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Indications for abdominal imaging: When and what to choose?

Introduction Ultrasound (US), computed-tomography (CT) and magnetic resonance imaging (MRI) all have important roles in evaluating abdominal pathology, with each technique having specific strengths and weaknesses. Table 1 provides a list of indications of imaging in abdominal pathology. Tab. 1. Indications for a given imaging modality as per the category of abdominal pathology Ultrasound CEUS CT MRI Abdominal emergencies (non-traumatic) First-line imaging technique Technique

Cosmin Caraiani, Dong Yi, Bianca Petresc, Christoph Dietrich

Journal of Ultrasonography , ISSUE 80, 43–54


Cerebral hypoperfusion in autism spectrum disorder

Cerebral hypoperfusion, or insufficient blood flow in the brain, occurs in many areas of the brain in patients diagnosed with autism spectrum disorder (ASD). Hypoperfusion was demonstrated in the brains of individuals with ASD when compared to normal healthy control brains either using positron emission tomography (PET) or single-photon emission computed tomography (SPECT). The affected areas include, but are not limited to the: prefrontal, frontal, temporal, occipital, and parietal cortices

Geir Bjørklund, Janet K. Kern, Mauricio A. Urbina, Khaled Saad, Amira A. El-Houfey, David A. Geier, Salvatore Chirumbolo, Mark R. Geier, Jyutika A. Mehta, Jan Aaseth

Acta Neurobiologiae Experimentalis , ISSUE 1, 21–29

Case report

Mucinous borderline ovarian tumor: a case report with diagnostic insights on ultrasound findings

Anna Szymańska-Dubowik, Marcin Śniadecki, Agnieszka Bianek-Bodzak, Marcin Liro, Edyta Szurowska

Journal of Ultrasonography , ISSUE 67, 411–416


The primary role of radiological imaging in the diagnosis of rare musculoskeletal diseases. Emphasis on ultrasound

early diagnosis of a disease may improve the prognosis and overall quality of life due to timely and appropriate therapies. Diagnostic imaging is usually performed and could be the most important diagnostic tool for several rare diseases. Medical imaging is crucial not only for the diagnosis, but also for therapy monitoring and even outcome prediction. Recent advances in several medical imaging techniques, such as magnetic resonance imaging (MRI), computed tomography (CT) and ultrasound (US

Federica Rossi, Carlo Martinoli, Giovanni Murialdo, Angelo Schenone, Marina Grandis, Diego Ferone, Alberto Stefano Tagliafico

Journal of Ultrasonography , ISSUE 78, 187–192

Case report

Portal vein tumor thrombus from gastric cancer

computed tomography confirmed a large distal gastric mass infiltrating into the periportal structures, including the main portal vein and the splenic vein. Esophagogastroduodenoscopy performed 2 days later showed an irregular, exophytic mass extending from the antrum into the first part of duodenum. The mass was deemed inoperable. Histopathological examination showed gastric adenocarcinoma. She was started on anticoagulant, chemotherapy and pain management. Follow-up computed tomography 4 months later

Sidney Ching Liang Ong, Santha Kumari Batumaly, Suryani Md Jusoh

Journal of Ultrasonography , ISSUE 75, 365–368


Anomalous retroaortic paravertebral course of the left innominate vein in a child with atrial septal defect

Wojciech Mądry, Maciej A. Karolczak, Krzysztof Grabowski

Journal of Ultrasonography , ISSUE 76, 71–74


Non-invasive diagnosis of aortic arch anomalies in children – 15 years of own experience

other patient later underwent a correction of a complete AV defect; however, no vascular malformations were diagnosed at that time. Such a suspicion was raised during later follow-up and confirmed based on nuclear magnetic resonance (NMR). No intracardiac defect was found in the third patient in this subgroup. Further diagnosis was planned after the outpatient echocardiography; however, the child did not report for computed tomography. CT angiography (4 patients) and NMR (1 patient) were also

Wojciech Mądry, Maciej Aleksander Karolczak, Marcin Myszkowski, Ewa Zacharska-Kokot

Journal of Ultrasonography , ISSUE 76, 5–8


A case of ultrasound diagnosis of retroperitoneal lesion caused by unnoticed foreign body ingestion

. Subsequently, an abdominal CT (computed tomography) scan was performed, suggesting a large pathological mass, 50 × 40 × 50 mm in size, neighboring the superior wall of the D3 part of the duodenum, superior mesenteric artery, pancreatic body, with preserved pancreatic margins and with the presence of lymph nodes inside the mass and in the surrounding area. The radiologist’s suggestion was either paraduodenal abscess or GIST (gastrointestinal stromal tumor). In addition, an abdominal MRI scan was performed

Wojciech Tynecki, Andrzej Tynecki, Agata Grobelna, Tomasz Baranowski, Grzegorz Siemiaszko, Tomasz Łapiński, Julia Wilczek

Journal of Ultrasonography , ISSUE 81, e151–e153

Case report

Iodinated contrast-induced sialadenitis: a review of the literature and sonographic findings in a clinical case

Abstract Swelling of the salivary glands, also known as iodide or iodine mumps, is a rare adverse reaction to administration of iodine, a component steadily present in current contrast media and in a variety of medications. We report and compare with published literature the clinical and sonographic findings in a case of iodide mumps that developed after the intravenous administration of iodine-based contrast media for a contrast-enhanced computed tomography scan. The exact pathogenesis is

Antonio Lucarelli, Simone Perandini, Alessandro Borsato, Endrit Strazimiri, Stefania Montemezzi

Journal of Ultrasonography , ISSUE 75, 359–364


intra-abdominal fat, reflection patterns, localization, ultrasound, diagnostic criteria

attention of research institutes owing to being a rich source of stem cells. This review, however, does not include these issues. The identifi cation of fat is relatively easy using computed tomography and magnetic resonance imaging. It can be more diffi cult in an ultrasound examination for several reasons. The aim of this paper is to present various problems associated with US imaging of unaltered intra-abdominal fat located beyond organs. Based on the literature and

Andrzej Smereczyński, Katarzyna Kołaczyk, Elżbieta Bernatowicz

Journal of Ultrasonography , ISSUE 62, 318–325

Case report

Spontaneous resolution of unifocal Langerhans cell histiocytosis of the skull: potential role of ultrasound in detection and imaging follow-up

Langerhans cell histiocytosis is a tumor-like condition characterized by idiopathic proliferation of Langerhans cells. The disease may involve the skeleton as well as other organs systems. Bone involvement may be solitary or multifocal. Unifocal osseous Langerhans cell histiocytosis may involve virtually any bone, with the calvarium being most frequently involved. Plain radiography, computed tomography and magnetic resonance imaging are the most used techniques for detection and

Filip M. Vanhoenacker, Joris Verlooy, Mania De Praeter

Journal of Ultrasonography , ISSUE 74, 265–270

Case report

Abnormal portal vein waveform as an indicator of constrictive pericarditis – a case report

. Hepatic veins distention with pathological reverse fl ow during systole was reported. Additionally, inferior vena cava was dilated and remained unchanged through the respiratory cycle. Basing on the above image a heart disease, which had not been taken into differential diagnosis before, was suggested. The following echocardiography, together with computed tomography, enabled a diagnosis of constrictive pericarditis. Successful pericardiotomy was performed. Such a complicated diagnostics happened to

Joanna Ścieszka, Józefa Dąbek, Paweł Cieślik

Journal of Ultrasonography , ISSUE 61, 227–230

Case report

Embolization of iatrogenic renal arteriovenous fistula – a case report

and renal pseudoaneurysm were diagnosed using Doppler and computed tomography scans. The patient was qualified for arteriography with simultaneous embolization of the lesion. A follow-up evaluation confirmed the exclusion of aneurysm and fistula. Treatment outcomes were monitored using Doppler ultrasound. Doppler ultrasonography is the first method of choice in detecting and monitoring renal artery irregularities. Safety, non-invasiveness and easy access to this tool make it play a key role in the

Ewa Kuklik, Krzysztof Pyra, Łukasz Światłowski, Maryla Kuczyńska, Jan Sobstyl, Anna Drelich-Zbroja, Tomasz Jargiełło, Maria Tsitskari, Małgorzata Szczerbo-Trojanowska

Journal of Ultrasonography , ISSUE 73, 170–173

Case report

TRUS-guided drainage of the ectopic ureter entering the prostatic urethra and TRUS-guided transurethral neo-orifice formation using holmium laser

of computed tomography scans led to the diagnosis of duplicated collecting system of the left kidney with the enormous ureter of the upper moiety that entered the prostate gland. In order to permanently decompress the hydronephrosed upper moiety of the left kidney, the patient was deemed eligible for endoscopic treatment. A transurethral incision through the bladder wall and the adjacent segment of the ectopic ureter was made with holmium laser under transrectal ultrasonography guidance, thus

Waldemar Białek, Ewa Mey, Piotr Kawecki, Roman Styliński, Sławomir Rudzki

Journal of Ultrasonography , ISSUE 74, 255–264


Late diagnosis of total anomalous pulmonary venous drainage in a 5.5-month-old infant

Wojciech Mądry, Maciej A. Karolczak, Weronika Rygier, Radosław Kunikowski, Michał Buczyński, Danuta Roik

Journal of Ultrasonography , ISSUE 76, 75–79


Diagnostyka obrazowa jąder

common neoplasms in men at the age of 20–40. Ultrasound imaging is the method of choice characterized by the sensitivity of nearly 100% in the differentiation between intratesticular and extratesticular lesions. In the case of doubtful lesions that are not classifi ed for intra-operative verifi cation, nuclear magnetic resonance is applied. Computed tomography, however, is performed to monitor the progression of a neoplastic disease, in pelvic trauma with scrotal injury as

Michał Studniarek, Katarzyna Skrobisz-Balandowska, Elza Modzelewska

Journal of Ultrasonography , ISSUE 62, 245–258


Standards of ultrasound imaging of the adrenal glands

histopathological entities but cortical adenomas without hormonal hyperfunction are the most common. Each abdominal ultrasound scan of a child or adult should include the assessment of the suprarenal areas. If a previously non-reported, incidental solid focal lesion exceeding 1 cm (incidentaloma) is detected in the suprarenal area, computed tomography or magnetic resonance imaging should be conducted to confi rm its presence and for differentiation and the tumor functional status should be determined

Rafał Z. Słapa, Wiesław S. Jakubowski, Katarzyna Dobruch-Sobczak, Anna A. Kasperlik-Załuska

Journal of Ultrasonography , ISSUE 63, 377–387

Review Article

Diabetic foot syndrome: Charcot arthropathy or osteomyelitis? Part I: Clinical picture and radiography

, scintigraphy, computed tomography and ultrasonography, are also indicated.

Aleksandra Konarzewska, Anna Korzon-Burakowska, Ludomira Rzepecka-Wejs, Iwona Sudoł-Szopińska, Edyta Szurowska, Michał Studniarek

Journal of Ultrasonography , ISSUE 72, 42–49


Visceral artery aneurysms – classification, diagnosis and treatment

its location and may involve intraperitoneal hemorrhage, gastrointestinal and portal system bleeding with concomitant portal hypertension and bleeding from esophageal varices. Wide access to diagnostic tests, for example ultrasound, computed tomography or magnetic resonance imaging, helps establish the correct diagnosis and a therapeutic plan as well as select appropriate treatment. After a procedure, the same diagnostic tools enable assessment of treatment efficacy, or are used for the monitoring

Ewa Piasek, Michał Sojka, Maryla Kuczyńska, Łukasz Światłowski, Anna Drelich-Zbroja, Olga Furmaga, Tomasz Jargiełło

Journal of Ultrasonography , ISSUE 73, 148–151

Review Article

Double aorta artifact in sonography – a diagnostic challenge

or computed tomography can be considered to rule out a pathology.

Robert Hadzik, Przemysław Bombiński, Michał Brzewski

Journal of Ultrasonography , ISSUE 68, 36–40

Original Paper

Ultrasound image of malignant bone tumors in children. An analysis of nine patients diagnosed in 2011–2016

Introduction: The diagnostic process of bone tumors, including malignant ones, is based on conventional radiological methods, such as radiography and computed tomography, and with precise assessment of local advancement in magnetic resonance imaging. Ultrasonography is not included in the diagnostic algorithms as a tool suitable to detect this type of pathology. More and more frequent usage of musculoskeletal ultrasound in children as the first imaging method or, in some cases, as the only

Tomasz Madej, Joanna Flak-Nurzyńska, Ewa Dutkiewicz, Anna Ciechomska, Jerzy Kowalczyk, Andrzej Paweł Wieczorek

Journal of Ultrasonography , ISSUE 73, 103–111


Interferon Gamma Release Assays in Patients with Respiratory Isolates of Non-Tuberculous Mycobacteria – a Preliminary Study

resolution computed tomography (HRCT) of the chest were reviewed by the experienced radiologist blinded to the results of IGRAs in search of fibrotic foci localized in the upper lobes or upper parts of lower lobes, as well as parenchymal and lymph nodes’ calcifications. Methods of NTM culture and identification. The specimens were digested with the sodium hydroxide and N-acetyl-L-cysteine (NaOH/NALC) method. After decontamination, the sample was neutralized with sterile phosphate buffer (pH 6.8) and


Polish Journal of Microbiology , ISSUE 1, 15–19

Original Paper

Echogenicity of benign adrenal focal lesions on imaging with new ultrasound techniques – report with pictorial presentation

examination, apart from its indisputable usefulness in detecting and monitoring adrenal tumors, may also allow for the differentiation between benign lesions. However, for lesions found incidentally an algorithm for the assessment of adrenal incidentalomas is applicable, which includes computed tomography and magnetic resonance imaging.

Rafał Z. Słapa, Anna A. Kasperlik-Załuska, Bartosz Migda, Maciej Otto, Katarzyna Dobruch-Sobczak, Wiesław S. Jakubowski

Journal of Ultrasonography , ISSUE 63, 368–376

Review Paper

Presurgical diagnosis of epilepsies – concepts and diagnostic tools

zones are characterized. The epileptogenic lesion, the “eloquent cortex” and secondary epileptogenesis (mirror focus) are dealt with. The current diagnostic techniques used in the definition of these cortical zones, such as video-EEG monitoring, non-invasive and invasive EEG recording techniques, magnetic resonance imaging, ictal single photon emission computed tomography, and positron emission tomography, are discussed and illustrated. Potential modern surrogate markers of

Heinz Gregor Wieser

Journal of Epileptology , ISSUE 2, 115–140


Is a fatty pancreas a banal lesion?

. Pancreas adiposis is best defined in Computed Tomography and Magnetic Resonance Imaging. However, a series of works proved the usefulness in the diagnostics of that pathology of transabdominal and endoscopic ultrasonography. In that method, the degree of adiposis was based on the comparison of echogenicity of the pancreas and the liver, renal parenchyma, spleen and/or retroperitoneal adipose. Recently, the evaluation was expanded by the evaluation of the degree of pancreatic adipose with the pancreas

Andrzej Smereczyński, Katarzyna Kołaczyk

Journal of Ultrasonography , ISSUE 66, 273–280


Intra-abdominal fat. Part II: Non-cancerous lesions of the adipose tissue localized beyond organs

completely conceal the primary lesion rendering it inaccessible for ultrasound. In such cases and in the event of other doubts, computed tomography should be the next diagnostic step.Tkanka tłuszczowa nie należy do ulubionych struktur obrazowanych ultrasonograficznie, ale niestety nie jest wolna od różnorodnych patologii. Praca ma przybliżyć lekarzom badającym ultrasonograficznie jamę brzuszną zmiany nienowotworowe, które spotykane są w tłuszczu wewnątrzbrzusznym. Skupiono się głównie na zmianach rzadko

Andrzej Smereczyński, Katarzyna Kołaczyk, Elżbieta Bernatowicz

Journal of Ultrasonography , ISSUE 64, 32–43

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