Ultrasound Articles

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Abdominal Wall Hernias   Adnexal Masses   Biliary System   Bowel   Ectopic Pregnancy   Extracranial Cerebrovascular Ultrasound   Fetal Anomalies   First Trimester Obstetrical Ultrasound   Gallbladder   Hernias   Kidney   Liver   Lower Extremity Arterial Evaluation   Musculoskeletal   Ovary   Parathyroid   Pelvis   Physics   Prostate   Pyloric Stenosis   Radial Artery Harvesting for Bypass Grafting   Scrotal Ultrasound   Thyroglossal Duct Cyst   Thyroid   Upper Extremity Veins   Uterus

 

 

Abdominal Wall Hernias

·         Characteristic Locations of Inguinal Region and Anterior Abdominal Wall Hernias: Sonographic Appearances and Identification of Clinical Pitfalls

·         High resolution ultrasonography of the anterior abdominal wall Indian Journal of Radiology 2007

·         Sonography in Identification of Abdominal Wall Lesions Presenting as Palpable Masses Journal of US in Medicine 2006

Adnexal Masses

·         Adnexal Masses: US Characterization and Reporting http://radiology.rsna.org/content/254/2/342.full

Biliary System

Biliary Atresia

·         Biliary Atresia: US Diagnosis http://radiology.rsnajnls.org/cgi/content/full/244/3/845

·         Biliary Atresia: Color Doppler US Findings in Neonates and Infants http://radiology.rsnajnls.org/cgi/content/full/252/1/282

·         Biliary Atresia in Neonates and Infants: Triangular Area of High Signal Intensity in the Porta Hepatis at T2-weighted MR Cholangiography with US and Histopathologic Correlation http://radiology.rsnajnls.org/cgi/content/full/215/2/395

·         Objective Criteria of Triangular Cord Sign in Biliary Atresia on US Scans http://radiology.rsnajnls.org/cgi/content/full/229/2/395

·         Sonographic Diagnosis of Biliary Atresia in Pediatric Patients Using the "Triangular Cord" Sign Versus Gallbladder Length and Contraction http://www.ajronline.org/cgi/content/full/181/5/1387

Bowel

·         Crohn Disease: Correlation of Findings at Contrast-enhanced US with Severity at Endoscopy http://radiology.rsna.org/content/253/1/241.full

Contrast Enhanced Ultrasound

·         Comparison of Contrast-Enhanced Sonography with Unenhanced Sonography and Contrast-Enhanced CT in the Diagnosis of Malignancy in Complex Cystic Renal Masses http://www.ajronline.org/cgi/content/full/191/4/1239

·         Follow-Up After Percutaneous Radiofrequency Ablation of Renal Cell Carcinoma: Contrast-Enhanced Sonography Versus Contrast-Enhanced CT or MRI http://www.ajronline.org/cgi/content/full/191/4/1233

Ectopic Pregnancy

·         Ectopic Pregnancy http://radiology.rsnajnls.org/cgi/content/full/245/2/385

Extracranial Cerebrovascular Ultrasound

Carotid Ultrasound

·         ACCF/SCAI/SVMB/SIR/ASITN 2007 Clinical Expert Consensus Document on Carotid Stenting JACC January 2007

·         Analysis of pooled data from the randomised controlled trials of endarterectomy for symptomatic carotid stenosis Lancet 2003

·         A Spectrum of Doppler Waveforms in the Carotid and Vertebral Arteries AJR 2003

·         Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. North American Symptomatic Carotid Endarterectomy Trial Collaborators NEJM August 1991

·         Can the NASCET technique for measuring carotid stenosis be reliably applied outside the trial? J Vasc Surgery September 1996

·         Carotid Artery Stenosis: Gray-Scale and Doppler US Diagnosis- SRU Consensus Conference Radiology Nov 2003

·         Characteristic Sonographic Findings of Early Restenosis After Carotid Endarterectomy JUM 2008

·         Diagnosing Carotid Stenosis by Doppler Sonography; State of the Art JUM 2005

·         Effect of Doppler Angle in Diagnosis of Internal Carotid Artery Stenosis JUM 2006

·         Endarterectomy for asymptomatic carotid artery stenosis. Executive Committee for the Asymptomatic Carotid Atherosclerosis Study (ACAS) JAMA 1995

·         European Carotid Surgery Trial Collaborative Group. MRC European Carotid Surgery Trial: interim results for symptomatic patients with severe (70–99%) or with mild (0–29%) carotid stenosis. Lancet 1991

·         Imaging of the Internal Carotid Artery: The Dilemma of Total versus Near Total Occlusion Radiology November 2001

·         Recurrent Carotid Artery Stenosis Following Endarterectomy: Natural History and Risk Factors European J of Vascular & Endovascular Surgery April 2005

·         Sonographic Examination of the Carotid Arteries Radiographics November 2005

·         The reliability of color duplex ultrasound in diagnosing total carotid artery occlusion American Journal of Surgery Vol 174, Issue 2, Aug 1997, Pages 185-187

·         Ultrasound: Practical Sonography for the Radiologist 2009 Categorical Course ARRS

Innominate Artery Stenosis

·         Innominate Artery Occlusive Disease: Sonographic Findings http://www.ajronline.org/cgi/content/full/186/2/394

Vertebral

·         Color Doppler Imaging Evaluation of Proximal Vertebral Artery Stenosis AJR November 2009

·         Ultrasound of the extracranial vertebral artery British Journal of Radiology January 2004

·         Vertebral Artery Doppler Waveform Changes Indicating Subclavian Steal Physiology AJR March 2000

Fetal Anomalies

Kidneys

·         Autosomal Recessive Polycystic Kidney Disease: Radiologic-Pathologic Correlation http://radiographics.rsnajnls.org/cgi/content/full/20/3/837

Omphalocele

·         Diagnosis Please. Case 49: Beckwith-Wiedemann Syndrome http://radiology.rsnajnls.org/cgi/content/full/224/2/375

First Trimester Obstetrical Ultrasound

·         First-Trimester Screening;  Ultrasound Clinics - Volume 1, Issue 2 (April 2006)

Gallbladder

Polyps

·         Incidentally Detected Gallbladder Polyps: Is Follow-up Necessary?—Long-term Clinical and US Analysis of 346 Patients

·         The hyperplastic cholecystoses: cholesterolosis and adenomyomatosis http://radiology.rsnajnls.org/cgi/content/abstract/146/3/593

Wall Thickening

·         Diffuse Gallbladder Wall Thickening: Differential Diagnosis http://www.ajronline.org/cgi/content/full/188/2/495

Interventional

·         Coagulation Concepts Update http://www.ajronline.org/cgi/content/full/193/6/1656

Hernias

·         Characteristic Locations of Inguinal Region and Anterior Abdominal Wall Hernias: Sonographic Appearances and Identification of Clinical Pitfalls AJR May 2007

Kidney

Angiomyolipomas

·         Small, asymptomatic angiomyolipomas of the kidney http://radiology.rsnajnls.org/cgi/reprint/154/1/7

Renal Mass Evaluation

·         A Practical Approach to the Cystic Renal Mass http://radiographics.rsnajnls.org/cgi/content/full/24/suppl_1/S101

·         Can High-Attenuation Renal Cysts Be Differentiated from Renal Cell Carcinoma at Unenhanced CT? http://radiology.rsnajnls.org/cgi/content/full/243/2/445

·         Cystic renal masses: Ignore, Follow, Excise http://www.radiologyassistant.nl/en/44d1045b472df

·         Common and Uncommon Histologic Subtypes of Renal Cell Carcinoma: Imaging Spectrum with Pathologic Correlation http://radiographics.rsnajnls.org/cgi/content/full/26/6/1795

·         How I Do It: Evaluating Renal Masses http://radiology.rsnajnls.org/cgi/content/full/236/2/441

·         Hyperattenuating Renal Masses: Etiologies, Pathogenesis, and Imaging Evaluation http://radiographics.rsnajnls.org/cgi/content/full/27/4/1131

Renal Transplantation

·         Complications of Renal Transplantation http://radiographics.rsnajnls.org/cgi/content/full/25/5/1335

·         Reversed Diastolic Flow in the Renal Transplant: Perioperative Implications Versus Transplants Older Than 1 Month http://www.ajronline.org/cgi/content/full/190/3/650

Liver

Diffuse Liver Disease

·         Fatty Liver: Imaging Patterns and Pitfalls http://radiographics.rsnajnls.org/cgi/content/full/26/6/1637

·         Imaging-based Quantification of Hepatic Fat: Methods and Clinical Applications (Radiographics 2009)

à         Criteria for Imaging-based Diagnosis and Grading of Liver Steatosis

·         Sonography of diffuse benign liver disease: accuracy of pattern recognition and grading 1986 http://www.ajronline.org/cgi/content/abstract/146/5/1011 

Doppler

·         Colour Doppler ultrasound flow patterns in the portal venous system http://bjr.birjournals.org/cgi/content/full/75/899/919

·         Doppler US of the Liver Made Simple Radiographics Jan 2011

·         Understanding the Spectral Doppler Waveform of the Hepatic Veins in Health and Disease

Liver Transplantation

·         Complications of Liver Transplantation: Multimodality Imaging Approach http://radiographics.rsnajnls.org/cgi/content/full/27/5/1401

·         Doppler Ultrasound Findings in the Hepatic Artery Shortly After Liver Transplantation http://www.ajronline.org/cgi/content/full/193/1/128

·         Orthotopic Liver Transplantation: Reversible Doppler US Findings in the Immediate Postoperative Period Radiographics January 2012

·         Sonographic Diagnosis and Outcome of Hepatic Artery Thrombosis After Orthotopic Liver Transplantation in Adults http://www.ajronline.org/cgi/content/full/189/2/346

·         Sonographic Evaluation of Venous Obstruction in Liver Transplants http://www.ajronline.org/cgi/content/full/188/6/W515

Lower Extremity Arterial Evaluation

·         Noninvasive Vascular Laboratory for Evaluation of Peripheral Arterial Occlusive Disease: Part I—Hemodynamic Principles and Tools of the Trade JVIR 2000; 11:1107-1114.

·         Noninvasive Vascular Laboratory for Evaluation of Peripheral Arterial Occlusive Disease: Part II—Clinical Applications: Chronic, Usually Atherosclerotic, Lower Extremity Ischemia JVIR 2000; 11:1257-1275.

·         Noninvasive Vascular Laboratory for Evaluation of Peripheral Arterial Occlusive Disease. Part III—Clinical Applications: Nonatherosclerotic Lower Extremity Arterial Conditions and Upper Extremity Arterial Disease JVIR 2001; 12:11-18.

·         Position Statement on the Use of the Ankle-Brachial Index in the Evaluation of Patients with Peripheral Vascular Disease http://www.jvir.org/cgi/content/full/13/4/353

Musculoskeletal

·         The Top 10 Reasons Musculoskeletal Sonography Is an Important Complementary or Alternative Technique to MRI http://www.ajronline.org/cgi/content/full/190/6/1621

Neonatal Brain

Review

·         State-of-the-Art Cranial Sonography: Part 1, Modern Techniques and Image Interpretation AJR May 2011

·         State-of-the-Art Cranial Sonography: Part 2, Pitfalls and Variants AJR May 2011

Cystic Lesions

·         Differential Diagnosis of Intracranial Cystic Lesions at Head US: Correlation with CT and MR Imaging http://radiographics.rsnajnls.org/cgi/content/full/26/1/173

Lenticulostriate Vasculopathy

·         Echogenic vasculature in the basal ganglia of neonates: a sonographic sign of vasculopathy http://radiology.rsnajnls.org/cgi/content/abstract/169/2/423

·         Neonatal lenticulostriate vasculopathy: further characterization http://fn.bmjjournals.com/cgi/content/full/88/5/F410

·         Sonographic lenticulostriate vasculopathy in infants: some associations and a hypothesis http://www.ajnr.org/cgi/content/abstract/16/1/97

Ovary

Ovarian Carcinoma

·         Ultrasound and Assessment of Ovarian Cancer Risk http://www.ajronline.org/cgi/content/full/194/2/322

Ovarian Cyst Management

·         Management of Asymptomatic Ovarian and Other Adnexal Cysts Imaged at US: SRU Consensus Conference Statement Radiology 2010

·         Persistent Unilocular Ovarian Cysts in a General Population of Postmenopausal Women: Is There a Place for Expectant Management? http://www.greenjournal.org/cgi/content/full/102/3/589

·         Practical Approach to the Adnexal Mass Radiol Clin N Am 44 (2006) 879–899 JEFFLINE

·         Radiological Reasoning: Imaging Characterization of Bilateral Adnexal Masses http://www.ajronline.org/cgi/content/full/187/3_Supplement/S460

·         Risk of Malignancy in Unilocular Ovarian Cystic Tumors Less Than 10 Centimeters in Diameter http://www.greenjournal.org/cgi/content/full/102/3/594

Ovarian Torsion

·         Vijayaraghavan B.  Sonographic whirlpool sign in ovarian torsion.  J Ultrasound Med. 2004;23:1643-9.

·         Lee E, Kwon H, Joo H, Suh J, Fleischer A.  Diagnosis of ovarian torsion with color Doppler sonography: depiction of twisted vascular pedicle.  J Ultrasound Med. 1998;17:83-89

Polycystic Ovaries

·         Ultrasound assessment of the polycystic ovary: international consensus definitions Human Reproductive Update 2003

Parathyroid

·         Parathyroid Imaging: Technique and Role in the Preoperative Evaluation of Primary Hyperparathyroidism http://www.ajronline.org/cgi/content/full/188/6/1706

Pelvis

General

·         Ultrasound of the Pediatric Female Pelvis: A Clinical Perspective http://radiographics.rsnajnls.org/cgi/content/full/21/6/1393

Intrauterine Devices

·         Does the Type of Intrauterine Device Affect Conspicuity on 2D and 3D Ultrasound? AJR June 2011 vol. 196 no. 6 1439-1443

Prostate

·         Imaging Prostate Cancer: A Multidisciplinary Perspective http://radiology.rsnajnls.org/cgi/content/full/243/1/28

Physics

·         US Artifacts http://radiographics.rsna.org/content/29/4/1179.full

Pyloric Stenosis

·         Infantile Hypertrophic Pyloric Stenosis http://radiology.rsnajnls.org/cgi/content/full/227/2/319

Radial Artery Harvesting for Bypass Grafting

·         Radial Artery Mapping for Coronary Artery Bypass Graft Placement http://radiology.rsnajnls.org/cgi/content/full/220/2/299

Scrotal Ultrasound

Masses

·         US–MR Imaging Correlation in Pathologic Conditions of the Scrotum http://radiographics.rsnajnls.org/cgi/content/full/27/5/1239

Paratesticular Masses

·         Multimodality Imaging of Paratesticular Neoplasms and Their Rare Mimics http://radiographics.rsnajnls.org/cgi/content/full/23/6/1461

à         Adenomatoid tumor is the most common tumor of the epididymis, followed by leiomyoma. In adult patients, it is imperative to consider sarcomas in the differential diagnosis of all solid tumors of the scrotum.

Review Article

·         Sonography of the Scrotum Radiology April 2003

·         Sonography of the Scrotum: Case-Based Review AJR 2008

Testicular Microlithiasis

·         Is There an Increased Incidence of Contralateral Testicular Cancer in Patients with Intratesticular Microlithiasis? http://www.ajronline.org/cgi/content/full/180/2/497

·         Testicular Microlithiasis Prevalence and Tumor Risk in a Population Referred for Scrotal Sonography http://www.ajronline.org/cgi/content/full/175/6/1703

·         Testicular Microlithiasis: Prospective Analysis of Prevalence and Associated Tumor   http://radiology.rsnajnls.org/cgi/content/full/224/2/425

·         Testicular Microlithiasis: US Follow-up http://radiology.rsnajnls.org/cgi/content/full/218/2/359

·         Testicular Microlithiasis: What Is Its Association with Testicular Cancer? http://radiology.rsnajnls.org/cgi/content/full/220/1/70

Trauma

·         US of Acute Scrotal Trauma: Optimal Technique, Imaging Findings, and Management http://radiographics.rsnajnls.org/cgi/content/full/27/2/357

Thyroglossal Duct Cyst

·         Thyroglossal Duct Cysts: Sonographic Appearances in Adults http://www.ajnr.org/cgi/content/full/20/4/579

Thyroid

Biopsy

·         Diagnostic Approach for Evaluation of Lymph Node Metastasis From Thyroid Cancer Using Ultrasound and Fine-Needle Aspiration Biopsy http://www.ajronline.org/cgi/content/full/194/1/38

Carcinoma

·         Normal and Abnormal Sonographic Findings at the Thyroidectomy Sites in Postoperative Patients With Thyroid Malignancy (AJR 2010)

·         Postoperative Surveillance of Differentiated Thyroid Carcinoma: Rationale, Techniques, and Controversies, Nov 2008; http://radiology.rsnajnls.org/cgi/content/full/249/2/429

Thyroiditis

·         Hashimoto Thyroiditis: Part 1, Sonographic Analysis of the Nodular Form of Hashimoto Thyroiditis

·         Hashimoto Thyroiditis: Part 2, Sonographic Analysis of Benign and Malignant Nodules in Patients With Diffuse Hashimoto Thyroiditis

·         Micronodulation: ultrasonographic sign of Hashimoto thyroiditis

·         Thyroiditis: Differential Diagnosis and Management

Thyroid Nodule Evaluation

·         Approach to the Patient with a Cytologically Indeterminate Thyroid Nodule

·         Biopsy of Thyroid Nodules: Comparison of Three Sets of Guidelines

·         Management of Thyroid Nodules Detected at US: Society of Radiologists in Ultrasound Consensus Conference Statement

·         US Features of Thyroid Malignancy: Pearls and Pitfalls

·         US-guided Fine-Needle Aspiration of Thyroid Nodules: Indications, Techniques, Results

Upper Extremity Veins

Vascular Mapping

·         US Vascular Mapping before Hemodialysis Access Placement http://radiology.rsnajnls.org/cgi/content/full/217/1/83

Uterus

Adenomyosis

·         Adenomyosis: US Features with Histologic Correlation in an in Vitro Study Radiology June 2000

·         Sonography of Adenomyosis JUM May 2012

à         Uterine enlargement—Globular uterine enlargement that is generally up to 12 cm in uterine length and that is not explained by the presence of leiomyomata is a characteristic finding (Figure 3).

à         Cystic anechoic spaces or lakes in the myometrium—The cystic anechoic spaces within the myometrium are variable in size and can occur throughout the myometrium (Figure 4). The cystic changes in the outer myometrium may on occasion represent small arcuate veins rather than adenomyomas. The application of color Doppler imaging at low velocity scales may help in this differentiation.

à         Uterine wall thickening—The uterine wall thickening can show anteroposterior asymmetry, especially when the disease is focal (Figure 5).

à         Subendometrial echogenic linear striations—Invasion of the endometrial glands into the subendometrial tissue induces a hyperplastic reaction, which appears as echogenic linear striations fanning out from the endometrial layer (Figure 6).

à         Heterogeneous echo texture—There is a lack of homogeneity within the myometrium with evidence of architectural disturbance (Figures 1 and 4). This finding has been shown to be the most predictive of adenomyosis.

à         Obscure endometrial/myometrial border—Invasion of the myometrium by the glands also obscures the normally distinct endometrial/myometrial border (Figures 26).

à         Thickening of the transition zone—This zone is a layer that appears as a hypoechoic halo surrounding the endometrial layer. A thickness of 12 mm or greater has been shown to be associated with adenomyosis.

Endometrium

·         Evaluation of the Woman With Postmenopausal Bleeding; Society of Radiologists in Ultrasound–Sponsored Consensus Conference Statement; Journal of Ultrasound in Medicine, Vol 20, Issue 10 1025-1036

·         Imaging the Endometrium: Disease and Normal Variants http://radiographics.rsnajnls.org/cgi/content/full/21/6/1409

·         Radiological Reasoning: Algorithmic Workup of Abnormal Vaginal Bleeding with Endovaginal Sonography and Sonohysterography http://www.ajronline.org/cgi/content/full/191/6_Supplement/S68

·         US of Abnormal Uterine Bleeding http://radiographics.rsnajnls.org/cgi/content/full/23/3/703

Fibroid Embolization

·         Uterine Fibroid Vascularization and Clinical Relevance to Uterine Fibroid Embolization http://radiographics.rsnajnls.org/cgi/content/full/25/suppl_1/S99

Intrauterine Devices

·         Imaging of Intrauterine Contraceptive Devices http://www.jultrasoundmed.org/cgi/content/full/26/10/1389

Retained Products of Conception

·         Sonographic Appearances of the Endometrium After Termination of Pregnancy in Asymptomatic Versus Symptomatic Women http://www.jultrasoundmed.org/cgi/content/full/28/5/579

Tamoxifen Effects on the Uterus

·         Endometrial Evaluation with Transvaginal US and Hysterosonography in Asymptomatic Postmenopausal Women with Breast Cancer Receiving Tamoxifen http://radiology.rsnajnls.org/cgi/content/full/220/3/765

·         Tamoxifen-induced Uterine Abnormalities: The Role of Imaging http://radiology.rsnajnls.org/cgi/content/full/214/1/29