[Re: Activities of radiologists in teaching hospitals, J Radiol. 2003 Apr;84(4 Pt 1):387-91].
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to A Eisenscher.
Explore the source record for details and available documents.
The authors report the progressive disappearing of the sonographical image of a previously visualized kidney in a case of emphysematous pyelonephritis. They have called the sonographic vanishing kidney "the sign of the Deaf Kidney". The non-visualisation of a kidney with advanced emphysematous pyelonephritis is due to the infiltration of the perirenal environment by a gas envelope and the filling of the excretory cavities by gas. The perirenal gas-bag forms a shield against ultrasonic waves. The sonographer must be aware of the eventuality of not being able to individualize a renal structure when wrapped in gas. He must then ask for a zonography of the renal area in order to confirm the gas-containing collection in the kidney.
Explore the source record for details and available documents.
The authors report a case of false aneurysm of the superior mesenteric artery, complicating acute pancreatitis. They insist on the sonographic signs of "the cyst within a cyst"; the presence of a cystic lesion located within a larger mass an US Scanning is highly suggestive of a false aneurysm included in a pseudocyst. They demonstrate the correlation between US Scanning, CT Scan and arteriogram.
For the abdominal and pelvic CT Scan, the authors propose the filling of the bladder, the duodenal loop, the stomach and the rectum with a lipidic emulsion. The negative density of this emulsion allows a better visualization of the pancreas, the gastric wall and the bladder wall as well as the extension of pelvic and bowel tumors.
Explore the source record for details and available documents.
The authors describe an original application of real time transducers--initially intended for intracavitary sonography--in thoraco-abdominal scanning. The stic-form probe can be easily slipped under the patient. It is then possible to realize a scan with an upward beam. In the postero-anterior scan, the patient is placed in a supine position. He is motionless. We achieve a better visualization of the liquid collections, since their accumulation is declivious. The method allows a wider sonographic window for thoraco-abdominal and diaphragmatic investigation in sonography.
Some patients, even subjects with normal weight, have a fatty tissue pad located behind the xyphoid appendix between the peritoneum, the liver and the abdominal wall muscles. The wall fatty pad is encapsulated. It is sonographically transsonic, but with high-level internal echoes, and may deform the anterior face of the liver. It can be from 8 to 13 cm wide, 5 to 10 cm high and 3 to 5 cm thick. This fatty structure may be mistaken for a parietal abscess or haematoma. The sonographical exploration of the abdominal wall with short-focussed high-frequency transducers and the knowledge of this normal variance of human anatomy should avoid such pitfalls.
The transabdominal suprapubic study of the seminal vesicles was realised in 162 cases. Their relationship with the posterior bladder wall was examined. The normal distance between distal extremity of seminal vesicles-bladder wall measures 5 mm, and the distance between proximal extremity of seminal vesicles-bladder wall measures 7 mm. In case of benign hypertrophy, the seminal vesicles are pressed back and distance proximal extremity of seminal vesicles-bladder wall gets greater than 15 mm. In malignant hypertrophy of the posterior prostatic lobe, the position of the seminal vesicles does not change although the prostate has an increased volume.
The echographic rhythmic palpation (echosismography) is a new method which completes classical sonography. It studies the elastic behaviour of the tissues after their mechanical excitation which are analysed in the T.M. mode. When displayed in classical sonographic technique the lesion is located with calipers. Calipers allow the recognizing of the tumor level at any moment in time motion mode. Vibrations are then applied on the skin as near as possible to the lesion. A regular frequency of 1,5 impulsion per second at a constant pressure of 500 gr on 4 cm2 is used. The response of resonating tissues to vibratory excitation is recorded and characterized by the amplitude of the oscillations (sinusoïdal shape). Benign tumors always gave sinusoïdal type oscillations. Most of this kind of tumors were semi-liquid or solid. Malignant tumors gave typical flat curves in 84% cases. Some malignant tumors (16%) gave benign type sinusoïdal oscillations. They had a small size, less then 2 cm diameter. Some of them where to superficial so they had easily induced oscillations over the excitation level. Echosismography enables to improve the diagnosis when compared with classical sonography in about 20% of cases.
Explore the source record for details and available documents.
A new intragalactophoric biopsy fitting is described, which consists of a modified dilator serving as curette and a needle-curette for aspiration. The new fitting has been used successfully and without complications in 26 cases. It has the advantage of providing larger specimens for cytological examination of ductal tumours of the breast.
Proposal for preparing bubbly barium for double contrast gastric and duodenal examination. When releasing the carbone dioxide, this technique enables these organes to be inflated after induction of pharmacodynamic hypotonia.
Concerning two cases of ascariasis and one case of distomiasis in the biliary ducts the authors describe the sonographic patterns leading to the ultrasonic diagnosis of those biliary parasites.--The "strip sign" characterizing ascaridiasis.--The "olympic ring gallbladder".
Ultrasonic visualization of normal and pathological Wirsung's ducts has become quite common, especially with the newest gray scale units. Ductal images were studied in 17 cases of quiescent chronic pancreatitis. Duct dilatation could be identified in the majority
Explore the source record for details and available documents.
Study of 135 ultrasonograms shows that it is possible to display the normal pancreas with 82% success. The pancreatic head ranges between 11 and 30/mm/in thickness, the isthmus 4-21 mm in thickness, and the corporeo-caudate area 24-32 mm in thickness. The pancreas may have a sausage, dumb-bell, or tadpole shape. Variance from these outlines and thicknesses should be considered pathological.
Explore the source record for details and available documents.