No abstract

In 15 patients with refractory gastric cancer and peritoneal metastasis, the relationship among histologic outcome of intraperitoneal hyperthermic perfusion (IPHP), extent of peritoneal metastasis, and cause of death was studied. The IPHP treatment did not kill all the gastric cancer cells which had penetrated deeply into subperitoneal layers. In contrast, gastric cancer cells in the abdominal effusion and/or lavage vanished. Three patients with peritoneal metastasis, deeply invaded and spread all over the peritoneum, died of peritoneal recurrence and 1 died of pericardial metastasis. In the remaining 11 patients with a lesser extent of peritoneal metastasis, 5 are living without recurrence and among the other 6, 4 died of recurrence of the disease and 1 died of other causes.

The HDlive silhouette mode with STIC provides new visual experiences for physicians, owing to the anatomically clear depiction of fetal cardiac structures, and it may be an easier way to depict the spatial relationships among fetal cardiac chambers, great arteries, and veins.

We conducted a study to determine the reproductive risk in a couple who were translocation carriers. This couple, who carried balanced reciprocal translocations, experienced habitual abortions. The wife had a karyotype of 46,XX,t(7;13)(p15.3;q12.3) and the husband of 46,XY,t(1;7)(p11.1;p11.1). Chromosome study of their fourth abortus demonstrated a chimera consisting of two cell lines with a 46,XY and a 46,XX,t(1;7)(p11.1;p11.1)pat, -13, + der(7)t(7;13)(p15.3;q12.3)mat, karyotype. A review of the literature indicates that the risk of having unbalanced live offspring or of spontaneous abortion/stillborns is similar in couples in whom both were translocation carriers and in couples in whom one individual was a translocation carrier. The apparent lack of increased reproductive failure may result from the selective disadvantage of aneusomic gametes at fertilization or very early spontaneous abortions of unbalanced conceptuses.

Many rendering modes and types of software have been introduced as tools to aid in the prenatal detection of fetal anomalies. They aim at facilitating the diagnosis, increasing physicians’ confidence, and achieving a better understanding of these anomalies. The HDlive silhouette mode is a novel technology, which provides vitreous-like clarity of the fetus and placenta. Through using a shadowing effect, the outlines of structures of interest can be delineated clearly with a simultaneous display of the inner core and structure. It is more beneficial for identifying a normal anatomy and diagnosing complex congenital malformations. Moreover, the shadowing effect allows the operator to observe structures present behind the directly visualized structure, making it more advantageous than the recent advanced rendering modes, such as three-/fourdimensional ultrasound and HDlive. The contralateral side of the same structure and contralateral limbs can also be displayed. In this article, we highlight this rendering mode, focusing on its merits for the visualization of normal fetal structures as well as some congenital anomalies. How to cite this article AboEllail MAM, Kanenishi K, Marumo G, Masaoka H, Ejiri A, Hata T. Fetal HDlive Silhouette Mode in Clinical Practice. Donald School J Ultrasound Obstet Gynecol 2015;9(4):413-419.