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Features Of The Week
LATEST RELEASE in the Masters Lecture Series
CNS Anomalies and Later Pregnancy by Barbara S. Hertzberg, MD. A case based review of key CNS anomalies.
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New Journal Article Available for Download
Ultrasound Markers of Fetal Infection Part 1: Viral Infections Authors: Luiz Antonio Bailao, MD, PhD, Newton G. Osborne, MD, PhD, Maria Christina S. Rizzi, MD, Fernando Bonilla-Musoles, MD, PhD, Geraldo Duarte, MD, and Teresa Cristina R. Sicchieri Bailao, RN Ultrasound Quarterly Volume 21, Number 4, December 2005
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Sonographic Determination of Normal Testicular Volumes In Boys
This is the first study that utilized sonography to establish normal testicular volume values in boys less than 6 years of age.
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United States FDA Accepts Acusphere’s New Drug Application
More than 7 million nuclear stress tests are done each year in the United States to detect coronary artery disease. The use of contrast-enhanced echocardiography for cardiac stress testing has several potential advantages including lower costs, greater access and no exposure to radiation.
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Contrast-Enhanced Sonography of Calf Vessels to Screen for Peripheral Arterial Disease
Researchers found that patients with peripheral arterial disease had reduced microvascular blood flow in their calf muscles after two minutes of exercise compared to control subjects.
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New Contributor to Clinical Challenge
We welcome Dr. Taco Geertsma as a new contributor to the Clinical Challenge. His outstanding web site contains thousands of ultrasound cases.
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Ultrasound-Guided Treatment Of Urinary Incontinence In Women
Researchers in Austria evaluated women who received ultrasound-guided transurethral injection of autologous fibroblasts to treat stress or mixed urinary incontinence.
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News Reporter Position Available
We have a position available for a news reporter for SonoWorld.
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Landmark New Feature on SonoWorld
The first How-To video has been released on SonoWorld.
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An Improved Method to Predict Birth Weight
Physicians at the University of Rochester Medical Center have identified a method that can be used to more accurately predict the birth weight of babies in obese pregnant women which could lead to better obstetrical management and safer deliveries.
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Intravascular Ultrasound Imaging Guidance Enhances Coronary Artery Stent Placement
A new report suggests that intravascular ultrasound imaging guidance during coronary artery stent placement can reduce stent thrombosis and the need for repeat revascularization procedures.
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Office Imaging Services Targeted by GAO
The USA Government Accountability Office (GAO) Recommends That Medicare Require Prior Authorization for Medical Imaging Services at Physician Offices
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Bubble Conference 2008
23rd Annual Advances in Contrast Enhanced Atherosclerosis Imaging and Interventions
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Call for Abstracts WFUMB World Congress
The call for Abstracts for the 2009 World Ultrasound Congress is now open. Deadline for abstract submission is 28 November 2008.
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Symptom Questionnaire & Blood Test Improves Early Detection of Ovarian Cancer
More than 70% of women with ovarian cancer are diagnosed with advanced-stage disease when the survival rate is less than 30%. A new report suggests that a simple questionnaire and blood test can improve early detection of this deadly malady.
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High-intensity Focused Ultrasound Therapy for Esophageal Tumors
Currently, radical surgery is considered the only curative method available to treat esophageal cancer. A new report suggests that HIFU may offer an alternative.
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Philips’ Plan for the Future: ‘Celebrating Pregnancy'
Philips Medical Systems wants to take the “clinical” out of the obstetrical sonogram experience.
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Ultrasound-Enhanced Thrombolysis Improves Treatment of Ischemic Stroke
A small randomized study indicates that transcranial pulsed Doppler ultrasound combined with rt-PA (sonothrombolysis) has been found to have a beneficial effect in patients with middle cerebral artery occlusion.
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Contrast-Enhanced Sonography of Renal Masses
The results of contrast-enhanced sonography for the evaluation of patients with renal masses compared favorably to computed tomography. Strong arterial enhancement was found only in malignant tumors.
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New Drug Application for an Agent Designed for Myocardial Contrast Enhancement
More than 10 million cardiac stress imaging procedures are done each year in the United States. The commercial availability of an ultrasound contrast agent that could improve stress-echocardiography would be a significant change in the way physicians detect coronary artery disease.
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HIFU Clinical Trial Targets Female Fertility
The United States Food and Drug Administration (FDA) recently approved a clinical trial to evaluate the safety and efficacy of magnetic resonance-guided high intensity focused ultrasound (HIFU) for the treatment of patients with uterine fibroids and unexplained infertility.
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Characterization of Thyroid Nodules With Elastography
Elastography, which provides a means to determine tissue stiffness, has previously been shown to be useful in the differential diagnosis of tumors in organs such as the breast and prostate. A new report indicates it can be helpful to characterize thyroid nodules.
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Color Doppler Imaging of Acute Appendicitis
A recent report suggests that sonography, not CT, should be the initial diagnostic imaging modality utilized to assess adults with suspected acute appendicitis.
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New Contributing Organization
SonoWorld welcomes EcoMovies as a new Contributing Organization. Italian web site provides wide range of clinical cases as video clips.
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An Up-Dated AIUM Bioeffects Consensus Report
The American Institute of Ultrasound in Medicine continues to play a lead role in the evaluation of the safety of ultrasound imaging. The AIUM’s Bioeffects Committee has recently published a new and coprehensive Consensus Report.
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Contrast-Enhanced Ultrasound Targeted Prostate Biopsies
The use of contrast-enhanced ultrasound imaging to identify areas of increased blood flow in the prostate has the potential to substantially reduce the number of unnecessary biopsies.
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The Value of Adding Sonography to Routine Mammography Screening
An article in the May 14th issue of Journal of the American Medical Association (JAMA) reports that adding sonography to routine mammography during screening exams can improve the detection of breast cancers - but at a cost.
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Ultrasound Imaging to Differentiate Causes of Dyspnea
The appearance of artifacts on sonograms of the lungs has been found to be helpful to distinguish between pulmonary edema and chronic obstructive pulmonary disease exacerbation.
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United States FDA Approves Change in Labeling for Ultrasound Contrast Agents
New safety information has convinced the United States Food and Drug Administration to relax it's Black Box Warning imposed on ultrasound contrast agents in 2007.
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Ultrasound more sensitive than CT for chest wall invasion in lung cancer
A research study published in the Journal "Chest" compared ultrasound versus CT for detection of chest wall invasion in lung cancer. Ultrasound proved to have higher sensitivity but lower specificity.
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Bacterial Contaminants in Ultrasound Scanning Gel
Researchers in Turkey reported on the frequency of bacterial contamination in medical ultrasound coupling gels. Contaminants were far more common in a less expensive brand of gel. This problem has the potential to result in outbreaks of nosocomial infections.
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Sonographic Method to Assess Small Bowel Disorders
Researchers in India have developed an effective sonographic method to evaluate patients with suspected small bowel disorders which complements conventional barium studies.
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A Potential Paradigm-Shift in Management of Patients With Suspected Pulmonary Emboli
A new report in The Lancet suggests that negative multi-slice CT and D-dimer tests can safely exclude pulmonary embolism in patients with a low or intermediate clinical probability and obviates the need for diagnostic sonography scans to rule-out deep vein thrombosis.
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Laparoscopic HIFU For Treatment of Renal Tumors
A European clinical phase I study to evaluate the feasibility of laparoscopic high-intensity focused ultrasound (HIFU) ablation of renal masses had mixed results.
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Benefits of Breast Sonography Highlighted at This Year’s American Roentgen Ray Society Meeting
Ultrasound-guided fine needle aspiration of lymph nodes and the combination of sonography with mammography were recognized as important diagnostic tools for assessment of patients with known or suspected breast cancers.
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Impressions from the AIUM
The AIUM this year provided a microcosm of the state of the field of Ultrasound. SonoWorld feature author Dan Merton provides an overview of the events and topics of this year's program.
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Strenuous Exercise Increases Risk of Venous Thrombosis in Elderly
The incidence of venous thrombosis increases with age with rates in the elderly as high as 10 per 1000. Contrary to common beliefs, a new report suggests that strenuous physical exercise may be associated with an increased risk for venous thrombosis.
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Endoscopic Ultrasound Better than CT For Diagnosis of Pancreatic Abnormalities
Inconclusive pancreatic CT scans are common. A new study has determined that endoscopic ultrasound imaging can reduce the number of inconclusive diagnostic imaging examinations.
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Power Doppler Imaging Improves Detection of Chronic Tennis Elbow
According to a report by sports medicine physicians, the use of power Doppler imaging can improve the diagnosis of chronic tennis elbow and helps differentiate the ailment from other causes of elbow pain.
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High-Resolution Sonography Helps Stage Tongue Cancer
Researchers are investigating the use of sonography to improve the assessment of tongue cancer. The diagnostic technique has the potential to enhance treatment, reduce recurrence and improve patient survival.
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Cervical Length in Mid-Pregnancy Could Predict the Need For Cesarean Delivery
A short cervix in mid-pregnancy can be associated with an increased risk of preterm birth but the importance of a long cervix is not well understood. A recent report suggests that patients who have a long cervix in the middle of their pregnancy are more likely to require cesarean sections.
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Ultrasound Contrast Not Linked to Higher Death Rates in Cardiac Patients
A retrospective review that compared death rates of patients who received echocardiography exams with and without ultrasound contrast was performed. It found no significant difference in death rates within twenty-four hours of the imaging exams between the two groups.
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Report Recommends Routine Scanning For Vasa Previa
Vasa previa affects approximately 1 in 2500 deliveries. A recent report recommends that evaluation to exclude this entity should be part of the routine sonogram performed on all near-term patients.
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Ultrasound-Guidance Improves Endoscopic Therapy for Gastrointestinal Bleeding
A recent report indicates that endoscopic therapy using ultrasound-guidance may offer a more precise treatment alternative for selected patients with gastrointestinal bleeding.
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Fifty Years Ago Ian Donald’s Group Described Their Experiences With Ultrasound in The Lancet
The Lancet report on the clinical use of ultrasound imaging is considered a landmark paper that introduced many medical professionals to the modality.
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What Can We Learn From Animals?
Scientists in the United Kingdom hope to exploit the amazing powers of echolocation possessed by dolphins and other animals to develop new medical ultrasound technologies.
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Sonography on the Spot
Physicians in Italy believe they may have identified, with endovaginal sonography, the elusive- some would say nonexistent- female G-spot thought to be responsible for triggering vaginal orgasms.
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Expanding Ultrasound Market in Southern Africa
Ultrasound imaging is one of the most cost-effective imaging modalities available. In Sub-Saharan Africa economic growth and charitable donations are improving healthcare which, in turn, is creating growth in the diagnostic medical ultrasound market.
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Endoscopic Ultrasound-Guided Biopsy for Lung Cancer Staging
Mediastinoscopy is considered the best method to stage patients with lung cancer, but the procedure is invasive, expensive and requires general anesthesia. A new report suggests that ultrasound-guided transesophageal and endobronchial lymph node biopsies could offer a viable alternative.
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Should Cervical Length Measurements be Included in All Obstetrical Sonograms?
In the United States about one in eight babies is born prematurely. Several studies suggest that the number of premature births could be reduced by routinely including measurements of the cervical length during all sonograms done in the second and third trimesters.
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Contrast-Enhanced Sonography for Early Detection of Ovarian Cancer
Ovarian cancer is difficult to detect in its early stages. In most cases the disease is only diagnosed when it is at an advanced stage. Now, a clinical trial is investigating the use of contrast-enhanced sonography as a non-invasive means to detect the deadly disease.
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Acoustic Radiation Force Impulse Imaging Shows Promise
Research suggests that a form of ultrasound-based elastography called Acoustic Radiation Force Impulse imaging could prove useful for a variety of clinical applications including evaluation of the liver, kidney, breast and gastrointestinal tract.
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