Online ISSN: 2515-8260

Keywords : ultrasonography


INTRICATE ASSESSMENT OF EFFECTIVENESS OF MRI & USG PROCEDURES FOR VARIOUS PATHOLOGIES RELATED TO FEMALE PELVIC: AN ORIGINAL RESEARCH STUDY

Dr. Sunny Goyal, Dr. Prachi Jain, Dr. Dalip Singh Dhiman, Dr. Rajender Punia, Dr. Deergha Singh, Dr. Fayaz Khan H

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 1, Pages 163-169

Aim: To evaluate efficiencies of magnetic resonance imaging & ultrasonographyprocedures for various pathologies related to female pelvic region.
Materials & Methods: This study was performed on total sixty patients. All patients reported for various clinical issues of pelvic region. Magnetic resonance imaging & ultrasonography procedures were used as diagnostic imaging modality. Scanning outcomes of magnetic resonance imaging & ultrasonography have been categorized as group one and group two respectively. All suggestive findings of both imaging modalities were correlated with clinical diagnosis. Based on these existences of correlations, Results thus obtained was compiled and sent for basic statistical analysis. P value less than 0.05 was considered significant (p< 0.05).   
Results: Among all sixty studied patients, females were 14 in age group of 25-28 years. 13 patients were seen in age range of 33-36 years. P value was reported to be significant for this (0.01). Magnetic resonance imaging confirmed Inborn Anomalies in 3 patients. Uterine Mutilation was confirmed in 16 patients by magnetic resonance imaging. Pathologies related to Adnexa were noted in 28 patients. P value was reported to be significant for this (0.002). Endometrial Malignancies were noted in 2 patients. P value was reported to be significant for this (0.001). Pathologies related to Adnexa were noted in 25 patients by Ultrasonography. P value was reported to be significant for this (0.010).
Conclusion: Magnetic resonance imaging was able to detect and confirm almost all studied pathologies related to female pelvic region. Ultrasonography procedure was unable to detect few of those pathologies. Therefore, magnetic resonance imaging is superior and accurate option for scanning pelvis region.

EVALUATION OF ROLE OF TRANSABDOMINAL ULTRASOUND IN UTERINE AND ADNEXAL FACTORS IN INFERTILITY

Dr Poonam Ohri, Dr Niveditha Basappa, Dr Kulwinder Kaur, Dr Manasi Kohli, Parushi Kohli, Dr Prabnoor Kaur

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 282-291

Background: The desire to procreate is universal phenomenon. Childlessness is considered
as a curse in many societies and is one of the causes of marital breakups. WHO has defined
infertility as ‘Failure to conceive over 12 months of uninterrupted sexual practice. USG has
become a well-established technique for imaging ovarian and uterine pathologies. Methods:
This is a hospital based cross sectional, observation study,included total of 51 cases. The
patients with chief complaints of infertility presenting to gynaecology OPDs were referred to
the department of Radiodiagnosis,Guru Nanak Dev Hospital, Amritsar and all patients were
subjected to transabdominal ultrasonography using 3.5 MHz sector transducer. Results: Out
of 51 cases studied, 35 were of primary infertility and 16 were of secondary infertility.
Duration of infertility varied from 1.75- 17 years in patients with primary infertility and 2-10
years in patients with secondary infertility,maximum cases between 2-4 years.. Nonspecific
enlargement of uterus on one case, 3 with fibroid, 3 with endometrial calcification, one with
infantile uterus and one bicornuate uterus. Ovaries were normal in 37 cases, abnormal in 9
cases, not visualized in 3 cases on left and 1 on right side. Left ovary enlarged in one case.
Ovarian cyst in 3 cases, T.O masses in 5 cases and PCOD in one case. Fluid in POD in 4
cases.Conclusion: It is concluded that ultrasound is very helpful in assessment of uterus and
adnexal pathologies. USG is non-invasive, cheap, acceptable, easily available modality. It can
diagnose structural abnormality and helps in making diagnosis of etiologic factor in patients
of infertility and also in management and follow up of patients of infertility.

Comparative analysis of clinical, radiological and operative findings in Acute Abdomen Cases

Dr.Sumitoj Singh, Dr. Ashok Kumar, Dr.Nandu unnikrishnan, Dr.Narinder Pal Singh, Dr Vandana Sidhu

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 3393-3401

AIM: The present study was carried out as an attempt to correlate and emphasize the
salient approaches to the diagnosis and treatment of the various acute abdominal
conditions.
Material and methods: This study was a prospective observational study consisted of 50
patients with non‑traumatic acute abdomen presenting to the ED that were clinically
diagnosed acute abdomen. Detailed history was taken followed by clinical examination
and radiological investigations for all the patients. Comparative analysis of all
investigations and clinical features were made and a provisional diagnosis was derived.
Results: The results showed that mean age of the patient is 38± 13.6 years with M: F ratio
of 1:3.5. Acute cholecystitis was the most common cause of acute abdomen, accounting
for 36% of total cases followed by perforation peritonitis (24%) which included peptic
perforation and intestinal perforation. The accuracies was recorded for clinical features,
ultrasonography andXray for acute abdomen cases.
Conclusion: We concluded that Plain X rays and ultrasonography can be used for
diagnosing acute abdominal emergencies; they are the cheaper, non-invasive, quick,
reliable and highly accurate modality in diagnosing the exact cause of pain and its origin
in a patient presenting with an acute abdomen and thus helps the physician or surgeon to
plan the timely management

EvaluationHigh-Resolution Sonography and Colour Doppler in assessment of Complicated Anterior Abdominal Wall Hernia

Yara Ibrahim Abdel Hamid, Enas Mohamed Khattab, Ahmed Abdel Azim Isamail,Sameh Saber Baioumy

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 4087-4096

Background: There are wide range of pathology affecting the anterior abdominal
wall which range from simple fluid collection to hernias to complex neoplasms.
Anterior abdominal wall hernias are the most common lesion of anterior
abdominal lesions. The aim of the present study was to evaluate high-resolution
sonography and colour Doppler in assessment of complicated anterior abdominal
wall hernia. Patients and methods: This study includes (48) patients were referred
for sonography due to vomiting and abdominal pain of unobvious cause. Patients
were subjected to full clinical examination and high-resolution Ultrasound and
Doppler examination and X-Ray for intestinal obstruction if needed. Results: Mean
defect size of hernia associated with bowel ischemia was 1.3±0.85 cm while the
bowel wall thickness mean was 4.1 ±0.3 mm, in contrary, the mean defect size of
hernia with non-ischemic bowel was 2.9 ±0.65 cm and the bowel wall thickness
mean was 2.2 ±0.89 mm. Among the studied group, Reduction of viable loops and
herniorrhaphy were done in 45.8 % of patients, Reduction of viable loops and
hernioplasty in 22.9% of cases, while resection and primary anastomosis were done
in (14.6) of cases. The ultrasound finding comparing with the operative data
revealed that ultrasound had 100% sensitivity, while accuracy in diagnosis of
peristalsis, bowel irreducibility, bowel thickness was ranged from 93.4% to 98.8%.
Also Doppler accuracy was 100% Conclusion:High-resolution ultrasonography
(US) is non-invasive, safe and effective and simple diagnostic tool for detecting the
presence of abdominal wall hernias and accurately detecting the contentand the
possible associated complications.

PREVALENCE OF ASYMPTOMATIC ROTATOR CUFF TEARS IN INDIVIDUALS WITH CONTRA LATERAL SYMPTOMATIC ROTATOR CUFF TEAR DIAGNOSED BY ULTRASONOGRAPHY IN A HOSPITAL. ORIGINAL RESEARCH ARTICLE

Dr. Ashish. S. Babhulkar, Dr. Dhananjay. D. Deshmukh, Dr. Ajinkya. N. Deshpande

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 4792-4801

Shoulder disorders are the most common complaint in general population and have an unfavorable outcome in many patients. Shoulder pain is the third most common cause of musculoskeletal consultation in primary care. Degenerative rotator cuff tear is the characteristic cause of shoulder pain and most often involves the supraspinatus tendon (SSP tendon). These tears can cause the significant impact on patient’s life, marking the functional impairment of shoulder joints. Plain radiography, ultrasonography, MRI, are the imaging modalities used for the assessment of rotator cuff-related pathologies. Ultrasonography of shoulder is accepted as the investigation of choice for rotator cuff abnormality mainly because it is non-invasive, cost effective, time consuming and well tolerated imaging modality that uses high frequency transducers to diagnose rotator cuff tears.This research deals with the study of prevalence of asymptomatic rotator cuff tears and their correlation with respect to age, sex, hand dominance and diabetes mellitus.