Consultant Radiographer-led Ultrasound-guided Vacuum Assisted Excision Biopsy

The recent introduction of ultrasound-guided vacuum assisted biopsy (VAB) has led to an increase in the non-operative diagnosis of indeterminate breast lesions. Local working practices have evolved in line with current evidence-based research for ultrasound-guided vacuum assisted excision biopsy of a selected group of these indeterminate lesions. Due to service demands and role extension within the professions allied to health, opportunities have arisen to train radiographers with proven expert practice in breast ultrasound in interventional procedures. Departmental policy has been established to support such suitably experienced radiographers to train and undertake this procedure. Aims have been to provide an effective, acceptable, cost-efficient service which can be accessed as an alternative to surgery. This paper demonstrates how with audited training, competence can be established. Discussion of initial experience suggests that once long-term effective follow up is reported, excision VAB could become established as an appropriate treatment for some patients with initial B3 core biopsy histology.

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Indications for Endoscopic Ultrasound-Guided Pancreatic Drainage: For Benign or Malignant Cases?

Canadian Journal of Gastroenterology and Hepatology ◽

10.1155/2018/8216109 ◽

2018 ◽

Vol 2018 ◽

pp. 1-6 ◽

Cited By ~ 4

Author(s):

Daisuke Uchida ◽

Hironari Kato ◽

Yosuke Saragai ◽

Saimon Takada ◽

Sho Mizukawa ◽

...

Keyword(s):

Endoscopic Ultrasound ◽

Clinical Success ◽

Stent Migration ◽

Success Rates ◽

Recurrent Pancreatitis ◽

Ultrasound Guided ◽

Appropriate Treatment ◽

Long Term Follow Up

Background and Aims. Recurrent pancreatitis associated with pancreatic strictures requires treatment with endoscopic retrograde pancreatography (ERP), but it is sometimes technically unsuccessful. Endoscopic ultrasound-guided pancreatic drainage (EUS-PD) was developed as an alternative to a surgical approach after failed ERP; however, the indications for EUS-PD are unclear. In this study, we evaluated the outcomes of EUS-PD and established the indications for EUS-PD. Methods. A total of 15 patients had indications for EUS-PD for recurrent pancreatitis due to pancreatic strictures. There were eight patients with benign pancreatic strictures and seven with malignant pancreatic strictures. The success rate, adverse events, and long-term outcomes were evaluated. Results. The technical success rates of benign and malignant strictures were 75% (6/8) and 100% (7/7), respectively, and clinical success was achieved in 100% (6/6) and 87.5% of cases (6/7), respectively. Rendezvous procedures were performed in two patients with benign strictures. The adverse event (AE) rate was 26.7% (4/15) and included cases of peritonitis, bleeding, and stent migration. Reinterventions were performed in three patients with benign strictures and two with malignant strictures. Conclusions. EUS-PD was an appropriate treatment for not only benign strictures but also malignant strictures with recurrent pancreatitis after failed ERP. However, the AE rate was high, and reinterventions were required in some cases during long-term follow-up. The indications for EUS-PD should be considered carefully, and careful follow-up is needed.

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Iridoplasty for plateau iris syndrome: a systematic review

BMJ Open Ophthalmology ◽

10.1136/bmjophth-2019-000340 ◽

2019 ◽

Vol 4 (1) ◽

pp. e000340

Author(s):

Hugo Bourdon ◽

Vittoria Aragno ◽

Christophe Baudouin ◽

Antoine Labbé

Keyword(s):

Systematic Review ◽

Intraocular Pressure ◽

Retrospective Studies ◽

Scientific Evidence ◽

Argon Laser ◽

Angle Closure ◽

Current Evidence ◽

Iridocorneal Angle

Plateau iris syndrome (PIS) is a frequent cause of angle closure. Argon laser peripheral iridoplasty (ALPI) has been proposed in PIS to widen the iridocorneal angle. The objective of the present study was to perform a systematic review of the available studies evaluating the efficacy of ALPI on intraocular pressure (IOP), iridocorneal angle opening and the number of medications in patients with chronic angle-closure associated with PIS. One prospective and seven retrospective studies with a minimum 1 month of follow-up were included. Although ALPI seemed to lower IOP, to decrease the number of topical antiglaucoma medications and widen the iridocorneal angle shortly after the procedure, there is no current evidence of long-term efficacy. To date, there is no robust scientific evidence to advocate ALPI as a treatment for chronic angle-closure caused by PIS.

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US-Guided Vacuum-Assisted Biopsy of Microcalcifications in Breast Lesions and Long-Term Follow-Up Results

Korean Journal of Radiology ◽

10.3348/kjr.2008.9.6.503 ◽

2008 ◽

Vol 9 (6) ◽

pp. 503 ◽

Cited By ~ 19

Author(s):

Hua Sun Kim ◽

Min Jung Kim ◽

Eun-Kyung Kim ◽

Jin Young Kwak ◽

Eun Ju Son ◽

...

Keyword(s):

Breast Lesions ◽

Long Term Follow Up

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Juvenile Aggressive Trabecular Ossifying Fibroma of Mandible: A Rare Case Report

Journal of Contemporary Dentistry ◽

10.5005/jp-journals-10031-1140 ◽

2016 ◽

Vol 6 (1) ◽

pp. 45-51

Author(s):

Deepa Das Achath ◽

Abhishek Sanjay Ghule ◽

Preeti Kanchan-Talreja ◽

Sunanda Bhatnagar

Keyword(s):

Case Report ◽

Rare Case ◽

Histological Analysis ◽

High Recurrence Rate ◽

Ossifying Fibroma ◽

Appropriate Treatment ◽

Juvenile Ossifying Fibroma ◽

Rare Case Report

ABSTRACT Fibroosseous lesions of the jaws, including juvenile ossifying fibroma (JOF), pose diagnostic and therapeutic difficulties due to their clinical, radiological, and histological variability. There are two histological varieties of it, one as psammomatoid type and second as trebacular type; here, we present a trebacular type, which is a rare variety. After the clinical examination, radiological and histological analysis, it was diagnosed as juvenile trebacular ossifying fibroma. Although JOF is an uncommon clinical entity, its aggressive local behavior and high recurrence rate means that it is important to make an early diagnosis, apply the appropriate treatment, and, especially, follow-up the patient over the long term. How to cite this article Ghule AS, Achath DD, Kanchan- Talreja P, Bhatnagar S. Juvenile Aggressive Trabecular Ossifying Fibroma of Mandible: A Rare Case Report. J Contemp Dent 2016;6(1):45-51.

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Type 2 diabetes in women of reproductive age

Women’s Healthcare: A Clinical Journal for NPs ◽

10.51256/whc042108 ◽

2021 ◽

Vol 9 (2) ◽

Author(s):

Donna M. Williams ◽

Kathryn Evans Kreider

Keyword(s):

Type 2 Diabetes ◽

Nurse Practitioners ◽

Diabetes Management ◽

Reproductive Age ◽

Current Evidence ◽

Evidence Based ◽

Women Of Reproductive Age

The prevalence of type 2 diabetes in women of reproductive age ranges from 3% to 7%. Due to the common nature of this condition, it is imperative for nurse practitioners who care for women to understand evidence-based methods of diabetes management. The aim of this article is to describe current screening and diagnostic criteria for type 2 diabetes, discuss current evidence-based management and patient education necessary to prevent long-term complications, and provide the tools for a healthy reproductive plan in women with type 2 diabetes from puberty until menopause. Diabetes management extends well beyond glucose control, and nurse practitioners should be attuned to all factors that can impact cardiovascular risk and quality of life.

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Hip screening in newborns in the UK: what are the latest guidelines?

British Journal of Hospital Medicine ◽

10.12968/hmed.2021.0323 ◽

2021 ◽

pp. 1-7

Author(s):

Ayla C Newton ◽

Marion Bohatschek ◽

Andreas Rehm ◽

Elizabeth Ashby

Keyword(s):

Physical Examination ◽

Congenital Abnormalities ◽

Screening Programme ◽

Developmental Dysplasia ◽

Special Focus ◽

Timely Manner ◽

Appropriate Treatment ◽

The Uk

The Newborn and Infant Physical Examination screening is a national screening programme which aims to identify infants with congenital abnormalities to minimise the risk of long-term complications. It involves a top to toe examination with special focus on the heart, eyes, testes and hips. The hip component of the Newborn and Infant Physical Examination screen aims to pick up infants with developmental dysplasia of the hips and refer them for appropriate treatment in a timely manner. Guidelines for the hip section of have recently changed. This article reviews these changes, the timings of the follow up and investigations, and the diagnosis and management of developmental dysplasia of the hips.

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The Safety of Ultrasound Guided Tenotomy for Upper and Lower Extremity Tendinopathies: A Retrospective Study

10.21203/rs.3.rs-32408/v1 ◽

2020 ◽

Author(s):

Benjamin Fick ◽

Daniel Stover ◽

Ruth Chimenti ◽

Mederic Hall

Keyword(s):

Lower Extremity ◽

Physical Function ◽

Complication Rate ◽

Plantar Fascia ◽

Safe Procedure ◽

Ultrasound Guided ◽

Short Term ◽

Long Term Follow Up

Abstract Background: Ultrasound guided tenotomy (USGT) is a minimally invasive treatment option for patients with chronic tendinopathy who fail to benefit from conservative exercise interventions. The complication rate and effectiveness of USGT remain poorly defined in the literature. Purpose: This study aimed to evaluate the risks associated with USGT and outcomes across upper extremity and lower extremity tendinopathy/fasciopathy sites. Methods Patients who had USGT at the elbow, patellar, or Achilles tendons or along the plantar fascia were identified by retrospective review of charts. Screening for complications (infection, tendon rupture, and hypersensitivity) and satisfaction with the procedure were assessed at routine short-term follow-up visits and at long-term follow-up via phone/email. Outcomes (pain, quality of life) were assessed using the region specific pain scales and the Short Form-12, respectively, at baseline prior to the procedure, short-term follow up, and long term follow up. Results: A total of 262 patients were identified through chart review. There was a low complication rate of 0.7% including one superficial wound infection and one case of wound hypersensitivity. Prior to USGT, the majority of patients reported moderate/daily pain that decreased by short-term and long-term follow-up to mild/occasional pain (p < 0.05). Additionally, most patients reported abnormally low physical function prior to USGT that was within normal range of physical function by long-term follow-up (p < 0.05). The majority of responders (63% at the plantar fascia to 92% at the Achilles midportion) reported being either ‘very satisfied’ or ‘somewhat satisfied’ with the procedure at short-term follow-up. Conclusions: This study found that USGT is a safe procedure with a low complication rate in a heterogeneous sample. Study findings provide preliminary evidence on the utility of USGT to reduce pain and improve function with a high rate of patient satisfaction.

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