Biomedical subjects

J J Schruefer

Publications and source records attributed to J J Schruefer.

9 recordsLinked to original sources

PubMed1995

The nonsurgical diagnosis of adenomyosis.

OBJECTIVE: To survey the nonsurgical diagnostic techniques for distinguishing adenomyosis, and to determine whether one technique offers diagnostic advantages. DATA SOURCES: We conducted a thorough search of the MEDLINE data base and identified English-language papers on adenomyosis published during the last 28 years. Reference lists of retrieved articles were also examined for additional source documents. METHODS OF STUDY SELECTION: We reviewed 238 articles. Papers on nonsurgical diagnostic techniques published in peer-reviewed journals were selected for inclusion. DATA EXTRACTION AND SYNTHESIS: We determined nonsurgical diagnostic techniques for distinguishing adenomyosis to be hysterosalpingography, abdominal ultrasound, transvaginal sonography, and magnetic resonance imaging (MRI). Studies were divided into these four categories, reviewed, and summarized accordingly. Recent reports suggest that noninvasive modalities, eg, transvaginal sonography and MRI, have, made possible the nonsurgical diagnosis of adenomyosis. CONCLUSION: Because of its widespread availability and patient tolerance, transvaginal sonography remains the primary screening modality for imaging the female pelvis. However, for cases in which sonography cannot detect adenomyosis, MRI provides a viable alternative and should be the definitive diagnostic modality of choice.

Abdomen↗

PubMed1994

Adenomyosis: prospective comparison of MR imaging and transvaginal sonography.

PURPOSE: To prospectively compare conventional spin-echo magnetic resonance (MR) imaging and transvaginal sonography for the diagnosis of adenomyosis. MATERIALS AND METHODS: Twenty women with clinically suspected adenomyosis underwent MR imaging and transvaginal sonography performed within 3 months of each other. Pathologic proof was obtained in all cases. RESULTS: Seventeen patients were proved to have adenomyosis. The correct diagnosis was achieved with MR imaging in 15 of 17 cases. One false-positive and two false-negative diagnoses were made with MR imaging. With transvaginal sonography, nine of 17 cases of adenomyosis were correctly diagnosed. One false-positive and eight false-negative diagnoses occurred. The most frequent cause of false-negative diagnoses with transvaginal sonography was the misinterpretation of adenomyosis as leiomyomas (seven cases). CONCLUSION: MR imaging is significantly better (P < .02) than transvaginal sonography in the diagnosis of adenomyosis.

Adult↗

PubMed1979

Further evidence for the role of prolactin on human fetoplacental osmoregulation.

The addition of ovine prolactin (oPRL) to the fetal side of human term amnion in vitro is associated with a decrease in membrane permeability to tritiated water (THO). As the concentration of oPRL is increased from 2.5 to 20.0 micrograms per milliliter, permeability is progressively impaired. The addition of a specific prolactin receptor antibody completely abolished the effect of oPRL. Also, the addition of Ouabain abolished the effect of oPRL. When an osmolic gradient was created using Dextran-10 on the maternal side of the amnion, the bulk flow of water in control and 3PRL-treated membranes was not significantly different. These findings suggest that PRL acts predominantly on the diffusional flow rather than the bulk flow of water across amnion and that it is a transcellular transport. These studies also represent indirect evidence for the existence of prolactin receptor sites at the level of the amnion.

Amnion↗

PubMed1975

Non-ionic diffusion of pentobarbital across human chorion laeve.

Diffusion of the weak organic acid, pentobarbital, across human chorion laeve in vitro shows an inverse correlation with pH, when corrected for extracellular space permeation by the concurrent measurement of membrane permeability to the lipid insoluble molecule, p-aminohippurate. The temperature dependence of pentobarbital diffusion at different pHs supports the concept that the additional net flux of solute at lower pH occurs by transcellular permeation by the non-ionized moiety, the observed increase corresponding roughly to the dissociation curve for pentobarbital.

Biological Transport↗

PubMed1973