Our study showed that treatment with (177)Lu-DOTATATE should be considered in the management of NETs, considering the limited success of alternative treatment modalities. Treatment response and PFS is determined primarily by the dose delivered and best results are obtained when more than two cycles of (177)Lu-DOTATATE are given, with careful monitoring for possible side effects.

Objectives Evaluate the time taken to visualize the internal jugular vein and carotid arteries, and subjective image quality assessed on a 0–100 visual analogic scale, on an ultrasound model using either traditional ultrasound gel or normal saline. Methods Twenty‐two anesthesiology residents and twenty anesthesiology faculty were blinded and randomized into four separate groups using gel and saline as a conduction medium, in different sequences. Results Subjective image quality was 12.2 ± 4.2 better with gel than with saline (P < 0.01). Image acquisition time did not differ significantly between the two mediums. There was no significant difference in subjective image quality or time to image acquisition between faculty and residents. Conclusions Internal jugular vein and carotid artery identification time using ultrasonography were similar between gel and saline as conduction mediums. The difference in subjective image quality did not appear clinically relevant. Better image quality resulted in less time taken to identify the structures, as expected. We conclude that saline may be an effective alternative medium to gel for vessel imaging and access guidance. Further study in a clinical setting is warranted.

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Ultrasonographic evaluation of liver and spleen was carried out in cattle suffering from bovine benign theileriosis. Diagnosis revealed bovine benign theileriosis (BBT) caused by Theileria orientalis and the conformation was done by Polymerase chain reaction. The ultrasonographic examination of the liver revealed increased echogenicity, which denotes diffuse hepatic changes, when correlated with the serum biochemistry showed a significant (P<0.05) reduction in mean serum albumin and an alteration in albumin-globulin ratio. The mean serum total protein and mean globulin was significantly (P<0.01) increased in theileriosis affected cattle compared to that of control group. The mean creatinine, aspartate aminotransferase (AST) and alanine aminotransferase (ALT) had no significant difference in theileriosis cattle. The ultrasonography of splenic echogenicity was normal and within the parenchyma numerous tiny regularly spaced echoes and the blood vessels were imaged as anechoic round, oval or elongated images.

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