Biomedical subjects

T A Tukeva

Publications and source records attributed to T A Tukeva.

3 recordsLinked to original sources

PubMed2001

Fetal shoulder measurements by fast and ultrafast MRI techniques.

The purpose of this study was to evaluate magnetic resonance imaging (MRI) of fetal shoulder measurements of fetuses with suspected macrosomia. The actual fetal shoulder measurements made immediately after birth were compared with measurements obtained by fast and ultrafast MRI techniques antepartum. Eight singleton diabetic pregnant mothers underwent MRI examination with fast imaging in steady-state precession (TrueFISP) and spin-echo (SE) and gradient-echo (GE) echo-planar (EPI) sequences to show the fetal shoulder width. The actual shoulder width was measured immediately postpartum by a neonatologist. There was a statistically significant correlation between the MRI measurements and the actual shoulder width (P < 0.001 - P < 0.05) for all sequences. TrueFISP (r = 0.98, P < 0.001) was superior to EPI sequences (r = 0.88, P < 0.01 for SE EPI and r = 0.80, P < 0.05 for GE EPI). The images of all three sequences used were free of major motion artifacts. Fast and ultrafast sequences seem to be reliable for fetal shoulder measurements and the TrueFISP was the most accurate sequence compared to SE and GE echo-planar sequences. J. Magn. Reson. Imaging 2001;13:938-942.

Adult↗

PubMed1999

MR imaging in pelvic inflammatory disease: comparison with laparoscopy and US.

PURPOSE: To assess the value of magnetic resonance (MR) imaging in the diagnosis of pelvic inflammatory disease (PID) and to compare MR imaging with transvaginal ultrasonography (US) and laparoscopy. MATERIALS AND METHODS: Thirty consecutive patients hospitalized because they were clinically suspected of having PID underwent transvaginal US and T1-weighted spin-echo, T2-weighted turbo spin-echo, and inversion-recovery MR imaging at 1.5 T. All patients underwent laparoscopy after MR imaging. RESULTS: PID was laparoscopically proved in 21 (70%) patients. The MR imaging diagnosis agreed with that obtained with laparoscopy in 20 (95%) of the 21 patients with PID. The imaging findings for PID were as follows: fluid-filled tube, pyosalpinx, tubo-ovarian abscess, or polycystic-like ovaries and free pelvic fluid. Findings at transvaginal US agreed with those at laparoscopy in 17 (81%) of the 21 patients with PID. The sensitivity of MR imaging in the diagnosis of PID was 95%, the specificity was 89%, and the overall accuracy was 93%. For transvaginal US, the corresponding values were 81%, 78%, and 80%. CONCLUSION: MR imaging is more accurate than transvaginal US in the diagnosis of PID and provides information about the differential diagnosis of PID. MR imaging may reduce the need for diagnostic laparoscopy.

Adolescent↗

PubMed1997

Low-field MRI pelvimetry.

The purpose of this study was to evaluate the usefulness of low-field MRI pelvimetry and to correlate the results with X-ray pelvimetry. A total of 19 women underwent low-field MRI pelvimetry. Mediosagittal and transverse planes were used to measure the diameters of the minor pelvic cavity. Correlations between MRI and X-ray pelvimetry were 0.96 for the sagittal inlet, 0.94 for the sagittal outlet, 0.93 for the transverse diameter (diameter transversa, DT) and 0.94 for the bispinous distance (interspinous distance, IS). The repeatability of the measurements was good. For fetuses with cephalic presentation it was also possible to determine the biparietal diameter (BPD). Low-field MRI pelvimetry was well accepted by the patients. The scanning time was less than 6 min, which is comparable with the time of X-ray examination with two planes. Magnetic resonance imaging provides a reliable method to image pelvic structures and soft tissue without ionizing radiation.

Adult↗