scholarly journals Testicular Arteriovenous Malformation: Gray-Scale and Color Doppler Ultrasonography Features

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Fatih Gulsen ◽  
Ismail Mihmanli ◽  
Fatih Kantarci ◽  
Abdulkadir Eren ◽  
Suleyman Onder Ataus

Intratesticular arteriovenous malformations (AVMs) are extremely rare benign incidental lesions of the testis. Ultrasonography (US) generally reveals a hypoechoic solid mass within the testicular parenchyma. We describe a patient with intratesticular AVM which was found incidentally during workup for infertility. The gray-scale and Doppler US appearance of an intratesticular AVM and the differential diagnosis have been presented. Based on the gray-scale, US appearance differentiation from malignant testicular tumors is difficult. Doppler US examination aids in the diagnosis by demonstrating the vascular nature of the tumor.

2020 ◽  
Vol 36 (09) ◽  
pp. 667-672
Author(s):  
Megumi Ishiko ◽  
Koichi Yano ◽  
Ema Onode ◽  
Kiyohito Takamatsu

Abstract Background The ulnar artery perforator (UAP) flap, which is hairless, thin, and pliable, has been used for the reconstruction of soft tissues from the finger to the elbow. Preoperative planning is essential for a perforator flap surgery, and there are some tests to identify perforators. Color Doppler ultrasonography (US) with a high-frequency transducer helps in detecting decreased flow in smaller vessels, such as perforators. The purpose of this study was to determine the anatomical locations and origins of perforators arising from the ulnar artery using color Doppler US in healthy volunteers. Methods Forty forearms of 20 healthy volunteers were included in the study. Perforators arising from the ulnar artery, within 100 mm proximal to the pisiform, were investigated using color Doppler US with a high-frequency transducer. Results A total of 205 perforators were identified. On comparing the locations in each 20 mm section from the pisiform, the largest number of perforators was 58 (28%), within 20 mm proximal to the pisiform. The axial view demonstrated 44 (21%), 64 (31%), 32 (16%), and 65 (32%) perforators in the radial, ulnar, superficial, and deep aspects of the ulnar artery, respectively. Fifty-two and 28 essential perforators were supplied by the UAPs arising from the superficial and ulnar aspect within 20 mm proximal to the pisiform and between 21 and 40 mm proximal to the pisiform, respectively, while elevating the UAP flap. Conclusion This is the first study to assess the UAP using color Doppler US. Identification of UAP using color Doppler US can be used as a preoperative assessment for reliable elevation of a UAP flap.


2017 ◽  
Vol 36 (1) ◽  
pp. 53-59
Author(s):  
Myoung Seok Lee ◽  
Jeong Yeon Cho ◽  
Sang Youn Kim ◽  
Seung Hyup Kim ◽  
Joong Shin Park ◽  
...  

2021 ◽  
pp. 54-56
Author(s):  
Akhil Sharma ◽  
Sameer R. Verma ◽  
Neeraj Prajapati ◽  
Vinod Kumar Mogha

INTRODUCTION: Ultrasonography is extremely well suited to study of scrotum and its contents. Ultrasound is simple to perform, quick, non-invasive, low cost effective, easily reproducible, widely available and does not involve irradiation of gonads.It is very helpful in differentiating intratesticular and extratesticular pathologies. Ultrasound is the modality to differentiate solid from cystic lesions of testes and with the introduction of color Doppler, it becomes easiear to assess the viability of testis in cases of torsion and guiding the treatment accordingly. USG is helpful in differentiating torsion/ischaemia of testis from the acute inammatory pathologies. Role of other Modalities: CT and MRI have dominated imaging of other regions of the body, they have certain restrictions in evaluation of scrotal diseases. Computed Tomography delivers radiation to gonads, On the contrary, MRI imaging is expensive and not readily obtainable. Radionuclide scan helps in equivocal presentations to assess vascularity within the testis in setting of torsion but its readily availability and cost is the main set back. AIM: To assess the role of high frequency gray scale and color doppler ultrasonography in evaluation of epididymorchitis. MATERIAL & METHODS: SAMPLE: 50 cases of scrotal pathology were taken using High-frequency real time gray scale ultrasonography and Color Doppler . Patients were referred to our department for scrotal ultrasonography and Doppler study by department of Urology and department of Surgery of SRMS IMS Bareilly. RESULTS: In the present study total evaluated cases of epididymoorchitis were 15,among them 11 cases were acute and 4 cases were of chronic epididymoorchitis.. Majority of cases were having unilateral involvement with 1 case of B/L involvement. USG gray scale found heterogenous echogenicity or reduced echogenicity in acute EPO while the echogenicity was reduced with calcication in chronic EPO. .Doppler study found increased vascularity in majority of cases of acute EPO with reactive hydrocele while vascularity was either normal or increased in chronic EPO without any reactive hydrocele. CONCLUSION: High-frequency gray scale USG helps in clear evaluation of anatomical structural alterations associated with acute scrotal inammatory diseases, and color Doppler USG is highly sensitive in diagnosing acute scrotal pathology. In addition, Color Doppler USG accurately differentiates between testicular ischemia and torsion from acute inammatory diseases in acute painful scrotal conditions.


2018 ◽  
Vol 3 (1) ◽  
pp. 10-13
Author(s):  
Showkat Ara ◽  
Sabina Jesmin ◽  
AFM Arshedi Sattar ◽  
SM Quamrul Akhter ◽  
Waseka Akhter Jahan ◽  
...  

Background: Detection of mass in the breastis very essential for the early treatment.Objective: The purpose of the present study was to validate the Doppler sonography to detect the pathological lesions of breast.Methodology: This cross sectional study was carried out in the Department of Radiology and Imaging in collaboration with the Department of Surgery and Department of Pathology at Banghabandhu Sheikh Mujib Medical University (BSMMU), Dhaka from July 2008 to June 2009 for a period of one (01) year. Clinically suspected women with breast mass who were attended in the OPD or inpatient department were selected purposively as study population. All the patients were examined by 2-D Real-Time B-Mode Ultrasonography by using high frequency (7.5 MHz) linear transducer. Blood flow was studied using Duplex sonography in which Gray scale 2D sonography was combined with Pulsed Doppler. Test of validity was done for color Doppler Sonographic findings in evaluation of benign and malignant breast lesion.Result:A total number of 50 cases were recruited for this study. Out of 50 cases,25 cases true positive, 1 false negative, 2 false positive, 22 true negative confirmed by histopathology. Here sensitivity and specificity of color Doppler ultrasonography are 92.59% and 86.95% respectively. Here accuracy of color Doppler study is 90.0% and the positive predictive value was 89.28% and negative predictive value was 90.9%.Conclusion: Color Doppler Ultrasonography is a useful imaging method in the differentiation between benign and malignant breast masses.Journal of National Institute of Neurosciences Bangladesh, 2017;3(1): 10-13


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