scholarly journals Preoperative work-up for patients with deeply infiltrating endometriosis: transvaginal ultrasonography must definitely be the first-line imaging examination

2008 ◽  
Vol 24 (3) ◽  
pp. 602-607 ◽  
Author(s):  
M. Piketty ◽  
N. Chopin ◽  
B. Dousset ◽  
A.-E. Millischer-Bellaische ◽  
G. Roseau ◽  
...  
Keyword(s):  
Transvaginal Ultrasonography ◽  
First Line ◽  
Imaging Examination ◽  
Deeply Infiltrating Endometriosis ◽  
Line Imaging ◽  
Preoperative Work Up ◽  
Work Up ◽  
Infiltrating Endometriosis

Parametrial endometriosis with ureteral involvement: A case report of a conservative approach without ureteral resection

2018 ◽  
Vol 10 (4) ◽  
pp. 222-223 ◽  
Author(s):  
Paolo Donarini ◽  
Giuseppe Ciravolo ◽  
Fabio Rampinelli ◽  
Franco Odicino ◽  
Federico Giorgio Ferrari ◽  
...  
Keyword(s):  
Renal Function ◽  
Uterosacral Ligament ◽  
Deep Infiltrating Endometriosis ◽  
Conservative Approach ◽  
Left Ureter ◽  
Stent Removal ◽  
Preoperative Work Up ◽  
Work Up ◽  
Infiltrating Endometriosis

Introduction: Parametrial endometriosis could often involve the ureter and periureteral tissue causing hydronephrosis and distortion of the normal ureteral course and position. The treatment in the case of hydronephrosis could be ureterolysis (with or without the positioning of a stent) or a ureteral resection. Materials and methods: This is the case of left parametrial endometriosis with hydronephrosis in a young woman. The preoperative work-up showed a deep infiltrating endometriosis of the left parametria, the left uterosacral ligament, and the left ureter which caused hydronephrosis. The patient was symptomatic (dysmenorrhea, dysuria, and pelvic pain). In this video, we focused on ureterolysis: all the endometriotic tissues were removed, the ureter was completely released, and the decision was to place a stent in the ureter without ureteral resection. Results: The post-operative course was normal, the stent was changed after 1 week (from mono-J to double-J) and removed 1 month after surgery. Follow-up at 3 and 8 months after stent removal was normal, and renal function was normal. The last follow-up, after 13 months, showed no hydronephrosis, no signs of deep infiltrating endometriosis, and normal renal function. The patient continues with oral contraception. Conclusion: Ureterolysis could be an effective alternative to ureteral resection in cases of deep infiltrating endometriosis even when the ureter is involved with hydronephrosis.

Three-dimensional endoanal ultrasound should be considered as first-line diagnostic tool in the preoperative work-up for perianal fistulas

2020 ◽  
Vol 125 (7) ◽  
pp. 695-696 ◽  
Author(s):  
Antonio Brillantino ◽  
Francesca Iacobellis ◽  
Alfonso Reginelli ◽  
Adolfo Renzi ◽  
Roberto Grassi
Keyword(s):  
Diagnostic Tool ◽  
Three Dimensional ◽  
Endoanal Ultrasound ◽  
First Line ◽  
Perianal Fistulas ◽  
Preoperative Work Up ◽  
Work Up

Cranial Ultrasound as a First-Line Imaging Examination for Craniosynostosis

PEDIATRICS ◽  
2016 ◽  
Vol 137 (2) ◽  
pp. e20152230-e20152230 ◽  
Author(s):  
K. Rozovsky ◽  
K. Udjus ◽  
N. Wilson ◽  
N. J. Barrowman ◽  
N. Simanovsky ◽  
...  
Keyword(s):  
Cranial Ultrasound ◽  
First Line ◽  
Imaging Examination ◽  
Line Imaging

scholarly journals 18F-Fluorocholine PET and Multiphase CT Integrated in Dual Modality PET/4D-CT for Preoperative Evaluation of Primary Hyperparathyroidism

2020 ◽  
Vol 9 (6) ◽  
pp. 2005
Author(s):  
Valentin Pretet ◽  
Marianela Rotania ◽  
Mehdi Helali ◽  
Mihaela Ignat ◽  
Michel Vix ◽  
...  
Keyword(s):  
Primary Hyperparathyroidism ◽  
Preoperative Evaluation ◽  
High Serum ◽  
Additional Patient ◽  
Second Line ◽  
4D Ct ◽  
Pet Ct ◽  
Line Imaging ◽  
Preoperative Work Up ◽  
Work Up

The present retrospective study evaluates the diagnostic value of integrated 18F-Fluorocholine positron emission tomography/four-dimensional contrast-enhanced computed tomography (18F-FCH PET/4D-CT) as second-line imaging in preoperative work-up of primary hyperparathyroidism (pHPT), and compares 18F-FCH PET with 4D-CT. Patients with pHPT and negative/discordant first-line imaging addressed for integrated 18F-FCH PET/4D-CT were retrospectively selected. Sensitivity and detection rate (DR%) of 18F-FCH PET/CT, 4D-CT, and PET/4D-CT were calculated according to the per patient and per lesion analyses, and afterwards compared. Histology associated with a decrease more than 50% of perioperative parathyroid hormone (PTH) blood level was used as a gold standard. Persistent high serum PTH and calcium levels during a 6-month follow-up was considered as presence of pHPT in both operated and non-operated patients. 50 patients (55 glands) were included. 44/50 patients (88%) were surgically treated. On a per patient analysis, sensitivity was 93%, 80%, and 95%, and DR% was 82%, 68%, and 84%, respectively for PET/CT, 4D-CT, and PET/4D-CT. PET/CT was more sensitive than 4D-CT (p = 0.046). PET/4D-CT performed better than 4D-CT (p = 0.013) but was equivalent to PET/CT alone. On a per gland analysis, sensitivity PET/CT, 4D-CT, and PET/4D-CT was 88%, 66%, and 92%, and DR% was 79%, 57%, and 83%, respectively. PET/CT and PET/4D-CT were more sensitive than 4D-CT alone (p = 0.01, p < 0.001, respectively). However, PET/CT and PET/4D-CT performed similarly. In conclusion, 18F-FCH PET provides better identification of hyperfunctioning parathyroids than 4D-CT and the combination of both did not significantly improve diagnostic sensitivity. Further investigations involving larger populations are necessary to define the role of 18F-FCH PET/4D-CT as a “one-stop shop” second-line imaging in preoperative work-up of pHPT, especially considering the additional patient radiation exposure due to multi-phase CT.

Surgery for Skull Base Malignancies-Preoperative Work-Up to Minimize Complications

Skull Base ◽  
2008 ◽  
Vol 18 (S 01) ◽  
Author(s):  
Andrew King ◽  
Stephen MacNally ◽  
Jarod Homer ◽  
Richard Ramsden ◽  
Shakeel Saeed ◽  
...  
Keyword(s):  
Skull Base ◽  
Preoperative Work Up ◽  
Work Up

18Fluoro-choline PET/CT is a useful tool for patients with primary hyperparathyroidism negative at first-line imaging localization tecniques

2020 ◽  
Author(s):  
Matteo Apicella ◽  
Stefano Bola ◽  
Duccio Volterrani ◽  
Laura Mazoni ◽  
Gianluca Frustaci ◽  
...  
Keyword(s):  
Primary Hyperparathyroidism ◽  
First Line ◽  
Choline Pet ◽  
Pet Ct ◽  
Line Imaging
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