Dynamic monitoring of scar changes by B-mode ultrasound / 中华医学美学美容杂志

Objective:To study the application of B-mode ultrasound in objective evaluation and dynamic monitoring of scar.Methods:The subjects were patients with scar in the outpatient and inpatient department of plastic surgery in the First Affiliated Hospital of Zhengzhou University from March 2018 to June 2020. According to the type of scar, they were divided into 3 groups: 21 patients in the normal scar group, 23 patients in the hypertrophic scar group, and 15 patients in the keloid group. All 59 patients were regularly scanned by B-mode ultrasound for scar images and the scar thickness was measured.Results:B-mode ultrasonic images of scars were analyzed in each group: The echo intensity of dermis of normal scar was uneven, hypertrophic scar and keloid dermis showed obvious hypoecho, and some cases of keloid presented a small amount of blood flow. There was no significant change in the ultrasonic images of scar in each group within 1 year. Changes in scar thickness were observed in each group. The normal scar thickness did not change significantly within 1 year. The thickness of hypertrophic scar showed a trend of first increasing and then stabilized within 1 year.Conclusions:B-mode ultrasound can assist to identify different scar types according to ultrasonic performance. B-mode ultrasound can be used to measure scar thickness objectively and accurately and monitor the dynamic changes of scars.

Accuracy of B-mode ultrasonography for detecting malignancy in canine cutaneous neoplasms: preliminary results

ABSTRACT: The aim of this study was to verify the applicability and accuracy of B-mode ultrasonography in detecting malignancy in dog cutaneous neoplasms. Forty-two neoplasms (12 benign and 30 malignant) of mesenchymal, round cells, epithelial and melanocytic origins from 24 dogs of different breeds and ages were included. The ultrasound evaluation was performed with a linear multi-frequency transducer (7.0 to 12MHz), with frequency dependent on the mass dimension. Ultrasonographic characteristics of echogenicity (hypo/hyperechogenic), echotexture (homogeneous/heterogeneous), regularity, invasiveness in adjacent tissues were classified. Dimensions were also measured to calculate the depth/width ratio. Neoplasms were classified as malignant or benign after cytological and/or histopathological analysis and the results were associated with ultrasound characteristics. There was a significant association (P 0.05) between malignancy and echogenicity, echotexture and invasiveness in adjacent tissues, so that 84.6% of hypoechogenic neoplasms, 76.9% of heterogeneous masses and 88.2% of invasive neoplasms were classified as malignant. However, for all these associations, moderate predictive values were obtained, which may be due to the small experimental number included in this study. Therefore, although it has been observed that hypoechogenic, heterogeneous and invasive neoplasms were more prone to malignancy, these findings should be used with caution until new studies are developed with a greater number and variety of cutaneous neoplasms in dogs.

RESUMO: O objetivo deste estudo foi verificar a aplicabilidade e acurácia da ultrassonografia modo-B na detecção de malignidade em neoplasmas cutâneos de cães. Foram incluídos 42 neoplasmas (12 benignos e 30 malignos) de origens mesenquimal, células redondas, epitelial e melanocítica provenientes de 24 cães de diferentes raças e idades. O exame ultrassonográfico foi realizado com transdutor linear multifrequencial (7.0 a 12MHz), com frequência dependente da dimensão da massa. Foram classificadas características ultrassonográficas de ecogenicidade (hipo/hiperecogênicos), ecotextura (homogêneos/heterogêneos), regularidade, invasividade em tecidos adjacentes. As dimensões foram mensuradas para cálculo da razão profundidade/largura. Os neoplasmas foram classificados como malignos ou benignos após análise cito e/ou histopatológica e os resultados foram associados com as características ultrassonográficas. Verificou-se associação significativa (P 0.05) entre malignidade e ecogenicidade, ecotextura e invasividade em tecidos adjacentes, de forma que 84.6% dos neoplasmas hipoecogênicos, 76.9% das massas heterogêneas e 88.2% dos neoplasmas invasivos foram classificados como malignos. Entretanto, para todas essas associações, foram obtidos valores preditivos moderados, que podem ser decorrentes do baixo número experimental incluso neste estudo. Sendo assim, embora tenha sido observado que os neoplasmas hipoecogênicos, heterogêneos e invasivos tiveram maior propensão à malignidade, esses achados devem ser utilizados com cautela até novos trabalhos sejam desenvolvidos com maior número e variedade de neoplasmas cutâneos de cães.

Applicability of B-mode ultrasonography, ARFI elastography and contrast-enhanced ultrasound in the evaluation of chronic kidney disease in dogs

ABSTRACT: The objective of this study was to verify the applicability of B-mode ultrasonography, ARFI elastography and CEUS in the diagnosis of chronic kidney disease and its Stages in dogs. 24 healthy dogs and 28 with CKD were included. In B-mode, the echogenicity, echotexture and cortico-medullary ratio of the kidneys were verified. By elastography, the shear-wave velocity of the cortical (SWVcort) and medullary (SWVmed) regions were determined and tissue deformity was evaluated. Wash-in, wash-out and peak enhancement (TPic) of the contrast in the renal parenchyma were calculated and homogeneity, presence of filling gaps and distinction of filling phases were evaluated by CEUS. Changes in echogenicity, echotexture and cortico-medullary ratio were observed only in sick patients. There was an increase in SWVcort in CKD, with a cutoff point >2.91m/s. Healthy kidneys were non-deformable and 25% had changes in gray scales. There was an increase in wash-in and TPic, changes in filling characteristics, filling failures and difficulty in distinguishing between the Stages in CEUS in CKD. It was found that dogs with CKD 2, 3 and 4 had greater SWVcort and wash-in values than CKD 1. Elastographic and CEUS changes were observed in dogs with CKD, demonstrating the applicability of ultrasonographic techniques in their diagnosis.

RESUMO: O objetivo deste estudo foi verificar a aplicabilidade da ultrassonografia modo-B, elastografia ARFI e CEUS no diagnóstico da doença renal crônica e seus estágios em cães. Foram incluídos 24 cães saudáveis e 28 com DRC. Pelo modo-B, verificou-se ecogenicidade, ecotextura e relação córtico-medular dos rins. Pela elastografia, foram determinadas as velocidades de cisalhamento das regiões cortical (SWVcort) e medular (SWVmed) e foi avaliada a deformidade tecidual. Calculou-se os temos de wash-in, wash-out e pico de intensidade (TPic) do parênquima renal e avaliou-se homogeneidade, presença de falhas e distinção das fases de preenchimento por contraste por meio de CEUS. Alterações em ecogenicidade, ecotextura e relação córtico-medular foram observadas somente em pacientes doentes. Houve aumento da SWVcort na DRC, com ponto de corte >2.91m/s. Rins saudáveis foram não-deformáveis e 25% apresentou alterações nas escalas de cinza. Houve aumento do wash-in e TPic, alterações nas características de preenchimento, falhas e dificuldade para distinguir as fases de preenchimento do contraste nos rins com DRC. Verificou-se que cães com DRC graus 2, 3 e 4 tiveram valores de SWVcort e wash-in maiores que cães com DRC grau 1. Foram obsrervadas alterações elastográfica e de CEUS em cães com DRC, demonstrando a aplicabilidade destas técnicas ultrassonográficas no seu diagnóstico.

Applicability of B-mode ultrasonography, ARFI elastography and contrast-enhanced ultrasound in the evaluation of chronic kidney disease in dogs / Aplicabilidade da ultrassonografia modo-B, elastografia ARFI e ultrassonografia contrastada na avaliação da doença renal crônica em cães

The objective of this study was to verify the applicability of B-mode ultrasonography, ARFI elastography and CEUS in the diagnosis of chronic kidney disease and its Stages in dogs. 24 healthy dogs and 28 with CKD were included. In B-mode, the echogenicity, echotexture and cortico-medullary ratio of the kidneys were verified. By elastography, the shear-wave velocity of the cortical (SWVcort) and medullary (SWVmed) regions were determined and tissue deformity was evaluated. Wash-in, wash-out and peak enhancement (TPic) of the contrast in the renal parenchyma were calculated and homogeneity, presence of filling gaps and distinction of filling phases were evaluated by CEUS. Changes in echogenicity, echotexture and cortico-medullary ratio were observed only in sick patients. There was an increase in SWVcort in CKD, with a cutoff point >2.91m/s. Healthy kidneys were non-deformable and 25% had changes in gray scales. There was an increase in wash-in and TPic, changes in filling characteristics, filling failures and difficulty in distinguishing between the Stages in CEUS in CKD. It was found that dogs with CKD 2, 3 and 4 had greater SWVcort and wash-in values than CKD 1. Elastographic and CEUS changes were observed in dogs with CKD, demonstrating the applicability of ultrasonographic techniques in their diagnosis.(AU)

O objetivo deste estudo foi verificar a aplicabilidade da ultrassonografia modo-B, elastografia ARFI e CEUS no diagnóstico da doença renal crônica e seus estágios em cães. Foram incluídos 24 cães saudáveis e 28 com DRC. Pelo modo-B, verificou-se ecogenicidade, ecotextura e relação córtico-medular dos rins. Pela elastografia, foram determinadas as velocidades de cisalhamento das regiões cortical (SWVcort) e medular (SWVmed) e foi avaliada a deformidade tecidual. Calculou-se os temos de wash-in, wash-out e pico de intensidade (TPic) do parênquima renal e avaliou-se homogeneidade, presença de falhas e distinção das fases de preenchimento por contraste por meio de CEUS. Alterações em ecogenicidade, ecotextura e relação córtico-medular foram observadas somente em pacientes doentes. Houve aumento da SWVcort na DRC, com ponto de corte >2.91m/s. Rins saudáveis foram não-deformáveis e 25% apresentou alterações nas escalas de cinza. Houve aumento do wash-in e TPic, alterações nas características de preenchimento, falhas e dificuldade para distinguir as fases de preenchimento do contraste nos rins com DRC. Verificou-se que cães com DRC graus 2, 3 e 4 tiveram valores de SWVcort e wash-in maiores que cães com DRC grau 1. Foram obsrervadas alterações elastográfica e de CEUS em cães com DRC, demonstrando a aplicabilidade destas técnicas ultrassonográficas no seu diagnóstico.(AU)

Accuracy of B-mode ultrasonography for detecting malignancy in canine cutaneous neoplasms: preliminary results / Acurácia da ultrassonografia modo-B na detecção de malignidade em neoplasmas cutâneos de caninos: resultados preliminares

The aim of this study was to verify the applicability and accuracy of B-mode ultrasonography in detecting malignancy in dog cutaneous neoplasms. Forty-two neoplasms (12 benign and 30 malignant) of mesenchymal, round cells, epithelial and melanocytic origins from 24 dogs of different breeds and ages were included. The ultrasound evaluation was performed with a linear multi-frequency transducer (7.0 to 12MHz), with frequency dependent on the mass dimension. Ultrasonographic characteristics of echogenicity (hypo/hyperechogenic), echotexture (homogeneous/heterogeneous), regularity, invasiveness in adjacent tissues were classified. Dimensions were also measured to calculate the depth/width ratio. Neoplasms were classified as malignant or benign after cytological and/or histopathological analysis and the results were associated with ultrasound characteristics. There was a significant association (P<0.05) between malignancy and echogenicity, echotexture and invasiveness in adjacent tissues, so that 84.6% of hypoechogenic neoplasms, 76.9% of heterogeneous masses and 88.2% of invasive neoplasms were classified as malignant. However, for all these associations, moderate predictive values were obtained, which may be due to the small experimental number included in this study. Therefore, although it has been observed that hypoechogenic, heterogeneous and invasive neoplasms were more prone to malignancy, these findings should be used with caution until new studies are developed with a greater number and variety of cutaneous neoplasms in dogs.(AU)

O objetivo deste estudo foi verificar a aplicabilidade e acurácia da ultrassonografia modo-B na detecção de malignidade em neoplasmas cutâneos de cães. Foram incluídos 42 neoplasmas (12 benignos e 30 malignos) de origens mesenquimal, células redondas, epitelial e melanocítica provenientes de 24 cães de diferentes raças e idades. O exame ultrassonográfico foi realizado com transdutor linear multifrequencial (7.0 a 12MHz), com frequência dependente da dimensão da massa. Foram classificadas características ultrassonográficas de ecogenicidade (hipo/hiperecogênicos), ecotextura (homogêneos/heterogêneos), regularidade, invasividade em tecidos adjacentes. As dimensões foram mensuradas para cálculo da razão profundidade/largura. Os neoplasmas foram classificados como malignos ou benignos após análise cito e/ou histopatológica e os resultados foram associados com as características ultrassonográficas. Verificou-se associação significativa (P<0.05) entre malignidade e ecogenicidade, ecotextura e invasividade em tecidos adjacentes, de forma que 84.6% dos neoplasmas hipoecogênicos, 76.9% das massas heterogêneas e 88.2% dos neoplasmas invasivos foram classificados como malignos. Entretanto, para todas essas associações, foram obtidos valores preditivos moderados, que podem ser decorrentes do baixo número experimental incluso neste estudo. Sendo assim, embora tenha sido observado que os neoplasmas hipoecogênicos, heterogêneos e invasivos tiveram maior propensão à malignidade, esses achados devem ser utilizados com cautela até novos trabalhos sejam desenvolvidos com maior número e variedade de neoplasmas cutâneos de cães.(AU)

Diagnostic value of different imagines for choledocholithiasis abdominal pain / 中国医师杂志

Objective:To evaluate direct bilirubin /total bilirubin(D/T), B-mode ultrasound(BUS), multislice spiral computed tomography (MSCT), magnetic resonance cholangiopancreatography (MRCP) and endoscopic ultrasound (EUS) in the diagnosis of choledocholithiasis abdominal pain (CAP).Methods:We retrospectively analyzed the materials of patients who were diagnosed with choledocholithiasis abdominal pain by above imagines in the emergency department of Beijing Friendship Hospital during March 2016 to December 2018. The stones were taken out by endoscopic retrograde cholangiopancreatography or surgical operation as the golden standard.Results:Among 256 patients, 195 cases, 138 cases, 107 cases and 26 cases were diagnosed by EUS, MRCP, CT and BUS, respectively. The sensitivity were 0.86, 0.62, 0.45, 0.13, respectively. The specificity were 0.86, 0.81, 0.75, 0.87. The positive predictive value were 0.97, 0.96, 0.91, 0.83.The negative predictive value were 0.55, 0.19, 0.21, 0.16. The accuracy rate were 0.88, 0.64, 0.48, 0.30, respectively. The sensitivity of D/T and D/T combined with EUS in the diagnosis of CAP were 0.57 and 0.67, and the accuracy were 0.16 and 0.56, respectively.Conclusions:EUS has a high diagnostic value for CAP. MRCP is superior to CT in the value of diagnosis of CAP. BUS in imaging diagnosis of CAP value is relatively low, but D/T combined with BUS can improve the sensitivity and accuracy of diagnosis for CAP.

Application and evaluation of ultrasonography in early stage of sjogren' s syndrome mice / 中国药理学通报

Aim To evaluate the application of submandibular gland ultrasound in diagnosing mouse model of Sjogren' s syndrome (SS). Methods SS model was established in C57BL/6 female mice. Hie saliva volume, water intake and body weight of mice were measured on d 0, d 21, d 28 and d 35 after the first immunization respectively, then the index and pathology of submandibular gland were detected on d 35. Meanwhile, ultrasonic examination was performed on the submandibular gland on a Vevo 2100 small animal ultrasound imaging system. The correlations between the ultrasound observations and the clinic manifestations or submandibular gland histology of SS mouse were analyzed. Results The saliva secretion of SS mice began to decrease significantly on d 28 after modeling, the index of submandibular gland increased significantly on d 35, and the typical pathological changes of SS were observ ed in submandibular gland from model mice. On d 21, it was found that a marked area increment of submandibular gland in axial section of SS mouse compared with that of normal mice. More blood flow signals were detected in submandibular gland of SS mice on d 28 and d 35. Hie analysis showed an evident correlation between the results of ultrasonic observation and the conventional detection indexes. Conclusions Ultrasonography of submandibular gland is able to provide early clues and sensitive semi-quantitative indexes for e-valuating the pathological changes of SS mouse model. It is of great value in dynamically observing the process of SS and thus it is a promising approach for pharmacodynamic studies of anti-SS drugs.

B-mode ultrasonography and gray scale histogram for evaluation of the nuchal ligament in Quarter horse / Ultrassonografia modo-B e histograma em escala de cinza para avaliação do ligamento nucal em equinos da raça Quarto de Milha

The gray scale histogram (GSH) makes it possible to measure the amount and distribution of gray shade frequencies, providing quantitative information on both echogenicity and echotexture of tissues. There is a need to diminish the subjectivity of the ultrasound images of the nuchal ligament (NL). This work proposes to evaluate the NL by ultrasound B-mode GSH images in different ages of Quarter horses. It used 15 healthy Quarter horses, which were classified by age into three different groups: "baby" (1), "sobreano" (2) and "adult" (3). The animals were submitted to chemical restraint for the ultrasound examination. Subsequently, the GSH tool was used in each image for statistical analysis. There was a significant difference between Mean and Mode between groups. Group 1 differed significantly when compared to Group 2 and 3. Group 2 presented superior echogenicity to Group 1 and 3. The height of the NL did not vary considerably between groups. GSH indicated that the echogenicity of NL in Quarter horses varies with age.(AU)

O histograma em escala de cinza (HEC) possibilita a mensuração da quantidade e distribuição da frequência de tonalidades de cinza, fornecendo informações quantitativas, tanto sobre a ecogenicidade quanto a ecotextura dos tecidos. Havendo a necessidade de diminuir a subjetividade das imagens ultrassonográficas do ligamento nucal (LN), esse trabalho propôs avaliar o LN por imagens ultrassonográficas modo-B pelo HEC em diferentes idades de cavalos da raça Quarto de Milha. Utilizou 15 cavalos da raça Quarto de Milha saudáveis os quais foram classificados por idade em três grupos diferentes: "baby" (1), "sobreano" (2) e "adulto" (3). Os animais foram submetidos a contenção química para a realização do exame ultrassonográfico. Posteriormente, a ferramenta HEC foi empregada em cada imagem para análise estatística. Houve diferença significativa entre as variáveis "Mean" e "Mode" entre os grupos. O Grupo 1 diferenciou significativamente quando comparado ao Grupo 2 e 3. O Grupo 2 apresentou ecogenicidade superior ao Grupo 1 e 3. Quanto à altura do LN não teve variação considerável entre os grupos. O HEC indicou que a ecogenicidade do LN em cavalos Quarto de Milha varia conforme a idade.(AU)

B-mode and Doppler ultrasonography in the assessment of the common carotid arteries of equines and mules and the relation with body mass, age and neck circumference / Estudo de ultrassonografia modo-B e Doppler na avaliação das artérias carótidas comuns de equinos e muares e a relação com o peso, idade e a circunferência do pescoço

As age increases, changes in cardiovascular anatomy and physiology occur, even in the absence of disease. Thus, studies of vessel hemodynamics are considered primordial to detect any cardiovascular changes. The objective of this study has been to describe the parameters of B-mode and spectral Doppler ultrasonography in the evaluation of the common carotid arteries of 11 equine and 11 mules, and correlate with age, body mass and neck circumferences. The diameters, intima - media thickness (IMT), resistivity index (RI), pulsatility index (PI), systolic velocity (SV), diastolic velocity (DV), maximum velocity (MV), vascular flow index (VFI), body mass, age, circumference and neck length. Ultrasonographic variables were evaluated in three different region called cranial, middle and caudal. Equine females presented higher values regarding the body mass, age and neck length, as compared to the neck circumferences of the animals, those of the mules were superior. The age of the mules had a positive correlation with the body mass, diameter and neck circumferences, it has a negative correlation between age and vessel diameters. The body mass of the mules had a positive correlation with age and vessel diameters, and with vessel diameters and neck circumferences in equine females. The RI and PI variables had a positive correlation with body mass for mules, and with age for equine females. The DV had a negative correlation with body mass for both equine and mule females. Regarding the variables MV and VFI, age correlated negatively for mules, while it was not significant for equine females. It found a difference between equine females and mules in the correlations performed, with body mass, age, neck circumferences and between B-mode and Doppler ultrasonography variables.(AU)

Com o aumento da idade ocorrem alterações na anatomia e fisiologia cardiovascular, mesmo na ausência de doenças. Assim, os estudos da hemodinâmica dos vasos são considerados primordiais para detectar quaisquer alterações cardiovasculares. Esse trabalho tem como objetivo descrever as variáveis de ultrassonografia modo-B e Doppler espectral na avaliação das artérias carótidas comuns de 11 fêmeas equinas e 11 muares, e correlacionar com idade, massa corpórea e circunferências dos pescoços. Para tais procedimentos foram avaliados os diâmetros, espessura da camada íntima média (EIM), índice de resistividade (IR), índice de pulsatilidade (IP), velocidade sistólica (VS), velocidade diastólica (VD), velocidade máxima (VM), índice de vascularização de fluxo (IVF), massa corpórea, idade, circunferências e comprimentos dos pescoços. As variáveis ultrassonográficas foram avaliadas em três regiões diferentes denominados de crania médio e caudal. As fêmeas equinas apresentaram valores maiores referente ao massa corpórea, idade e comprimento dos pescoços, já em relação às circunferências dos pescoços dos animais, as dos muares foram superiores. A idade dos muares possuiu correlação positiva com a massa corpórea, diâmetro e com as circunferências dos pescoços, com as fêmeas equinas, possui correlação negativa entre idade e os diâmetros dos vasos. A massa corpórea dos muares teve correlação positiva com idade e diâmetros dos vasos, já às fêmeas equinas com diâmetros dos vasos e as circunferências dos pescoços. As variáveis IR e IP tiveram correlação positiva com a massa corpórea para os muares, e com idade para fêmeas equinas. O VD teve correlação negativa com a massa corpórea tanto para as fêmeas equinas quanto nos muares. Já as variáveis VM e IVF, a idade correlacionou negativamente para os muares, enquanto não foi significativo para as fêmeas equinas. Averiguou diferença entre fêmeas equinas e muares nas correlações realizadas, com a massa corpórea, idade, circunferências dos pescoços e entre as variáveis da ultrassonografia modo-B e Doppler.(AU)

A preliminary study on B-mode ultrasonic evaluation of muscle recovery after functional gracilis muscle transplantation / 中华显微外科杂志

Objective To investigate the value of the B-mode ultrasound method for muscle recovery after transplantation.Methods From January,2009 to January,2014,35 patients of functioning free gracilis muscle transplantation for brachial plexus injury were involved.Using B-mode ultrasound to determine the cross-sectional area (CSA) of transplanted gracilismuscle at rest and contraction state.The contraction ratio (CR) and the muscle bulk ratio (MBR) was calculated based on the CSA.Then the CR and MBR were analysised statistically with manual muscle strength and joint range of motion (ROM) to investigate the correlation.Results The followed-up time was 8-24 months,averaged of 22.4 months.The CR of the transplated muscle was (1.23±0.15),which was significantly correlated with muscle strength and joint ROM (P＜0.01,r=0.872,r=0.847,respectively).CR of transplanted muscle with or larger than M4 was greater than that of less than M4 [CR were (1.35±0.10),(1.09±0.06),respectively],and the difference was statistically significant (P＜0.05).The MBR was greater than 1 in 17 cases,and less than 1 in 18 cases.There was no significant correlation between MBR and muscle strength and ROM (P＞0.05).There was no statistically significant difference in muscle strength and ROM between patients with MBR greater than 1 and those with MBR less than 1 (P=0.054,P=0.284,respectively).Conclusion The transplanted muscle recovery can be quantitatively reflected by the CR.CR enlargement of the transplanted gracilis muscle indicated a better recovery of muscle contraction function.MBR is not suitable for evaluating function recovery of transplanted muscles.

Color doppler assessment of extra cranial carotid arteries in carotid artery disease with correlation of risk factors in predicting cerebro vascular accident in patients with carotid atheromatous disease

Background: Stroke is a clinical syndrome, which describes a sudden neurological deficit of presumed vascular origin. The risk factors for stroke are diabetes mellitus, smoking, alcohol and hypertension. Colour doppler ultrasound is one of the important tool for the evaluation of exracranial insufficiency of the carotid arteries. This study was performed to assess the carotid arteries with the help of color doppler in carotid artery disease.Methods: Of the 100 patients who had come to our department during the study period with symptoms of cerebrovascular disease such as transient episodes of neurological dysfunction, sudden weakness or numbness, hemiparesis, focal neurological deficits, sudden loss of consciousness, altered sensorium, aphasia, slurring of speech, diminution or loss of vision were included into the study. CT scan of brain and color doppler evaluation for the extracranial carotid arteries was done for all the patients to assess the atheromatous disease of extracranial carotid arteries and comparison with brain changes in cerebrovascular disease patients.Results: Of the 100 patients included into the study, 51% were males and 49% were females. 59% of the patients were above 61 years of age, 24% of them were between 51-60 years and 12% were between 41-50 years. 82% of the patients had the presence of atherosclerotic plaque while 18% had increased intima-media thickness without the plaque. Among the patients with atherosclerotic plaque, 63.4% had diabetes and 68.3% had hypertension. <50% stenosis was seen among 45.1% of the patients while 36.6% had between 50-70%. Near total occlusion was seen in 6.1% of the patients.Conclusions: The color Doppler sonography is a useful tool in evaluation of extra cranial course of carotid vessels. It is a non-invasive, cheap, faster modality without any side effects. Therefore, it could be used in predicting CVA in patients with carotid atheromatous disease.

Abdominal B-mode and Doppler ultrasonography of chemically restrained agouti (Dasyprocta prymnolopha Wagler, 1831) / Ultrassonografia abdominal em Modo B e Doppler de cutias (Dasyprocta prymnolopha Wagler, 1831) contidas quimicamente

Agoutis are small-sized wild animals whose body weight can reach up to 4kg, and are found throughout Brazil. They are considered important seed dispersers, especially for big trees and there are species that rely almost exclusively on these animals for their territorial distribution. The objective of the present study was B scan and Doppler ultrasound characterization of the abdominal organs of healthy agoutis reared in captivity. Fifteen agoutis, chemically restrained, were used from the Nucleus for Wild Animal Studies and Conservation (Núcleo de Estudos e Preservação de Animais Silvestres - NEPAS), CCA-UFPI, submitted to B scan and Doppler ultrasound examination. The urinary bladder wall was hyperechogenic, thin, smooth and regular throughout its anatomic path, with 0.09±0.03cm mean thickness. The kidneys showed fine and homogeneous echotexture, preserved global echogenicity, hyperechogenic in relation to the spleen and isoechogenic or discreetly hyperechogenic in relation to the liver. The spectral Doppler trace showed systolic and diastolic peaks, wide and thread-like, with low flow resistance and a continuous and full diastolic portion that decreased gradually during the diastole (75.83±1.42cm/s, for the right kidney and 80.43±1.22cm/s, for the left kidney). The right adrenal gland was 0.61-1.18cm long and 0.17-0.32cm in diameter, while the left adrenal gland was 0.62-1.16 long with 0.14-0.25cm diameter. The agouti spleen was filiform in shape, with pointed poles and 1.02±0.18cm in diameter. The agouti liver occupied all the abdominal cavity cranial space in direct contact with the diaphragm. The intrahepatic vascular flow allowed individualization of the portal vein (PV) and hepatic vein (HV). The portal veins were distinguished from the hepatic veins mainly by their wall echogenic pattern. The pancreas was 0.51±0.1 cm thick and the pancreatic duct measured 0.12±0.02cm. The stomach was placed to the left the spleen and to the right of the proximal intestine and the transversal colon and the walls were 0.16±0.05cm thick. The abdominal aorta was 0.43±0.04cm in diameter and showed 95.2±2.16cm/s vascular flow. This study characterized agouti organs and abdominal blood vessels by B scan and Doppler ultrasound, that permitted definition of the size, shape, position, echogenicity and echotexture of the anatomic constituents and established reference values for the vascular network and blood flow in the species.(AU)

As cutias são animais silvestres de pequeno porte, cujo peso corpóreo pode chegar até 4kg, e existem em todo território brasileiro. São considerados importantes dispersores de sementes, especialmente para árvores de grande porte, existindo espécies que dependem quase que exclusivamente destas para sua distribuição territorial. Este trabalho teve por objetivo a caracterização ultrassonográfica modo B e Doppler dos órgãos abdominais de cutias hígidas criadas em cativeiro. Foram utilizadas 15 cutias, contidas quimicamente, oriundas do Núcleo de Estudos e Preservação de Animais Silvestres - NEPAS, CCA-UFPI, submetidas a exame ultrassonográfico em modo B e Doppler. A parede da vesícula urinária presentou-se hiperecogênica, fina, lisa e regular em todo seu trajeto anatômico, com espessura média de 0,09±0,03cm. Os rins demonstraram ecotextura fina e homogênea, ecogenicidade global preservada, hipoecogênico em relação ao baço e isoecogênico ou discretamente hipoecogênico em relação ao fígado. O traçado em Doppler espectral mostrou pico sistólico e diastólico, amplo e afilado, exibindo baixa resistência de fluxo, com uma porção diastólica contínua e cheia, que diminui gradativamente no decorrer da diástole (75,83±1,42cm/s para o rim direito e 80,43±1,22 cm/s para o esquerdo. A adrenal direita apresentou uma variação de comprimento entre 0,61 a 1,18cm e diâmetro variando entre 0,17 a 0,32cm, enquanto a adrenal esquerda evidenciou comprimento de 0,62 a 1,16 e diâmetro de 0,14 a 0,25cm. O baço das cutias mostrou formato filiforme, com polos pontiagudos e diâmetro de 1,02±0,18cm. O fígado da cutia ocupa todo o espaço cranial da cavidade abdominal, em contato direto com o diafragma. O fluxo vascular intrahepático permitiu individualizar as veias porta (VP) e veias hepáticas (VH). As veias porta foram distinguidas, particularmente pelo padrão ecogênico de suas paredes, quando comparadas com as veias hepáticas. A espessura do pâncreas foi de 0,51±0,1cm e o ducto pancreático mediu 0,12±0,02cm. O estômago relaciona-se à esquerda com o baço e a direita com o duodeno proximal e colón transverso. Sua espessura de parede mensurada foi de 0,16±0,05cm. A aorta abdominal possui diâmetro de 0,43±0,04cm e fluxo vascular de 95,2±2,16cm/s. Este estudo caracterizou os órgãos e vasos sanguíneos abdominais de cutias, por meio de ultrassonografia modo B e Doppler, o que permitiu definir o tamanho, formato, posição, ecogenicidade, ecotextura dos constituintes anatômicos, além de estabelecer valores de referência para a rede vascular e fluxo sanguíneo na espécie.(AU)

Ultrasonography of the canine pancreas / La ecografía del páncreas canino

ABSTRACT This study describes the ultrasonographic techniques currently used in the evaluation of the canine pancreas. Ultrasonography was the first method to enable direct visualization of the pancreas in humans and it has been subsequently applied to animals. Currently, it is the method of choice for pancreatic evaluation and is essential as a diagnostic tool in the detection of abnormalities, especially tumors. Innovative equipment technology has led to the emergence of techniques complementary to B-mode ultrasound; such as Doppler, elastography, and contrast-enhanced ultrasonography, which have enabled more accurate diagnosis. Doppler provides information on vascular architecture and the hemodynamic aspect of blood vessels in multiple organs. ARFI elastography provides detailed images of the alterations detected by conventional examination (qualitative method) and assists in differentiating between benign and malignant processes (quantitative method). Microbubble contrast agents determine parameters related to homogeneous and heterogeneous filling of organs with microbubbles, mainly nodular areas, thus defining high and low intensity patterns.

RESUMEN Este estudio describe las técnicas ecográficas frecuentemente utilizadas para evaluar el pancreas del perro. La ecografía fue el primer método que permitió la visualización directa del páncreas en seres humanos y que luego se aplicó en animales. Es actualmente el método de elección para la evaluación del páncreas y es esencial como herramienta diagnóstica en la detección de anomalías, especialmente tumores. La tecnología innovadora de los equipos, llevó a la aparición de técnicas complementarias al modo B, tales como Doppler, elastografía, ecografía de contraste, que han permitido realizar diagnósticos más precisos. El Doppler proporciona información sobre la arquitectura vascular y aspectos hemodinámicos de los vasos sanguíneos en múltiples órganos. La elastografía ARFI ofrece imágenes detalladas de las alteraciones detectadas en exámenes convencionales (método cualitativo) y ayuda a diferenciar entre procesos benignos y malignos (método cuantitativo). Los agentes de contraste con microburbujas permiten determinar parámetros relacionados con el llenado homogéneo o heterogéneo de los órganos, principalmente áreas nodulares, definiendo, por tanto, patrones de alta o baja intensidad.

Biometric, B-mode and color Doppler ultrasound assessment of eyes in healthy dogs / Avaliação biométrica, ultrassonográfica em modo-B e por Doppler colorido ocular de cães hígidos

B-scan ultrasonography is an important diagnostic tool that allows characterization of internal organ anatomy and, when complemented by Doppler ultrasound, allows vascular hemodynamic assessment, increasing the diagnostic accuracy. Thus, the aim of the present study was the B-scan ultrasound characterization and measurement of the eyeball segments and assessment of the external ophthalmic artery by color and pulsed Doppler. Sixty eyeballs were assessed from 30 dogs of different breeds using an 8.5MHz microconvex transductor. First, biometry was performed by B-scan of the following segments: axial length (M1), anterior chamber depth (M2), lens thickness (M3), lens length (M4), vitreous chamber depth (M5), optical disc length (M6) and optic nerve diameter (M7). Colored Doppler identified the external ophthalmic article and pulsed Doppler assessed its flow, and the following were measured: systolic peak velocity (VPS), final diastolic velocity (VDF), resistivity index (IR) and pulse index (IP). No statistical difference was observed for the biometric values of the eye segments between the right and left eyes (p>0.05). The vitreous chamber depth (M5) was shown to be the biometric variable with greatest bilateral symmetry, varying from 0.79 to 0.87cm and 0.78 to 0.86cm for the right and left eye, respectively. The ophthalmic artery was visualized over the optic nerve towards the eyeball, with flow stained red. There was no significant statistical difference between the Doppler velocimetric values for the ophthalmic artery between the right and left eye of the animals assessed (p>0.05). The mean resistivity index (RI) showed average values equal to 0.63±0.03, bilaterally. The mean base velocity was 17.50cm/s and 18.18cm/s at the systolic peak and 6.21cm/s and 6.68cm/s at the end of the diastole, for the right and left eyes respectively. The anatomic, biometric and hemodynamic characterization using the ultrasound B-scan and the Doppler modalities permitted the ultrasonographic and Doppler velocimetric assessment of the eyeball components in dogs of different breeds, and it can be used in ophthalmic clinical routine to identify eye pathologies.

O exame ultrassonográfico modo-B é uma importante ferramenta diagnóstica que permite caracterizar a anatomia interna dos órgãos e, complementada pelo exame modo Doppler, possibilita realizar a avaliação hemodinâmica vascular, aumentando a acurácia diagnóstica. Desta forma, este trabalho teve como objetivo a caracterização ultrassonográfica e mensuração dos segmentos do bulbo ocular modo-B, assim como a avaliação da artéria oftálmica externa pelo Doppler colorido e pulsado. Foram avaliados 60 bulbos oculares de 30 cães de diferentes raças utilizando transdutor microconvexo de 8,5MHz. Inicialmente foi realizada biometria por meio do exame em modo-B dos seguintes seguimentos: comprimento axial (M1), profundidade da câmara anterior (M2), espessura da lente (M3), comprimento da lente (M4), profundidade da câmara vítrea (M5), comprimento do disco óptico (M6) e diâmetro do nervo óptico (M7). A artéria oftálmica externa foi identificada pelo Doppler colorido e seu fluxo foi avaliado por meio do Doppler pulsado, sendo mensurados: velocidade do pico sistólico (VPS), velocidade diastólica final (VDF), índice de resistividade (IR) e índice de pulsatilidade (IP). Não foi verificada diferença estatística para os valores biométricos dos seguimentos oculares entre os olhos direito e esquerdo (p>0,05). A profundidade da câmera vítrea (M5), mostrou-se a variável biométrica com maior simetria bilateral, variando entre 0,79 a 0,87cm e 0,78 a 0,86cm para o olho direito e esquerdo, respectivamente. A artéria oftálmica foi visibilizada sobre o nervo óptico em direção ao bulbo ocular, com fluxo marcado em vermelho. Não houve diferença estatística significativa entre os valores Dopplervelocimétricos da artéria oftálmica entre do olho direito e esquerdo dos animais avaliados (p>0.05). O índice de resistividade (IR) médio evidenciou valores médios sendo igual a 0,63±0,03, bilateralmente. A velocidade basal média foi 17,50cm/s e 18,18cm/s no pico sistólico e 6,21cm/s e 6,68cm/s no final da diástole, para os olhos direito e esquerdo, respectivamente. A caracterização anatômica, biométrica e hemodinâmica utilizando o exame ultrassonográfico modo-B e as modalidades do Doppler permitiram a avaliação ultrassonográfica e Dopplervelocimétrica dos componentes do bulbo ocular nos cães de diferentes raças, podendo ser utilizados na rotina clínica oftalmológica para identificação de patologias oculares.

Ultrasonographic tools used in the evaluation of the canine spleen: A review / Herramientas ultrasonográficas usadas en la evaluación del bazo en caninos: Revisión de literatura / Ferramentas ultrassonográficas para avaliação do baço em cães: Revisão da literatura

Abstract The spleen is one of the most susceptible organs to primary tumours, metastasis, and a wide range of diseases of the hematopoietic system. Therefore, detailed assessment of the spleen is of great importance in veterinary medicine, especially in dogs, due to their economic and sentimental value, and as an experimental model in human medicine. Considering the recent advances in diagnostic imaging in companion animals, this review aims to describe the applicability of acoustic radiation force impulse (ARFI) elastography (qualitative and quantitative), Doppler, and contrast-enhanced ultrasonography for evaluating the spleen in dogs. The ARFI elastography is a recent ultrasound method that can provide reference values and aid in the diagnosis and evaluation of splenic abnormalities routinely encountered in veterinary practice. Conventional ultrasonography of the spleen combined with haemodynamic analysis by Doppler and contrast enhanced ultrasonography is an important tool in diagnosis and triage.

Resumen El bazo es uno de los órganos más propensos a desarrollar tumores, tanto primarios como metastásicos, y varias enfermedades que afectan el sistema hematopoyético. Es por eso que la evaluación clínica del mismo es de gran importancia en medicina veterinaria, principalmente en perros, debido a su valor económico, afectivo, y como modelo experimental en medicina humana. Considerando los recientes avances en imagenología diagnóstica, esta revisión tiene como objetivo describir el examen ecográfico del bazo en perros, utilizando la técnica de elastografía por impulso de fuerza de radiación acústica (ARFI) cuantitativa y cualitativa, Doppler y ultrasonido contrastado. La elastografía ARFI es un método reciente que puede proveer información básica sobre la conformación normal del órgano y, en un futuro próximo, ayudar en el diagnóstico de las enfermedades esplénicas. De modo similar, la ecografía convencional, Doppler y el ultrasonido contrastado son importantes herramientas en el diagnóstico y en el triaje.

Resumo O baço é um dos órgãos mais propensos a desenvolver tumores primários, metastáticos e afecções do sistema hematopoiético. Por isso, realizar uma avalição apurada neste órgão é de suma importância em medicina veterinária, particularmente em cães, devido à importância econômica, afetiva e de similaridade científica com o homem. Considerando os recentes avanços em diagnóstico por imagem, esta revisão visou descrever a aplicabilidade das novas técnicas ultrassonográficas para avaliação esplênica de caninos, utilizando a elastografia por impulso de força de radiação acústica (ARFI) qualitativa e quantitativa, Doppler e ultrassonografia por contraste com microbolhas. A elastografia ARFI é um método recente que pode fornecer dados de base para o baço e permitir a utilização futura desta técnica na avaliação de cães com doença esplênica. Similarmente, a ultrassonografia convencional, o método Doppler e a ultrassonografia contrastada são importantes ferramentas no diagnóstico e triagem.

Ultrassonografia modo B e Doppler na avaliação renal de cães submetidos à tomografia computadorizada após administração intravenosa de diferentes meios de contraste iodado / B-mode and Doppler ultrasonography in the renal evaluation of dogs undergoing computed tomography after intravenous administration of different iodinated contrast media

A nefropatia induzida por contraste (NIC) é uma doença de caráter agudo, secundária à administração intravascular de meios de contraste iodado (MCI). Dentre os mecanismos fisiopatológicos desta enfermidade destacam-se a vasoconstrição intrarrenal prolongada, consequente redução da perfusão renal, hipóxia e isquemia medulares, associada ao dano tubular renal devido à citotoxicidade do contraste. Frente à existência de poucas informações relacionadas a estes mecanismos na literatura médico-veterinária, objetivaram-se comparar os efeitos renais da administração intravenosa de MCI não iônicos de diferentes osmolaridades, em grupos de cães com fatores de risco para o desenvolvimento da NIC, por meio das avaliações ultrassonográficas modo B, Doppler colorido, de amplitude e pulsado, pareada aos exames laboratoriais, a fim de estimar indiretamente o potencial nefrotóxico de cada contraste. Constituíram-se dois grupos de acordo com o MCI utilizado: o grupo GIH [11 cães receberam iohexol (baixa osmolaridade)] e o grupo GID [sete cães receberam iodixanol (isosmolar)]. Administrou-se a dose de 600mgI/kg/IV em ambos. Avaliaram-se os seguintes aspectos renais antes da administração do MCI (momento basal) e após 1h30min, 24 horas e 48 horas: morfometria (comprimento e volume), morfologia, ecogenicidade cortical e perfusão renais e resistência vascular intrarrenal (índices hemodinâmicos de resistividade e pulsatilidade). Realizou-se ainda exame de urina e se mensuraram as razões gama-glutamil transferase:creatinina (GGT:C) e proteína:creatinina (RPC) urinárias e a concentração sérica de creatinina. Os grupos apresentaram comportamentos similares para comprimento, volume, RPC, exame de urina e creatinina sérica. Em relação ao índice de pulsatilidade (IP), os grupos apresentaram comportamentos não similares, mas sem diferenças significantes entre o momento basal e os demais. Para o índice de resistividade (IR) e a razão GGT:C urinária, os grupos revelaram comportamentos não similares e se constataram aumentos significantes do IR e da razão GGT:C urinária no período de 1h30min após a administração do contraste, somente para o grupo que recebeu iohexol. Concluiu-se que o IR pode ser utilizado para monitorar a hemodinâmica intrarrenal, visto que junto com a razão GGT:C urinária, demonstrou a existência de maior potencial nefrotóxico do iohexol, quando comparado ao iodixanol. Dessa forma, considera-se o uso do iodixanol, opção favorável para cães com fatores de risco para o desenvolvimento da NIC.(AU)

Contrast-induced nephropathy (CIN) is an acute disease, secondary to intravascular administration of iodinated contrast media (ICM). The most important mechanisms of this nephropathy are intrarenal prolonged vasoconstriction, medular hypoxia, and ischemia associated with renal tubular damage due to contrast cytotoxicity. Owing to the limited information available in veterinary literature regarding these mechanisms this study aims to compare the renal effects of intravenous administration of two nonionic ICM of different osmolarities in groups of dogs with risk factors for CIN development, by using a B-mode, color, power- and pulsed-wave Doppler ultrasonography, and other laboratory tests, in order to indirectly estimate the nephrotoxic potential of each contrast. The following two groups were established according to the nonionic ICM used: the GIH group [11 dogs administered iohexol (low osmolarity)] and the GID group [seven dogs administered iodixanol (iso-osmolarity)]. Both the groups were administered the same dose (600mgI/kg/IV). The following renal aspects were evaluated before administration of ICM (baseline) and after 1h30min, 24h, and 48h: renal morphometry (length and volume), renal morphology, cortical echogenicity, renal perfusion, and intrarenal vascular resistance (resistive and pulsatility indices); in addition, urinalysis was performed, and urinary gamma-glutamyl transferase:creatinine ratio (GGT:C), urinary protein:creatinine ratio (UPC), and serum creatinine were also measured. Both groups showed similar characteristics with respect to the length, volume, UPC ratio, urinalysis, and serum creatinine levels. No similarity was observed with respect to the pulsatility index (PI) in both the groups and there were no significant differences between baseline and 1h30min, 24h and 48h time points. With respect to the IR and urinary GGT:C, both groups showed no similarity, and significant increases were observed in the resistive index (RI) and urinary GGT:C only in the GIH group, 1h30min after contrast administration. In conclusion, RI can be used to monitor intrarenal hemodynamics, and along with the urinary GGT:C, revealed that iohexol had higher nephrotoxic potential than iodixanol. Thus, iodixanol is considered a favorable option for dogs with risk factors for CIN development.(AU)

Exploración ecográfica ocular básica en perros (modo B tiempo real) / Basic ocular ultrasound examination in dogs (real-time B-mode) / Exploração por meio de ultrassonografia ocular básica em cachorros (modo B tempo real)

Resumen: En las últimas décadas, la ecografía veterinaria ha vivido un gran avance tecnológico y técnico. Los médicos veterinarios no solo la utilizan para las valoraciones comunes de abdomen, o incluso corazón, sino que han descrito técnicas para exploraciones más especiales, como para el sistema musculoesquelético, el vascular, el ocular, entre otros. La literatura sobre el tema ha reseñado el desarrollo y aplicación de la ecografía ocular modo A, específica para la valoración oftalmológica por parte veterinarios especializados en esta área. Actualmente, un gran número de clínicas veterinarias cuenta con ecógrafos con modo B tiempo real, que permiten una excelente valoración descriptiva de la anatomía ocular para orientar posibles diagnósticos. Este artículo de revisión presenta de forma concisa las principales indicaciones de la ecografía ocular modo B y la técnica de realización, y describe cualitativamente las imágenes normales de la exploración de este órgano de los sentidos.

Abstract: In recent decades, veterinary ultrasound has experienced a great technological and technical progress. Veterinary doctors not only use it for common evaluation of abdomen, or even heart, but techniques have been described for more special examinations, such as for the musculoskeletal, vascular, and ocular systems, among others. Literature on the subject has reviewed the development and application of A-mode ocular ultrasound, specific for ophthalmologic evaluation by veterinarians specialized in this area. Currently, a large number of veterinary clinics has real-time B-mode ultrasound scanners, which allow an excellent descriptive evaluation of the ocular anatomy to guide possible diagnoses. This review article concisely presents the main indications and realization technique for B-mode ocular ultrasound, as well as qualitatively describes normal scan images of this sense organ.

Resumo: Nas últimas décadas, a ecografia veterinária tem vivido um grande avanço tecnológico e técnico. Os médicos veterinários não somente a utilizam para as avaliações comuns de abdômen, ou, inclusive o coração, mas também têm descrito técnicas para explorações mais especiais, como para o sistema musculoesquelético, o vascular, o ocular, entre outros. A literatura sobre o tema resenhou o desenvolvimento e aplicação da ultrassonografia ocular modo A, específica para a avaliação oftalmológica por parte de veterinários especializados nesta área. Atualmente, um grande número de clínicas veterinárias conta com scanners com modo B tempo real, que permitem uma excelente avaliação descritiva da anatomia ocular para orientar possíveis diagnósticos. Este artigo de revisão apresenta de forma concisa as principais indicações da ultrassonografia ocular modo B e a técnica de realização, e descreve qualitativamente as imagens normais da exploração deste órgão dos sentidos.

To investigate the difference between B-mode ultrasonography and color Doppler twinkling artifact for detection of kidney stone / 中国医学装备

Objective:To compare the detective effect between color Doppler twinkling artifact and B-mode ultrasonography for kidney stones in order to develop an ultrasonic model that can more easily and more accurately detect kidney stone.Methods: 9 patients with kidney stone who were confirmed by CT scan in recently were selected to accepted two methods (color Doppler twinkling artifact and B-mode ultrasonography) to detect kidney stone. The video fragments of upper pole, interpolar and lower pole were created by three radiologists and the results were diagnosed by them.Results: In dual kidneys of the nine patients, 32 stones with average size of (8.9±7.5) mm were found. The sensitivity, specificity, positive predictive value and negative predictive value of the B-mode ultrasonography were 71%, 48%, 52% and 68%, respectively, while those of color Doppler twinkling artifact were 56%, 74%, 62% and 68%, respectively.Conclusions: In the detection of kidney stones, B-mode ultrasonography is more sensitive when is used alone, but color Doppler twinkling artifact has more high specificity. The color Doppler twinkling artifact should be applied in more clinical practices, and a new commercial ultrasonography mode that used basic acoustic difference and is special for detection of kidney stone should be researched and developed so as to improve the detection of kidney stone.

Hepatitis B virus infection and liver,gallbladder imaging analysis of B-mode ultrasonography in Shijiazhuang / 国际检验医学杂志

Objective To analyze the hepatitis B virus infected patients'B-ultrasound hepatobiliary imaging and provide a refer-ence for infection prevention and diagnosis of hepatobiliary disease in the region of Shijiazhuang.Methods In three hospitals of Shi-jiazhuang,500 cases of hepatitis B virus infected patients were enrolled in the study.All patients had intact liver function test data and hepatobiliary B-ultrasound information,and their liver function test results and hepatobiliary B-ultrasound imaging test results were analyzed.Results Among 500 cases of patients with hepatitis B virus infection,22.4% patients were with alanine aminotrans-ferase (ALT)increasing,diagnosed by using B-mold ultrasonography 5.4% patients with a liver cyst,2.2% with liver abscess,8. 4% with fatty liver,1.4% with primary liver cancer percent,1.2% with secondary liver cancer,1.0% with cirrhosis.Conclusion The liver function test of patients suffering from fatty liver,cirrhosis,liver abscess shows higher proportion of ALT increasing, which suggests that in patients with hepatitis B virus infection whose liver function tests display ALT elevations should underwent B ultrasonic examination and doctors should focuse on if the patient with cirrhosis,fatty liver or liver abscess.

Conventional and Doppler ultrasonography on a goat with gangrenous mastitis / Ultrassonografia convencional e Doppler em cabra com mastite gangrenosa

Objetivou-se descrever os achados clínicos e ultrassonográficos de uma cabra leiteira apresentando mastite gangrenosa. Com a ultrassonografia convencional, observaram-se alterações consistentes com o avanço do quadro clínico, como alterações na ecogenicidade do leite e parênquima mamário. A ultrassonografia Doppler revelou aumento da velocidade de pico sistólico nos três momentos estudados, passando de 15 para 17 e 29cm/s. Houve redução, também, dos valores do índice de resistência, de 0,71 para 0,61 e 0,43. O índice de pulsatividade sofreu redução entre o segundo e o terceiro dia de observação, passando de 0,98 para 0,71. Foi possível estabelecer relação direta entre os achados ultrassonográficos e a gravidade da doença. A ultrassonografia convencional e Doppler podem ser utilizadas para o estudo hemodinâmico do úbere de cabras leiteiras, favorecendo diagnóstico e prognóstico de alterações nesse órgão...