The placental elasticity ratios measured by SE imaging during the second trimester differ between the normal pregnancies and the pregnancies complicated by PE. SE might be used as a supplement tool in addition to the existing methods for the prediction of PE.
SWI imaging with its high sensitivity to blood products, contributes to the diagnosis of DIE by depicting different phases of hemorrhage not seen by conventional MRI sequences.
Shear wave elastography differentiates between the placental elasticity of normal pregnancies and pregnancies complicated by preeclampsia when performed during the second trimester. As a new method for tissue characterization, shear wave elastography is useful for evaluation of placental function and can be used as a supplement to existing methods for prediction of preeclampsia.
Intestinal obstruction secondary to gallstones is seen in the older population and the level of obstruction is usually at the level of the terminal ileum. Obstruction at the level of the gastric outlet is called Bouveret's syndrome. A case with perforated cholecystitis and duodenal obstruction due to a gallstone is presented. The CT findings are presented along with the clinical findings and literature review.
Diaphragmatic thickness fraction measurements based on diaphragmatic ultrasound assessment in subjects with COPD seemed to be unable to identify subjects at high risk of symptoms and exacerbations as defined by the Global Initiative for Chronic Obstructive Lung Disease ABCD composite disease index.
Catamenial sciatic radiculopathy resulting from endometriosis is a rare presentation of a common disease in which the pathogenesis of pain is still under debate. A 32-year-old woman presented complaining of infertility, catamenial sciatica, and pelvic and gluteal pain. Magnetic resonance imaging showed endometriotic infiltration of the left proximal lumbosacral plexus, sacral nerve track, sciatic nerve at the sciatic notch and pudendal nerve along the iliococcygeus muscle, together with left endometrioma and deep infiltrating endometriosis lesions. Laparoscopic endometriosis surgery was performed after all of the complications and possible outcomes of the surgery were discussed with the patient. Our case report highlights the importance of magnetic resonance imaging evidence of perineural spread, outlining the pathophysiology of the pelvic pain associated with neuroendometriosis.
Objective: Thickness of the diaphragm was evaluated by B-mode ultrasonography (US) in chronic obstructive pulmonary disease (COPD) to determine the relationship between diaphragm thickness measurement, pulmonary function tests, and symptom scores.Patients and Methods: Fifty-three clinically stable patients with COPD were enrolled in this study for diaphragmatic thickness evaluation with B-mode US. The severity of COPD was determined by spirometric measurements in terms of %FEV1. Patients were also analyzed according to GOLD criteria. Correlation between diaphragm thickness and symptom scores like Medical Research Council (mMRC), COPD Assessment Test (CAT), composite scores and body mass index (BMI) were sought.
Results:There was a moderate correlation between diaphragmatic muscle thickness and %FEV1 in mild COPD patients (r=0.62, p=0.017<0.05). No significant difference in diaphragmatic thicknesses of GOLD subgroups was found. There were no correlations between diaphragmatic muscle thickness, symptom scores, BMI, age, and gender.
Conclusion:No correlation was found between diaphragmatic thickness in COPD patients and pulmonary function tests except for %FEV1 in mild COPD patients. There were no correlations between diaphragmatic muscle thickness and symptom scores. Further US studies should take place for functional evaluation of the diaphragm in COPD subgroups.Keywords: Diaphragm, Ultrasonography, Chronic obstructive pulmonary disease, Thickness.
ÖZAmaç: Kronik obstruktive akciğer hastalığı (KOAH) olan hastaların, diyafram kalınlıklarını ultrasonografi ile ölçerek solunum fonksiyon testleri ve semptom skorları ile ilişkisinin araştırılmasıdır.
Gereç ve Yöntem:KOAH nedeniyle takip edilmekte olan, son iki aydır klinik olarak stabil seyirli 53 hasta çalışmamıza dahil edildi. Bronkodilatör sonrası FEV1 değerlerinde %12 artış, çalışmada uygulanan testlerden herhangi birine uyumsuzluk, oksijen bağımlılığı, abdominal ya da torasik cerrahi geçirme hikayeleri çalışmadan dışlanma kriterleri olarak belirlendi. KOAH düzeyi spirometri ölçümlerine ve GOLD kriterlerine göre sınıflandırıldı.Hayat kalitesi değerlendirmesi için mMRC ve CAT semptom skorları testleri ile kompozit KOAH skor ölçümü hesaplanması için alevlenme sayıları sorularak kaydedildi. Bulgular: KOAH düzeyi hafif olan hastalarda FEV1 % ile diyafram kalınlığı arasında anlamlı ilişki bulundu (r=0.62, p=0,017<0,05). Diyafram kalınlığı ile GOLD alt grupları, semptom skorları, BMI , yaş ve cinsiyet gibi parametreler arasında anlamlı ilişki bulunamadı.Sonuç: KOAH hastalarında ultrasonografi ile ölçülen diyafram kalınlığı ile solunum fonksiyon testleri arasında hafif KOAH'lı hasta grubu haricinde anlamlı ilişki gösterilememiştir. Diyafram kalınlığı ile semptom skorları arasında anlamlı ilişki bulunamadı. Ultrasonografi ile planlanacak yeni çalışmalarda, KOAH alt gruplarında diyafram fonksiyonunu yansıtacak diyafram kalınlık oranları irdelenmelidir.
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