The value of color Doppler flow imaging （CDFI） and intravenous contrast-enhanced ultrasound （CEUS） for assessing the transplanted liver and early diagnosing complications by examining hemodynamic changes was discu...The value of color Doppler flow imaging （CDFI） and intravenous contrast-enhanced ultrasound （CEUS） for assessing the transplanted liver and early diagnosing complications by examining hemodynamic changes was discussed. Seventy-five patients with orthotopic liver transplantation （OLT） underwent CDFI. The following parameters were measured： peak systolic velocity （PS）, resistance index （RI） and Doppler perfusion index （DPI） of the hepatic artery （HA）, time average velocity （TAV） of portal vein （PV） and velocity of hepatic vein （HV） in different stages postoperation, And 11 patients of them received CEUS. Thirty healthy subjects were enrolled as controls, The results showed that： （1） In 23 patients without obvious complications, TAV of PV within 15 days post-operation was significantly higher than in controls （P〈0.05）, PS and DPI of HA within 7 days postoperation were lower, but RI was higher than in controls （P〈0.05）; （2） When the hepatic artery thrombosis （HAT） occurred, PS and DPI of HA were obviously decreased, but TAV of PV significantly increased like a high saw-tooth wave; （3） While rejection occurred, both TAV of PV and PS of HA were decreased with the increase in RI of HA, and the triphasic wave of HV disappeared and displayed as saw-tooth wave; （4） The incidence of biliary complications in liver transplantation was increased when DPI was reduced; （5） Seven cases of hepatic carcinoma relapse after OLT demonstrated hyperecho in the arterial phase and hypoecho in the portal and later phase on CEUS; （6） In 2 cases of HA thrombus, there was no visualized enhancement in arterial phase of CEUS, but enhancement during the portal vein and parenchymal phase. It was concluded that the hemodynamic changes of PV, HA and HV in the transplanted liver are valuable for assessing the transplanted liver and early diagnosing complications on CDFI and CEUS.展开更多
Introduction: Because establishing venous access in patients can be difficult and time consuming, the use of ultrasound to guide the insertion of peripheral intravenous catheters has become more common. Anecdotal evid...Introduction: Because establishing venous access in patients can be difficult and time consuming, the use of ultrasound to guide the insertion of peripheral intravenous catheters has become more common. Anecdotal evidence indicates ultrasound-guided catheter insertion may result in decreased catheter survival in the vein (dwell-time), but there is little evidence to support this observation. The purpose of this study was to compare dwell-times for peripheral intravenous catheters placed with ultrasound guidance with intravenous catheters placed by means of traditional anatomic insertion in patients in an acute care hospital. Methods: This secondary data analysis examined outcomes of 298 patients who received ultrasound-guided catheter insertion and 299 patients who received traditionally placed intravenous catheters. Multivariable linear regression was used to identify significant predictors of dwell-time for both the traditional and US-guided catheters. Results: The average dwell-times for ultrasound-guided and traditionally placed catheters were significantly different (p 2 = 0.22). Discussion: Dwell-times of catheters placed with ultrasound guidance are shorter than traditionally placed catheters. Ultrasound-guided catheters should be monitored closely for inadvertent removal or infiltration. A plan to place a more permanent type of intravenous access should be considered for patients admitted for patients longer than 24 hours.展开更多
The objective of this study was to compare Magnetic Resonance Urography (MRU) with Intravenous Pyelography (IVP) in evaluation of patients with hydronephrosis on ultrasonography. 49 patients of hydronephrosis on USG w...The objective of this study was to compare Magnetic Resonance Urography (MRU) with Intravenous Pyelography (IVP) in evaluation of patients with hydronephrosis on ultrasonography. 49 patients of hydronephrosis on USG were enrolled for the study from Jan. 2011 to Dec. 2012. All patients under went Intravenous Urography (IVU). MRU was done to determine the anatomical details and function of each renal unit. MRU was performed on a 1.5 tesla unit (Magneton Avento;Siemens, Erlangen, Germany). Static T2-weighted Magnetic Resonance Urography (MRU) was performed by using a standard fast spin echo technique. Dynamic study was performed after injecting intravenous diuretic followed by Gadolinium contrast media. Morphological results of MRU were compared with IVU. The anatomical findings were compared with operative findings. Stastical analysis was performed and data expressed as mean ± SD. MRU showed PUJ obstruction in 41 out of 45 patients (91.1%). We concluded that MRU can provide complete diagnostic evaluation of entire urinary tract in a single session and has potential to replace IVP.展开更多
Intravascular ultrasound( IVUS) is an important imaging technique that is used to study vascular wall architecture for diagnosis and assessment of the vascular diseases. Segmentation of lumen and media-adventitia boun...Intravascular ultrasound( IVUS) is an important imaging technique that is used to study vascular wall architecture for diagnosis and assessment of the vascular diseases. Segmentation of lumen and media-adventitia boundaries from IVUS images is a basic and necessary step for quantitative assessment of the vascular walls.Due to ultrasound speckles, artifacts and individual differences,automated segmentation of IVUS images represents a challenging task. In this paper,a random walk based method is proposed for fully automated segmentation of IVUS images. Robust and accurate determination of the seed points for different regions is the key to successful use of the random walk algorithm in segmentation of IVUS images and is the focus of the present work. Performance of the proposed algorithm was evaluated over an image database with 900 IVUS image frames of nine patient cases. The preliminary experimental results show the potential of the proposed IVUS image segmentation approach.展开更多
文摘The value of color Doppler flow imaging （CDFI） and intravenous contrast-enhanced ultrasound （CEUS） for assessing the transplanted liver and early diagnosing complications by examining hemodynamic changes was discussed. Seventy-five patients with orthotopic liver transplantation （OLT） underwent CDFI. The following parameters were measured： peak systolic velocity （PS）, resistance index （RI） and Doppler perfusion index （DPI） of the hepatic artery （HA）, time average velocity （TAV） of portal vein （PV） and velocity of hepatic vein （HV） in different stages postoperation, And 11 patients of them received CEUS. Thirty healthy subjects were enrolled as controls, The results showed that： （1） In 23 patients without obvious complications, TAV of PV within 15 days post-operation was significantly higher than in controls （P〈0.05）, PS and DPI of HA within 7 days postoperation were lower, but RI was higher than in controls （P〈0.05）; （2） When the hepatic artery thrombosis （HAT） occurred, PS and DPI of HA were obviously decreased, but TAV of PV significantly increased like a high saw-tooth wave; （3） While rejection occurred, both TAV of PV and PS of HA were decreased with the increase in RI of HA, and the triphasic wave of HV disappeared and displayed as saw-tooth wave; （4） The incidence of biliary complications in liver transplantation was increased when DPI was reduced; （5） Seven cases of hepatic carcinoma relapse after OLT demonstrated hyperecho in the arterial phase and hypoecho in the portal and later phase on CEUS; （6） In 2 cases of HA thrombus, there was no visualized enhancement in arterial phase of CEUS, but enhancement during the portal vein and parenchymal phase. It was concluded that the hemodynamic changes of PV, HA and HV in the transplanted liver are valuable for assessing the transplanted liver and early diagnosing complications on CDFI and CEUS.
文摘Introduction: Because establishing venous access in patients can be difficult and time consuming, the use of ultrasound to guide the insertion of peripheral intravenous catheters has become more common. Anecdotal evidence indicates ultrasound-guided catheter insertion may result in decreased catheter survival in the vein (dwell-time), but there is little evidence to support this observation. The purpose of this study was to compare dwell-times for peripheral intravenous catheters placed with ultrasound guidance with intravenous catheters placed by means of traditional anatomic insertion in patients in an acute care hospital. Methods: This secondary data analysis examined outcomes of 298 patients who received ultrasound-guided catheter insertion and 299 patients who received traditionally placed intravenous catheters. Multivariable linear regression was used to identify significant predictors of dwell-time for both the traditional and US-guided catheters. Results: The average dwell-times for ultrasound-guided and traditionally placed catheters were significantly different (p 2 = 0.22). Discussion: Dwell-times of catheters placed with ultrasound guidance are shorter than traditionally placed catheters. Ultrasound-guided catheters should be monitored closely for inadvertent removal or infiltration. A plan to place a more permanent type of intravenous access should be considered for patients admitted for patients longer than 24 hours.
文摘The objective of this study was to compare Magnetic Resonance Urography (MRU) with Intravenous Pyelography (IVP) in evaluation of patients with hydronephrosis on ultrasonography. 49 patients of hydronephrosis on USG were enrolled for the study from Jan. 2011 to Dec. 2012. All patients under went Intravenous Urography (IVU). MRU was done to determine the anatomical details and function of each renal unit. MRU was performed on a 1.5 tesla unit (Magneton Avento;Siemens, Erlangen, Germany). Static T2-weighted Magnetic Resonance Urography (MRU) was performed by using a standard fast spin echo technique. Dynamic study was performed after injecting intravenous diuretic followed by Gadolinium contrast media. Morphological results of MRU were compared with IVU. The anatomical findings were compared with operative findings. Stastical analysis was performed and data expressed as mean ± SD. MRU showed PUJ obstruction in 41 out of 45 patients (91.1%). We concluded that MRU can provide complete diagnostic evaluation of entire urinary tract in a single session and has potential to replace IVP.
基金Innovation Program of Shanghai Municipal Education Commission,China(No.13YZ136)National Science&Technology Support Program during the 12th Five-Year Plan Period of China(No.2012BAI13B02)
文摘Intravascular ultrasound( IVUS) is an important imaging technique that is used to study vascular wall architecture for diagnosis and assessment of the vascular diseases. Segmentation of lumen and media-adventitia boundaries from IVUS images is a basic and necessary step for quantitative assessment of the vascular walls.Due to ultrasound speckles, artifacts and individual differences,automated segmentation of IVUS images represents a challenging task. In this paper,a random walk based method is proposed for fully automated segmentation of IVUS images. Robust and accurate determination of the seed points for different regions is the key to successful use of the random walk algorithm in segmentation of IVUS images and is the focus of the present work. Performance of the proposed algorithm was evaluated over an image database with 900 IVUS image frames of nine patient cases. The preliminary experimental results show the potential of the proposed IVUS image segmentation approach.
