Scapular Dyskinesis: Part II. A New Diagnostic Modality – Three-Dimensional Wing CT

Author(s):  
Jin-Young PARK ◽  
Jung-Taek Hwang
Author(s):  
Jan Marek ◽  
Folkert Meijboom

Echocardiographic techniques have revolutionized the practice of congenital cardiology over the last three decades. Due to its non-invasive nature and high temporal resolution, echocardiography enables cardiac structures to be imaged as early as the 14th gestational week and it remains the superior diagnostic modality in small children. While transoesophageal (TOE) two-dimensional echocardiography has become an integral part of almost all cardiac interventions, real-time three-dimensional TOE used in older children and adults may help surgeons to understand dynamic spatial relationships of intracardiac structures, enabling them to achieve the best result of an operation. Post bypass, two- and three-dimensional TOE studies significantly reduce the number of reoperations, unnecessary bypass procedures, and general anaesthetics. A developing technique known as tissue deformation imaging enables the assessment of global and regional myocardial systolic and diastolic function even in small hearts. Although mainly used for research, in some specific situations these techniques may modify further diagnostic management, optimize medication, or even change clinical management. Despite its known limitations, echocardiography remains a routine imaging modality for all patients with congenital heart disease, being a definitive imaging modality prior to intervention for many children and screening imaging for older children and adults with congenital heart disease.


2011 ◽  
Vol 2011 ◽  
pp. 1-4
Author(s):  
Konstantinos Kalmantis ◽  
Christos Iavazzo ◽  
Vasiliki Anastasiadou ◽  
Aris Antsaklis

Background. Conventional sonography is the primary imaging tool for these pregnant women who present with an ovarian teratoma. In some cases, however, sonography diagnosis is difficult. We report a case of ovarian teratoma during pregnancy diagnosed by three-dimensional Power Doppler. The cyst was removed via laparotomy without fetal or maternal complications. Three-dimensional ultrasound with multiplanar view can better discriminate a benign ovarian teratoma from complex ovarian lesions or malignant tumors. Its role is significant especially during pregnancy as it may assist in determining which patients are requiring surgery and which are not. The results of three-dimensional sonography and magnetic resonance (MR) were equal but the role of MR imaging is limited in early pregnancy.Conclusions. Three-dimensional technique is a reliable diagnostic modality for preoperative assessment of an ovarian teratoma as it can be performed during the first trimester of pregnancy.


ESC CardioMed ◽  
2018 ◽  
pp. 752-755
Author(s):  
Jan Marek ◽  
Folkert Meijboom

Echocardiographic techniques have revolutionized the practice of congenital cardiology over the last three decades. Due to its non-invasive nature and high temporal resolution, echocardiography enables cardiac structures to be imaged as early as the 14th gestational week and it remains the superior diagnostic modality in small children. While transoesophageal (TOE) two-dimensional echocardiography has become an integral part of almost all cardiac interventions, real-time three-dimensional TOE used in older children and adults may help surgeons to understand dynamic spatial relationships of intracardiac structures, enabling them to achieve the best result of an operation. Post bypass, two- and three-dimensional TOE studies significantly reduce the number of reoperations, unnecessary bypass procedures, and general anaesthetics. A developing technique known as tissue deformation imaging enables the assessment of global and regional myocardial systolic and diastolic function even in small hearts. Although mainly used for research, in some specific situations these techniques may modify further diagnostic management, optimize medication, or even change clinical management. Despite its known limitations, echocardiography remains a routine imaging modality for all patients with congenital heart disease, being a definitive imaging modality prior to intervention for many children and screening imaging for older children and adults with congenital heart disease.


2020 ◽  
Vol 29 (1) ◽  
pp. 93-101 ◽  
Author(s):  
Jin-Young Park ◽  
Junhyun Kim ◽  
Beom Ho Seo ◽  
Ho Dong Yu ◽  
Ju Hyun Sim ◽  
...  

Background: The knowledge of 3-dimensional scapular kinematics is essential for understanding the pathological lesions of the shoulder and elbow in throwing athletes. Many studies about alterations of the resting scapular position, dynamic scapular motion, or scapular dyskinesis (SD) have been conducted, yet none of them have identified a consistent pattern of altered scapular kinematics in throwing athletes. Hypothesis/Purpose: To analyze the 3-dimensional scapular kinematics of dominant and nondominant arms in baseball players with a pathological condition of the shoulder or elbow. Study Design: Cross-sectional study. Methods: Bilateral scapular positions, consisting of upward rotation (UR), superior translation (ST), internal rotation (IR), protraction (PRO), and anterior tilting (AT) with an arm at rest and at 150° forward elevation, were measured among 319 baseball players with SD using 3-dimensional computed tomography. Angular values of scapula were compared between dominant and nondominant arms with statistical analysis. Level of Evidence: Level III, diagnostic study. Results: The scapular position of dominant arms showed significantly more AT, less ST at rest and more UR and IR and less ST, PRO, and AT at 150° full forward elevation compared with the nondominant arms. The magnitude of mean change of UR, IR, PRO, and AT during arm elevation increased significantly between the paired arms (P value: UR, ST, PRO, and AT: <.001 and IR: .001). Conclusion: When compared with the nondominant arms, UR, AT, and PRO with the arm at 150° forward elevation of dominant symptomatic arms in baseball players tilted toward positive compensation, whereas IR altered toward negative decompensation. In addition, the angular increment of the scapula increased significantly in dominant symptomatic arms compared with the nondominant arms.


2013 ◽  
Vol 22 (8) ◽  
pp. 1084-1091 ◽  
Author(s):  
Jin-Young Park ◽  
Jung-Taek Hwang ◽  
Kwang-Mo Kim ◽  
Dheeraj Makkar ◽  
Sung Gyu Moon ◽  
...  

2018 ◽  
Vol 27 (6) ◽  
pp. 1117-1124 ◽  
Author(s):  
Eugene Kim ◽  
Seunghee Lee ◽  
Hwa-Jae Jeong ◽  
Jai Hyung Park ◽  
Se-Jin Park ◽  
...  

2014 ◽  
Vol 23 (6) ◽  
pp. 821-828 ◽  
Author(s):  
Jin-Young Park ◽  
Jung-Taek Hwang ◽  
Kyung-Soo Oh ◽  
Seong-Jun Kim ◽  
Na Ra Kim ◽  
...  

Heart ◽  
2007 ◽  
Vol 93 (8) ◽  
pp. 908-913 ◽  
Author(s):  
P. Ou ◽  
D. S Celermajer ◽  
G. Calcagni ◽  
F. Brunelle ◽  
D. Bonnet ◽  
...  

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