Based on an overall analysis, WBN displayed the highest clinical efficacy compared with FNA and imprint, and demonstrated adequate safety for confirming the appropriate diagnosis and management of patients, ensuring the efficacy of the service.
A mastopatia diabética acomete mulheres na pré-menopausa com diabetes mellitus tipo 1 de longa data. Seu diagnóstico é feito associando achados clínicos (espessamento ou nódulo mamário endurecidos, uni ou bilateral), radiológicos (aumento da densidade mamária), ultra-sonográficos (acentuada sombra acústica posterior) e histopatológicos (fibrose e infiltrado linfocítico perivascular e periductal). Pode simular carcinoma. Neste artigo relata-se um caso de paciente com mastopatia diabética.
Objectives:To explore the potential of 3-dimensional trans-vaginal elastography in the evaluation of fibroids. Methods: 10 women with known fibroids attending for trans-vaginal ultrasound were recruited to have 3-dimensional trans-vaginal ultrasound elastography. Stradwin software (http://mi.eng.cam.ac. uk/∼rwp/stradwin/) running on an Ultrasonix Sonix RP was used to acquire the RF data and calculate strain images in real time. This software uses a colour wash to mask areas where the strain data is unreliable due to signal decorrelation. Information about the participant's age, uterine position, B-mode ultrasound result, and other imaging were recorded. The elastograms were analysed with reference to the B-mode image for whether (a) the fibroid could be identified in 3 orthogonal planes (b) the endometrium identified on the elastogram. Results: The average age of the 10 women was 52.4 years and the average uterus size of 72.4 mm (range 60-102 mm). 50% of women had anteverted uteri and 50% retroverted uteri. In all 10 patients good quality elastogram images (with minimal colour wash) were obtained. In 100% of cases the largest fibroid in each uterus could be demonstrated in 3 orthogonal planes on the elastogram. In 60% of participants the endometrium could be identified on the elastogram as a linear area of softness. In one patient a suspected sub-mucosal fibroid seen on the elastogram but not conventional ultrasound was confirmed by subsequent hysteroscopy. Conclusions:Fibroids can be demonstrated with 3-dimensional elastography and their position shown in orthogonal planes. This may help to differentiate sub-mucosal and intra-mural fibroids when conventional ultrasound is inconclusive. P33.02Interobserver agreement on reporting breast density using extended view ultrasound imaging (XTD-view)Fetal Medicine, GEMINA, Londrina, Brazil Objectives: To evaluate the level of interobserver agreement on reporting breast density using extended view ultrasound imaging (XTD-view). Methods: A single examiner performed 100 consecutive breast. Ultrasounds, including the extended view (XTD-view) scan, with a 10.0-14.0 MHz linear transducer (GE-Voluson E8). Images of bilateral breast external superior quadrant and lesions, when detected, where recorded. Three interobservers were asked to report the breast density (homogeneous fibroglandular, homogeneous adipose or heterogeneous), based on 2D and extended view ultrasound imaging (XTD-view). Mammography, when carried out, was consulted. Results: Statistical analysis in process. Conclusions: The ability on reporting breast density and other findings based on extended view ultrasound imaging (XTD-view), still in process of conclusion.Supporting information can be found in the online version of this abstract. Patients have been allocated into two groups based on histological diagnosis. Group A: Ca endometrium (n = 31, 7 pre and 24 post) and group B: Ca ovaries (n = 40, 13 pre and 27 post). Ultrasound data were compared to CT results and histological reports. Results: In group A we ob...
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