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Ultrasonic visualization of the pancreatic duct 总被引:1,自引:0,他引:1
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目的研发新的可能增加细胞功能,为异种移植细胞提供免疫保护,同时可在多种影像方法中成像,含有过氟化碳(PFC)免疫防护海藻酸钠微胶囊的构成。材料与方法 所 相似文献
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We report an unusual case of fat replacement of the pancreatic body and tail. Findings on contrast-enhanced computed tomography and ERCP could be confused with dorsal pancreas agenesis. Histopathologic examination of the resected specimen revealed massive fat replacement with complete absence of the acinar and ductal tissue and scattered islets of Langerhans. 相似文献
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Ultrasonography of the pancreatic tail through spleen and through fluid-filled stomach 总被引:1,自引:0,他引:1
In the present study ultrasonography observed the tail of the pancreas more frequently through the spleen than by any other approach. If the splenic approach fails, examination through the fluid-filled stomach may be tried. 相似文献
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Air in the main pancreatic duct: demonstration with US 总被引:2,自引:0,他引:2
Air in the pancreas--nearly always related to an abscess or a pancreatic fistula--is rarely demonstrated. Over a 3-year period, the authors detected air in the main pancreatic duct with ultrasonography (US) in 11 patients. The ductal caliber was normal in five patients and dilated in six. At US, air in the main pancreatic duct is characterized by strongly echogenic foci or echogenic lines in the duct, casting acoustic shadows or producing reverberation artifacts. It is likely that in patients who have biliary-enteric anastomoses or have undergone sphincterotomy, air in the duct of Wirsung is the result of biliary-pancreatic reflux. In patients who have not undergone such operations, the likely cause of pancreatic gas is duodenal-pancreatic duct reflux. Pancreatic gas may be related to causes other than a pancreatic abscess or fistula; it is therefore important for clinicians to realize that pancreatic ductal gas seen on US images may be secondary to prior surgery or due to sphincter of Oddi dysfunction. 相似文献
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J Kinnunen A Servo E M Laasonen M Porras 《R?ntgen-Bl?tter; Zeitschrift für R?ntgen-Technik und medizinisch-wissenschaftliche Photographie》1990,43(12):539-542
Eighteen patients clinically suspected of having acoustic neurinoma were studied in both orbitomeatal and clivoaxial (CA) (the plane perpendicular to clivus) CT scanning planes during the same sessions. On the CA cuts there were highly significantly less (p less than 0.001) artifacts. Also, the tentorium was highly significantly (p less than 0.001) better visualized on the CA cuts. CA cuts could be recommended in cases when artifacts disturb the diagnostics of posterior fossa pathology or when detailed topographic information about pathologic anatomy round the tentorium is needed. 相似文献
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Wolfgang G. Schreiber Gunnar Brix Michael V. Knopp Thomas Heß Walter J. Lorenz 《Magnetic resonance in medicine》1996,35(6):861-869
A pulse sequence with magnetization transfer as the main contrast mechanism (MT-FLASH) was developed for improved imaging of breast lesions that requires neither fat suppression nor postprocessing. After optimization of the sequence in phantom and volunteer studies, a clinical pilot study with 14 patients was performed. In carcinomas the relative signal increase after Gd-DTPA administration was on average 34% in MT-FLASH images compared with 169% in conventional T1 weighted (T1W) three-dimensional FLASH images. In MT-FLASH images, all lesions demonstrated a signal intensity higher than that of fat; in T1W images, all lesions have a lower signal intensity. The average postcontrast carcinoma-to-fat contrast-to-noise ratios were +11.6 and ?14.2, respectively. The conspicutty of 12 of 13 carcinomas was improved in postcontrast MT-FLASH images compared with postcontrast T1w images. Thus, MT-FLASH imaging enables excellent visualization of Gd-DTPA-enhancing breast lesions. 相似文献
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In three of 52 consecutive patients with a painful mass in the right lower quadrant, ultrasound (US) disclosed severe mural thickening of the terminal ileum and cecum and moderate mural thickening of the appendix. In all three, the tentative diagnosis of Crohn disease was subsequently confirmed. If these US features are found in a patient with a suspected appendiceal mass, the diagnosis of Crohn disease must be seriously considered, and further evaluation is imperative. 相似文献
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Monica Kalume Brigido Michel De Maeseneer Jon A. Jacobson David A. Jamadar Yoav Morag Stefaan Marcelis 《European radiology》2009,19(7):1817-1821
We report a new lateral approach for ultrasound visualization of the distal biceps tendon. A cadaver specimen was dissected
to study distal biceps anatomy relevant to this approach. Sonograms obtained in volunteers and patients are provided to illustrate
this alternative method. 相似文献
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PURPOSE: To determine the accuracy of ultrasonography (US) for the detection of blunt intraabdominal injury in pregnant patients and to compare differences between pregnant and nonpregnant patients of childbearing age. MATERIALS AND METHODS: A retrospective review of results of all consecutive emergency blunt trauma US examinations performed at a level I trauma center from January 1995 to June 2002 was conducted. Data on demographics, free fluid location, and patient outcome were collected. Injuries were determined on the basis of results of computed tomography and/or laparotomy. The Student t test was used to detect differences between continuous variables, and chi(2) analysis was used to evaluate differences between proportions. RESULTS: A total of 2319 US examinations for blunt trauma were performed in girls and women between the ages of 10 and 50 years. There were 328 pregnant patients, 23 of whom had intraabdominal injury. The mean age of the pregnant patients was 24.7 years +/- 6.1 (standard deviation) (age range, 14-42 years). In pregnant patients, the sensitivity of US was 61% (14 of 23 patients), the specificity was 94.4% (288 of 305 patients), and the accuracy was 92.1% (302 of 328 patients). Pregnant patients were significantly more likely to have sustained injuries from assault (odds ratio: 2.6, P < .001). The most common pattern of free fluid accumulation detected at US in pregnant patients was that of fluid in the left and right upper quadrants and pelvis (n = 4, 29%); the second most common pattern was one of isolated pelvic fluid (n = 3, 21%). CONCLUSION: For detection of intraabdominal injury, US was less sensitive in pregnant patients than in nonpregnant patients but was highly specific in both subgroups. The sensitivity of US was highest in pregnant patients during the first trimester. 相似文献
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目的探讨应用空间选择性反转恢复脉冲的MRCP无创地观察健康志愿者和胰腺疾病病人胰液生理性流动的可行性。材料与方法此研究获机构审查委员会批准,并取得病人的知情同意书。共包含12名健康志愿者和3例急性胰 相似文献
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Transperineal ultrasound (TPU) was used as an alternative imaging technique to evaluate the anatomy of the presenting part in 27 second- and third-trimester fetuses when transabdominal ultrasound (US) images were suboptimal. Use of TPU improved visualization of the distal fetal spine in 20 of 21 breech cases, providing sufficient information regarding bone anatomy to rule out splaying of the posterior elements. In addition, the intact skin surface overlying the distal spine, not seen at transabdominal US, was well demonstrated at TPU in 18 of these fetuses. TPU was used to improve assessment of intracranial anatomy in six cases with a cephalic presentation in which the fetal head was located low in the maternal pelvis and could not be adequately visualized with the transabdominal technique. In one of these cases, TPU offered improved visualization of anencephaly. Use of TPU should be considered to optimize visualization of the presenting fetal part when results at transabdominal US are suboptimal and the poorly seen part overlies the maternal cervix. 相似文献
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Localization of pancreatic insulinoma: comparison of pre- and intraoperative US with CT and angiography 总被引:2,自引:0,他引:2
Galiber AK; Reading CC; Charboneau JW; Sheedy PF d; James EM; Gorman B; Grant CS; van Heerden JA; Telander RL 《Radiology》1988,166(2):405-408
Methods of preoperative radiologic localization of insulinoma were compared in 52 patients, 44 of whom had solitary tumors. Examinations performed in these 44 patients were preoperative ultrasonography (US) in 28, angiography in 26, and computed tomography in 23. Prospective sensitivities were 61%, 54%, and 30%, respectively. Imaging sensitivities were lower for the eight patients with multiple insulinomas. In 28 of the 44 patients, intraoperative US was performed without the examiner being aware of the surgical findings. The sensitivity was 84%. Four insulinomas were not palpable but were visualized sonographically. The combined sensitivity of intraoperative US and surgical palpation for detecting solitary insulinomas was 100%. High-frequency intraoperative US is valuable for detecting occult solitary insulinomas and considerably useful for determining the proximity of insulinomas to the pancreatic and bile ducts. 相似文献
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ObjectiveTo assess the feasibility of computed diffusion-weighted imaging (cDWI) in comparison with directly acquired DWI for visualizing pancreatic adenocarcinomas.Materials and methodsPatients with pancreatic adenocarcinoma underwent DWI at b-values of 0, 1000 (DWI1000), 1500 (DWI1500) and 2000 (DWI2000) s/mm2. From DWIs at b-values of 0 and 1000 s/mm2, we generated cDWIs at b-values of 1500 (cDWI1500) and 2000 (cDWI2000) s/mm2. DWI findings of pancreatic adenocarcinomas (clear hyperintensity; hyperintensity with an unclear distal border; and isointensity), the image quality and the tumor to pancreas contrast ratio (CR) were compared between directly acquired DWI and cDWI.ResultsAmong the 63 included patients, clear hyperintense tumors were seen in 35 on DWI1000, 50 on DWI1500, 50 on cDWI1500, 53 on DWI2000 and 44 on cDWI2000. Incidence of clear hyperintense tumors was significantly higher on cDWI1500 than on DWI1000 (P = 0.013). There was no significant difference in the incidence of clear hyperintense tumors between DWI1500 and cDWI1500 (P > 0.999), but a lower incidence was seen on cDWI2000 than on DWI2000 (P = 0.028). Image quality was lower on cDWI than on DWI at b-values of 1500 (P = 0.002) and 2000 s/mm2 (P < 0.001). The tumor to distal pancreas CR was significantly higher on cDWI2000 than on cDWI1500 (P < 0.001), and on cDWI1500 than on DWI1000 (P < 0.001). The cDWI showed a significantly higher tumor to distal pancreas CR than DWI at b-values of 1500 (P = 0.004) and 2000 s/mm2 (P < 0.001).ConclusionscDWI1500 generated from b-values of 0 and 1000 s/mm2 should be considered more effective than DWI1000 and at least as effective as DWI1500. 相似文献
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Yoshihiko Fukukura Toshikazu Shindo Hiroto Hakamada Koji Takumi Tomokazu Umanodan Masanori Nakajo Kiyoshisa Kamimura Aya Umanodan Junnichi Ideue Takashi Yoshiura 《European radiology》2016,26(10):3419-3427