A novel complementary method for ultrasonographic screening of deep endometriosis: a case series of 5 patients diagnosed with transvaginal strain elastography

Although elastography can enhance the differential diagnosis of thyroid nodules, its diagnostic performance is not ideal at present. Further improvements in the technique and creation of robust diagnostic criteria are necessary. The purpose of this study was to compare the usefulness of strain elastography and a new generation of elasticity imaging called supersonic shear wave elastography (SSWE) in differential evaluation of thyroid nodules. Six thyroid nodules in 4 patients were studied. SSWE yielded 1 true-positive and 5 true-negative results. Strain elastography yielded 5 false-positive results and 1 false-negative result. A novel finding appreciated with SSWE, were punctate foci of increased stiffness corresponding to microcalcifications in 4 nodules, some not visible on B-mode ultrasound, as opposed to soft, colloid-inspissated areas visible on B-mode ultrasound in 2 nodules. This preliminary paper indicates that SSWE may outperform strain elastography in differentiation of thyroid nodules with regard to their stiffness. SSWE showed the possibility of differentiation of high echogenic foci into microcalcifications and inspissated colloid, adding a new dimension to thyroid elastography. Further multicenter large-scale studies of thyroid nodules evaluating different elastographic methods are warranted.

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Use of intracavitary-ECG for tip location of femorally inserted central catheters

The Journal of Vascular Access ◽

10.1177/1129729820982864 ◽

2020 ◽

pp. 112972982098286

Author(s):

Mark D Weber ◽

Adam S Himebauch ◽

Thomas Conlon

Keyword(s):

Ultrasound Guidance ◽

Case Series ◽

P Wave ◽

Ultrasound Guided ◽

Complementary Method ◽

Wave Characteristics ◽

Catheter Tip ◽

Central Access ◽

Tip Position ◽

Central Catheters

Femorally inserted central catheters (FICCs) are frequently required for central access in children. Ultrasound can accurately locate the catheter tip in most cases and its use is increasing in clinical vascular access practice. In patients with poor acoustic windows, intracavitary electrocardiogram (IC-ECG) is an alternative to ultrasound-guidance for FICC positioning. A case series of three patients demonstrate methods of FICC positioning in children. The first patient had excellent acoustic windows and ultrasound-guided FICC positioning is described in conjunction with IC-ECG measurements. The following two patients had poor acoustic windows, thus IC-ECG guided FICC tip position. The use of FICCs in children has increased in recent years. Ultrasound has emerged as a reliable method of assessing FICC tip location. IC-ECG is an accurate and complementary method of assessing FICC tip location, but can be a primary method when ultrasound is not available or cannot directly visualize the catheter. IC-ECG P-wave characteristics identify optimal tip position at the inferior cavoatrial junction and are different from characteristics at the superior cavoatrial junction.

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Sonographic Differential Diagnosis in Deep Infiltrating Endometriosis: The Bowel

BioMed Research International ◽

10.1155/2019/5958402 ◽

2019 ◽

Vol 2019 ◽

pp. 1-9 ◽

Cited By ~ 5

Author(s):

Marco Scioscia ◽

Simone Orlandi ◽

Giamberto Trivella ◽

Antonella Portuese ◽

Stefano Bettocchi ◽

...

Keyword(s):

Differential Diagnosis ◽

Case Series ◽

Secondary Level ◽

Deep Infiltrating Endometriosis ◽

Pelvic Endometriosis ◽

Pelvic Ultrasound ◽

First Line ◽

Deep Endometriosis ◽

Operator Experience ◽

Colonic Involvement

Up to one-third of fertile-age women with severe endometriosis suffer from colonic involvement. Transvaginal ultrasonography has become a first-line diagnostic tool for the study of the pelvis and more specifically for the diagnosis of pelvic endometriosis. Accuracy of pelvic ultrasound for deep endometriosis increases with operator experience, but the difficulties in the differential diagnosis with diseases that can afflict the bowel tract remain a challenge. We reviewed noteworthy cases referred for secondary level diagnosis suspected of bowel endometriosis in which the subsequent ultrasound led to an alternative diagnosis. This case series aims to highlight awareness for both experts and less-experienced operators the possible differential diagnoses of bowel lesions that initially resemble endometriosis.

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A multi-centre case series investigating the aetiology of hypertrophic pachymeningitis with orbital inflammation

Yearbook of Ophthalmology ◽

10.1016/j.yoph.2012.05.025 ◽

2012 ◽

Vol 2012 ◽

pp. 219-220

Author(s):

K. Talekar ◽

A. Flanders

Keyword(s):

Case Series ◽

Hypertrophic Pachymeningitis ◽

Orbital Inflammation

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Abstract #726: Primary Hyperparathyroidism and the Relationship Between 25-Vitamin D, 1,25 Vitamin D and Parathyroid Hormone: A Prospective Case Series

Endocrine Practice ◽

10.1016/s1530-891x(20)42709-0 ◽

2015 ◽

Vol 21 ◽

pp. 137-138

Author(s):

Thomas Hadwen ◽

Melissa Clarke ◽

Ashim Sinha

Keyword(s):

Vitamin D ◽

Parathyroid Hormone ◽

Primary Hyperparathyroidism ◽

Case Series ◽

Prospective Case Series ◽

The Relationship

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Abstract #856 A Case Series Review of Clinical and Biochemical Characteristics of Pituitary Abcess in Mexican Patients

Endocrine Practice ◽

10.1016/s1530-891x(20)47342-2 ◽

2018 ◽

Vol 24 ◽

pp. 202-203

Author(s):

Mireya Perez-Guzman ◽

Alfredo Nava de la Vega ◽

Arturo Pena Velarde ◽

Tania Raisha Torres Victoria ◽

Froylan Martinez-Sanchez ◽

...

Keyword(s):

Case Series ◽

Biochemical Characteristics ◽

Mexican Patients

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Abstract #316: Latent Auto-Immune Diabetes in Adults (LADA): Is it More Prevalent Than We Think? A Case Series

Endocrine Practice ◽

10.1016/s1530-891x(20)45024-4 ◽

2016 ◽

Vol 22 ◽

pp. 95

Author(s):

Chandni Merchant ◽

Smita Kargutkar

Keyword(s):

Case Series

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Cannabis-associated arteritis

VASA ◽

10.1024/0301-1526/a000004 ◽

2010 ◽

Vol 39 (1) ◽

pp. 43-53 ◽

Cited By ~ 17

Author(s):

Grotenhermen

Keyword(s):

Systematic Review ◽

Case Reports ◽

Case Series ◽

Cardiovascular Effects ◽

Causative Factor ◽

Cannabis Use ◽

Thromboangiitis Obliterans ◽

Pathological Features ◽

Scientific Support ◽

Clinical And Pathological Features

Background: To investigate the hypothesis that cases of arteritis similar to thromboangiitis obliterans (TAO) and associated with the use of cannabis were caused by cannabis or THC (dronabinol), or that cannabis use is a co-factor of TAO. Patients and methods: A systematic review on case reports and the literature on so-called cannabis arteritis, TAO, and cardiovascular effects of cannabinoids was conducted. Results: Fifteen reports with 57 cases of an arteritis associated with the use of cannabis and two additional case series of TAO, in which some patients also used cannabis, were identified. Clinical and pathological features of cannabis-associated arteritis do not differ from TAO and the major risk factor of TAO, tobacco use, was present in most, if not in all of these cases. The proposed pathophysiological mechanisms for the development of an arteritis by cannabis use are not substantiated. Conclusions: The hypothesis of cannabis being a causative factor or co-factor of TAO or an arteritis similar to TAO is not supported by the available evidence. The use of the term cannabis arteritis should be avoided until or unless more convincing scientific support is forthcoming.

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