Can Presurgical Ultrasound Predict Survival in Women With Ovarian Masses?
This study aimed to determine the ability of ultrasound to predict survival and detect more aggressive tumors in women with ovarian masses. Materials and methods Institutional review board approval was obtained. A total of 167 patients who presented with adnexal mass/masses were included. These were documented as benign or malignant on ultrasound. Age, date of diagnosis and date of death, type of tumor, and tumor marker cancer antigen 125 (CA-125) values were recorded. A CA-125 value of less than 35 U/mL was considered normal. All cases underwent surgery. Pathologic findings were considered as reference standard. The 2 ...
Source: Ultrasound Quarterly - March 1, 2019 Category: Radiology Tags: Original Research Source Type: research

How Well Do the Popular Ultrasonic Techniques Estimate Amniotic Fluid Volume and Diagnose Oligohydramnios, in Fact?
This study was done at a tertiary care center. The participants were scheduled between 37 and 40 weeks for cesarean delivery. Estimated AFV was ultrasonographically assessed, and then actual AFV was directly measured during the cesarean delivery to compare the subjective method (SM), amniotic fluid index (AFI), single deepest pocket (SDP), and 2-diameter pocket. Totally, 138 patients were included in the present study. Of 35 (34%), 24 (21%), 12 (9.5%), and 10 (7.8%) were defined as oligohydramnios by the SM, AFI, SDP, and 2-diameter pocket, respectively. The number of patients with actual oligohydramnios was 35 (34%). Most...
Source: Ultrasound Quarterly - March 1, 2019 Category: Radiology Tags: Original Research Source Type: research

A Nomogram of Lateral Abdominal Wall Fat Thickness in Normal Third Trimester Fetuses
The objective of this study is to establish a nomogram of fetal abdominal wall fat thickness in fetuses with known normal neonatal outcomes. Methods After IRB approval (HSD-49496), 157 ultrasound examinations in 100 patients, 41 of whom had multiple examinations during the same pregnancy were reviewed. The thickness of the fetal lateral abdominal wall fat Interreader agreement was summarized using the intraclass correlation coefficient (ICC). Fat thickness growth curve equations were estimated to quantify the relationship between fat thickness and gestational age. Results The abdominal wall fat had an intraclass corr...
Source: Ultrasound Quarterly - March 1, 2019 Category: Radiology Tags: Original Research Source Type: research

Detailed Fetal Anatomic Ultrasound Examination: Effect of the 2014 Consensus Report on a Tertiary Referral Center
This study evaluates the impact of extended cardiac views on examination time, repeat imaging, and anomaly detection before and after implementation of 76811 guidelines (American Institute of Ultrasound in Medicine Consensus 2014). It is a retrospective study of singleton pregnancies undergoing detailed ultrasound imaging at 18 weeks' gestation or greater before and after the protocol change in an academic, tertiary care fetal center. Views required prior to 2014: 4-chamber, left outflow tract, right outflow tract. Additional views required after 2014: bicaval, aortic arch, 3-vessel, and 3-vessel trachea. Fetuses with know...
Source: Ultrasound Quarterly - March 1, 2019 Category: Radiology Tags: Original Research Source Type: research

The Extended Fetal Cardiac Examination: Is It Feasible in a High-Risk Practice?
The aims of this study were to demonstrate the feasibility of obtaining additional cardiac views as proposed on an extended fetal cardiac examination and to see if there was any variation in individual components of that examination stratified by sonographer training, patient body habitus, or equipment. We retrospectively reviewed 200 consecutive detailed second-trimester high-risk fetal obstetric sonograms that included additional extended cardiac views. We analyzed the percentage of the time individual views were obtained, with variation based on (1) a sonographer with greater than 3 years of training compared with a gro...
Source: Ultrasound Quarterly - March 1, 2019 Category: Radiology Tags: Original Research Source Type: research

Radiologist's Guide to Diagnosis of Fetal Cardiac Anomalies on Prenatal Ultrasound Imaging
Congenital cardiac anomalies are a common finding during prenatal anatomical survey ultrasound examination. Cardiac anomalies are a major cause of prenatal and neonatal mortality and morbidity. If the anomaly is not lethal, most would require surgical correction. Therefore, early recognition of these abnormalities is essential for parental counseling and delivery planning, as well as analysis of neonatal treatment options. Although prenatal ultrasound plays an important role in identification of such anomalies, diagnosis and interpretation of imaging findings require familiarity and knowledge of the common imaging features...
Source: Ultrasound Quarterly - March 1, 2019 Category: Radiology Tags: Review Article Source Type: research

Comments From the Editor
No abstract available (Source: Ultrasound Quarterly)
Source: Ultrasound Quarterly - March 1, 2019 Category: Radiology Tags: Editorial Source Type: research

Literature Reviews
No abstract available (Source: Ultrasound Quarterly)
Source: Ultrasound Quarterly - December 1, 2018 Category: Radiology Tags: Departments Source Type: research

Contrast-Enhanced Ultrasound of Spermatic Cord and Retroperitoneal Liposarcoma
We present CEUS findings of 2 concurrent soft tissue masses in 1 patient: a spermatic cord well-differentiated liposarcoma and a retroperitoneal dedifferentiated liposarcoma. We review the Doppler ultrasound, computed tomography, and histopathologic appearances of low- versus high-grade liposarcomas in addition to the utility of CEUS with quantitative analysis in potentially grading liposarcomas. (Source: Ultrasound Quarterly)
Source: Ultrasound Quarterly - December 1, 2018 Category: Radiology Tags: Correspondence Source Type: research

Ultrasound, Computed Tomography, and Magnetic Resonance Imaging in a Patient With Medullary Cystic Kidney Disease
Among the renal cystic diseases that result in end-stage renal disease, an important hereditary cause is medullary cystic kidney disease, which affects adults in an autosomal dominant pattern. It is characterized by progressive renal failure, tubulointerstitial fibrosis, and formation of small cysts in the renal medulla and corticomedullary junction. While the appearance of medullary/corticomedullary cysts may not be pathognomonic for medullary cystic kidney disease, encountering a patient with renal failure and medullary/corticomedullary cysts should prompt further investigation, given the implication of having the diseas...
Source: Ultrasound Quarterly - December 1, 2018 Category: Radiology Tags: Correspondence Source Type: research

Penile Metastases From Renal Cell Carcinoma: Pre and Postcontrast Sonographic Findings
The prostate and bladder are the most common primary cancer sites for penile metastases. Here, we describe an unusual case of metastases from renal cell carcinoma to the penis discovered 1 month after nephrectomy in a 60-year-old man. The diagnosis was achieved using B-mode and contrast-enhanced ultrasound. (Source: Ultrasound Quarterly)
Source: Ultrasound Quarterly - December 1, 2018 Category: Radiology Tags: Correspondence Source Type: research

Percutaneous Ultrasound-Guided Musculoskeletal Applications of Autologous Bone Marrow Aspirate Concentrate: Preliminary Experience From a Single Institution
Emerging musculoskeletal applications for local administration of autologous bone marrow aspirate concentrate (BMAC) include treatment of fractures, osteonecrosis, osteochondral injuries, osteoarthritis, ligament injury, tendon injury, and tendonopathies. Ultrasound-guided technique for various BMAC injection sites is detailed in this technical report and our preliminary clinical experience outlined. Five patients, 1 woman and 4 men, were treated with 6 peri/intratendinous (n = 4) or intraarticular (n = 2) BMAC injections between July 5, 2015 and December 31, 2016 for the clinical indications of common hamstrings origin t...
Source: Ultrasound Quarterly - December 1, 2018 Category: Radiology Tags: Technical Article Source Type: research

Diagnosing Polyps on Transvaginal Sonography: Is Sonohysterography Always Necessary?
Conclusion Saline infusion sonohysterography has better diagnostic accuracy for the detection and exclusion of endometrial polyps than TVUS, even in cases where the diagnostic confidence for the presence of polyps is high. Saline infusion sonohysterography may still be needed to confirm a TVUS diagnosis for polyps to limit the number of negative hysteroscopies. (Source: Ultrasound Quarterly)
Source: Ultrasound Quarterly - December 1, 2018 Category: Radiology Tags: Original Research Source Type: research

Hepatic Portal Venous Gas: Review of Ultrasonographic Findings and the Use of the “Meteor Shower” Sign to Diagnose It
Ultrasonography (US) is believed to be the most available method of detecting hepatic portal venous gas (HPVG) with real-time imaging capability. Hepatic portal venous gas has characteristic image appearances in various ultrasound modes such as bright mode, Doppler mode, and even motion (M) mode. In this article, we give a comprehensive review of the image appearances of HPVG among different modes of US with a special focus on the M mode US. Hepatic portal venous gas was recognized as linear echogenicities in various oblique directions (the meteor shower sign) on the M mode US. This specific sign may expand some potential ...
Source: Ultrasound Quarterly - December 1, 2018 Category: Radiology Tags: Review Articles Source Type: research