Abstract:
PURPOSE:In 2009, the Society of Radiologists in Ultrasound (SRU) convened a consensus conference to discuss the management of adnexal cysts in asymptomatic women and reach consensus on when follow-up imaging was required. The purpose of this quality assurance project was to assess the impact of using the resulting guidelines in our institution during 1-month periods before and after publication of the guidelines. METHODS:We retrospectively reviewed all pelvic ultrasound reports for a 1-month period before the conference (February 2009) and 2 years later (February 2011) after publication of the SRU guidelines. Incidence of recommendations for simple cysts and classic hemorrhagic cysts 5 cm or less in premenopausal women and simple cysts less than 1 cm in postmenopausal women was compared. Fisher exact test was used to compare proportions. RESULTS:Over the time period evaluated, the number of pelvic sonograms performed in our department decreased by 27%. The overall number of cysts with recommendations for follow-up decreased from February 2009 (132 studies with recommendations for follow-up in 870 pelvic ultrasound examinations, 15%) to February 2011 (71 recommendations for follow-up in 639 examinations, 11%; P = 0.02). The percentage of premenopausal simple cysts and classic hemorrhagic cysts described as less than 5 cm where follow-up was recommended decreased from 39/48 (89%) to 2/29 (7%, P < 0.0001). CONCLUSIONS:Use of the SRU guidelines on the management of adnexal cysts has, in our practice, dramatically decreased radiologist recommendations for follow-up of benign appearing cysts.
journal_name
Ultrasound Qjournal_title
Ultrasound quarterlyauthors
Ghosh E,Levine Ddoi
10.1097/RUQ.0b013e31827c6ab1subject
Has Abstractpub_date
2013-03-01 00:00:00pages
21-4issue
1eissn
0894-8771issn
1536-0253journal_volume
29pub_type
杂志文章abstract::Ultrasound has become a widely used diagnostic imaging modality in medicine because of its safety and portability. Because of rapid advances in technology, in recent years, sonographic imaging quality has significantly increased. Despite these advances, the potential to encounter artifacts while imaging remains.This a...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/RUQ.0b013e3182a80d34
更新日期:2014-06-01 00:00:00
abstract::Ultrasound is the screening method of choice for evaluation of pelvic anatomy and abnormalities of the female pelvis. It allows for detailed assessment of the uterus, endometrium, and ovaries. However, there are times when the sonographic diagnosis is nonspecific. This review article details the use of magnetic resona...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/01.ruq.0000232613.41429.ec
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abstract::This article reviews salient features of pediatric gynecologic ultrasound. It reviews technologic factors, technique, and normal anatomy used to evaluate the pediatric gynecologic tract for abnormality. It reviews and illustrates clinical imaging information necessary to know in the ultrasonic analysis of several clin...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/00013644-200409000-00007
更新日期:2004-09-01 00:00:00
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journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000493
更新日期:2020-09-01 00:00:00
abstract::The author provides some suggestions for those considering travel to developing countries to provide training in ultrasound at small medical facilities. Issues discussed will include planning before the trip, personal safety and health while there, as well as equipment and travel issues. ...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000043
更新日期:2014-03-01 00:00:00
abstract::Tethered spinal cord is associated with closed and open neural tube defects. With prenatal screening, spinal defects are consistently diagnosed during fetal life. We show that the conus medullaris can be seen well with prenatal ultrasound, and the diagnosis of tethered spinal cord can be made during fetal life. In thi...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0b013e3181a32218
更新日期:2009-06-01 00:00:00
abstract:BACKGROUND:Endometrial polyps are localized overgrowth of glands, stroma, and blood vessels and reported in 13% to 50% of women with dysfunctional uterine bleeding. Transvaginal ultrasound (TVUS) is the initial noninvasive modality of choice for the evaluation of endometrial polyps. The addition of intrauterine contras...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000384
更新日期:2018-12-01 00:00:00
abstract::The advent of antiangiogenic drugs in cancer therapy necessitates an imaging modality that can longitudinally assess posttreatment changes in tumor vasculature. In this regard, microbubble contrast-enhanced ultrasonography (CEUS) offers several advantages over conventional imaging modalities. The small size of microbu...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/RUQ.0b013e3181bce364
更新日期:2009-12-01 00:00:00
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journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000487
更新日期:2020-06-01 00:00:00
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journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0b013e3181fe7484
更新日期:2010-12-01 00:00:00
abstract::Portal venous system evaluation is required in many clinical circumstances, as substantial morbidity and mortality can be associated with a spectrum of portal vein abnormalities. Portal venous system pathologies can be congenital or acquired, and the knowledge of their imaging appearances will allow for a confident di...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
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更新日期:2019-12-01 00:00:00
abstract:PURPOSE: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...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000401
更新日期:2019-03-01 00:00:00
abstract::Tissue elasticity is becoming a more commonly used parameter in evaluation of parenchyma in inflammatory diseases. Considering the changes in the thyroid and salivary glands with adolescence, determination of mean elasticity ranges with a function of age is necessary to apply ultrasound elastography more widely in the...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000352
更新日期:2018-06-01 00:00:00
abstract::Intraoperative ultrasound provides spatial resolution of the pancreas superior to computed tomography, magnetic resonance imaging, and transabdominal sonography. This pictorial essay will review common benign and malignant pancreatic processes including the following: pancreatic ductal adenocarcinoma, pancreatitis, en...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/RUQ.0b013e3181901ce4
更新日期:2009-03-01 00:00:00
abstract::Adult-onset hypertrophic pyloric stenosis (HPS) is a rare anomaly that can be idiopathic or related to underlying gastric pathology. We describe a case of a 25-year-old man with history of human immunodeficiency virus and osteoglophonic dysplasia who presented with pain and swelling at a gastrostomy site. Computed tom...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/RUQ.0000000000000238
更新日期:2017-03-01 00:00:00
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journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000520
更新日期:2020-12-01 00:00:00
abstract::Biliary cast syndrome (BCS) consists of mass-like hardened collections of inspissated bile and sloughed biliary mucosa filling the intrahepatic and/or extrahepatic bile ducts, which show an alternating pattern of dilatation and stricture. It is a rare but serious complication of liver transplantation frequently necess...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/RUQ.0000000000000196
更新日期:2016-09-01 00:00:00
abstract::This study was to evaluate the correlation between birth weight and the distance between distal rectal pouch and perineum (P-P distance) and to determine a cutoff value for P-P distance to diagnose low-type imperforate anus in neonates with low-birth weight (LBW).We included 15 neonates with LBW (mean weight, 2012 ± 4...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000329
更新日期:2018-03-01 00:00:00
abstract::Although mammography is the mainstay of early breast cancer detection, it has known limitations, particularly in women with dense breasts. As a result, additional imaging modalities, including ultrasound and contrast-enhanced magnetic resonance imaging, are also being used to supplement mammography in the early detect...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/RUQ.0b013e31820e15ac
更新日期:2011-03-01 00:00:00
abstract::Congenital heart diseases (CHDs) carry a high prevalence rate in the general population (0.8%-1%). Most fetal CHDs occur in patients without any risk factors. The prenatal recognition of CHD has major impacts on the pregnancy and its outcome. The aforementioned data justify prenatal ultrasound (US) screening of CHD in...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0b013e3182915867
更新日期:2013-06-01 00:00:00
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journal_title:Ultrasound quarterly
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更新日期:2017-09-01 00:00:00
abstract::The evaluation of the diaphragm in critically ill patients is simple and noninvasive and has shown good repeatability. The aim of the study was to generate a predictive index for successful weaning (ULDIMex) from invasive mechanical ventilation (IMV) based on an ultrasonographic diaphragmatic assessment before perform...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
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更新日期:2020-03-01 00:00:00
abstract::The Achilles tendon is a frequent site of foot and ankle discomfort. Its superficial location lends it to excellent evaluation by ultrasonography. Continuing advances in US have enabled evaluation of Achilles pathology with unprecedented accuracy and efficiency in a cost-effective manner. For these reasons, radiologis...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/RUQ.0b013e3181b738a6
更新日期:2009-09-01 00:00:00
abstract::To determine if a significant contralateral stenosis affects interpretation tables of the ipsilateral internal carotid artery's degree of stenosis in duplex Doppler ultrasound, the records of 307 patients with carotid duplex ultrasound studies with an angiogram performed within 3 months without intervening interventio...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0b013e31814fb469
更新日期:2007-09-01 00:00:00
abstract::Ultrasound is considered to be the initial imaging modality of choice for evaluation of bile ducts. In this article, sonographic anatomy of the bile ducts and ultrasound findings in congenital, inflammatory, neoplastic, and other abnormalities of bile ducts are described. Roles of color Doppler ultrasound and newer ap...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/00013644-200209000-00004
更新日期:2002-09-01 00:00:00
abstract::Fungal inflammatory pseudotumor (FIPT) of the liver is a rare disease that may be mistaken for a malignant tumor. It is difficult to diagnose because of its nonspecific clinical and imaging features. We report the case of a 46-year-old Asian man who presented with a mass in the right upper quadrant of the abdomen. The...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000285
更新日期:2017-09-01 00:00:00
abstract::Drains are routinely used after thyroidectomy and lateral neck dissection. In rare cases, the drainage tube is broken and retained in the neck. It is difficult to identify the sonographic features of the remnant tube due to variable reasons. However, through comparative and phantom observations, we noticed the double-...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000331
更新日期:2018-06-01 00:00:00
abstract::The objective of this study was to describe the diagnostic value of positron emission tomography/computed tomography (PET/CT) and ultrasound (US) for identifying metastatic axillary disease in primary breast cancer. This is a retrospective review of 240 patients with treatment-naive unilateral primary breast cancer of...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000535
更新日期:2020-11-12 00:00:00
abstract:OBJECTIVES:To determine pelvic ultrasound characteristics in women after radiofrequency endometrial ablation (EA) and evaluate the association of those characteristics with symptoms and the need for subsequent therapeutic intervention. METHODS:This retrospective cohort study evaluated patients who underwent transvagin...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0b013e318276653b
更新日期:2012-12-01 00:00:00
abstract::Uterine fibroids are common benign lesions. Other common benign masses include renal cysts, renal angiomyolipomas, hepatic cysts, hepatic hemangiomas, thyroid cysts, adrenal incidentalomas, pulmonary granulomas and hamartomas, ovarian cysts, and dermoids. All these conditions, especially in asymptomatic patients, almo...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/01.ruq.0000263845.23055.f6
更新日期:2007-03-01 00:00:00