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Biomedical subjects

K Choji

Publications and source records attributed to K Choji.

At least 19 recordsLinked to original sources
PubMed1997

Demonstration of the distal end of the oesophagus by transabdominal ultrasound.

This study aimed to demonstrate the distal end of the oesophagus using a transabdominal ultrasound technique (TUS) and to measure the normal oesophageal wall thickness in adults. 65 patients without oesophageal disease and 38 normal volunteers were examined by TUS. A left subcostal approach was used to demonstrate the oesophagus. The wall thickness and length were measured in both the supine and 45 degrees right side up oblique (RUO) positions. The abdominal oesophagus was visualized in 80% of patients in the supine position and 92% in the RUO position. Satisfactory demonstration was obtained in 67% of patients in the supine and 85% in the RUO position. The oesophageal wall thickness averaged 2.8 mm (range 2.0-4.0 mm, SD 0.7 mm). The visualized length in these subjects averaged 2.3 cm in the supine position and 3.0 cm in the RUO position, which included approximately 1.5 cm of the lowest portion of the thoracic oesophagus in addition to the abdominal oesophagus. TUS can demonstrate the abdominal oesophagus in the majority of patients and has the potential to provide information on disorders of structure and motility.

Abdomen↗
PubMed1992

Alveolar hydatid disease of the liver: computed tomography and transabdominal ultrasound with histopathological correlation.

The appearances of alveolar hydatid disease of the liver (AHDL) on computed tomography (CT) and ultrasound (US) were retrospectively compared with histopathological appearances in 67 patients with 100 separate lesions. The radiological features were correlated directly with the pathological specimens obtained from each patient. We conclude that the CT appearances are more specific, but that US has a role to play in mass screening in endemic areas, and intraoperatively.

Adolescent↗
PubMed1991

[Ultrasonography as a supplemental technique for the diagnosis of adhesion and invasion of abdominal tumors].

Diagnostic capability of ultrasonography (US) concerning with adhesion and/or invasion of the tumors to the surrounding tissues in the abdominal region including pelvis was evaluated in 54 patients with comparison to that of CT. All the lesions reached the surface of the organ and whether the adhesion or invasion of the lesion to the surrounding organ or tissue was a problem. All the patients underwent US and CT. US was performed not only in the usual real-time manner, but with "supplemental" techniques: respiration, drinking water, rectal infusion and bimanual examination. Accuracy of US reached 72% with one or some of those four US supplemental techniques, while accuracy of CT which yields only stable image was 30% (p less than 0.005 by chi 2 test). US with suitable supplemental techniques should be applied to those cases with suspected adhesion or invasion of the tumor in the abdomen, and when CT is not reliable to judge this problem.

Abdominal Neoplasms↗
PubMed1991

Management and clinical utilization of computed tomography, magnetic resonance imaging, and angiography in Hokkaido University Hospital picture archiving and communication system.

We made a preliminary assessment of the Hokkaido University picture archiving and communication system (HU-PACS). Data access time from either imaging machines or data base to workstations was 1.5 minutes, which is great benefit for data communication in routine examinations. Image quality of the work station was estimated in terms of brain computed tomography (CT) and digitized cerebral angiograms. Cerebral infarction was definitely observed on the cathode-ray tube (CRT) monitor of the work station. Although the picture quality of CRT was acceptable, we had to manipulate window level and width for CRT diagnosis of cerebral angiography. Data compression was routinely used without significant degradation of those image quality. Nevertheless, further improvement of maneuverability of the workstation should be considered.

Angiography, Digital Subtraction↗
PubMed1990

[Cystic papillary carcinoma of the thyroid--sonographic-pathologic correlation].

Ultrasonographic findings of 13 patients with cystic papillary carcinoma (CPC) of the thyroid gland were reviewed retrospectively correlating with pathologic findings. A 4-6 cm oval cystic structure with a 2-3 cm pedunculated projection of mass into the lumen was the characteristic sonographic findings of CPC. However, other sonographic findings of CPC simulated adenoma, nodular goiter or follicular carcinoma. Pathological investigation revealed that malignant cells tended more to be located in intracystic pedunculated mass and/or pericystic region than in the cyst wall. In most of the cases cyst walls were chiefly composed of granulomatous tissue with scattered malignant cells. These findings indicate that the needle biopsy should be done under ultrasonographic guidance to obtain sufficient material for accurate cytologic and/or pathologic diagnosis, thereby reducing the number of false negative cases.

Adult↗
PubMed1990

[Ultrasonography of the extremities: nontumor lesions].

Ultrasonographic imagings of non-tumor disorders in extremities were reviewed and discussed. All cases underwent surgery. In our retrospective evaluation, US was found to be effective in cases of tendon injuries, articular osteochondritis, tenosynovitis and the displacement of chondral navicula in infantile club foot, etc.

Adolescent↗
PubMed1990

[CT in staging gastric cancer].

CT pictures of 26 cases of advanced gastric cancer were reviewed. All the cases of gastric cancer were staged surgically and also histologically. 1) Gastric cancer was enhanced intensely. 2) About the diagnosis of the extension of the tumor, there were many problems to be solved in the future, but the result of final staging was satisfactory. 3) With further advent of technology and methodology in the field of CT, CT will play an important role in staging diagnosis of gastric cancer.

Humans↗
PubMed1989

[Cystic thyroid masses: ultrasonographic and pathologic correlation].

Forty-nine patients with 63 cystic thyroid masses who had undergone preoperative sonography were retrospectively reviewed. 52 lesions (83%) were benign and others (17%) were malignant. Among various sonographic findings of cystic thyroid masses, oval cystic lesions with polyp or dome like solid component projecting into the lumen were all diagnosed adenomatous goiter. Irregular cystic structures with more than 2 cm finger like pedunculated mass extended into and/or out of the lumen were all diagnosed papillary carcinoma. Small oval cysts (less than or equal to 1 cm) with strong echo were all diagnosed colloid goiter. The other sonographic type of cystic thyroid masses had somewhat malignancy (12-30%), not having characteristics which differentiate benign from malignant lesions. Pathologic findings of malignant lesions showed that cancer cells existed rather in pericystic portion than in cyst wall except for finger like solid component projecting into the lumen which was papillary carcinoma itself. Ultrasonically guided needle biopsy should be performed to get samples of above portions.

Adenoma↗
PubMed1989

[CT of pulmonary eosinophilic granuloma].

CT findings of four cases of pulmonary eosinophilic Granuloma were discussed. In three cases, multiple nodular shadows or multiple cavitary lesions were observed in upper and middle lung field predominant. However, in one patient who had history of recurrent pneumothorax, CT revealed a honeycomb appearance and some bullous change as well. These findings seemed to represent a far advanced state of the disease. X-ray CT is excellent in demonstrating such pathological changes, and is indispensable in the diagnosis and follow up study of pulmonary eosinophilic granuloma.

Adult↗
PubMed1988

[An analysis of needle biopsy under ultrasonography of the thyroid gland].

A multivariate analysis of 47 thyroid nodules and 34 diffuse goiters has been employed to determine the cause of failure in thyroid biopsy under ultrasonography. In the thyroid nodule cases, 30 percent were found to have been misdiagnosed or judged to be an inappropriate sampling. The most important factor leading to failure is a size of tumor. Only one fourth of the small tumors of less than 1 cm were correctly diagnosed and, in cases of a relatively large cystic tumor or a peripherally located nodule, an exact diagnosis was difficult, though 90 percent of the diffuse goiters were difficult, though 90 percent of the diffuse goiters were correctly diagnosed by this method. This result indicates that needle biopsy of the thyroid gland is reliable in cases of a diffuse goiter but problems remain to be resolved in cases of small or cystic tumors and peripherally located nodules.

Adolescent↗