Vascular Imaging by Color Doppler and Magnetic Resonance

1992 ◽  
Vol 16 (1) ◽  
pp. 76
Author(s):  
M.S. van Leeuwen ◽  
C.J.G. Bakker

Author(s):  
A.I. Zamiatina, M.V. Medvedev

A case of prenatal diagnosis of the corpus callosum lipoma at 32–33 weeks of gestation is presented. In a consultative examination, a hyperechoic formation with clear contours was found in the projection of the septum pellucidum, occupying the rostrum, genu, and truncus of corpus callosum, without signs of intratumorally blood flow in the color Doppler mapping mode. The prenatal diagnosis of "callosum lipoma" was established, confirmed after the birth of a child during magnetic resonance imaging.


2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Cecilia Cavalli ◽  
Claudia Maggi ◽  
Sebastiana Gambarini ◽  
Anna Fichera ◽  
Amerigo Santoro ◽  
...  

Abstract Objectives We aimed to assess the performance of ultrasound (US) and magnetic resonance imaging (MRI) signs for antenatal detection of placenta accreta spectrum (PAS) disorders in women with placenta previa (placental edge ≤2 cm from the internal uterine orifice, ≥260/7 weeks’ gestation) with and without a history of previous Caesarean section. Methods Single center prospective observational study. US suspicion of PAS was raised in the presence of obliteration of the hypoechoic space between uterus and placenta, interruption of the hyperechoic uterine-bladder interface and/or turbulent placental lacunae on color Doppler. All MRI studies were blindly evaluated by a single operator. PAS was defined as clinically significant when histopathological diagnosis was associated with at least one of: intrauterine balloon placement, compressive uterine sutures, peripartum hysterectomy, uterine or hypogastric artery ligature, uterine artery embolization. Results A total of 39 women were included: 7/39 had clinically significant PAS. There were 6/18 cases of PAS with anterior placenta: hypoechoic space interruption and placental lacunae were the most sensitive sonographic signs (83%), while abnormal hyperechoic interface was the most specific (83%). On MRI, focal myometrial interruption and T2 intraplacental dark bands showed the best sensitivity (83%), bladder tenting had the best specificity (100%). 1/21 women with posterior placenta had PAS. There was substantial agreement between US and MRI in patients with anterior placenta (κ=0.78). Conclusions US and MRI agreement in antenatal diagnosis of clinically significant PAS was maximal in high-risk women. Placental lacunae on ultrasound scan and T2 intraplacental hypointense bands on MRI should trigger the suspicion of PAS.


2021 ◽  
Vol 11 (6) ◽  
pp. 1743-1752
Author(s):  
Li Qiao ◽  
Changxiao Li ◽  
Qinde Yu ◽  
Li Ma

For diseases of the abdominal and pelvic system, especially those of the blood duct system, the main examination methods of the transmission system are color Doppler ultrasound, enhanced CT angiography and digital subtraction angiography (DSA). Among them, DSA is the gold standard of angiography, but it is an invasive examination, which is complicated, time-consuming and laborious, and the skill of intubation is very high. Enhanced 3D-CT blood tube imaging has been gradually used in clinic because of its advantages such as fast imaging speed and wide imaging range. It has good vascular imaging conditions and satisfactory vascular imaging results in all parts of the human body, but this examination is radioactive and is not beneficial to young women of childbearing age, children and frail patients. The purpose of this paper is to further illustrate the value of magnetic resonance angiography (CTA) in displaying pelvic vessels by comparing the three-dimensional model of magnetic resonance angiography (CTA) and magnetic resonance angiography (MRA) in healthy young women. The results showed that for the venous system, CTA usually showed only the internal and external iliac vein, but not for the uterine vein and other branches of the internal and external iliac vein, and almost no imaging for the anterior sacral vein. CE-MRA can not only display 1-4 grade arteries to the same extent, but also show more branches of superior and inferior gluteal arteries, and show more abundant veins, especially presacral veins. For cases such as gynecological pelvic floor surgery, it is necessary to know the vascular network of presacral region before operation. In a word, for clinical diagnosis and treatment value, the 3D-CT imaging is the first choice.


2020 ◽  
Vol 33 (4) ◽  
pp. 318-323
Author(s):  
Kofi-Buaku Atsina ◽  
Mougnyan Cox ◽  
Neda I Sedora Roman ◽  
Bryan Pukenas ◽  
Laurence Parker ◽  
...  

Aims The purpose of our study was to analyze utilization trends and physician specialty distribution in spinal catheter angiography and magnetic resonance angiography in the Medicare fee-for-service population. Methods Data from the CMS Physician/Supplier Procedure Summary Master Files for 2004 to 2016 were used for this study. The Current Procedural Terminology version 4 codes for spinal magnetic resonance angiography (72159) and spinal catheter angiography (75705) were used to analyze the volumes of these procedures. Using Medicare’s 108 specialty code, we compared procedure volumes among physician specialties. Data analysis was performed using SAS version 9.3 for Windows. Results The volume of spinal catheter angiography performed was 4758 in 2004, peaked at 6869 in 2012, and dropped to 6656 in 2016. Overall, the volume of spinal catheter angiography increased by 40% from 2004 to 2016. Radiologists performed the majority of these procedures (3736 or 56.1%) in 2016, followed by neurosurgeons (2456 or 36.9%), and neurologists (346 or 5.2%). The spinal magnetic resonance angiography volume fluctuated between 0 and 1 from 2004 to 2009, then precipitously increased to 40 in 2010, peaked at 133 in 2011, and declined to 81 in 2016. The volume of spinal magnetic resonance angiography procedures increased by 8000% from 2004 to 2016, with radiologists performing the majority of them. Conclusion Our results show that spinal catheter angiography volumes continue to rise in the Medicare fee-for-service population, and are largely performed by radiologists, neurosurgeons, and neurologists. Although spinal magnetic resonance angiography volumes have started to increase, they comprise only a small fraction of studies performed for vascular evaluation of the spine.


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