scholarly journals Clinical Application and Value of Ultrasound in Diagnosis of Acute Abdomen—A Single Center Experience

2017 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Kong Soi Chau ◽  
Ieong Chon Man
Keyword(s):  
Acute Abdomen ◽  
Clinical Application ◽  
Diagnostic Technique ◽  
Final Diagnosis ◽  
Urinary Stones ◽  
Clinical Value ◽  
Single Center Experience ◽  
Liver Abscesses ◽  
Abdominal Disease ◽  
Diagnostic Technology

<p><em>This study is an analysis of the clinical value of ultrasonic diagnostic technique in the differential diagnosis of acute abdomen of the liver and gallbladder. Methods from July 2010 to October 2015, 641 cases of acute abdomen admitted to Macao </em><em>Conde de Sao Januario</em><em> Hospital were retrospectively analyzed. Among 641 cases of acute abdomen, 280 cases (43.7%) were diagnosed as acute appendicitis, 168 cases (26.3%) had acute pancreatitis, 79 cases (12.3%) had acute cholecystitis, 65 cases (10.1%) had urinary stones, 49 cases (7.6%) had liver abscesses. In 641 cases of acute abdominal disease, 584 cases were consistent with the results of ultrasonic examination and final diagnosis, which accounted for 91.1% of the total number of cases. Therefore, ultrasound diagnostic technology has a good clinical value in identifying acute abdomen, which helps to make correct pathological diagnosis, reduce misdiagnosis rate, and has no radiation and noninvasive. Therefore, it is worth further use in clinical application.</em></p>

Obstetrics and Gynecology Acute Abdomen Clinical Diagnosis and Differential Value of Ultrasonography

2021 ◽  
Vol 11 (8) ◽  
pp. 2144-2152
Author(s):  
Yu Tian ◽  
Hong Luo ◽  
Min He
Keyword(s):  
Acute Abdomen ◽  
Clinical Diagnosis ◽  
Pathological Examination ◽  
Obstetrics And Gynecology ◽  
Common Disease ◽  
Clinical Value ◽  
Gynecology And Obstetrics ◽  
Abdominal Disease ◽  
The Difference ◽  
Clinical Emergency

Acute abdomen in obstetrics and gynecology is a common disease in clinical emergency, most of the patients have the characteristics of complex condition and rapid progress, and need to be treated through clinical diagnosis. There are many traditional diagnosis methods, but the accuracy is not ideal. Ultrasound is a widely used imaging technique in recent years, which has the characteristics of simple operation and high accuracy, so it is favored by doctors and patients in obstetrics and gynecology. In this study, 200 patients with acute abdomen in obstetrics and gynecology were selected, and the results of pathological examination were taken as the gold standard to evaluate the clinical value of ultrasound examination. As a result, the misdiagnosed ultrasound group was significantly lower after the diagnosis than in the normal group, the difference was significant (P > 0.05). Therefore, the use of ultrasound imaging, the clinical diagnosis of acute abdominal diseases in gynecology and obstetrics achieves a clear diagnostic effect, improves the diagnostic accuracy of patients with acute abdominal disease in the clinical. It is very important for the development of targeted therapeutic programmes.

MO226A NEW DIAGNOSTIC TOOL FOR CKD PATIENTS: CONTRAST-ENHANCED ULTRASONOGRAPHY. A SINGLE CENTER EXPERIENCE

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Mirela Liana Gliga ◽  
Cristian Chirila ◽  
Paula Chirila ◽  
Adriana Gomotarceanu ◽  
Imola Torok ◽  
...  
Keyword(s):  
Diagnostic Tool ◽  
Final Diagnosis ◽  
Medical System ◽  
Focal Lesions ◽  
Non Invasive ◽  
Single Center Experience ◽  
Contrast Enhanced ◽  
Contrast Enhanced Ultrasonography ◽  
Malignant Lesions ◽  
Guidelines And Recommendations

Abstract Background and Aims Contrast-enhanced ultrasonography (CEUS) is a minimally invasive diagnostic tool available for diagnosing microvascular disturbances in tumors and many vascular pathologies. Unlike other radiological contrast agents, it is completely harmless for CKD patients and therefore it is used for the safe diagnosis of many diffuse or focal pathologies. Method We used CEUS examination in 50 CKD patients for the following pathologies: 10 atypical cysts, 15 liver focal lesions, 2 splenic focal lesions, 3 renal infarcts, 12 kidney focal lesions and 8 other organ involvements. Examination was made using a VOLUSON E8 machine (GE Medical System Kreztechnik GmbH Tiefenbach 15, Austria) with a 3.5 MHz convex array abdominal transducer. 2.4 ml of microbubble contrast-agent was administered intravenously and recording of the results were made for 3-5 minutes after injection. Results Depending on the organ vascular characteristics, contrast enhancement and/or wash-out were suggestive for the final diagnosis. In liver lesions there are three phases and in kidneys, spleen, gallbladder, adenopathies there are two vascular phases. We obtained a very good positive predictive value and sensitivity in detecting malignant lesions. Conclusion According to The EFSUMB Guidelines and Recommendations for the Clinical Practice of Contrast-Enhanced Ultrasound they are used both for hepatic and Non-Hepatic Applications. Being non-invasive and non-irradiating it could be the main diagnostic examination in CKD population in the future.

scholarly journals The Clinical Application of Porous Tantalum and Its New Development for Bone Tissue Engineering

2021 ◽  
Author(s):  
Gan Huang ◽  
Shu-Ting Pan ◽  
Jia-Xuan Qiu
Keyword(s):  
Clinical Application ◽  
Bone Ingrowth ◽  
Primary Stability ◽  
High Porosity ◽  
Marginal Bone Loss ◽  
Clinical Value ◽  
Porous Tantalum ◽  
New Development

Porous tantalum (Ta) is a promising biomaterial and has been applied in orthopedics and dentistry for nearly two decades. The high porosity and interconnected pore structure of porous Ta promise fine bone ingrowth and new bone formation within the inner space, which further guarantee rapid osteointegration and bone-implant stability in long term. Porous Ta has high wettability and surface energy that can facilitate adherence, proliferation and mineralization of osteoblasts. Meanwhile, low elastic modulus and high friction coefficient of porous Ta can effectively avoid stress shield effect, minimize marginal bone loss and ensure primary stability. Accordingly, the satisfactory clinical application of porous Ta based implants or prostheses are mainly derived from its excellent biological and mechanical properties. With the advent of additive manufacturing, personalized porous Ta based implants or prostheses have shown their clinical value in the treatment of individual patient who need specially designed implant or prosthesis. In addition, many modification methods have been introduced to enhance the bioactivity and antibacterial property of porous Ta with promising in vitro and in vivo research results. In any case, choosing suitable patients is of great importance to guarantee surgical success after porous Ta insertion.

Tympanic plethysmography in glomus jugulare tumours

1981 ◽  
Vol 95 (6) ◽  
pp. 589-595
Author(s):  
Sayed Tewfik
Keyword(s):  
Pressure Transducer ◽  
Diagnostic Technique ◽  
X Rays ◽  
Axial Tomography ◽  
Non Invasive ◽  
Glomus Jugulare ◽  
Diagnostic Technology ◽  
Carotid Aneurysms ◽  
Pressure Changes ◽  
Degree Of Extension

SummaryTympanic plethysmography is a simple non-invasive diagnostic technique which is used to differentiate between intra-temporal carotid aneurysms and glomus jugulare tumours and to predict the degree of extension of the tumour. It is performed by the indirect recording of volume pressure changes of pulsating tympanic masses using a pressure transducer. The volume pressure change of the pulsating mass is transmitted to the pressure transducer through a saline-filled system.Medical technology has undergone considerable progress with the introduction of new techniques in medical diagnosis less harmful to the patient and with a reduced risk of complications. The collaboration of doctors, scientists and bioengineers has resulted in the evolution of such changes, thereby trying to replace the more aggressive or invasive diagnostic techniques. The ideal diagnostic technology is one without pain, harm or complications to the patient.Medical diagnostic technology may be classified as invasive or noninvasive. Non-invasive diagnostic technology is either active, using an external source of energy such as ultrasound (ultrasonography) or a small dose of X-rays, as in computerized axial tomography; or passive, using the energy emitted by human structures, as in plethysmography.Plethysmography is the recording of volume pressure changes. Oculoplethysmography is used to monitor extracranial occlusive carotid disease (Kartchner and McRae, 1973). The use of sound energy as an internal energy emitted by the human body has proved effective as a passive, non-invasive diagnostic technique (Tewfik, 1976, 1977).Volume pressure changes of intra-temporal carotid aneurysms have been recorded, using a pressure transducer (Tewfik, 1974).In this article the volume pressure changes of glomus jugulare tumours have been recorded and the findings compared with those obtained, and previously published, for intra-temporal carotid aneurysms. Volume pressure changes of pulsating tympanic masses may be called tympanic plethysmography. A trial of this simple non-invasive diagnostic technique for differentiating pulsating tympanic masses is here reported, together with an assessment of the technique in its ability to predict the degree of extension of glomus jugulare tumours.

Diagnostic Value of Ultrasound Imaging in Obstetrics and Gynecology Acute Abdomen

2021 ◽  
Vol 11 (2) ◽  
pp. 469-477
Author(s):  
Sicong Li ◽  
Liangzhi Xu
Keyword(s):  
Acute Abdomen ◽  
Ultrasound Imaging ◽  
Diagnostic Value ◽  
Obstetrics And Gynecology ◽  
Imaging Diagnosis ◽  
Clinical Value ◽  
Obstetrics And Gynaecology ◽  
Imaging Characteristics ◽  
Objective Evidence ◽  
Acute Pelvic Inflammatory Disease

Common types of gynecological acute abdomen include ovarian cyst pedicle torsion, ectopic pregnancy, luteal rupture, and acute pelvic inflammatory disease. Make accurate diagnosis and surgical treatment of acute abdomen patients in obstetrics and gynecology in time, otherwise it will cause life danger or loss of organ function, therefore, accurate and timely diagnosis and treatment of gynecological acute abdomen is very important for the prognosis of patients. Ultrasound imaging has important clinical value for the diagnosis of acute abdomen in obstetrics and gynecology. Ultrasound imaging has the advantages of simple examination, rapid reporting, and no pain in the subject, which is one of the best methods for diagnosing acute abdomen in obstetrics and gynecology. This study analysed and summarized the imaging principles of ultrasound imaging in acute obstetrics and gynecology and the imaging characteristics of various acute abdomen. A retrospective analysis of patients with acute obstetrics and gynaecology performed in our hospital from December 2017 to June 2019 was performed. The diagnostic analysis of ultrasound imaging in acute obstetrics and gynaecology was performed. The results showed that the ultrasound imaging diagnosis results of 202 obstetric and gynecological acute abdomen patients were compared with the results of surgery and pathological diagnosis. Among the 182 cases with correct ultrasound imaging diagnosis, the coincidence rate was 90.1%, and 20 cases were misdiagnosed, accounting for 9.9%. The research of this study shows that the ultrasound examination technique for patients with acute obstetrics and gynaecology is simple, fast, non-invasive, and has high accuracy. Ultrasound imaging can provide reliable objective evidence for the diagnosis and differential diagnosis of most acute abdominal diseases, in order to improve the diagnosis rate and reduce the misdiagnosis rate.

scholarly journals Clinical Effect Observation of Spiral CT in The Etiological Diagnosis of Senile Acute Abdomen

2015 ◽  
Vol 4 (3) ◽  
pp. 16
Author(s):  
Jun Li
Keyword(s):  
Adverse Reaction ◽  
Acute Abdomen ◽  
Clinical Application ◽  
Reaction Rate ◽  
Statistical Significance ◽  
Spiral Ct ◽  
Liver Mri ◽  
Etiological Diagnosis ◽  
Comparison Results ◽  
Diagnosis Rate

<strong>Objective</strong>: To discuss the clinical application value of multi-slice spiral CT in etiological diagnosis of senile acute abdomen. <strong>Methods</strong>: To select 80 cases of elderly patients with acute abdomen received treatment from June 2006 to August 2012 in our hospital. Among them, 40 patients were diagnosed by multi-slice spiral CT technique and considered as CT group; 40 patients were diagnosed by liver MRI technology and considered as MRI group. The diagnostic accuracy and adverse reaction rate of two groups were compared, and the comparison results were analyzed statistically using SPSS statistical software. <strong>Result</strong>: The diagnosis rate of CT group was significantly higher than that of MIR group, while the adverse reaction rate was significantly lower than that of MIR group, <em>p </em>&lt; 0.05, with statistical significance. <strong>Conclusion</strong>: multi-slice spiral CT can accurately diagnose the cause of senile acute abdomen. It has important clinical significance for the treatment of senile acute abdomen, and it has clinical application value.

scholarly journals Low dosis of alteplase, for ischemic stroke after Enchanted and its determinants, a single center experience

2020 ◽  
Vol 78 (11) ◽  
pp. 681-686
Author(s):  
Alejandro Michel Brunser ◽  
Enrico Mazzon ◽  
Gabriel Cavada ◽  
Eloy Mansilla ◽  
Alexis Rojo ◽  
...  
Keyword(s):  
Standard Dose ◽  
Univariate Analysis ◽  
Intravenous Thrombolysis ◽  
Previous Treatment ◽  
Antiplatelet Agents ◽  
Final Diagnosis ◽  
International Normalized Ratio ◽  
Single Center Experience ◽  
Scale Scores ◽  
Stroke Mimic

Abstract Background: Low-dose alteplase (LrtPA) has been shown not to be inferior to the standard-dose (SrtPA) with respect to death/disability. Objective: We aim to evaluate the percentage of patients treated with LrtPA at our center after the ENCHANTED trial and the factors associated with the use of this dosage. Methods: Prospective study in consecutive patients with an acute stroke admitted between June 2016 and November 2018. Results: 160 patients were treated with intravenous thrombolysis, 50% female; mean age 65.4±18.5 years. Of these, 48 patients (30%) received LrtPA. In univariate analysis, LrtPA was associated with patient's age (p=0.000), previous modified Rankin scale scores (mRS) (p<0.000), hypertension (p=0.076), diabetes mellitus (p=0.021), hypercholesterolemia (p=0.19), smoking (p=0.06), atrial fibrillation (p=0.10), history of coronary artery disease (p=0.06), previous treatment with antiplatelet agents (p<0.000), admission International Normalized Ratio-INR (p=0.18), platelet count (p=0.045), leukoaraiosis on neuroimaging (p<0.003), contraindications for thrombolytic treatment (p=0.000) and endovascular treatment (p=0.027). Previous relevant bleedings were determinants for treatment with LrtPA. Final diagnosis on discharge of stroke mimic was significant (p=0.02) for treatment with SrtPA. In multivariate analysis, mRS (OR: 2.21; 95%CI 1.37‒14.19), previous antiplatelet therapy (OR: 11.41; 95%CI 3.98‒32.70), contraindications for thrombolysis (OR: 56.10; 95%CI 8.81‒357.80), leukoaraiosis (OR: 4.41; 95%CI 1.37‒14.10) and diagnosis of SM (OR: 0.22; 95%CI 0.10‒0.40) remained independently associated. Conclusions: Following the ENCHANTED trial, LrtPA was restricted to 30% of our patients. The criteria that clinicians apply are based mostly on clinical variables that may increase the risk of brain or systemic hemorrhage or exclude the patient from treatment with lytic drugs.

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