Establishing an Imaging Protocol for Detection of Vascularity within the Median Nerve Using Contrast-Enhanced Ultrasound
This preclinical study was conducted to develop discrete sonographic instrumentation settings and also safe contrast dosing that would consistently demonstrate perineural vascularity along the median nerve. This set of imaging studies was conducted with a convenience cohort of young adult female monkeys (Macaca fascicularis). Sonographic equipment settings and dosing were refined throughout the imaging series to ensure consistent contrast-enhanced ultrasound imaging. A mechanical index of 0.13 was consistently used for imaging. Perineural vessels were imaged with a suspension solution of 0.04 mL Definity/0.96 mL saline int...
Source: Journal of Diagnostic Medical Sonography - September 6, 2013 Category: Radiology Authors: Evans, K. D., Volz, K. R., Roll, S. C., Hutmire, C. M., Pargeon, R. L., Buford, J. A., Sommerich, C. M. Tags: Original Articles Source Type: research

JDMS CME Article-SDMS CME Credit
(Source: Journal of Diagnostic Medical Sonography)
Source: Journal of Diagnostic Medical Sonography - September 6, 2013 Category: Radiology Tags: Original Articles Source Type: research

Pseudothrombus of the Aorta: A Common Mirror Artifact in Pediatric Patients
The purpose of this study is to demonstrate a common ultrasound artifact of the abdominal aorta in pediatric patients through a retrospective analysis of 150 consecutive pediatric abdominal ultrasound examinations. The presence of an aortic pseudomass was evaluated at the level of the celiac trunk and superior mesenteric artery (SMA). An artifact within the aorta at the level of the SMA was noted in 39 patients (26%) and an artifact at the level of the celiac trunk was noted in 4 patient (3%). In 7 of 8 cases the artifact at the level of the SMA was eliminated by use of the Clarify™ Vascular Enhancement (VE) Technolo...
Source: Journal of Diagnostic Medical Sonography - September 6, 2013 Category: Radiology Authors: Dobrocky, T., Stranzinger, E. Tags: Original Articles Source Type: research

Corrigendum
In the article titled "Sonographic Assessment of the Neonatal Spine and the Potential for New Technologies to Aid in Diagnoses" (J Diagn Med Sonog, 2009;25(1):4-22) (DOI: 10.1177/8756479308327063), Figure 1 is an adaption of a drawing published in The Developing Human: Clinically Oriented Embryology, 7th Ed. 2003, by Moore KL, p. 62. (Source: Journal of Diagnostic Medical Sonography)
Source: Journal of Diagnostic Medical Sonography - June 26, 2013 Category: Radiology Tags: Corrigendum Source Type: research

Stretching for Sonographers: A Literature Review of Sonographer-Reported Musculoskeletal Injuries
With increasing patient loads, many sonographers have found themselves scanning in pain; up to 90% of sonographers have experienced pain while scanning. In this literature review, the question is asked, Are there any methods, such as stretching exercises, that a sonographer could personally implement to reduce or alleviate musculoskeletal injury? The literature of interest was located using online databases including CINAHL, Medline, PubMed, and SAGE Publications. Themes included sonographer, injury, musculoskeletal, stretching, and exercise. The literature shows a clear pattern of work-related musculoskeletal injury for a...
Source: Journal of Diagnostic Medical Sonography - June 26, 2013 Category: Radiology Authors: Alaniz, J., Veale, B. L. Tags: Literature Review Source Type: research

Sonographic Detection and Follow-up of a Persistent Ectopic Pregnancy
Ectopic pregnancy is a life-threatening condition if not detected early, prior to it rupturing. This case study presents a situation where an ectopic pregnancy is sonographically detected prerupture and treated with methotrexate. Based on serial sonograms, a salpingectomy was performed several weeks later when the pregnancy had not resolved. Sonographic findings indicative of an ectopic pregnancy are presented, along with the importance of correlating findings between serial sonograms and β–human chorionic gonadotropin serum levels. (Source: Journal of Diagnostic Medical Sonography)
Source: Journal of Diagnostic Medical Sonography - June 26, 2013 Category: Radiology Authors: Lindauer, S. R. Tags: Case Studies Source Type: research

Isolated Wormian Bone Detected during Second Trimester Scan by Means of 3D Sonography: Counseling and Management
Wormian bones are accessory bones that occur within the cranial suture and fontanelles, most commonly within the posterior sutures. The incidental 3D sonographic detection of isolated wormian bone during a second trimester sonographic examination is reported, together with the counseling and clinical management strategies that followed. We have demonstrated that supernumerary bone can be seen as an isolated sonographic finding in a healthy fetus or can be associated with multiple congenital anomalies. The sonographic detection of a fetus with wormian bone indicates the need for a very thorough examination and genetic couns...
Source: Journal of Diagnostic Medical Sonography - June 26, 2013 Category: Radiology Authors: Rosignoli, L., Tonni, G. Tags: Case Studies Source Type: research

JDMS CME Article-SDMS CME Credit
(Source: Journal of Diagnostic Medical Sonography)
Source: Journal of Diagnostic Medical Sonography - June 26, 2013 Category: Radiology Tags: Case Studies Source Type: research

Sonographic Evaluation and Detection of Pediatric Hematometrocolpos
Hematometrocolpos is the presence of blood in the uterus and vagina and is a rare gynecologic pathology in pediatric patients. Often, symptoms of hematometrocolpos are mild and not diagnosed until the onset of puberty. A case is presented of severe persistent hematometrocolpos in a female pediatric patient. The patient experienced urinary retention and abdominal distension due to the markedly enlarged vagina. The patient was primarily followed with sonography, although other imaging modalities were used as necessary to properly diagnose and manage the patient, who was successfully treated with vaginoplasty. (Source: Journa...
Source: Journal of Diagnostic Medical Sonography - June 26, 2013 Category: Radiology Authors: Hilbert, E. R. Tags: Case Studies Source Type: research

Nerve Hematoma Mimicking DVT
This case study describes a patient who underwent an upper extremity venous examination to evaluate for possible deep vein thrombosis (DVT). Sonography showed no evidence of thrombus in the veins of the deep or superficial system. Adjacent to the veins of the peripheral arm, however, an enlarged hypoechoic structure was visualized that had a very similar appearance to DVT. With further imaging, hyperechoic linear bands were visualized at the proximal end of the hypoechoic structure. The appearance suggested that this structure was related to the median nerve, but its normal appearance was altered by a large mass inside the...
Source: Journal of Diagnostic Medical Sonography - June 26, 2013 Category: Radiology Authors: Gerding, A. L., Fox, T. B., Lown, L., Needleman, L. Tags: Case Studies Source Type: research

JDMS CME Article-SDMS CME Credit
(Source: Journal of Diagnostic Medical Sonography)
Source: Journal of Diagnostic Medical Sonography - June 26, 2013 Category: Radiology Tags: Case Studies Source Type: research

Medullary Sponge Kidney and Medullary Nephrocalcinosis
A 40-year-old female patient came to an outpatient sonography department for a follow-up scan of calculi in the right ureter that were originally found at another medical facility. The study was ordered to see if the stones caused hydronephrosis within the right kidney. Bilaterally, echogenic renal medullae were visualized, indicating a case of medullary sponge kidney and medullary nephrocalcinosis. (Source: Journal of Diagnostic Medical Sonography)
Source: Journal of Diagnostic Medical Sonography - June 26, 2013 Category: Radiology Authors: Johnson, S. Tags: Case Studies Source Type: research

Evaluation of Neonatal Hypoxic-Ischemic Encephalopathy by MRI and Ultrasound
Hypoxic-ischemic encephalopathy (HIE) is a major cause of brain damage and neurodevelopmental abnormalities in full-term newborn infants. We are reporting the results of a study comparing cranial magnetic resonance imaging (MRI) and cranial sonography (US) in 150 neonates with suspected HIE. Magnetic resonance imaging findings were normal in 44 patients (29%); 18% of patients showed only basal ganglia (BG) brightness, 10.6% showed brightness of the BG with intracerebral hemorrhage, and 63% of patients showed additional diagnostic details. Cranial US was normal in 75 patients (50%) and showed increased periventricular echog...
Source: Journal of Diagnostic Medical Sonography - June 26, 2013 Category: Radiology Authors: Babiker, M. S., Omer, A. M., Al Oufi, A.-R. Tags: Original Articles Source Type: research

Prospective Comparative Study to Evaluate the Sonographic Visibility of Five Commercially Available Breast Biopsy Markers
The objective of this study was to directly compare the sonographic visibility of five commercially available breast biopsy site markers. A single-site prospective comparative study was performed with 25 female participants, each assigned to receive one of five biopsy markers. Postdeployment, 6-week, and 12-week follow-up sonographic images were obtained and a survey was e-mailed to members of the Society of Breast Imaging asking them to grade marker visibility on a 1- to 5-point Likert-type scale. At the time of deployment, the SecurMark (Hologic, Bedford, Massachusetts) was rated with the highest sonographic visibility. ...
Source: Journal of Diagnostic Medical Sonography - June 26, 2013 Category: Radiology Authors: Pinkney, D. M., Shah, B. A. Tags: Original Articles Source Type: research

An Inexpensive and Easy-to-Make Simulation Model of Biliary Ultrasound That Mimics Normal Anatomy and Abnormal Biliary Conditions
Simulation training in sonography has been shown be an effective method of teaching and assessing user competency in image acquisition/interpretation and performance of procedures. Gallbladder simulation models that are currently commercially available are entire torso section phantoms, are generally expensive to obtain, and require maintenance. We have developed a sonographic gallbladder simulation model constructed using readily available and inexpensive materials. Models were created of normal gallbladder anatomy as well as various gallbladder pathologies such as cholelithiasis, biliary sludge, and thickening of the gal...
Source: Journal of Diagnostic Medical Sonography - May 8, 2013 Category: Radiology Authors: He, C., Wright, L. M., Saul, T., Lewiss, R. E. Tags: Energizing Education Source Type: research