JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY最新文献

{"title":"Peritonsillar Abscess: A Cohort Study of an Unusual Imaging and Needle Guidance Approach","authors":"Tim S. Gibbs, Jonathan Birnbaum","doi":"10.1177/87564793231182437","DOIUrl":"https://doi.org/10.1177/87564793231182437","url":null,"abstract":"Objective: The purpose of this study was to establish a noninvasive, safe, and reliable sonographic technique for evaluating peritonsillar abscess and subsequent drainage. Also, of paramount interest to the emergency physicians was to determine whether this imaging technique could assist in localization and drainage of a tonsillar abscess, minimizing the risk of patient complications. Materials and Methods: This was a prospective nonrandomized study, conducted in a small urban community hospital. All sonographic examinations were performed by the staff sonographers. Imaging procedures were performed using a GE Logiq 9 or E9 ultrasound equipment system (GE Medical, Waukesha, Wisconsin). A broad-band curved linear array transducer (9L) was used to visualize the affected tonsil through a submandibular approach. An endocavity transducer (5 to 9 MHz) was used for all trans-oral cavity imaging. All aspirations were performed with an 18-G 20-cm Trocar needle (Cook Medical LLC. Bloomington, IN) inserted through a commercially available needle guide attachment (CIVCO Medical Solutions. Kalona, IA). Results: A total of 91 patients (N = 50 males and N = 41 females) are included in this cohort study. The patients ranged in age from 10 to 80 years of age and the average age was 34 years. In this patient cohort, 87 abscesses were found, and five patients had bilateral peritonsillar abscess. Of the remaining patients, one had inflammatory lymph nodes and four inflamed tonsils without abscess. All abscesses were successfully drained without complications. Conclusion: This level of evidence demonstrates a possible method is safer, which may be more effective than a nonimaging approach for needle aspiration. This technique is easily applied by both physician and sonographer with minimal training.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"354 1","pages":"451 - 459"},"PeriodicalIF":0.3,"publicationDate":"2023-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76481800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the Downstream Effects of the COVID-19 Pandemic on Sonographers and Vascular Technologists: Healthcare Heroes’ Kryptonite!","authors":"K. Evans, A. N. Weikle, Yoko E Fukumura, Shawn C Roll, C. Sommerich","doi":"10.1177/87564793231185297","DOIUrl":"https://doi.org/10.1177/87564793231185297","url":null,"abstract":"Objective: This work aimed to explore how the COVID-19 pandemic affected the work of sonographers and vascular technologists. Materials and Methods: A follow-up questionnaire was sent to an established registry of ultrasonography users who opted into a longitudinal research study examining worker health and wellbeing. Multiple questions related to the general impacts of COVID-19 on sonography work practices, workload, and considerations of remaining or leaving their current job were included; responses to these questions were descriptively tabulated. Participants indicated specific changes that occurred and provided general comments related to COVID-19 impacts in two free-text questions. These comments were qualitatively analyzed by two sonographers who used an interpretive grounded theory approach to formatively code and memo the comments. Four summative interviews were conducted with participants who represented varied practice areas to gain deeper insights into the experiences expressed by the total respondent pool. Qualitative coding of the free-text responses and interview transcripts was completed independently by the two sonographers using the Sonography Work Systems (SWS) framework, and the full research team contributed to the interpretation of the findings. Results: A total of 1389 ultrasonography users completed the questionnaire. The pandemic changed the ways in which examinations were performed for approximately half of the respondents. A higher or somewhat higher workload was noted by 48% of the sample, while only 10% experienced a lower or somewhat lower workload. Components of the work system were a major concern for respondents, and a lack of support from supervisors and hospital administration was a key finding. Participants felt limited in their ability to provide care, experienced posttraumatic stress, and reported a lack of reciprocity, which were all underscored as undesirable outcomes. Conclusion: Sonographers and vascular technologists suffered negative consequences during the COVID-19 pandemic. The most marked outcome was the undesirable effects on the work system, which resulted in the need for these workers to engage in herculean efforts over a sustained period. Findings suggest that these health care heroes may have experienced physical and mental harm while trying to provide health care services, despite numerous institutional challenges.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"1 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91318762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Large Idiopathic Arteriovenous Malformation of the Right Lung, Which Was Mistaken for Lung Cancer","authors":"C. Quarato, M. Taurchini, G. Ferretti, A. Simeone, G. Ciccarese, L. Dimitri, P. Fuso, M. Sperandeo","doi":"10.1177/87564793231182969","DOIUrl":"https://doi.org/10.1177/87564793231182969","url":null,"abstract":"A 53-year-old male was admitted to the hospital because of retrosternal and epigastric pain radiating to the back. Radiologic images showed a homogeneous soft tissue mass in the right upper lobe that was initially misdiagnosed as a lung cancer. Fortunately, a careful Doppler examination identified two vascular structures within the lesion. This diagnostic study suggested the execution of a more appropriate computed tomography angiography (CTA). The examination confirmed the diagnosis of a simple pulmonary arteriovenous malformation (AVM). The patient underwent embolization of the arterial side of the AVM and finally a posterolateral mini-thoracotomy to remove the lesion.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"11 1","pages":"621 - 626"},"PeriodicalIF":0.3,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84844107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Unexpected High Incidence of Hepatic Hemangiomas, With a Delayed-Phase Washout, During Contrast-Enhanced Ultrasound Utilizing a New Ultrasound Equipment System: A Case Series","authors":"G. Menozzi, G. Elisa, Valeria Maccabruni, B. Marani","doi":"10.1177/87564793231167432","DOIUrl":"https://doi.org/10.1177/87564793231167432","url":null,"abstract":"The delayed imaging phase of hepatic hemangiomas, during a contrast-enhanced ultrasound (CEUS), was investigated utlizing a recent-generation ultrasound equipment system. From April 2021 to October 2021, ten patients (seven women and three men), with a median age of 52.2 years, were retrospectively reviewed, based on having a known or probable hepatic hemangioma, at least 15–60 mm in diameter. The CEUS examination was conducted using an Aplio i800 (Canon Medical Systems, Otawara, Japan) ultrasound equipment system and a blood pool contrast agent (SonoVue; Bracco, Milan, Italy). The imaging evaluation of the hemangiomas with CEUS was extended beyond 240 seconds from contrast injection. In this study, 80% of hepatic hemangiomas showed washout from 240 to 540 seconds, after contrast bolus injection. Previous studies indicated that hepatic hemangiomas demonstrated a washout in the delayed phase and were considered atypical and rare. However, by using a recent ultrasound equipment system, these lesions may appear more frequently. Since this atypical aspect of hemangioma could lead to confusion, based on a differential diagnosis, with liver malignancy, further studies are needed.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"1 1","pages":"395 - 400"},"PeriodicalIF":0.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82313676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Scope of Practice of Sonographers Across the United States: A Survey Study","authors":"Yosefa J. Pessin","doi":"10.1177/87564793231153650","DOIUrl":"https://doi.org/10.1177/87564793231153650","url":null,"abstract":"Objective: The purpose of this study was to determine the current scope of practice of sonographers in the United States and ascertain if sonographers’ daily responsibilities align with the Society of Diagnostic Medical Sonography’s (SDMS) Sonographer’s Scope of Practice and Clinical Standards. Materials and Methods: A survey was disseminated to SDMS members and clinical sonographers with at least 5 years experience. The survey addressed demographics, education, certification, specialties practiced, job title, work environment, and scope of practice. Results: Of the 613 sonographers who responded, 90% were female and 10% male; the most common age group was 55–64 (36.7%). Most sonographers had a Bachelor’s or Associate’s degree. Eighty-three percent of respondents were White, 5.4% Hispanic, Latino, or Spanish origin, 3% Black or African American, and 3% Asian. While 63% of sonographers have read the SDMS Scope of Practice, 52% reported they perform tasks not included or addressed, in their job description. Many teach sonography in the workplace and provide oral and/or written preliminary impressions and diagnoses. Conclusion: There are regional differences in scope of practice and gender differences in place of employment and job title. Sonographers reported to practice within the SDMS parameters. The guidelines can be expanded to include educating health professionals in sonography and having an increased role in providing diagnoses.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"156 1","pages":"356 - 367"},"PeriodicalIF":0.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76092185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SDMS CME Credit – Cross-disciplinary Prevalence and Associated Factors for Work-Related Discomfort in Users of Ultrasonography: Implications for Sonography Professionals and Health Care Administrators","authors":"","doi":"10.1177/87564793231180174","DOIUrl":"https://doi.org/10.1177/87564793231180174","url":null,"abstract":"","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135049984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SDMS CME Credit – Amyand’s Hernia: A Case Study","authors":"","doi":"10.1177/87564793231180178","DOIUrl":"https://doi.org/10.1177/87564793231180178","url":null,"abstract":"","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"73 1","pages":"406 - 406"},"PeriodicalIF":0.3,"publicationDate":"2023-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90512605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SDMS CME Credit – A Ruptured Inferior Pancreaticoduodenal Artery Aneurysm Detected With Ultrasonography: A Case Report","authors":"","doi":"10.1177/87564793231180157","DOIUrl":"https://doi.org/10.1177/87564793231180157","url":null,"abstract":"","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"39 1","pages":"413 - 413"},"PeriodicalIF":0.3,"publicationDate":"2023-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88675346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SDMS CME Credit – The Role of Ultrasonography in Evaluating the Function of the Vocal Cords, Post-Thyroidectomy","authors":"","doi":"10.1177/87564793231180176","DOIUrl":"https://doi.org/10.1177/87564793231180176","url":null,"abstract":"","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"118 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135049999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SDMS CME Credit – The Unexpected High Incidence of Hepatic Hemangiomas, With a Delayed-Phase Washout, During Contrast-Enhanced Ultrasound Utilizing a New Ultrasound Equipment System: A Case Series","authors":"","doi":"10.1177/87564793231180158","DOIUrl":"https://doi.org/10.1177/87564793231180158","url":null,"abstract":"","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":"156 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135050002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}