervention(s).
本病例报告描述了一位表现为胆管炎、胆囊淤泥、胆总管结石和胆道扩张的患者。患者的磁共振胆管造影显示胆囊管在总胆管上有低位和内侧插入。然而,患者在完成内窥镜逆行胆管造影术支架置入后出现腹部不适。随后影像学显示近端支架位于胆囊腔内。该病例强调了手术后内镜医师复查和确认支架定位的重要性。此外,重要的是要提高医生/胃肠病学家对胆道内存在胆道支架的可能性的认识,特别是那些有胆道内窥镜介入史的患者。
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引用次数: 0
Placenta Accreta Spectrum: A Current Literature Review 胎盘增生谱:当前文献综述
IF 0.3 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2023-07-18 DOI: 10.1177/87564793231185059
Mohsen M. A. Abdelhafez, K. Ahmed, Mohd Nazri Mohd Daud, Aya M. Eldiasty, Mohammad Saffree Jeffree, Fairrul Kadir, Dg Marshitah Pg Baharuddin, W. Than, F. Hayati, Nornazirah bt.Azizan, Doreen Sumpat
Objective: This literature review was designed to highlight the most up-to-date and evidence-based interventions, whenever available, regarding diagnostic imaging modalities and management strategies for patients, with the placenta accreta spectrum. Materials and Methods: A comprehensive review of the literature was conducted using database searches in Science Direct, Google Scholar, and PubMed to locate the most up-to-date information, related to this topic. Results: The placenta accreta spectrum has an unclear etiology, with cesarean delivery and placenta previa being the most implicated factors. Conclusion: There is a growing global consensus that the two main risk factors for placenta accreta are placenta previa and prior cesarean delivery. Up-to-date, grayscale sonography combined with Doppler interrogation is thought to be the best first-line assistance, for the identification of abnormal placental invasion. Cesarean hysterectomy, with placenta left in situ, is the classical surgical treatment.
目的:本文献综述旨在强调最新的和基于证据的干预措施,无论何时,关于诊断成像方式和管理策略的患者,与胎盘增生谱。材料和方法:使用Science Direct、Google Scholar和PubMed数据库搜索对文献进行了全面的回顾,以找到与该主题相关的最新信息。结果:胎盘增生谱病因不明,剖宫产和前置胎盘是最可能的因素。结论:全球越来越多的人认为前置胎盘和既往剖宫产是诱发增生性胎盘的两个主要危险因素。目前,灰度超声联合多普勒超声被认为是鉴别异常胎盘侵犯的最佳一线辅助手段。剖宫产子宫切除术,胎盘留在原位,是经典的手术治疗。
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引用次数: 0
Peritonsillar Abscess: A Cohort Study of an Unusual Imaging and Needle Guidance Approach 腹膜周围脓肿:一种不寻常的影像学和针引导方法的队列研究
IF 0.3 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2023-07-12 DOI: 10.1177/87564793231182437
Tim S. Gibbs, Jonathan Birnbaum
Objective: The purpose of this study was to establish a noninvasive, safe, and reliable sonographic technique for evaluating peritonsillar abscess and subsequent drainage. Also, of paramount interest to the emergency physicians was to determine whether this imaging technique could assist in localization and drainage of a tonsillar abscess, minimizing the risk of patient complications. Materials and Methods: This was a prospective nonrandomized study, conducted in a small urban community hospital. All sonographic examinations were performed by the staff sonographers. Imaging procedures were performed using a GE Logiq 9 or E9 ultrasound equipment system (GE Medical, Waukesha, Wisconsin). A broad-band curved linear array transducer (9L) was used to visualize the affected tonsil through a submandibular approach. An endocavity transducer (5 to 9 MHz) was used for all trans-oral cavity imaging. All aspirations were performed with an 18-G 20-cm Trocar needle (Cook Medical LLC. Bloomington, IN) inserted through a commercially available needle guide attachment (CIVCO Medical Solutions. Kalona, IA). Results: A total of 91 patients (N = 50 males and N = 41 females) are included in this cohort study. The patients ranged in age from 10 to 80 years of age and the average age was 34 years. In this patient cohort, 87 abscesses were found, and five patients had bilateral peritonsillar abscess. Of the remaining patients, one had inflammatory lymph nodes and four inflamed tonsils without abscess. All abscesses were successfully drained without complications. Conclusion: This level of evidence demonstrates a possible method is safer, which may be more effective than a nonimaging approach for needle aspiration. This technique is easily applied by both physician and sonographer with minimal training.
目的:本研究的目的是建立一种无创、安全、可靠的超声技术来评估腹膜周围脓肿和随后的引流。此外,急诊医生最感兴趣的是确定这种成像技术是否有助于扁桃体脓肿的定位和引流,最大限度地减少患者并发症的风险。材料和方法:这是一项前瞻性非随机研究,在一家小型城市社区医院进行。所有超声检查均由工作人员超声技师完成。成像程序使用GE Logiq 9或E9超声设备系统(GE Medical, Waukesha, Wisconsin)进行。使用宽带弯曲线性阵列传感器(9L)通过下颌下入路观察受影响的扁桃体。所有经口腔成像均采用腔内换能器(5 ~ 9mhz)。所有插管均使用18 g 20 cm Trocar针(Cook Medical LLC. Bloomington, IN),通过市售的导针附件(CIVCO Medical Solutions)插入。Kalona IA)。结果:本队列研究共纳入91例患者,其中男性50例,女性41例。患者年龄10 ~ 80岁,平均34岁。本组患者共发现87例脓肿,其中5例为双侧腹膜周围脓肿。其余患者中,1例有炎性淋巴结,4例扁桃体发炎,但无脓肿。所有脓肿均成功引流,无并发症。结论:这一水平的证据表明一种可能的方法更安全,可能比非成像方法更有效。这项技术很容易被医生和超声医师使用,只需最少的培训。
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引用次数: 0
Understanding the Downstream Effects of the COVID-19 Pandemic on Sonographers and Vascular Technologists: Healthcare Heroes’ Kryptonite! 了解COVID-19大流行对超声技师和血管技术人员的下游影响:医疗保健英雄的克星!
IF 0.3 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2023-07-05 DOI: 10.1177/87564793231185297
K. Evans, A. N. Weikle, Yoko E Fukumura, Shawn C Roll, C. Sommerich
Objective: This work aimed to explore how the COVID-19 pandemic affected the work of sonographers and vascular technologists. Materials and Methods: A follow-up questionnaire was sent to an established registry of ultrasonography users who opted into a longitudinal research study examining worker health and wellbeing. Multiple questions related to the general impacts of COVID-19 on sonography work practices, workload, and considerations of remaining or leaving their current job were included; responses to these questions were descriptively tabulated. Participants indicated specific changes that occurred and provided general comments related to COVID-19 impacts in two free-text questions. These comments were qualitatively analyzed by two sonographers who used an interpretive grounded theory approach to formatively code and memo the comments. Four summative interviews were conducted with participants who represented varied practice areas to gain deeper insights into the experiences expressed by the total respondent pool. Qualitative coding of the free-text responses and interview transcripts was completed independently by the two sonographers using the Sonography Work Systems (SWS) framework, and the full research team contributed to the interpretation of the findings. Results: A total of 1389 ultrasonography users completed the questionnaire. The pandemic changed the ways in which examinations were performed for approximately half of the respondents. A higher or somewhat higher workload was noted by 48% of the sample, while only 10% experienced a lower or somewhat lower workload. Components of the work system were a major concern for respondents, and a lack of support from supervisors and hospital administration was a key finding. Participants felt limited in their ability to provide care, experienced posttraumatic stress, and reported a lack of reciprocity, which were all underscored as undesirable outcomes. Conclusion: Sonographers and vascular technologists suffered negative consequences during the COVID-19 pandemic. The most marked outcome was the undesirable effects on the work system, which resulted in the need for these workers to engage in herculean efforts over a sustained period. Findings suggest that these health care heroes may have experienced physical and mental harm while trying to provide health care services, despite numerous institutional challenges.
目的:探讨新冠肺炎疫情对超声技师和血管技师工作的影响。材料和方法:一份后续调查问卷被发送到一个已建立的超声检查用户登记处,这些用户选择了一项检查工人健康和福祉的纵向研究。包括与COVID-19对超声检查工作实践、工作量以及保留或离开当前工作的考虑相关的多个问题;对这些问题的回答被描述性地制成表格。参与者在两个自由文本问题中指出了发生的具体变化,并提供了与COVID-19影响相关的一般性意见。这些评论定性分析由两位超声医师谁使用解释性的扎根理论的方法形成代码和备忘录的评论。与代表不同实践领域的参与者进行了四次总结性访谈,以更深入地了解总受访者池所表达的经验。自由文本回答和访谈记录的定性编码由两位超声技师使用超声工作系统(SWS)框架独立完成,整个研究团队对研究结果做出了解释。结果:共有1389名超声用户完成问卷调查。大流行改变了对大约一半答复者进行检查的方式。48%的样本注意到更高或稍高的工作负载,而只有10%的样本经历了更低或稍低的工作负载。工作系统的组成部分是受访者主要关注的问题,缺乏主管和医院管理部门的支持是一个关键的发现。参与者感到自己提供护理的能力有限,经历了创伤后压力,并报告缺乏互惠,这些都被强调为不希望的结果。结论:超声技师和血管技师在COVID-19大流行期间遭受了负面影响。最显著的结果是对工作系统的不良影响,这导致这些工人需要在一段持续的时间内从事艰巨的工作。研究结果表明,尽管存在许多体制上的挑战,这些卫生保健英雄在试图提供卫生保健服务时可能经历了身体和精神伤害。
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引用次数: 1
A Large Idiopathic Arteriovenous Malformation of the Right Lung, Which Was Mistaken for Lung Cancer 右肺特发性大动静脉畸形误诊为肺癌
IF 0.3 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2023-07-05 DOI: 10.1177/87564793231182969
C. Quarato, M. Taurchini, G. Ferretti, A. Simeone, G. Ciccarese, L. Dimitri, P. Fuso, M. Sperandeo
A 53-year-old male was admitted to the hospital because of retrosternal and epigastric pain radiating to the back. Radiologic images showed a homogeneous soft tissue mass in the right upper lobe that was initially misdiagnosed as a lung cancer. Fortunately, a careful Doppler examination identified two vascular structures within the lesion. This diagnostic study suggested the execution of a more appropriate computed tomography angiography (CTA). The examination confirmed the diagnosis of a simple pulmonary arteriovenous malformation (AVM). The patient underwent embolization of the arterial side of the AVM and finally a posterolateral mini-thoracotomy to remove the lesion.
一名53岁男性因胸骨后和上腹部放射至背部疼痛入院。放射影像显示右上叶均匀软组织肿块,最初误诊为肺癌。幸运的是,仔细的多普勒检查发现病变内有两个血管结构。本诊断研究建议采用更合适的计算机断层血管造影(CTA)。检查证实诊断为单纯性肺动静脉畸形(AVM)。患者在动静脉畸形动脉侧进行了栓塞,最后进行了后外侧小开胸手术以切除病变。
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引用次数: 0
The Unexpected High Incidence of Hepatic Hemangiomas, With a Delayed-Phase Washout, During Contrast-Enhanced Ultrasound Utilizing a New Ultrasound Equipment System: A Case Series 利用一种新的超声设备系统进行对比增强超声检查时,肝血管瘤的意外高发,伴延迟期冲洗:一个病例系列
IF 0.3 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2023-07-01 DOI: 10.1177/87564793231167432
G. Menozzi, G. Elisa, Valeria Maccabruni, B. Marani
The delayed imaging phase of hepatic hemangiomas, during a contrast-enhanced ultrasound (CEUS), was investigated utlizing a recent-generation ultrasound equipment system. From April 2021 to October 2021, ten patients (seven women and three men), with a median age of 52.2 years, were retrospectively reviewed, based on having a known or probable hepatic hemangioma, at least 15–60 mm in diameter. The CEUS examination was conducted using an Aplio i800 (Canon Medical Systems, Otawara, Japan) ultrasound equipment system and a blood pool contrast agent (SonoVue; Bracco, Milan, Italy). The imaging evaluation of the hemangiomas with CEUS was extended beyond 240 seconds from contrast injection. In this study, 80% of hepatic hemangiomas showed washout from 240 to 540 seconds, after contrast bolus injection. Previous studies indicated that hepatic hemangiomas demonstrated a washout in the delayed phase and were considered atypical and rare. However, by using a recent ultrasound equipment system, these lesions may appear more frequently. Since this atypical aspect of hemangioma could lead to confusion, based on a differential diagnosis, with liver malignancy, further studies are needed.
利用最新一代超声设备系统,研究了对比增强超声(CEUS)期间肝血管瘤的延迟成像阶段。从2021年4月到2021年10月,回顾性分析了10例患者(7名女性和3名男性),中位年龄为52.2岁,基于已知或可能的肝血管瘤,直径至少为15 - 60mm。超声造影检查使用applio i800 (Canon Medical Systems, Otawara, Japan)超声设备系统和血池造影剂(SonoVue;布拉科,米兰,意大利)。超声造影对血管瘤的影像学评价从注射造影剂后延长至240秒以上。在本研究中,80%的肝血管瘤在注射造影剂后240 - 540秒内消失。先前的研究表明肝血管瘤在延迟期表现为冲洗,被认为是不典型和罕见的。然而,通过使用最近的超声设备系统,这些病变可能会更频繁地出现。由于这种非典型的血管瘤可能导致混淆,基于鉴别诊断,与肝脏恶性肿瘤,需要进一步的研究。
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引用次数: 0
Scope of Practice of Sonographers Across the United States: A Survey Study 全美超声医师的执业范围:一项调查研究
IF 0.3 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2023-07-01 DOI: 10.1177/87564793231153650
Yosefa J. Pessin
Objective: The purpose of this study was to determine the current scope of practice of sonographers in the United States and ascertain if sonographers’ daily responsibilities align with the Society of Diagnostic Medical Sonography’s (SDMS) Sonographer’s Scope of Practice and Clinical Standards. Materials and Methods: A survey was disseminated to SDMS members and clinical sonographers with at least 5 years experience. The survey addressed demographics, education, certification, specialties practiced, job title, work environment, and scope of practice. Results: Of the 613 sonographers who responded, 90% were female and 10% male; the most common age group was 55–64 (36.7%). Most sonographers had a Bachelor’s or Associate’s degree. Eighty-three percent of respondents were White, 5.4% Hispanic, Latino, or Spanish origin, 3% Black or African American, and 3% Asian. While 63% of sonographers have read the SDMS Scope of Practice, 52% reported they perform tasks not included or addressed, in their job description. Many teach sonography in the workplace and provide oral and/or written preliminary impressions and diagnoses. Conclusion: There are regional differences in scope of practice and gender differences in place of employment and job title. Sonographers reported to practice within the SDMS parameters. The guidelines can be expanded to include educating health professionals in sonography and having an increased role in providing diagnoses.
目的:本研究的目的是确定超声医师目前在美国的执业范围,并确定超声医师的日常职责是否符合诊断医学超声学会(SDMS)超声医师的执业范围和临床标准。材料和方法:向SDMS成员和具有至少5年经验的临床超声医师分发调查问卷。调查涉及人口统计、教育、认证、实践专业、职称、工作环境和实践范围。结果:613名超声技师中,女性占90%,男性占10%;最常见的年龄组为55-64岁(36.7%)。大多数超声技师拥有学士或副学士学位。83%的受访者是白人,5.4%是西班牙裔、拉丁裔或西班牙裔,3%是黑人或非裔美国人,3%是亚洲人。虽然63%的超声技师已经阅读了SDMS的业务范围,但52%的超声技师表示他们执行的任务没有包括在他们的工作描述中。许多人在工作场所教授超声检查,并提供口头和/或书面的初步印象和诊断。结论:执业范围存在地区差异,工作地点和职称存在性别差异。超声医师报告在SDMS参数范围内执业。该指南可以扩大到包括对超声检查的卫生专业人员进行教育,并在提供诊断方面发挥更大的作用。
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引用次数: 1
SDMS CME Credit – Cross-disciplinary Prevalence and Associated Factors for Work-Related Discomfort in Users of Ultrasonography: Implications for Sonography Professionals and Health Care Administrators SDMS CME学分-超声检查使用者中与工作有关的不适的跨学科患病率和相关因素:对超声专业人员和卫生保健管理人员的启示
Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2023-06-29 DOI: 10.1177/87564793231180174
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引用次数: 0
SDMS CME Credit – Amyand’s Hernia: A Case Study SDMS CME信用- Amyand的疝气:一个案例研究
IF 0.3 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2023-06-29 DOI: 10.1177/87564793231180178
{"title":"SDMS CME Credit – Amyand’s Hernia: A Case Study","authors":"","doi":"10.1177/87564793231180178","DOIUrl":"https://doi.org/10.1177/87564793231180178","url":null,"abstract":"","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"73 1","pages":"406 - 406"},"PeriodicalIF":0.3,"publicationDate":"2023-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90512605","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}
引用次数: 0
SDMS CME Credit – A Ruptured Inferior Pancreaticoduodenal Artery Aneurysm Detected With Ultrasonography: A Case Report 超声检测下胰十二指肠动脉瘤破裂1例报告
IF 0.3 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2023-06-29 DOI: 10.1177/87564793231180157
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引用次数: 0
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