scholarly journals Usefulness of Endoscopic Ultrasound with the Jelly-Filling Method for Esophageal Varices

Diagnostics ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. 1726
Author(s):  
Tsunetaka Kato ◽  
Takuto Hikichi ◽  
Jun Nakamura ◽  
Mika Takasumi ◽  
Minami Hashimoto ◽  
...  

Although the importance of endoscopic ultrasound (EUS) for esophageal varices (EVs) has been demonstrated, it is difficult to obtain sufficient EUS images with the water-filling method because of poor water stagnation in the esophagus. In this study on EVs, we aimed to evaluate the usefulness of the jelly-filling method for EUS. Consecutive patients who underwent EUS for EVs were included. The quality of EUS images, the diagnostic ability of the presence of blood vessels inside and outside the esophageal wall, and the procedure time were compared between the jelly-filling and water-filling methods. Thirty cases were analyzed (jelly-filling method in 13 and water-filling method in 17). The EUS image quality score was significantly higher in the jelly-filling method (jelly vs. water; three points vs. two points, p < 0.001). Additionally, EUS image quality scores in both nonexperts and experts were significantly higher in the jelly-filling method. The diagnostic ability of the presence of perforation veins was significantly higher in the jelly-filling method (jelly vs. water; 100% vs. 52.9%, p = 0.004). However, the procedure time was significantly longer in the jelly-filling method (p = 0.024). In conclusion, EUS using the jelly-filling method for EVs provided sufficient image quality.

2013 ◽  
Vol 28 (6) ◽  
pp. 913-917 ◽  
Author(s):  
Michael J. Massey ◽  
Ethan LaRochelle ◽  
Gabriel Najarro ◽  
Adarsh Karmacharla ◽  
Ryan Arnold ◽  
...  

Medicina ◽  
2008 ◽  
Vol 45 (1) ◽  
pp. 14
Author(s):  
Antanas Jankauskas ◽  
Jurgita Zaveckienė ◽  
Gabija Pundziūtė ◽  
Rimvydas Šlapikas ◽  
Algidas Basevičius ◽  
...  

Objective. Noninvasive diagnosis of coronary artery disease in patients with left bundle branch block is challenging. Multislice computed tomography can be useful in this population; however, quality of images depends on the patterns of myocardial contractions. We investigated the influence of left bundle branch block on image quality of multislice computed tomography coronary angiography. Materials and methods. Multislice computed tomography coronary angiography was performed in 30 patients with left bundle branch block and 30 patients without conduction disturbances. Image quality of each coronary segment was visually assessed and rated on a five-point scale (1=highest quality). Results. Average image quality score in the best cardiac cycle phase did not differ significantly between groups (1.71±0.59 in the left bundle branch block group vs. 1.60±0.57 in the control group, P=0.46). In the left bundle branch block group, a significantly lower image quality score was observed in end-systolic cardiac phase (2.67±0.6 vs. 2.22±0.65 in the control group, P=0.007), whereas no difference was demonstrated in mid-diastolic phase (1.73±0.6 vs. 1.69±0.66 in the control group, P=0.81). After image assessment in multiple cardiac phases, an increase in image quality score was higher in the left bundle branch block than in the control group (0.2±0.17 vs. 0.11±0.14, P=0.003). A negative correlation was observed between image quality score and both the heart rate and heart rate variability in both groups (P<0.001). Conclusion. A nonsignificantly lower overall image quality of multislice computed tomography coronary angiography was demonstrated in the left bundle branch block group. In the presence of left bundle branch block, image quality in the end-systolic phase was significantly lower. Image assessment in multiple phases increased overall image quality and is therefore advisable in patients with left bundle branch block. Increased heart rate and heart rate variability worsened image quality in both groups.


Author(s):  
Shintaro Ichikawa ◽  
Utaroh Motosugi ◽  
Tatsuya Shimizu ◽  
Marie Luise Kromrey ◽  
Yoshihito Aikawa ◽  
...  

Objective: To evaluate the diagnostic performance and image quality of the low-tube voltage and low-contrast medium dose protocol for hepatic dynamic CT. Methods: This retrospective study was conducted between January and May 2018. All patients underwent hepatic dynamic CT using one of the two protocols: tube voltage, 80 kVp and contrast dose, 370   mgI/kg with hybrid iterative reconstruction or tube voltage, 120 kVp and contrast dose, 600  mgI/kg with filtered back projection. Two radiologists independently scored lesion conspicuity and image quality. Another radiologist measured the CT numbers of abdominal organs, muscles, and hepatocellular carcinoma (HCC) in each phase. Lesion detectability, HCC diagnostic ability, and image quality of the arterial phase were compared between the two protocols using the non-inferiority test. CT numbers and HCC-to-liver contrast were compared between the protocols using the Mann–Whitney U test. Results: 424 patients (70.5 ± 10.1 years) were evaluated. The 80-kVp protocol showed non-inferiority in lesion detectability and diagnostic ability for HCC (sensitivity, 85.7–89.3%; specificity, 96.3–98.6%) compared with the 120-kVp protocol (sensitivity, 91.0–93.3%; specificity, 93.6–97.3%) (p < 0.001–0.038). The ratio of fair image quality in the 80-kVp protocol also showed non-inferiority compared with that in the 120-kVp protocol in assessments by both readers (p < 0.001). HCC-to-liver contrast showed no significant differences for all phases (p = 0.309–0.705) between the two protocols. Conclusion: The 80-kVp protocol with hybrid iterative reconstruction for hepatic dynamic CT can decrease iodine doses while maintaining diagnostic performance and image quality compared with the 120-kVp protocol. Advances in knowledge: The 80- and 120-kVp protocols showed equivalent hepatic lesion detectability, diagnostic ability for HCC, image quality, and HCC-to-liver contrast. The 80-kVp protocol showed a 38.3% reduction in iodine dose compared with the 120-kVp protocol.


2021 ◽  
Author(s):  
Tsuyoshi Suda ◽  
Yukihiro Shirota ◽  
Hiroaki Takimoto ◽  
Yasunori Tsukada ◽  
Kensaku Takishita ◽  
...  

Abstract Because bowel gas deteriorates the image quality of abdominal ultrasonography (AUS), it is common to perform AUS prior to esophagogastroduodenoscopy (EGD). This one-way order limits the availability of examination appointments. To evaluate whether EGD using insufflation of carbon dioxide (CO2), which is rapidly absorbed by the gastrointestinal mucosa, preserves the image quality of AUS performed subsequently, we designed a non-inferiority test in which each subject underwent AUS, EGD with CO2 insufflation, and a second AUS. All saved AUS moving images were randomized and evaluated using a four-point Likert scale that divides the depiction rate by 25%. Sample size was calculated to be 26 and 30 subjects were enrolled. The mean and 95% confidence interval (CI) of the image quality score at pre- and post-EGD AUS were 3.54 [3.48–3.60] and 3.46 [3.39–3.52], respectively. The difference in the means was 0.08, corresponding to a 2% depiction rate. The effect size was 0.172. The image quality of post-EGD AUS was not inferior, as demonstrated by the 97.5% CI of the difference, which did not cross the non-inferiority margin of –0.40 corresponding to depiction rate of –10%. Because EGD using CO2 insufflation does not appreciably deteriorate the image quality of AUS performed subsequently, it is permissible to perform EGD prior to AUS.


Author(s):  
K. Shibatomi ◽  
T. Yamanoto ◽  
H. Koike

In the observation of a thick specimen by means of a transmission electron microscope, the intensity of electrons passing through the objective lens aperture is greatly reduced. So that the image is almost invisible. In addition to this fact, it have been reported that a chromatic aberration causes the deterioration of the image contrast rather than that of the resolution. The scanning electron microscope is, however, capable of electrically amplifying the signal of the decreasing intensity, and also free from a chromatic aberration so that the deterioration of the image contrast due to the aberration can be prevented. The electrical improvement of the image quality can be carried out by using the fascionating features of the SEM, that is, the amplification of a weak in-put signal forming the image and the descriminating action of the heigh level signal of the background. This paper reports some of the experimental results about the thickness dependence of the observability and quality of the image in the case of the transmission SEM.


2001 ◽  
Vol 30 (6) ◽  
pp. 308-313 ◽  
Author(s):  
F Gijbels ◽  
G Sanderink ◽  
C Bou Serhal ◽  
H Pauwels ◽  
R Jacobs

2020 ◽  
Vol 2020 (9) ◽  
pp. 323-1-323-8
Author(s):  
Litao Hu ◽  
Zhenhua Hu ◽  
Peter Bauer ◽  
Todd J. Harris ◽  
Jan P. Allebach

Image quality assessment has been a very active research area in the field of image processing, and there have been numerous methods proposed. However, most of the existing methods focus on digital images that only or mainly contain pictures or photos taken by digital cameras. Traditional approaches evaluate an input image as a whole and try to estimate a quality score for the image, in order to give viewers an idea of how “good” the image looks. In this paper, we mainly focus on the quality evaluation of contents of symbols like texts, bar-codes, QR-codes, lines, and hand-writings in target images. Estimating a quality score for this kind of information can be based on whether or not it is readable by a human, or recognizable by a decoder. Moreover, we mainly study the viewing quality of the scanned document of a printed image. For this purpose, we propose a novel image quality assessment algorithm that is able to determine the readability of a scanned document or regions in a scanned document. Experimental results on some testing images demonstrate the effectiveness of our method.


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