Ultrasound Obstetric Color Doppler has become a routine for any high risk pregnancy nowadays. But in experience it has not been found to correlate well with fetal outcome. This article is a subjective opinion of the author regarding the same based on his vast experience in day to day obstetrics practice.
Introduction: Every newborn has the right to be born undamaged mentally and physically. The fulfillment of this goal plays a pivotal role in materno-fetal medicine, whose sole objective is that every pregnancy should culminate into a healthy baby and a healthy mother. Aims and Objectives to evaluate the role of colour doppler in assessment of intrauterine fetal growth to assess in intrauterine growth retardation 1. uteroplacental circulation which are maternal uterine arteries fetal circulation which includes middle cerebral arteries to evaluate the diagnostic accuracy of uterine artery and middle cerebral artery doppler indices as predictors of perinatal outcome in clinically suspected IUGR pregnancies to determine the role in its managementMaterial and Method: This study was approved by the Ethical Committee of our institution. Data for the study was collected from patients attending the department of Radiodiagnosis, referred by Department of Obstetric and Gynecology at our college Summary & Conclusion:The umbilical-placental and cerebral vascular beds are directly involved in the haemodynamic adjustments of fetal growth restriction. A Doppler index that reflects both of these areas can be useful for identifying fetuses with increased placental and/or decreased cerebral resistance.Assessment of both the uteroplacental circulation and the fetoplacental circulations together is more sensitive to predict to perinatal outcome, than assessment of each alone.In suspected IUGR, uterine artery PI proved to be a better predicter in early weeks of pregnancy than uterine artery RI and diastolic notch and umbilical artery and middle cerebral artery .Best results are obtained when we use MCA PI, which is more sensitive in detecting IUGR in later weeks of geatation from 31-36 weeks rather than umbilical artery and uterine artery And the diagnostic accuracy of the middle cerebral artery is maximum between 31-36 weeks.
Introduction: The diagnosis of the scrotal pathologies primarily rests upon clinical history and careful physical examination. Aims And Objectives: Looking at the immense importance of high resolution ultrasonography and color duplex sonography as a non invasive imaging modality, the availability of good doppler equipment in the institute and high incidence of scrotal pathologies, we decided in favour of usefulness of this study as first line non invasive investigation. The study was carried out with following aims and objectives. To determine the imaging characteristics of scrotal lesions. To study the spectrum of sonological findings of various scrotal swellings. To determine the efficacy of Gray scale sonography in diagnosis of scrotal lesions. To classify scrotal lesions into testicular and extra-testicular. Material and Methods: The present study was done in the department of Radiodiagnosis, g.r. Medical college and j.a. Group of hospitals, gwalior (m.p.) In usg machine ssd 4000sv (aloka trivitron pvt. Ltd., Tokyo, japan) from august 2015 to Nov. 2016. Summary & Conclusion: this study was undertaken to evaluate the multifold data obtained by high-resolution grey scale sonography, CDFI and PD in the evaluation of scrotal pathology. A total of 68 patients from all age groups with signs and symptoms related to scrotal diseases have been included in this study. The scrotal pathologies were seen to be commonest in young males. The chief complaint was scrotal swelling followed by scrotal pain. All the 68 patients were properly followed up sonographically/ medically/surgically/pathologically as per indication, to arrive at a final diagnosis. There were 96 pathological lesions in total at the final diagnosis, as some of the patients had more than one lesion. Out of these, majority of the lesions were extra testicular in origin (80.2%). The final diagnosis was extra-testicular fluid collection in 28 cases, acute inflammation in 14 cases, chronic inflammation in 6 cases, testicular tumor in 1 case, torsion of testis in 2 cases, testicular and epididymal cysts in 7 cases, varicocele in 8 cases. The rest of the lesions included
Aim: To investigate the characteristics of chest Computed Tomography (CT) images of corona virus pneumonia in India. Materials and methods: Clinical data and CT images of 1000 cases of NCP were collected. Lesions were scored and characterized. The clinical manifestations and laboratory test results of the patients were analysed. Results: The main clinical manifestations were fever, dry cough, and fatigue. A total of 15000 scored lesions were found in the first chest CT images of patients. The lesions were located mainly in the subpleural area of the lungs (90%). Most of the lesions were ground-glass opacity. Pulmonary consolidation accounted for 40% of all of the lesions. Of the 1000 cases, 900 patients (90%) had bilateral lung disease, 100 (1%) patients had unilateral lung disease Conclusion: The chest CT of NCP patients is characterized by bilateral ground-glass lesions located in the subpleural area of the lung, and progressive consolidation with no migratory lesions. Pleural effusions and mediastinal lymphadenopathy are rare. As patients can have a negative early nucleic acid test, chest CT, in combination with epidemiological and laboratory tests, is a useful examination to evaluate the disease and curative effect.
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