DIAGNOSTIC ULTRASOUND FOURTH EDITIONCarol M. Rumack, MD, FACR Ontario, Canada John McGahan, MD Professor and Vice Chair of Radiology. JOHN P. MCGAHAN is Professor of Diagnostic Radiology, Head of the Section of Diagnostic Ultrasound, University of California Davis Medical Center. of diagnostic ultrasound. 测后,有. 记得有目_. FB: Edited by PE.S. Palmer. Published by the World Health Organization in collaboration with the. World Federation.
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WHO manual of diagnostic ultrasound. Vol. 1. -- 2nd ed / edited by Harald Lutz, Elisabetta Buscarini. portal7.infostic imaging. portal7.infoonography. portal7.inforics. their publications regarding the clinical use of ultrasound and . Among the diagnostic imaging technologies, ultrasound is the safer and least portal7.info .org/policies-guides/BMUS-Safety-Guidelinesrevision-FINAL-Nov pdf. Request PDF on ResearchGate | On Jan 3, , Orlando Catalano and others published J.P. McGahan and B.B. Goldberg (eds): Diagnostic ultrasound (2nd.
Box: , Tehran, Iran. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. This article has been cited by other articles in PMC. Abstract In stable patients with blunt abdominal trauma, accurate diagnosis of visceral injuries is crucial. Objectives: To determine whether repeating ultrasound exam will increase the sensitivity of focused abdominal sonography for trauma FAST through revealing additional free intraperitoneal fluid in patients with blunt abdominal trauma. Patients and Methods: We performed a prospective observational study by performing primary and secondary ultrasound exams in blunt abdominal trauma patients. All ultrasound exams were performed by four radiology residents who had the experience of more than FAST exams.
However, multiple studies [25,26] have demonstrated that ultrasound is an accurate and reliable alternative to fluoroscopy in this setting, particularly for evaluation of the right hemidiaphragm given the acoustic window provided by the liver. Moreover, the use of M-mode ultrasound imaging can provide a degree of quantitation for diaphragmatic excursion. Improving performance during image-guided procedures.
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Ultrasound guidance allows accurate needle placement and aspiration from small joints in patients with early inflammatory arthritis. Rheumatology Oxford , Sonographically guided cervical facet nerve and joint injections: why sonography? A randomized comparison between ultrasound and fluoroscopy-guided third occipital nerve block. Reg Anesth Pain Med, Accurate deployment of vena cava filters: comparison of intravascular ultrasound and contrast venography.
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AJR, Accessed October 10, Diagnosis and management of urinary tract infection in children. J Paediatr Child Health, Urinary tract infection in the newborn: clinical and radio imaging studies. Pediatr Nephrol, In cases, first US were normal, reporting pathologies not related to trauma such as renal stone, ovarian cyst, etc. First ultrasound report with no evidence of BAT Among cases without US evidence of BAT, one patient underwent surgery whose abdominal organs were normal in laparotomy.
One case experienced a deep coma and died after 4 days of admission due to brain injury without the need for abdominal intervention. For this patient, ultrasound was requested two times with 2 days interval which both were normal.
Another patient who died had also two requests for ultrasound with 3 days interval, with both ultrasound reports indicating hepatic hydatidcyst. This patient died due to nonsurgical causes and without any further requests for CT or surgery. Thirteen cases had repeated ultrasound requests during the next days. In 10 cases, follow-up ultrasound were normal or suggested pathologies other than BAT.
In 3 cases, follow-up ultrasound showed evidences suggesting mild BAT very low free fluid or mild organ injuries. Fluid which was observed in the 2nd ultrasound reports was considered as blood; because the patients were males without any evidences for underlying conditions causing ascites.
In 30 patients, abdominal trauma was observed in laparotomy 30 True Positive TP.
One patient had no evidence for abdominal trauma in laparotomy. This case was labeled as False Positive FP result. Four patients were followed up by CT-scan.
CT results confirmed ultrasound reports completely 4 TP. Three patients were followed up by repeated ultrasound scans, which all suggested BAT and CT confirmed those results. One patient with positive BAT resulted in two repeated ultrasound and CT without the need for surgical intervention. Eighty six cases had ultrasound reports indicating mild injuries in the abdomen.
These patients underwent conservative treatment and their outcome suggested gradual relief. Finally, all of them were discharged with a good state of general health 86 TP.
Ninety seven cases with mild-BAT in ultrasound report were followed up by further ultrasound scans. These 36 cases were considered FP even though there was a mean 4 days interval between the two reports, and the second ultrasound was requested for follow up and not for confirmation of the 1st ultrasound.
Non-mild BAT was conventionally defined as presence of free fluid in two or more regions in abdominal cavity. Eighteen cases had non-mildBAT evidences in the 1st ultrasound report.
They were conservatively treated, followed up by further ultrasound examinations and were finally discharged from the hospital with a good general health state. Of these 18 cases, 15 showed mild injuries in the second ultrasound examination 15 TP and 3 showed normal ultrasound 3 FP, the interval between two ultrasound reports was: 1, 3 and 6 days.