3,907 results match your criteria years ultrasound-guided


Ultrasound-guided fine needle aspiration cytology of angiosarcoma of head and neck: a review of cytomorphologic features and discussion of diagnostic pitfall of aspiration cytology of vascular lesions.

Diagn Cytopathol 2021 May 8. Epub 2021 May 8.

Fine Needle Aspiration Biopsy Clinic, Department of Pathology, Molecular and Cell Based Medicine, Icahn School of Medicine at Mount Sinai Hospital, Mount Sinai Beth Israel, New York, New York, USA.

Angiosarcoma is a rare malignant tumor of vascular origin (<2% of sarcomas). It represents <1% of all head-neck malignancies. A cytological diagnosis on fine needle aspiration (FNA) is extremely difficult. Read More

View Article and Full-Text PDF

Risk stratification in men with a negative prostate biopsy: An interim analysis of a prospective cohort study.

BJU Int 2021 May 8. Epub 2021 May 8.

Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.

Objective: To investigate if a risk score for prostate cancer (PC) lifetime risk can be used to optimize triaging of patients with a negative prostate biopsy, but under sustained suspicion of PC.

Methods And Patients: In this prospective clinical study, we included, and risk scored patients who had a cancer-negative transrectal ultrasound guided (TRUS) prostate biopsy, but elevated prostate specific antigen (PSA), a suspicious prostate digital rectal examination and/or a positive family history (FH) of PC. The risk score estimated individual lifetime risk of PC, based on a polygenic risk score (33 single nucleotide polymorphisms), age, and FH of PC. Read More

View Article and Full-Text PDF

Delayed solitary mediastinal lymph node metastasis from a benign meningothelial meningioma six years after surgical resection of an intracranial tumor.

Thorac Cancer 2021 May 7. Epub 2021 May 7.

Division of Pulmonary Medicine, Department of Internal Medicine, Wonkwang University Hospital, Iksan, South Korea.

Meningiomas are common intracranial neoplasms with benign features, and extracranial metastases are very rare. There have been no previous reports of solitary mediastinal lymph node metastasis from benign meningiomas without pulmonary lesions. Here, we present a case of an 82-year-old female who visited our department for mediastinal lymphadenopathy with a history of meningioma treated with total surgical resection six years prior. Read More

View Article and Full-Text PDF

A Guide to Doppler Ultrasound Analysis of the Face in Cosmetic Medicine. Part 1: Standard Positions.

Aesthet Surg J 2021 May 5. Epub 2021 May 5.

Interest in Doppler ultrasound (DUS) analysis of the face has grown in cosmetic medicine, in particular for injectable fillers. When dealing with complications, DUS has the advantage of easily visualizing the filler and identifying the problem in relation to the patient's anatomy. When working with hyaluronic acid filler, ultrasound-guided injections with hyaluronidase can precisely target the problem. Read More

View Article and Full-Text PDF

Outcomes and limitations of endoscopic ultrasound-guided hepaticogastrostomy in malignant biliary obstruction.

BMC Gastroenterol 2021 May 5;21(1):202. Epub 2021 May 5.

Department of General, Gastroenterological and Oncological Surgery, Collegium Medicum Nicolaus Copernicus University, 53-59 Św. Józefa St, 87-100, Toruń, Poland.

Background: Transpapillary biliary drainage in ERCP is an established method for symptomatic treatment of patients with unresectable malignant biliary obstruction. Percutaneous transhepatic biliary drainage frequently remains the treatment of choice when the transpapillary approach proves ineffective. Recently, EUS-guided extra-anatomical anastomoses of bile ducts to the gastrointestinal tract have been reported as an alternative to percutaneous biliary drainage. Read More

View Article and Full-Text PDF

Is the Anterior Injection Approach Without Ultrasound Guidance Superior to the Posterior Approach for Adhesive Capsulitis of the Shoulder? A Sequential, Prospective Trial.

Clin Orthop Relat Res 2021 May 5. Epub 2021 May 5.

Z. Rijs, Department of Orthopedic Surgery, Leiden University Medical Center, Leiden, the Netherlands.

Background: Shoulder injections for conditions such as adhesive capsulitis are commonly performed and can be administered through image-based or landmark-based injection approaches. Ultrasound-guided injections are widely used and accurate because ultrasound allows real-time visualization of the needle and injected contrast. Landmark-based injections would be advantageous, if they were accurate, because they would save the time and expense associated with ultrasound. Read More

View Article and Full-Text PDF

: An uncommon cause of liver abscess.

IDCases 2021 16;24:e01125. Epub 2021 Apr 16.

Department of General Medicine, All India Institute of Medical Sciences, Bhubaneswar, 751019, Odisha, India.

We report an uncommon case of pyogenic liver abscess due to in an apparently immune-competent individual, the timely recognition of which could avoid a potentially fatal course of infection in the patient. A 45-year-old man, with history of moderate alcohol intake since the last 10 years, was admitted with intense right-sided upper abdominal pain and right-sided chest pain of 10-days duration. Culture of the ultrasound-guided liver aspirate sample yielded a pure growth of identified by the VITEK-2™ automated microbial identification system. Read More

View Article and Full-Text PDF

The cricothyroid versus Spray-As-You-Go method for topical anesthesia during Endobronchial Ultrasound-guided Transbronchial Needle Aspiration (EBUS-TBNA): The CRISPEN randomized clinical trial.

Lung India 2021 May-Jun;38(3):223-228

Department of Pulmonary, Critical Care and Sleep Medicine, All India Institute of Medical Sciences, New Delhi, India.

Background: Guidelines for flexible bronchoscopy in adults recommend both Cricothyroid and Spray-as-you-go method as the acceptable techniques for lignocaine administration. No studies have compared these two methods for topical anesthesia during endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA).

Objectives: Co-primary outcomes were the comparison of cough count and operator-rated overall procedure satisfaction on a Visual Analog Scale (VAS) between the groups. Read More

View Article and Full-Text PDF

Dexmedetomidine versus sufentanil as adjuvants to bupivacaine for brachial plexus block during upper extremity surgery: a randomized clinical trial.

Braz J Anesthesiol 2021 Apr 28. Epub 2021 Apr 28.

AJA University of Medical Sciences, Department of Anesthesiology, Tehran, Iran. Electronic address:

Background: Brachial plexus block (BPB) has been accepted as a reliable alternative for general anesthesia in upper limb surgeries. Adding adjuvant drugs like dexmedetomidine and sufentanil has been shown to have clinical and pharmacologic advantages. In this randomized parallel clinical trial, we aim to compare the effects of these two adjuvants for bupivacaine in BPB. Read More

View Article and Full-Text PDF

A Phase I Clinical Trial to Assess Safety and Tolerability of Injectable Collagenase in Women with Symptomatic Uterine Fibroids.

Reprod Sci 2021 Apr 29. Epub 2021 Apr 29.

Department of Gynecology and Obstetrics, Division of Reproductive Sciences & Women's Health Research, Johns Hopkins University School of Medicine, 720 Rutland Avenue, Ross Research Building, Room 624, Baltimore, MD, 21205, USA.

Uterine fibroids feature excessive deposition of types I and III collagen. Previous ex vivo studies showed an FDA-approved collagenase (EN3835)-digested types I and III collagen fibers in fibroid tissues; however, collagenase had not been evaluated in vivo for effects on uterine fibroids. The objective was to assess the safety and tolerability of collagenase injection directly into uterine fibroids. Read More

View Article and Full-Text PDF

Osteitis Pubis Treated With Platelet-Rich Plasma: A Case Report.

Clin J Sport Med 2020 Sep 22. Epub 2020 Sep 22.

*Physical Medicine & Rehabilitation Resident at Tufts Medical Center, Boston, Massachusetts; and †Tufts University School of Medicine, Boston, Massachusetts.

Osteitis pubis is a common source of groin pain in athletes participating in sports requiring kicking, twisting, and pivoting movements. Athletes will present with progressive pain or discomfort in the pubic area or groin. There is usually point tenderness over the pubic symphysis and pain localizing to the adductor or rectus abdominis tendons. Read More

View Article and Full-Text PDF
September 2020

Estimation of risk for major bleeding in native kidney biopsies in patients with multiple risk factors.

Int Urol Nephrol 2021 Apr 29. Epub 2021 Apr 29.

Department of Renal Medicine, Singapore General Hospital, Academia Level 3, 20 College Road, Singapore, 169856, Singapore.

Background And Aims: Individuals undergoing kidney biopsy are increasingly older and may have concurrent illnesses that cause deranged hematological and renal parameters that are associated with post-biopsy bleeding. We aimed to develop a clinical risk model to quantify bleeding risks in high-risk individuals with multiple risk factors.

Methods: Single-center retrospective cohort study of consecutive adults with serum creatinine ≥ 2 mg/dL (176 µmol/L) and had ultrasound-guided percutaneous native kidney biopsies between June 2011 and July 2015 in our tertiary referral center. Read More

View Article and Full-Text PDF

Lateral Sagittal Versus Costoclavicular Approaches for Ultrasound-Guided Infraclavicular Brachial Plexus Block: A Comparison of Block Dynamics Through A Randomized Clinical Trial.

Cureus 2021 Mar 26;13(3):e14129. Epub 2021 Mar 26.

Anesthesiology and Reanimation, Ondokuz Mayis University, Samsun, TUR.

Introduction In this study, our objective was to compare the lateral sagittal infraclavicular block (LS-ICB) with the costoclavicular infraclavicular block (CC-ICB) for ultrasound (US)-guided infraclavicular brachial plexus block in terms of block dynamics as well as patient and surgeon satisfaction levels. Methods A total of 100 patients, falling under the American Society of Anaesthesiologists (ASA) I-III categories, who were aged 18-65 years and scheduled for elective forearm and hand surgery were enrolled in the study. The patients were randomly allocated to receive a US-guided LS-ICB or US‑guided CC-ICB. Read More

View Article and Full-Text PDF

Acute diffuse thyroid swelling after fine-needle aspiration: A case report and review of the literature.

J Clin Ultrasound 2021 Apr 28. Epub 2021 Apr 28.

Department of Surgery, Akane-Foundation, Tsuchiya General Hospital, Hiroshima, Japan.

Fine-needle aspiration (FNA) is the first-line and a cost-effective examination method of nonfunctional thyroid nodules. Acute transient thyroid swelling after an FNA is a rare complication, and to date, only 14 cases have been reported in the English literature. Herein, we report a case of a 26-year-old woman with acute transient thyroid swelling, which occurred after an ultrasound-guided FNA of a thyroid nodule. Read More

View Article and Full-Text PDF

Effect of combined versus sequential injection of 2% lidocaine and 0.5% bupivacaine on the onset and duration of supraclavicular brachial plexus block: A double blinded randomised controlled trial.

J Clin Anesth 2021 Apr 24;72:110313. Epub 2021 Apr 24.

Department of Anaesthesiology and Critical Care, AIIMS, Jodhpur, India.

Objective: To assess whether sequential (one after the other with a delay of 120 s) or combined (freshly prepared mixture) administration of 2% lidocaine and 0.5% bupivacaine in supraclavicular brachial plexus block (SCBPB) provides faster onset and prolonged duration of block.

Design: Randomised controlled double blinded study. Read More

View Article and Full-Text PDF

Ultrasound-Guided Erector Spinae Plane Block for Perioperative Analgesia in Cervical and Thoracic Spine Surgeries - A Case Series.

Neurol India 2021 Mar-Apr;69(2):487-489

Department of Neuroanesthesia and Neurocritical Care, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India.

Erector spinae plane (ESP) block is a recently introduced regional technique for pain management. However, its usefulness for perioperative analgesia in cervical and thoracic spine surgeries is underutilized. In this case series, we reviewed the case records of seven patients who received ultrasound-guided ESP block for perioperative analgesia for cervical and thoracic spine surgeries during a two-month period. Read More

View Article and Full-Text PDF

Identification of a novel non-invasive biological marker to overcome the shortcomings of PSA in diagnosis and risk stratification for prostate cancer: Initial prospective study of developmental endothelial locus-1 protein.

PLoS One 2021 26;16(4):e0250254. Epub 2021 Apr 26.

Department of Urology, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.

Objective: This prospective study sought to clarify the developmental endothelial locus-1 (Del-1) protein as values of diagnosis and risk stratification of prostate cancer (PCa).

Design: From February 2017 to December 2019, a total 458 patients who underwent transrectal ultrasound guided prostate biopsy or surgery of benign prostatic hyperplasia agreed to research of Del-1 protein. We prospectively compared and analyzed the Del-1 protein and prostate specific antigen (PSA) in relation to the patients' demographic and clinicopathological characteristics. Read More

View Article and Full-Text PDF

Percutaneous Ultrasound-guided Pigtail Catheter for Pleural Effusions: Efficacy and Safety.

Oman Med J 2021 Mar 31;36(2):e248. Epub 2021 Mar 31.

Student, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.

Objectives: Small-bore pigtail catheters are now being used more frequently for draining pleural effusions. This study aimed to measure the efficacy, safety, and tolerability of these devices in different clinical conditions.

Methods: We retrospectively collected data from 141 patients with pleural effusions of various etiologies who underwent ultrasound-guided pigtail catheter insertion at Sultan Qaboos University Hospital, Muscat, Oman. Read More

View Article and Full-Text PDF

[Application of ultrasound-guided selective nerve branch blockage in lumbar spinal nerve posterior branch syndrome].

Zhongguo Gu Shang 2021 Apr;34(4):341-6

Department of Anesthesiology, Liuzhou Traditional Chinese Medicine Hospital, Liuzhou 545006, Guangxi, China.

Objective: To investigate the efficacy and safety of ultrasound-guided selective nerve branch blockage in the treatment of lumbar spinal nerve posterior branch syndrome.

Methods: A total of 40 patients with lumbar spinal nerve posterior branch syndrome treated by Pain Clinic from May 2017 to December 2018 were selected. According to the method used in locating site for nerve blockage, the patients were divided into ultrasound-guided group and anatomical positioning group, with 20 cases in each group. Read More

View Article and Full-Text PDF

Syringe-Free, Long-Axis in-Plane Versus Short-Axis Classic out-of-Plane Approach for Ultrasound-Guided Internal Jugular Vein Catheter Placement in Critically Ill Children: A Prospective Randomized Study.

J Cardiothorac Vasc Anesth 2021 Mar 26. Epub 2021 Mar 26.

Clinical Research, Development and Design Application and Research Center, Ataturk University School of Medicine, Erzurum, Turkey; Department of Anesthesiology and Reanimation, Ataturk University School of Medicine, Erzurum, Turkey.

Objective: Although pediatric central venous catheterization is performed using ultrasound guidance, it is still a challenge. This study aimed to investigate the efficacy of the syringe-free, long-axis in-plane approach and compared the short-axis classic out-of-plane approach for ultrasound-guided central venous catheter placement in critically ill pediatric patients.

Design: Prospective randomized study. Read More

View Article and Full-Text PDF

Localized gastric amyloidosis diagnosed by endoscopic ultrasound-guided fine-needle aspiration.

Clin J Gastroenterol 2021 Apr 22. Epub 2021 Apr 22.

Department of Gastroenterology, Fukushima Medical University School of Medicine, Fukushima, Japan.

A 49-year-old man was found to have an elevated lesion on esophagogastroduodenoscopy (EGD) for gastric cancer screening. This lesion had been noted in EGD 13 years earlier, but the patient had not received EGD since then. Endoscopy showed a relatively soft subepithelial lesion (SEL) in the gastric antrum. Read More

View Article and Full-Text PDF

The effectiveness of PROLOTHERAPY for recalcitrant Medial TIBIAL Stress Syndrome: a prospective consecutive CASE series.

J Foot Ankle Res 2021 Apr 16;14(1):32. Epub 2021 Apr 16.

Centre for Sports and Exercise Medicine, William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary, University of London, London, UK.

Background: Medial tibial stress syndrome (MTSS) is one of the most common lower leg injuries in sporting populations. It accounts for between 6 and 16% of all running injuries, and up to 53% of lower leg injuries in military recruits. Various treatment modalities are available with varying degrees of success. Read More

View Article and Full-Text PDF

Endoscopic ultrasound-guided gastroenterostomy using an oroenteric catheter-assisted technique: a retrospective analysis.

Endoscopy 2021 Apr 15. Epub 2021 Apr 15.

Interventional Endoscopy Services, California Pacific Medical Center, San Francisco, California, United States.

BACKGROUND : This study evaluated an oroenteric catheter (OEC)-assisted technique to distend the enteric loop for endoscopic ultrasound-guided gastroenterostomy (EUS-GE) in patients with gastric outlet obstruction (GOO). METHODS : Patient outcomes were reviewed. Proximal enteric loops were filled with water via an OEC (7 Fr or 8 Fr), providing a target for EUS-GE using a lumen-apposing metal stent (15-mm caliber). Read More

View Article and Full-Text PDF

Ultrasound-guided paravertebral perineural glucocorticoid injection for signs of refractory cervical pain associated with foraminal intervertebral disk protrusion in four dogs.

J Am Vet Med Assoc 2021 May;258(9):999-1006

Case Description: 4 dogs, 7.5 to 10 years of age, were presented for evaluation of signs of chronic cervical pain and forelimb lameness secondary to cervical foraminal intervertebral disk protrusion (IVDP). All dogs were refractory to ≥ 2 weeks of conservative management including strict rest and pain management with anti-inflammatory drugs, methocarbamol, and gabapentin. Read More

View Article and Full-Text PDF

The Correlation of Age with Prognosis of Atypia of Undetermined Significance and Follicular Lesion of Undetermined Significance in Thyroid Nodules.

Cancer Manag Res 2021 8;13:3101-3111. Epub 2021 Apr 8.

Department of General, Minimally Invasive and Endocrine Surgery, Wroclaw Medical University, Wroclaw 50-556, Poland.

Purpose: Although some prognostic variables and risk factors for thyroid cancer (TC) are age-related, the association between age and the risk of TC in patients with thyroid nodules (TNs) assigned to atypia of undetermined significance (AUS) and follicular lesion of undetermined significance (FLUS) is poorly estimated. The aim of this study was to assess the histopathology of AUS/FLUS and the risk of TC according to the age of the patients at the time of AUS/FLUS diagnosis.

Patients And Methods: Among 5021 individuals treated for TNs at one institution from 2008 to 2018, 161 (3. Read More

View Article and Full-Text PDF

Efficacy and safety of ultrasound-guided radiofrequency ablation for low-risk papillary thyroid microcarcinoma in patients aged 55 years or older: a retrospective study.

Int J Hyperthermia 2021 ;38(1):604-610

School of Medicine, Nankai University, Tianjin, China.

Purpose: To evaluate the efficacy and safety of radiofrequency ablation for low-risk papillary thyroid microcarcinoma (PTMC) in patients aged 55 years or older.

Methods: This retrospective study included 95 patients aged 55 years or older who underwent radiofrequency ablation (RFA) for PTMCs between June 2014 and January 2019. Incidence and duration of postoperative complications were recorded and evaluated. Read More

View Article and Full-Text PDF
January 2021

Ultrasound-Guided Omental Biopsy: Diagnostic Yield and Association with CT Features Based on a Single-Institution 18-Year Series.

AJR Am J Roentgenol 2021 Apr 14. Epub 2021 Apr 14.

Department of Radiology, University of Wisconsin School of Medicine and Public Health.

The greater omentum can serve as a useful target for percutaneous biopsy; in clinical practice, CT is commonly used for biopsy guidance. To evaluate the diagnostic yield of percutaneous ultrasound (US)-guided omental biopsy and to explore the association of diagnostic yield with pre-biopsy diagnostic CT findings. This retrospective study included 163 patients (mean age, 65±12 years; 120 women, 43 men; mean BMI, 28. Read More

View Article and Full-Text PDF

Diagnostic Accuracy of MRI for Differentiation of Benign and Malignant Pancreatic Cystic Lesions Compared to CT and Endoscopic Ultrasound: Systematic Review and Meta-analysis.

J Magn Reson Imaging 2021 Apr 13. Epub 2021 Apr 13.

Department of Diagnostic Imaging, Juravinski Hospital and Cancer Centre, Hamilton Health Sciences, McMaster University, Hamilton, Ontario, Canada.

Background: Differentiation of benign and malignant pancreatic cystic lesions on MRI, computed tomography (CT), and endoscopic ultrasound (EUS) is critical for determining management.

Purpose: To perform a systematic review evaluating the diagnostic accuracy of MRI for diagnosing malignant pancreatic cystic lesions, and to compare the accuracy of MRI to CT and EUS.

Study Type: Systematic review and meta-analysis. Read More

View Article and Full-Text PDF

Combined approach with negative pressure wound therapy and biological mesh for treatment of enterocutaneous fistula after synthetic mesh repair of incisional hernia. A case report.

Ann Ital Chir 2021 Apr 12;10. Epub 2021 Apr 12.

Aim: Enterocutaneous fistula is a rare but severe complication of prosthetic incisional hernia repair. Management requires re-exploration with intestinal repair/resection and mesh removal. Repair of the parietal defect in this contaminated field is challenging. Read More

View Article and Full-Text PDF

The patient experience in a cytopathologist-performed ultrasound-guided fine needle aspiration clinic: potential complications and feedback.

Authors:
Bonnie Choy Amy Ly

J Am Soc Cytopathol 2021 Mar 17. Epub 2021 Mar 17.

Department of Pathology, Massachusetts General Hospital, Boston, Massachusetts.

Introduction: The number of fine needle aspirations (FNAs) being performed by cytopathologists has been increasing in recent years. As the advantages of cytopathologist-performed FNAs such as more frequent sample adequacy, appropriate specimen triage for ancillary testing, and optimal turnaround time are recognized, little has been reported from the patient's perspective. This study aimed to characterize the patient experience in a cytopathologist-run FNA clinic. Read More

View Article and Full-Text PDF