34,593 results match your criteria Ultrasonography Pelvic


Advanced Epithelial Ovarian Cancer: Do More Options Mean Greater Benefits?

J Clin Oncol 2019 Apr 19:JCO1900500. Epub 2019 Apr 19.

1 Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA.

A healthy 51-year-old woman presented with increasing abdominal and pelvic pain. Computed tomography imaging of the abdomen and pelvis showed an 11.6-cm pelvic mass, retroperitoneal lymphadenopathy, right hydronephrosis, and mesenteric tumor deposits ( Fig 1A ). Read More

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http://dx.doi.org/10.1200/JCO.19.00500DOI Listing

Ultrasonography and X-Ray guided drain placement to evacuate a pneumopericardium/pneumomediastinum in a 1-day-old infant.

Indian J Radiol Imaging 2019 Jan-Mar;29(1):94-97

Children's Hospital Cardiology Center, Women's and Children's Hospital, University of Missouri Health Care, Columbia, USA.

Ultrasonographic (US) guided procedures have wide range of application in the abdomen and pelvis, however their role is somewhat limited in the chest due to complete reflection of the ultrasound beam by the air in the lungs, preventing the direct imaging of the tissues deep to the air-sound interface. Most of the chest procedures, other than the exception of thoracentesis, rely on the use of CT (computed tomography) scan. The disadvantages of using CT scan is the cost, lack of portability, and most importantly the radiation involved, particularly in case of infants and children, whose tissues are more radiosensitive than the adults. Read More

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http://dx.doi.org/10.4103/ijri.IJRI_447_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6467035PMC

Role of apparent diffusion coefficient as a biomarker in the evaluation of cervical cancer.

Indian J Radiol Imaging 2019 Jan-Mar;29(1):25-32

Department of Radiation Oncology, Command Hospital (Central Command), Lucknow, Uttar Pradesh, India.

Background: Diffusion-weighted magnetic resonance imaging (DW-MRI) has evolved as a major diagnostic and prognostic tool in cervical cancer. The aim of our study was to compare the change in mean apparent diffusion coefficient (ADC) value before and after concurrent chemoradiation therapy (CCRT) in carcinoma cervix thereby establishing its role as a cancer biomarker.

Materials And Methods: A hospital-based prospective study was conducted in 35 patients diagnosed with cervical cancer. Read More

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http://www.ijri.org/text.asp?2019/29/1/25/255235
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http://dx.doi.org/10.4103/ijri.IJRI_441_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6467043PMC
April 2019
1 Read

Gynecology Imaging Reporting and Data System (GI-RADS): diagnostic performance and inter-reviewer agreement.

Eur Radiol 2019 Apr 16. Epub 2019 Apr 16.

Department of Pathology, Zagazig University, Zagazig, Egypt.

Objective: To evaluate diagnostic performance and inter-reviewer agreement (IRA) of the Gynecologic Imaging Reporting and Data System (GI-RADS) for diagnosis of adnexal masses (AMs) by pelvic ultrasound (US).

Patients And Methods: A prospective multicenter study included 308 women (mean age, 41 ± 12.5 years; range, 15-73 years) with 325 AMs detected by US. Read More

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http://dx.doi.org/10.1007/s00330-019-06181-0DOI Listing
April 2019
1 Read

New concept for treating urinary incontinence after radical prostatectomy with radiofrequency: phase 1 clinical trial.

Lasers Med Sci 2019 Apr 15. Epub 2019 Apr 15.

Bahiana School of Medicine and Public Health, Av. Dom Joao VI, 275, Brotas, Salvador, Bahia, 40290-000, Brazil.

To describe the clinical response and side effects of radiofrequency treatment in patients with urinary incontinence after radical prostatectomy. This is a phase 1 clinical trial with 10 men up to 65 years of age who had urinary incontinence after radical prostatectomy, post void residual volume < 50 ml verified by ultrasonography, pad test ≥ 1 g, and PSA < 0.2 ng/ml. Read More

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http://dx.doi.org/10.1007/s10103-019-02784-7DOI Listing

Endourologic Treatment for Aggressive Angiomyxoma of the Bladder.

J Endourol Case Rep 2019 18;5(1):19-21. Epub 2019 Mar 18.

Faculdade São Leopoldo Mandic, Campinas, Brazil.

Aggressive angiomyxoma (AA) is a rare tumor that usually appears in the female pelvic and perineal regions. It commonly has infiltrative behavior and high local recurrence risk. We report an unusual presentation of AA, originating in a female patient's bladder. Read More

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http://dx.doi.org/10.1089/cren.2018.0106DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6461054PMC

Acute pancreatitis with abdominal bloating and distension, normal lipase and amylase: A case report.

Medicine (Baltimore) 2019 Apr;98(15):e15138

Departments of Gastrointestinal and Pancreatic Surgery, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, PR China and Key Laboratory of Gastroenterology of Zhejiang Province, Hangzhou, PR China.

Rationale: Acute pancreatitis is an inflammatory disorder of the pancreas, and its correct diagnosis is an area of interest for clinicians. In accordance with the revised Atlanta classification, acute pancreatitis can be diagnosed if at least 2 of the following 3 criteria are fulfilled: abdominal pain; serum lipase (or amylase) activity at least 3 times the upper limit of normal; or characteristic findings of acute pancreatitis on contrast-enhanced computed tomography (CT) or, less often, magnetic resonance imaging or transabdominal ultrasonography. Diagnostic imaging is essential in patients with no or slight enzyme elevation. Read More

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http://dx.doi.org/10.1097/MD.0000000000015138DOI Listing
April 2019
1 Read

Characterization of Insufficiency Fracture and Bone Metastasis After Radiotherapy in Patients With Cervical Cancer Detected by Bone Scan: Role of Magnetic Resonance Imaging.

Front Oncol 2019 28;9:183. Epub 2019 Mar 28.

Department of Radiology, Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Guangzhou, China.

Insufficiency fracture (IF) can show increased uptake on a bone scan (BS). IFs are often misinterpreted as bone metastases if the characteristic "Honda sign" (H-sign) is invisible. The purpose of the present study was to evaluate the utility of magnetic resonance imaging (MRI) alone for the characterization of IF and bone metastasis after radiotherapy in patients with cervical cancer detected by BS. Read More

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https://www.frontiersin.org/article/10.3389/fonc.2019.00183/
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http://dx.doi.org/10.3389/fonc.2019.00183DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6447664PMC
March 2019
3 Reads

The ENZIAN score as a preoperative MRI-based classification instrument for deep infiltrating endometriosis.

Arch Gynecol Obstet 2019 Apr 12. Epub 2019 Apr 12.

Department of Gynecology, University Hospital Zurich, Zurich, Switzerland.

Purpose: Comparison of preoperative magnetic resonance imaging (MRI) with intraoperative findings in patients with deep infiltrating endometriosis (DIE) by means of the ENZIAN score.

Methods: This retrospective two-center study includes 63 patients with deep infiltrating endometriosis, who underwent surgery between 2012 and 2016 at both the University Hospital of Zurich and the Cantonal Hospital of Schaffhausen. Inclusion criteria were a preoperative pelvic MRI and intraoperative or bioptic confirmation of DIE. Read More

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http://link.springer.com/10.1007/s00404-019-05157-1
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http://dx.doi.org/10.1007/s00404-019-05157-1DOI Listing
April 2019
5 Reads

Rectal Endoscopic Ultrasound in Clinical Practice.

Curr Gastroenterol Rep 2019 Apr 12;21(4):18. Epub 2019 Apr 12.

Division of Gastroenterology, Washington University School of Medicine, 660 South Euclid Ave., Campus Box 8124, Saint Louis, MO, 63110, USA.

Purpose Of Review: Endoscopic ultrasound (EUS) is routinely utilized for evaluation of disorders of the lower gastrointestinal tract. In this review, we summarize the current status of rectal EUS in clinical practice and describe recent developments in diagnostic and therapeutic rectal EUS.

Recent Findings: Recent guidelines recommend rectal EUS for rectal cancer staging as a second line modality in cases where MRI is contraindicated. Read More

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http://dx.doi.org/10.1007/s11894-019-0682-9DOI Listing

Improving 68-Ga-PSMA PET/MR hybrid imaging of the prostate with un-renormalized absolute scatter correction.

J Nucl Med 2019 Apr 12. Epub 2019 Apr 12.

University of Duisburg-Essen, Germany.

A limitation of using 68-gallium-labelled prostate-specific membrane antigen (68-Ga-PSMA) for detection and staging of prostate cancer is a frequently observed halo artifact around the urinary bladder caused by inaccurate scatter correction (SC) of positron emission tomography (PET) data. The aim of this study is to investigate the impact of un-renormalized absolute SC on 68-Ga-PSMA PET quantification in PET/magnetic resonance (MR) hybrid imaging of the prostate in 100 patients. The PET data of 100 patients were reconstructed twice using standard SC and improved un-renormalized SC. Read More

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http://jnm.snmjournals.org/lookup/doi/10.2967/jnumed.118.224
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http://dx.doi.org/10.2967/jnumed.118.224139DOI Listing
April 2019
2 Reads

Aggressive squamous cell carcinoma of the renal pelvis.

Niger J Clin Pract 2019 Apr;22(4):588-590

Department of Urology, University of Health Sciences, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey.

Squamous cell carcinoma (SCC) of the renal pelvis is a particularly rare tumor that accounts for a minor portion of renal malignancies and is aggressive with an unfavorable prognosis. It is usually diagnosed after surgery and at advanced stages as it does not possess specific clinical and radiological properties. The pathological examination of a 38-year-old female patient who had undergone nephrectomy due to a nonfunctioning right kidney caused by long-standing staghorn calculus revealed moderately differentiated renal pelvis SCC invading the renal parenchyma. Read More

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http://www.njcponline.com/text.asp?2019/22/4/588/255927
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http://dx.doi.org/10.4103/njcp.njcp_434_18DOI Listing
April 2019
2 Reads

Identification of Incident Uterine Fibroids Using Electronic Medical Record Data.

EGEMS (Wash DC) 2019 Mar 29;7(1). Epub 2019 Mar 29.

Kaiser Permanente Washington, US.

Introduction: Uterine fibroids are the most common benign tumors of the uterus and are associated with considerable morbidity. Diagnosis codes have been used to identify fibroid cases, but their accuracy, especially for incident cases, is uncertain.

Methods: We performed medical record review on a random sample of 617 women who received a fibroid diagnosis during 2012-2014 to assess diagnostic accuracy for incident fibroids. Read More

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http://dx.doi.org/10.5334/egems.264DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6450248PMC

Is renal scintigraphy really a necessity in the routine diagnosis of congenital solitary kidney?

Pediatr Surg Int 2019 Apr 8. Epub 2019 Apr 8.

Department of Paediatric Nephrology, University Children's Hospital, University Medical Centre Ljubljana, Bohoriceva 20, 1000, Ljubljana, Slovenia.

Background: For a definitive diagnosis of congenital solitary kidney, renal scintigraphy is suggested as being the gold standard of ruling out ectopic functioning renal tissue, possibly missed by ultrasound. The aim of our study was to test ultrasonography precision in comparison with renal scintigraphy on a larger cohort of congenital solitary kidneys.

Methods: We performed a retrospective unicenter study of children with congenital solitary kidney with no contralateral tissue, who were treated in the period from 1980 to 2017. Read More

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http://dx.doi.org/10.1007/s00383-019-04478-1DOI Listing

Development of sodium fluoride PET response criteria for solid tumours (NAFCIST) in a clinical trial of radium-223 in osteosarcoma: from RECIST to PERCIST to NAFCIST.

ESMO Open 2019 28;4(1):e000439. Epub 2019 Feb 28.

Department of Investigational Cancer Therapeutics, Division of Cancer Medicine and Division of Pediatrics, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.

Purpose: The development of osteosarcoma therapeutics has been challenging, in part because of the lack of appropriate criteria to evaluate responses. We developed a novel criteria in a clinical trial of radium-223 dichloride (RaCl) for response assessment in osteosarcoma, NAFCIST (NaF PET response Criteria in Solid Tumors).

Experimental Design: Patients received one to six cycles of RaCl, and cumulative doses varied from 6. Read More

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http://dx.doi.org/10.1136/esmoopen-2018-000439DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6435244PMC
February 2019
1 Read

Successful manual reduction for ureterosciatic hernia: A case report.

Int J Surg Case Rep 2019 Mar 30;57:145-151. Epub 2019 Mar 30.

Department of Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, Chiba, Japan. Electronic address:

Introduction: Sciatic hernias are the least common type of pelvic floor hernias. The purpose of this study was to present a novel technique for manual reduction and to conduct a systematic review of previous reports of sciatic hernias to characterize them and review the outcomes.

Presentation Of Case: An 86-year-old female presented with left-sided lumbar pain. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.03.036DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453801PMC
March 2019
2 Reads

Risk factors and clinical significance of abdomino-pelvic free fluid after cesarean section: a prospective study.

J Matern Fetal Neonatal Med 2019 Apr 7:1-151. Epub 2019 Apr 7.

a Shaheed Beheshti University of Medical Sciences, Gynecology and Obstetrics , Mahdiyeh Hospital , Tehran , Iran , Iran , the Islamic Republic of).

Introduction: Hemorrhage is a major cause of maternal mortality. Ultrasonography is a safe, rapid and noninvasive diagnostic tool in postcesarean obstetric patients which can be used to identify and measure the abdomino -pelvic free fluid in post-partum period.

Objective: This study was conducted to evaluate the risk factors and clinical significance of abdomino -pelvic free fluid after cesarean section. Read More

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http://dx.doi.org/10.1080/14767058.2019.1605351DOI Listing

Solitary fibrous tumor arising from pelvic retroperitoneum: A report of two cases and a review of the literature.

J Obstet Gynaecol Res 2019 Apr 7. Epub 2019 Apr 7.

Department of Gynecology and Obstetrics, Kyoto University Graduate School of Medicine, Kyoto, Japan.

Solitary fibrous tumors (SFT) rarely arise in the pelvis. Here, we report two cases of SFT arising from the pelvic retroperitoneum. The first case involves a 64-year-old woman diagnosed with a 5-cm pelvic mass. Read More

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http://dx.doi.org/10.1111/jog.13965DOI Listing
April 2019
2 Reads

Use of the Transrectal Ultrasound Probe in Aspiration and Drainage in Pediatric Patients: A Retrospective Observational Study.

J Vasc Interv Radiol 2019 Apr 4. Epub 2019 Apr 4.

Division of Image Guided Therapy, Diagnostic Imaging, The Hospital for Sick Children, Department of Medical Imaging, University of Toronto, 555 University Avenue, 2810B, Toronto, Canada M5G 1X8.

Purpose: To retrospectively evaluate the safety and efficacy of transrectal ultrasound (TRUS) probe use for aspiration and drainage of pelvic abscesses in children.

Materials And Methods: Patient demographics, procedural details, technical success, safety, and clinical course of TRUS procedures were retrospectively analyzed. Between 2007 and 2016, 118 TRUS-guided procedures were performed in 115 children (60 males, 55 females); median age was 12. Read More

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http://dx.doi.org/10.1016/j.jvir.2018.09.023DOI Listing
April 2019
1 Read

Ischiorectal fossa: benign and malignant neoplasms of this "ignored" radiological anatomical space.

Abdom Radiol (NY) 2019 Apr 6. Epub 2019 Apr 6.

Department of Diagnostic Radiology, The University of Texas M. D. Anderson Cancer Center, Houston, TX, USA.

Purpose: To review the pertinent anatomy and the imaging features of common and uncommon benign and malignant neoplasms and masses of the ischiorectal fossa.

Results: The ischiorectal or ischioanal fossa is the largest space in the anorectal region. The benign neoplasms that develop in the ischiorectal originate from the different components that forms the fossa including vascular tumors such as aggressive angiomyxoma or hemangioma; neural tumors as plexiform neurofibroma or schwannoma; fat tumors as lipoma; skin/skin appendages tumors as hidradenoma papilliferum; smooth or skeletal muscle tumors as solitary fibrous tumor. Read More

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http://dx.doi.org/10.1007/s00261-019-01930-7DOI Listing
April 2019
1 Read

Robot-assisted extended pelvic lymph node dissection in prostate cancer. When and how?

Arch Esp Urol 2019 04;72(3):257-265

Divisão de Urologia. Faculdade de Medicina da Universidade de São Paulo. Instituto do Câncer do Estado de São Paulo ICESP. São Paulo. Brazil.

Objective: To review the literature evaluating the role of the extended pelvic lymph node dissectione PLND during robot assisted radical prostatectomy (RARP) in the management of PCa patients, as well as the preoperative clinic pathologic factors that predict lymph node metastases (LNM). The technique and current outcomes of robotic ePLND will be presented.

Methods: Medline®/Pubmed® were searched up to august 2018 to find comparative studies of different anatomic limits of pelvic lymph node dissection (PLND) during RARP, open or pure laparoscopic surgery that reported number of nodes retrieved, oncologic outcomes and complications. Read More

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April 2019
3 Reads

Angiographic evaluation of the internal iliac artery branch in pelvic tumour patients: Diagnostic performance of multislice computed tomography angiography.

Oncol Lett 2019 May 28;17(5):4305-4312. Epub 2019 Feb 28.

Department of Radiology, The Sixth Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong 510655, P.R. China.

The aim of the present study was to explore the classification of the internal iliac artery (IIA) and the diagnostic value of the pelvic tumour-feeding artery by multislice computed tomography angiography (MSCTA) compared with digital subtraction angiography (DSA). A total of 43 patients with pelvic tumours were enrolled between January 2013 and August 2017. The classification of the IIA and the quality of the feeding artery of the pelvic tumours were analysed by Yamaki's classification (Groups A-D according to IIA branching) and the 5-point scoring system. Read More

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http://dx.doi.org/10.3892/ol.2019.10084DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444342PMC
May 2019
1 Read

A forgotten disease: Pelvic congestion syndrome as a cause of chronic lower abdominal pain.

PLoS One 2019 2;14(4):e0213834. Epub 2019 Apr 2.

Department of Gynecology and Gynecological Oncology, University Women`s Hospital of Basel, University of Basel, Basel, Switzerland.

Objectives: Pelvic congestion syndrome is defined as chronic pelvic pain due to incompetent (dilated and refluxing) pelvic veins. The aim of this study was to investigate the prevalence of this condition by examining the prevalence of dilated ovarian and para-uterine veins in pre- and postmenopausal female patients, irrespective of their symptoms. We subsequently investigated how many women with dilated veins suffered from chronic pelvic pain. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0213834PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6445463PMC
April 2019
2 Reads

Evaluating pelvic floor muscle contractility using two-dimensional transperineal ultrasonography in patients with pelvic organ prolapse.

Neurourol Urodyn 2019 Apr 1. Epub 2019 Apr 1.

Department of Female Urology, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan.

Aim: The hiatal anterior-posterior distance (APD), as measured by two-dimensional (2D) transperineal ultrasonography, is an indicator of pelvic floor muscle (PFM) contractility. The function of the pelvic floor is independently related to pelvic organ prolapse (POP) severity. However, little evidence concerning the APD for patients with POP before and after PFM training (PFMT) has been published. Read More

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http://dx.doi.org/10.1002/nau.23987DOI Listing
April 2019
4 Reads

Investigating the diagnostic value of quantitative parameters based on T2-weighted and contrast-enhanced MRI with psoas muscle and outer myometrium as internal references for differentiating uterine sarcomas from leiomyomas at 3T MRI.

Cancer Imaging 2019 Apr 1;19(1):20. Epub 2019 Apr 1.

The University of Sydney, Discipline of Medical Imaging and Radiation Sciences, Image Optimisation and Perception Group (MIOPeG), Sydney, NSW, Australia.

Background: Post-hysterectomy histopathological examination is currently the main diagnostic tool for differentiating uterine sarcomas from leiomyomas. This study aimed to investigate the diagnostic accuracy of preoperative quantitative metrics based on T2-weighted sequences and contrast-enhanced MRI (CE-MRI) for distinguishing uterine sarcomas from leiomyomas.

Materials And Methods: The institutional review board approved the study. Read More

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https://cancerimagingjournal.biomedcentral.com/articles/10.1
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http://dx.doi.org/10.1186/s40644-019-0206-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444554PMC
April 2019
5 Reads

"T2-hypointense dot sign": A novel and highly suggestive clue for the diagnosis of ovarian torsion.

Clin Imaging 2019 Mar 26;56:69-72. Epub 2019 Mar 26.

Ondokuz Mayis University Faculty of Medicine, Samsun, Turkey.

Purpose: We aimed to describe "T2-hypointense dot sign" for the diagnosis of ovarian torsion and compare its diagnostic capability with whirlpool sign.

Methods: Pelvic MRIs of 31 patients with surgically proven ovarian torsion were used for the analysis. The control group was comprised of 30 patients with adnexal neoplasm and 15 patients with tubo-ovarian abscess. Read More

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http://dx.doi.org/10.1016/j.clinimag.2019.03.012DOI Listing
March 2019
1 Read

Abnormal Uterine Bleeding in Premenopausal Women.

Am Fam Physician 2019 Apr;99(7):435-443

University of North Carolina School of Medicine, Chapel Hill, NC, USA.

Abnormal uterine bleeding is a common symptom in women. The acronym PALM-COEIN facilitates classification, with PALM referring to structural etiologies (polyp, adenomyosis, leiomyoma, malignancy and hyperplasia), and COEIN referring to nonstructural etiologies (coagulopathy, ovulatory dysfunction, endometrial, iatrogenic, not otherwise classified). Evaluation involves a detailed history and pelvic examination, as well as laboratory testing that includes a pregnancy test and complete blood count. Read More

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April 2019
2 Reads

Large primary leiomyosarcoma of the seminal vesicle: A case report and literature revision.

Arch Ital Urol Androl 2019 Mar 29;91(1):55-57. Epub 2019 Mar 29.

Department of Urology, M.G. Vannini Hospital, Rome.

Primary Leiomyosarcoma of the seminal vesicle is a very rare condition. We report a case of a 74-year-old man with a tumour detected by rectal symptoms with pelvic pain and dysuria at ultrasonography. Computed tomography and magnetic resonance imaging suggest an origin in the left seminal vesicle and did not show a clear cleavage plan with the rectum and a right hydroureteronephrosis was also present. Read More

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http://dx.doi.org/10.4081/aiua.2019.1.55DOI Listing
March 2019
2 Reads

Rotational acetabular osteotomy for symptomatic hip dysplasia in patients younger than 21 years of age: seven- to 30-year survival outcomes.

Bone Joint J 2019 04;101-B(4):390-395

Hiroshima University, Higashi-Hiroshima, Japan.

Aims: The aim of this study was to report the long-term results of rotational acetabular osteotomy (RAO) for symptomatic hip dysplasia in patients aged younger than 21 years at the time of surgery.

Patients And Methods: We evaluated 31 patients (37 hips) aged younger than 21 years at the time of surgery retrospectively. There were 29 female and two male patients. Read More

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http://dx.doi.org/10.1302/0301-620X.101B4.BJJ-2018-1200.R1DOI Listing
April 2019
4 Reads

Ultrasound of Pelvic Pain in the Nonpregnant Woman.

Radiol Clin North Am 2019 May 14;57(3):601-616. Epub 2019 Feb 14.

Department of Radiology, Mayo Clinic Arizona, Phoenix, AZ 85054, USA.

Pelvic ultrasound with endovaginal ultrasound is often the imaging test of choice in the initial evaluation of nonpregnant women with pelvic pain. This article considers the sonographic observations and techniques useful in diagnosis of a variety of gynecologic causes of pelvic pain in these women, including ovarian hemorrhage, ovarian torsion, pelvic inflammatory disease, endometriosis (particularly deeply infiltrating endometriosis), endometriomas, adenomyosis, pelvic congestion syndrome, and malpositioned intrauterine contraceptive devices. Sonographic observations regarding a number of non-gynecologic causes of pelvic pain are also described. Read More

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http://dx.doi.org/10.1016/j.rcl.2019.01.010DOI Listing
May 2019
1 Read

Magnetic resonance angiography imaging of pulmonary embolism using agents with blood pool properties as an alternative to computed tomography to avoid radiation exposure.

Eur J Radiol 2019 Apr 11;113:165-173. Epub 2019 Feb 11.

University of Colorado, Denver, Department of Radiology, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.

Purpose: To evaluate the feasibility and accuracy of a combined magnetic resonance angiography (MRA) - magnetic resonance venography (MRV) protocol using contrast agents with blood pool properties, gadofosveset trisodium and gadobenate dimeglumine, in the evaluation of pulmonary embolus (PE) and deep venous thrombosis (DVT) as compared to the standard clinical reference imaging modalities; computed tomography pulmonary angiography (CTPA) and color-coded Duplex ultrasound (DUS).

Materials And Methods: This prospective clinical study recruited patients presenting to the emergency department with clinical suspicion for PE and scheduled for a clinically indicated CTPA. We performed both MRA of the chest for the evaluation of PE as well as MRV of the pelvis and thighs to evaluate for DVT using a single contrast injection. Read More

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http://dx.doi.org/10.1016/j.ejrad.2019.02.007DOI Listing
April 2019
2 Reads

Combinative evaluation of primary tumor and lymph nodes in predicting pelvic lymphatic metastasis in early-stage cervical cancer: A multiparametric PET-CT study.

Eur J Radiol 2019 Apr 13;113:153-157. Epub 2019 Feb 13.

Department of Radiology, Shengjing Hospital of China Medical University, Sanhao Street No36, Heping District, Shenyang, Liaoning, 110004, PR China.

Purpose: The purpose of this study is to investigate the value of combining tumor and pelvic lymph node (PLN) characteristics on PET-CT in predicting PLN metastasis of patients with early-stage cervical cancer, specifically to further reduce the false-negative cases of diagnosis.

Methods: The [18F] FDG PET-CT imaging data of 394 patients who were newly diagnosed with cervical cancer (FIGO stage, Ia-IIa) were retrospectively studied. We measured size, total lesion glycolysis (TLG) of tumor, metabolic tumor volume (MTV), maximum and mean standardized uptake value (SUVmax, SUVmean) of tumor and lymph node (LN). Read More

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http://dx.doi.org/10.1016/j.ejrad.2019.02.013DOI Listing
April 2019
1 Read

Ultrasongraphic age-related changes of the pelvic floor muscles in nulliparous women and their association with pelvic floor symptoms: A pilot study.

Neurourol Urodyn 2019 Mar 23. Epub 2019 Mar 23.

Department of Obstetrics & Gynecology, INOVA Women's Hospital, Falls Church, Virginia.

Objective: To assess age-related changes in the pelvic floor muscular hiatus and their association with symptoms of pelvic organ prolapse, urinary and fecal incontinence, and sexual function.

Methods: In this pilot study we performed 3D endovaginal ultrasonography in two age groups of nulliparous women: 18 to 40 years and 52 to 85 years. Anterior-posterior (AP) diameter, left-right (LR) diameter, and the Minimal Levator Hiatus area were measured. Read More

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http://dx.doi.org/10.1002/nau.23979DOI Listing
March 2019
1 Read
2.873 Impact Factor

Imaging of Pelvic and Femoral Fixation Hardware: Normal Findings and Hardware Failure.

Semin Musculoskelet Radiol 2019 Apr 29;23(2):e1-e19. Epub 2019 Mar 29.

Department of Orthopaedics, Banner Health and the University of Arizona-Tucson, Tucson, Arizona.

Good outcomes following treatment of pelvic ring injuries, acetabular fractures, and femur fractures rely on restoration of native pelvic or limb alignment, anatomical reduction and rigid stability of articular fractures, and early postoperative mobilization. Multiple surgical approaches, reduction aids, and orthopaedic implants are available to stabilize these fractures. Despite best practices, complications including hardware failure, nonunions, malunions, and infections occur. Read More

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http://dx.doi.org/10.1055/s-0039-1681048DOI Listing
April 2019
1 Read

Adenomyosis:A Clinico-pathological Study.

West Afr J Med 2019 Jan-Apr;36(1):88-92

Department of Histopathology, Jos University Teaching Hospital, Jos, Plateau State, Nigeria.

Background: Adenomyosis is defined by the presence within the myometrium of benign endometrial glands and stroma. Several theories have evolved to explain the pathogenesis of adenomyosis. A third of adenomyosis cases are asymptomatic. Read More

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March 2019
1 Read

Femoral and tibial alignments in chihuahuas with patellar luxation by radiograph: Angular values and intra- and inter-observer agreement of measurements.

PLoS One 2019 28;14(3):e0214579. Epub 2019 Mar 28.

Department for Companion Animals and Horses, University Clinic for Small Animals, Small Animal Surgery, University of Veterinary Medicine, Vienna, Austria.

Measurement of fore and pelvic limb alignment in veterinary orthopedics is significant, as it is in human medicine. The establishment of reference ranges for alignments and comparing measured ranges in diseased animals to these reference values would allow veterinarians to specify the quantitative degree of an angular deformity, plan suitable treatments and evaluate treatment outcomes. Patellar luxation is a common orthopedic disease in small animal clinics. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0214579PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438527PMC

Individual 17-Hydroxyprogesterone Responses to hCG Are Not Correlated With Follicle Size in Polycystic Ovary Syndrome.

J Endocr Soc 2019 Apr 7;3(4):687-698. Epub 2019 Feb 7.

Department of Reproductive Medicine, University of California, San Diego, La Jolla, California.

Context: In women with polycystic ovary syndrome (PCOS), 17-hydroxyprogesterone (17-OHP) responses to gonadotropin stimulation vary from increased to indistinguishable compared with normal controls.

Objective: To determine whether 17-OHP responses to recombinant-human chorionic gonadotropin (r-hCG) are individually correlated to the size of antral follicles among women with PCOS.

Design Setting And Participants: A prospective study conducted in 19 women with PCOS and 20 normal controls at an academic medical center. Read More

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http://dx.doi.org/10.1210/js.2018-00339DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6411416PMC

Partial androgen insensitivity syndrome in a 68-year-old patient.

Endocr J 2019 Mar 28. Epub 2019 Mar 28.

Konya Training and Research Hospital, Endocrinology, Konya, Turkey.

Partial androgen insensitivity syndrome (PAIS) is a form of disorders of sexual development. Besides the issues of gender assignment, the fate of gonads in these patients poses a challenging problem. Debate still remains on the need and/or timing of gonadectomy in either complete or partial androgen insensitivity syndromes. Read More

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http://dx.doi.org/10.1507/endocrj.EJ18-0578DOI Listing

Prolonged thromboprophylaxis with low molecular weight heparin for abdominal or pelvic surgery.

Cochrane Database Syst Rev 2019 03 27;3:CD004318. Epub 2019 Mar 27.

Department of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, Florida, USA.

Background: This an update of the review first published in 2009.Major abdominal and pelvic surgery carries a high risk of venous thromboembolism (VTE). The efficacy of thromboprophylaxis with low molecular weight heparin (LMWH) administered during the in-hospital period is well-documented, but the optimal duration of prophylaxis after surgery remains controversial. Read More

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http://dx.doi.org/10.1002/14651858.CD004318.pub4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6450215PMC
March 2019
1 Read

[A Case of Duplicated Cancer Simultaneously Causing Breast and Endometrial Cancer].

Gan To Kagaku Ryoho 2019 Feb;46(2):339-341

Division of Breast and Endocrine Surgery, Dept. of Surgery, Nihon University School of Medicine.

Recently, with the increase in the number of young cancer patients, we often encounter multiple primary cancer(MPC). In MPC, careful examination is necessary because the treatment order and policies change greatly depending on the stage and prognosis of each tumor. We report a case of synchronous MPC of endometrialcancer and breast cancer. Read More

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February 2019
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Changes in magnetic resonance T2-weighted imaging signal intensity correlate with concurrent chemoradiotherapy response in cervical cancer.

J Contemp Brachytherapy 2019 Feb 28;11(1):41-47. Epub 2019 Feb 28.

Department of Radiology, Xijing Hospital, Fourth Military Medical University, Xi'an.

Purpose: This study is aimed to compare magnetic resonance imaging (MRI) parameters and clinical pathological factors (CPF) of residual tumor group with non-residual tumor group in cervical cancer (CC) patients during concurrent chemoradiotherapy (CCRT), and thus to establish a biomarker for individualized treatment strategy.

Material And Methods: From May 2014 to November 2015, 164 CC patients were included in this retrospective study. T2-weighted MRI was performed at pre-treatment (week-0), the completion of external radiotherapy (RT) (week-4), and one month after the completion of CCRT, using 3. Read More

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https://www.termedia.pl/doi/10.5114/jcb.2019.83285
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http://dx.doi.org/10.5114/jcb.2019.83285DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6431108PMC
February 2019
5 Reads

Ultrasound characteristics of a symptomatic and asymptomatic lymphocele after pelvic and/or paraaortic lymphadenectomy.

Taiwan J Obstet Gynecol 2019 Mar;58(2):266-272

Gynecological Oncology Center, Department of Obstetrics and Gynecology, Charles University - First Faculty of Medicine and General University Hospital, Apolinarska 18, 128 00 Prague, Czech Republic; Department of Obstetrics and Gynecology, Charles University - First Faculty of Medicine and Na Bulovce Hospital, Budinova 67/2, 181 00 Prague, Czech Republic. Electronic address:

Objective: To describe the sonographic characteristics of a lymphocele after pelvic and/or paraaortic lymphadenectomy for gynecological malignancy, analyze and identify ultrasound characteristics related to the symptomatic and asymptomatic lymphoceles.

Materials And Methods: This is a retrospective analysis of ultrasound examination data collected consecutively in patients after pelvic and/or paraaortic lymphadenectomy in one institution. We recorded the number of lymphoceles, localization, size; ultrasound morphology following International Ovarian Tumor Analysis group classification and symptoms. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10284559193001
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http://dx.doi.org/10.1016/j.tjog.2019.01.018DOI Listing
March 2019
3 Reads

Paracaval lipoma: Case study and literature review.

Radiol Case Rep 2019 Apr 13;14(4):518-520. Epub 2018 Aug 13.

Department of Diagnostic Radiology, Mountain Vista Medical Center, 1301 S. Crismon Road, Mesa, AZ 85209, USA.

Paracaval lipoma refers to a fatty tissue collection surrounding the intrahepatic portion of the inferior vena cava (IVC). It is a relatively infrequent benign finding on abdominal CT imaging, speculated to be a result of negative thoracic pressure on the IVC during inspiration. If not recognized, paracaval lipoma can be confused for thrombus or, worse yet, malignant invasion of the IVC, resulting in a costly and unnecessary workup. Read More

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http://dx.doi.org/10.1016/j.radcr.2018.07.020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6412101PMC
April 2019
1 Read

Use of Unenhanced Abdominal Computed Tomography for Assessment of Acute Non-Traumatic Abdominal Pain in the Emergency Department.

Isr Med Assoc J 2019 Mar;21(3):208-212

Department of Radiology, Hadassah-Hebrew University Medical Center, Mount Scopus Campus, Jerusalem, Israel.

Background: Acute non-traumatic abdominal pain is typically evaluated by abdomino-pelvic computed tomography (CT) with oral and venous contrast. The accuracy of unenhanced CT for diagnosis in this setting has not been widely studied.

Objectives: To assess the accuracy of unenhanced CT in establishing the etiology of acute non-traumatic abdominal pain. Read More

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March 2019
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The Technique of Vaginal Septum as Uterine Septum: A New Approach for the Hysteroscopic Treatment of Vaginal Septum.

J Minim Invasive Gynecol 2019 Mar 20. Epub 2019 Mar 20.

From "Arbor Vitae" Centre, Clinica Nuova Villa Claudia, Rome, Italy (Drs Mazzon, Di Angelo Antonio, and Villani), Department of Surgical and Biomedical Sciences, Section of Obstetrics and Gynecology, S. Maria della Misericordia Hospital, University of Perugia, Perugia, Italy (Drs Gerli and Favilli), Department of Medical and Surgical Sciences and Translational Medicine, Sant'Andrea Hospital, Faculty of Medicine and Psychology University of Rome "Sapienza" Italy (Dr Assorgi).. Electronic address:

Study Objectives: To evaluate the outcomes of a new hysteroscopic technique for the treatment of longitudinal vaginal septum.

Design: A retrospective study.

Setting: Arbor Vitae Center for Endoscopic Gynecology, Rome, Italy. Read More

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http://dx.doi.org/10.1016/j.jmig.2019.02.019DOI Listing
March 2019
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Predictability of gastric intestinal metaplasia by patchy lavender color seen on linked color imaging endoscopy.

Lasers Med Sci 2019 Mar 22. Epub 2019 Mar 22.

Department of Gastrointestinal Endoscopy, Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, the Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510655, Guangdong, People's Republic of China.

We aimed to investigate the ability of linked color imaging (LCI) versus white light endoscopy (WLE) to detect gastric intestinal metaplasia (GIM). One hundred and seven participants who underwent upper gastrointestinal endoscopy were included. Under WLE endoscopy, biopsies were performed on any suspected abnormal mucosal changes. Read More

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http://dx.doi.org/10.1007/s10103-019-02775-8DOI Listing
March 2019
2 Reads

Interrater reliability of three-dimensional reconstruction of the spine : Low-dose stereoradiography for evaluating bracing in adolescent idiopathic scoliosis.

Orthopade 2019 Mar 21. Epub 2019 Mar 21.

Department of Orthopedic Surgery, Trauma Surgery and Spinal Cord Injury, Heidelberg University, Schlierbacher Landstr. 200A, 69118, Heidelberg, Germany.

Background: Bracing constitutes the mainstay treatment for mild scoliosis. The 3D reconstruction of the spine using low-dose stereoradiographic imaging (LSI) is increasingly being used to determine the true shape of the deformity and to assess the success of bracing.

Objective: The aim of the study was to validate the measurement of 3D spinopelvic parameters and vertebral rotation in the setting of bracing treatment via a reliability study conducted in adherence to the guidelines for reporting reliability and agreement studies (GRRAS). Read More

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http://dx.doi.org/10.1007/s00132-019-03712-xDOI Listing
March 2019
3 Reads

What is the most effective local anesthesia for transrectal ultrasonography-guided biopsy of the prostate? A systematic review and network meta-analysis of 47 randomized clinical trials.

Sci Rep 2019 Mar 20;9(1):4901. Epub 2019 Mar 20.

Department of Urology, Gangnam Severance Hospital, Urological Science Institute, Yonsei University College of Medicine, Seoul, Republic of Korea.

We aimed to compare the effectiveness of various local anesthetic methods for controlling prostate biopsy (PBx) related pain using network meta-analysis. Literature searches were performed on PubMed/Medline, Embase, and Cochrane Library up to March 2018. Forty-seven randomized controlled trials, in which the effectiveness of PBx-related pain was investigated using a visual analogue scale after various local anesthetic methods, were included. Read More

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http://www.nature.com/articles/s41598-019-41412-w
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http://dx.doi.org/10.1038/s41598-019-41412-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426994PMC
March 2019
3 Reads

[Mid-term efficacy of laparoscopic sacral colpopexy of combined transabdominal-transvaginal approach in the treatment of stage Ⅳ pelvic organ prolapse].

Zhonghua Fu Chan Ke Za Zhi 2019 Mar;54(3):160-165

Department of Obstetrics and Gynecology, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.

To evaluate the clinical effect after laparoscopic sacral colpopexy (LSC) of combined transabdominal-transvaginal approach on stage Ⅳ pelvic organs prolapse (POP). The clinical data of 65 patients undergoing LSC of combined transabdominal-transvaginal approach from January 1st, 2010 to July 30th, 2017 due to POP stage Ⅳ in First Affiliated Hospital of Guangzhou Medical University were retrospectively analyzed. Objective outcome was assessed by comparing preoperative and postoperative pelvic organ prolapse quantification (POP-Q) systems. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0529-567x.2019.03.004DOI Listing
March 2019
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Estimates of Patient Radiation Doses in Digital Radiography Using DICOM Information at a Large Teaching Hospital in Oman.

J Digit Imaging 2019 Mar 19. Epub 2019 Mar 19.

Sudan Atomic Energy Commission, Radiation Safety Institute, P.O. Box 3001, Khartoum, Sudan.

In this study, we sought to estimate the patient radiation doses in the digital radiography X-ray examinations conducted in a large hospital. The patient exposure factors and kerma-area product (P) were retrospectively recorded via the Digital Imaging and Communications in Medicine (DICOM) header for 547 patients. The entrance surface air kerma (ESAK) was estimated from the measurements of the X-ray tube output and recorded exposure factors, as well as from the console that displayed P as an alternative method. Read More

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http://dx.doi.org/10.1007/s10278-019-00199-yDOI Listing
March 2019
1 Read