Use of Povidone-Iodine Solution (Betadine®) as Medium in Ultrasound-Guided Fine-Needle Aspiration: Artifact-Free and Economic Alternative

Paksoy, Nadir; Yazal, Kadri

doi:10.1159/000339662

Cited by 2 publications

(5 citation statements)

References 4 publications

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“…33 Betadine was also found to not cause cytologic artifacts. 34 None of the previous reports evaluated as many agents evaluated for image quality as in this study, and none evaluated common household products.…”

Section: Discussionmentioning

confidence: 87%

“…Isolated previous case reports or small series have high lighted the ability of various alternative coupling agents to provide image quality or physical transmissibility equivalent to CUG. 1,28–36 These agents have included normal saline, 28,30,31,36 water, 29,33 mineral oil, 1,33 petrolatum, 33 5% dextrose in water, 32 povidone-iodine (Betadine, Purdue Products LP), 34 olive oil, 35 and various medication creams or gels. 1 Some reports covered the probe.…”

Section: Discussionmentioning

confidence: 99%

“…1 Some reports covered the probe. 28,34 Sterile saline has been used not only on the skin surface but also within body cavities during intraoperative direct sonography. 28 Water is an excellent couplant, equal to CUG, 33 and can be used not only direct between transducer and skin but within a water-bath for imaging painful wounds.…”

Section: Discussionmentioning

confidence: 99%

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Allergy and Other Risks of Ultrasound Gel: Recognition and Alternative Coupling Agents

Mueller¹,

Theoharis²

2013

Journal for Vascular Ultrasound

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We recently encountered a patient who required urgent leg venous ultrasound. The patient warned us of a previous severe allergic reaction to ultrasound gel, an uncommon problem without a defined prevalence (according to our searches for literature on PubMed, Google Scholar, and uptodate.com). The reaction was so severe that he permitted ultrasound only if an alternative agent could be used. We recalled both that allergy to gel is possible and that mineral oil could be used as a coupling agent in such cases and purchased a bottle on the spot while the patient waited. The clinical flexibility of switching to an alternative coupling agent turned out to be potentially life-saving because the patient was found to have an extensive deep venous thrombosis of the common femoral, femoral, deep femoral, popliteal, and gastrocnemius veins. This case report details this patient's course; reviews the potential adverse effects of ultrasound gel, proven and theoretical; demonstrates the excellent imaging characteristics of a large number of alternative coupling agents that we tested on our patient as well as another subject; and describes strategies for prevention and management of adverse effects. Although isolated case reports were found by literature search regarding use of alternative ultrasound coupling agents, we have found no review article or study evaluating as many agents as we have.

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

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Allergy and Other Risks of Ultrasound Gel: Recognition and Alternative Coupling Agents

Mueller¹,

Theoharis²

2013

Journal for Vascular Ultrasound

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“…We have observed that this practice enhanced FNA's diagnostic accuracy, lowered the rate of nondiagnostic material, and avoided some pitfalls 5 . We have also noted some interesting cytoradiologic observations during the dual cooperation 6–9 . The person who is most competent for identifying the target lesion, particularly in the head, neck, and breast, is the radiologist.…”

Section: Description Of Our Model Used In a Private‐practice Settingmentioning

confidence: 83%

“…5 We have also noted some interesting cytoradiologic observations during the dual cooperation. [6][7][8][9] The person who is most competent for identifying the target lesion, particularly in the head, neck, and breast, is the radiologist. Pathologists, sonographers, and cytotechnicians who take a US course may not always be as experienced as a radiologist in identifying the target lesion and determining its US characteristics.…”

Section: Description Of Our Model Used In a Private-practice Settingmentioning

confidence: 99%

Organization of a Fine‐Needle Aspiration Clinic With Cytopathologist‐Radiologist Cooperation

Paksoy

Yazal²

2020

J of Ultrasound Medicine

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Use of Povidone-Iodine Solution (Betadine®) as Medium in Ultrasound-Guided Fine-Needle Aspiration: Artifact-Free and Economic Alternative

Cited by 2 publications

References 4 publications

Allergy and Other Risks of Ultrasound Gel: Recognition and Alternative Coupling Agents

Allergy and Other Risks of Ultrasound Gel: Recognition and Alternative Coupling Agents

Organization of a Fine‐Needle Aspiration Clinic With Cytopathologist‐Radiologist Cooperation

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