يعرض 1 - 10 نتائج من 10 نتيجة بحث عن '"Olinger, Kristen"', وقت الاستعلام: 1.13s تنقيح النتائج
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    دورية أكاديمية
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    دورية أكاديمية
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    كتاب
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    دورية أكاديمية

    المصدر: Journal of Clinical Medicine; Oct2023, Vol. 12 Issue 20, p6494, 12p

    مستخلص: We investigated the accuracy of CEUS for characterizing cystic and solid kidney lesions in patients with chronic kidney disease (CKD). Cystic lesions are assessed using Bosniak criteria for computed tomography (CT) and magnetic resonance imaging (MRI); however, in patients with moderate to severe kidney disease, CT and MRI contrast agents may be contraindicated. Contrast-enhanced ultrasound (CEUS) is a safe alternative for characterizing these lesions, but data on its performance among CKD patients are limited. We performed flash replenishment CEUS in 60 CKD patients (73 lesions). Final analysis included 53 patients (63 lesions). Four readers, blinded to true diagnosis, interpreted each lesion. Reader evaluations were compared to true lesion classifications. Performance metrics were calculated to assess malignant and benign diagnoses. Reader agreement was evaluated using Bowker's symmetry test. Combined reader sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) for diagnosing malignant lesions were 71%, 75%, 45%, and 90%, respectively. Sensitivity (81%) and specificity (83%) were highest in CKD IV/V patients when grouped by CKD stage. Combined reader sensitivity, specificity, PPV, and NPV for diagnosing benign lesions were 70%, 86%, 91%, and 61%, respectively. Again, in CKD IV/V patients, sensitivity (81%), specificity (95%), and PPV (98%) were highest. Inter-reader diagnostic agreement varied from 72% to 90%. In CKD patients, CEUS is a potential low-risk option for screening kidney lesions. CEUS may be particularly beneficial for CKD IV/V patients, where kidney preservation techniques are highly relevant. [ABSTRACT FROM AUTHOR]

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    دورية أكاديمية

    المؤلفون: Olinger, Kristen1 (AUTHOR) kristen_olinger@med.unc.edu, Maheshwari, Ekta2 (AUTHOR), Shenoy-Bhangle, Anuradha S.3 (AUTHOR), Adejolu, Margaret4 (AUTHOR), McGettigan, Melissa5 (AUTHOR), Mathew, Hannah6 (AUTHOR), Lee, Karen S.7 (AUTHOR), Nicola, Refky8 (AUTHOR)

    المصدر: Abdominal Radiology. May2023, Vol. 48 Issue 5, p1752-1773. 22p.

    مستخلص: Pregnancy is a remarkable time of pronounced growth and development of the fetus. Benign pathologies outside of the uterus, including those containing hormonally responsive tissue which undergo physiologic changes and other incidentally identified lesions, may mimic malignancy on clinical evaluation and imaging. A detailed history and physical exam, ultrasound and non-contrast magnetic resonance imaging features and comparison with prior imaging if available may help to narrow the list of potential differential diagnoses. Follow-up imaging in the postpartum period is often vital to confirm benignity and, in some cases, sampling to confirm the diagnosis is necessary. This review will cover the clinical, pathological and multimodality imaging features of numerous potential mimickers of cancer in the setting of pregnancy organized by organ systems. The goal is to better equip abdominal radiologists to accurately identify benign disease and help guide further imaging or follow-up recommendations to avoid unnecessarily aggressive intervention and improve patient care. [ABSTRACT FROM AUTHOR]

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    دورية أكاديمية
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    دورية أكاديمية

    المصدر: Journal of Clinical Ultrasound ; volume 48, issue 6, page 346-349 ; ISSN 0091-2751 1097-0096

    الوصف: Snapping hip syndrome, or coxa saltans, can result in significant clinical manifestations in patients including pain and limited mobility. A variety of both intra‐ and extra‐articular pathologies have been implicated in snapping hip, including an anatomic variant known as the bifid iliopsoas tendon which has been briefly described in the literature. We report a case of a bifid iliopsoas tendon leading to internal snapping hip syndrome which was ultimately successfully treated with surgical release, including review of the clinical presentation, pathophysiology, and dynamic sonographic findings.

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    دورية

    المصدر: RadioGraphics; February 2024, Vol. 44 Issue: 2

    مستخلص: Contrast-enhanced US is a valuable adjunct in the evaluation of female pelvic disease, enabling improved visualization and characterization of lesions, which may not be possible with use of standard US alone.

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    دورية أكاديمية