Sonographic Evaluation of a Ruptured Ectopic Pregnancy
Ectopic pregnancy is a life-threatening condition that warrants immediate treatment due to the risk of rupture and resultant hemorrhaging. Less than 1% of all pregnancies are ectopic; of these, 90% or more are located in the fallopian tubes. In a clinical setting, sonography can diagnose an ectopic pregnancy in conjunction with beta-human chorionic gonadotropin (B-hCG) levels above 1500 mIU. A case is presented in which the diagnosis of ectopic pregnancy was supported through sonographic features. Medication was given to terminate the ectopic pregnancy; however, surgery was later needed when the ectopic ruptured. (Source: ...
Source: Journal of Diagnostic Medical Sonography - May 8, 2013 Category: Radiology Authors: Payken, L. A. Tags: Case Studies Source Type: research

JDMS CME Article-SDMS CME Credit
(Source: Journal of Diagnostic Medical Sonography)
Source: Journal of Diagnostic Medical Sonography - May 8, 2013 Category: Radiology Tags: Case Studies Source Type: research

Agenesis of the Ductus Venosus With Extrahepatic Umbilical Vein Connection Into the Right Atrium
Agenesis of the ductus venosus is a rare anomaly that was first reported in literature within the past decade. Color/Doppler sonography is an important tool for mapping blood flow in determining this aberrant anastomosis. Careful observation of the fetus for signs of congestive heart failure can lead to a positive outcome. In the following case, cardiomegaly was detected and digoxin was introduced, which arrested progression into congestive heart failure. (Source: Journal of Diagnostic Medical Sonography)
Source: Journal of Diagnostic Medical Sonography - May 8, 2013 Category: Radiology Authors: Gore, S., Smith, M., Nessling, C. Tags: Case Studies Source Type: research

The Case of the Wandering Spleen
Wandering spleen is a condition that describes the movement of the spleen to an ectopic location inside the abdomen/pelvis as a result of weakened peritoneal ligaments. Wandering spleens are rare, with a less than 0.2% incidence being reported. Diagnosing a wandering spleen can be challenging because of the wide range of findings and the oftentimes vagueness of the patient’s symptoms. The most common ectopic location of the spleen is the left mid-abdomen. The most frequent treatment for wandering spleen includes splenopexy or splenectomy, depending on the complications associated with the condition. (Source: Journal ...
Source: Journal of Diagnostic Medical Sonography - May 8, 2013 Category: Radiology Authors: Jones, B., Callahan, J., Cole, A., Hawking, N., Diment, D., Browning, P. Tags: Case Studies Source Type: research

IUD Perforation to the Urinary Bladder: Ultrasonographic Diagnosis
Intrauterine contraceptive devices (IUD) are a popular method of birth control, typically with minimal side effects, and are used worldwide. Serious side effects such as uterine perforation are rare. Most often, a perforated IUD is found in the intraperitoneal space, although in rare instances, an IUD may perforate to the urinary bladder. In the case presented, a combination of 2D and 3D sonography was used to identify a missing IUD within the urinary bladder. The IUD was removed by cystoscopy without serious consequences to the patient. (Source: Journal of Diagnostic Medical Sonography)
Source: Journal of Diagnostic Medical Sonography - May 8, 2013 Category: Radiology Authors: Nilsestuen, L. Tags: Case Studies Source Type: research

Is the Pocket Ultrasound the "Phonendoscope" of the Urologist?
The objective was to evaluate the utility of the "pocket ultrasound" in making clinical decisions in urologic emergencies. From May to September 2011, 105 patients were assessed for urologic emergencies: acute flank pain, macroscopic hematuria, urinary retention, and lower urinary tract symptoms. All patients underwent an ultrasonographic examination whereby the pocket ultrasound was used to evaluate the kidneys and bladder, followed by another appropriate diagnostic test to verify the suggested diagnosis. Urinary retention was diagnosed in 10 patients. Of 48 subjects with hematuria, 34 had an immediate diagnosis: there we...
Source: Journal of Diagnostic Medical Sonography - May 8, 2013 Category: Radiology Authors: Pace, G., Carmignani, L., Bozzini, G., Picozzi, S., Lunelli, L. Tags: Original Research Source Type: research

Cross-Sectional Area of the Median Nerve Characterized by Ultrasound in Patients With Carpal Tunnel Syndrome Before and After the Release of the Transverse Carpal Ligament
The objective of this study was to evaluate the cross-sectional area of the median nerve by ultrasonography before and after release of the transverse carpal ligament in patients with carpal tunnel syndrome. An additional goal was to correlate the cross-sectional area following surgery with clinical symptoms. Eighteen patients and 22 wrists were evaluated. All patients underwent Paine’s surgical technique for release of the transverse ligament. Cross-sectional area was calculated from sonograms taken at the pisiform bone level pre- and postsurgery. Postsurgical measurements were made at 4, 8, 12, and 96 weeks. Before...
Source: Journal of Diagnostic Medical Sonography - May 8, 2013 Category: Radiology Authors: Pimentel, B. F., Abicalaf, C. A., Braga, L., Albertoni, W. M., Fernandes, C. H., Sernik, R. A., Faloppa, F. Tags: Original Research Source Type: research

JDMS CME Article-SDMS CME Credit
(Source: Journal of Diagnostic Medical Sonography)
Source: Journal of Diagnostic Medical Sonography - May 8, 2013 Category: Radiology Tags: Original Research Source Type: research

Investigation of the Potential Windows and Methods for Viewing the Tongue Using Diagnostic Medical Ultrasound
This study investigates prospective windows sonography use to examine the tongue externally, lessening invasive measures currently used to diagnose and treat pathology. Based on results of this study, five of eight windows and methods tested were shown to have potential for evaluating the tongue externally. These were shown to be reproducible, acceptable windows for sonographers, providing a prospective means for sonographic evaluation of the tongue with hopes of developing a standardized protocol. (Source: Journal of Diagnostic Medical Sonography)
Source: Journal of Diagnostic Medical Sonography - May 8, 2013 Category: Radiology Authors: Hennessey, A. Tags: Original Research Source Type: research

Corrigendum
The JDMS CME article for "Focal Nodular Hyperplasia: Case Study, Imaging, and Treatment" by Chelsey N. McCann and Steven M. Penny contained an error in Question 4. (JDMS 2013;29(1):24-25) (Original DOI: 10.1177/8756479312474438) (Source: Journal of Diagnostic Medical Sonography)
Source: Journal of Diagnostic Medical Sonography - March 13, 2013 Category: Radiology Tags: Corrigendum Source Type: research

Pancreatic Tuberculosis Diagnosed with Endoscopic Ultrasound-Guided Fine Needle Aspiration: Solid-Cystic Pancreatic Lesions in Endemic Areas
We describe four cases with pancreatic tuberculosis mimicking carcinoma or pancreatic cyst on imaging. None of these patients was immunocompromised. Endoscopic ultrasound–guided fine needle aspiration demonstrated necrotizing granulomatous inflammation in these cases and acid-fast bacilli in two of them. We suggest that pancreatic tuberculosis should be included in the differential diagnosis of a pancreatic cystic or solid-cystic mass, especially in patients from a region where tuberculosis is endemic. (Source: Journal of Diagnostic Medical Sonography)
Source: Journal of Diagnostic Medical Sonography - March 13, 2013 Category: Radiology Authors: Sotoudehmanesh, R., Khatibian, M., Zandi, A., Shokri-Shirvani, J., Yaghoobi, A., Sotoudeh, M., Mohammadnejad, M. Tags: Case Studies Source Type: research

JDMS CME Article-SDMS CME Credit
(Source: Journal of Diagnostic Medical Sonography)
Source: Journal of Diagnostic Medical Sonography - March 13, 2013 Category: Radiology Tags: Case Studies Source Type: research

Combined 2D and 3D Transthoracic and Transesophageal Echocardiography in the Evaluation of Nonobstructive and Obstructive Cor Triatriatum Sinister
Cor triatriatum sinister is a rare congenital condition in which the left atrium is partitioned into two chambers by a fibromuscular membrane. Two-dimensional transthoracic echocardiography and 2D transesophageal echocardiography are the standard tests of choice for the assessment of function and physiology, although with complex pathology, evaluation of specific structures may be limited. We are reporting the additional use of 3D transesophageal echocardiography to delineate the anatomical features of the membrane in a comprehensive way not possible by conventional 2D imaging. (Source: Journal of Diagnostic Medical Sonography)
Source: Journal of Diagnostic Medical Sonography - March 13, 2013 Category: Radiology Authors: Walling, S., Palma, R., Chubet, 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 - March 13, 2013 Category: Radiology Tags: Literature Review Source Type: research

The Role of Sonography in Renal Artery Stenosis Evaluation and Stent Placement
A literature review has been conducted to demonstrate the role of duplex sonography in evaluating renal artery stenosis (RAS) as a screening method for patients prior to percutaneous transluminal renal artery stent (PTRAS) placement. The review also evaluates the role of ultrasound surveillance following PTRAS and establishes the overall influence of ultrasound on defining stent efficacy for managing hemodynamically significant renovascular disease. Recent studies have narrowed criteria for intervention through duplex sonographic assessment of RAS to better predict patient benefit and response to stent placement. Studies u...
Source: Journal of Diagnostic Medical Sonography - March 13, 2013 Category: Radiology Authors: Mapes-Gonnella, T. Tags: Literature Review Source Type: research