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Causerie scientifique
Gallotti A. Causerie scientifique. In: La revue pédagogique, tome 63, Juillet-Décembre 1913. pp. 150-169
Causerie scientifique
Gallotti A. Causerie scientifique. In: La revue pédagogique, tome 63, Juillet-Décembre 1913. pp. 150-169
Imaging techniques in pancreatic tumors.
Conventional ultrasonography represents the first diagnostic imaging modality for the study of pancreatic tumors. Contrast-enhanced ultrasound has significantly improved the accuracy of first-line examination and may influence the choice of second-line investigations: multidetector computed tomography is considered the gold standard for studying pancreatic solid lesions and tumor staging, while MRI with magnetic resonance cholangiopancreatography allows better study of pancreatic cystic lesions and the ductal system. To definitely diagnose a pancreatic lesion, image-guided fine-needle-aspiration or biopsy are very often required. PET with 18-fluorodeoxyglucose, endoscopic ultrasound and intraoperative ultrasonography remain techniques often employed in the third line. This article reviews the imaging techniques generally used for diagnosing the main pancreatic tumors, and a work-up algorithm is finally proposed
Acoustic Radiation Force Impulse (ARFI) technique in ultrasound with Virtual Touch tissue quantification of the upper abdomen
PURPOSE: Virtual Touch tissue quantification is an implementation of ultrasound (US) Acoustic Radiation Force Impulse (ARFI) imaging that provides numerical measurements (wave-velocity values) of tissue stiffness. The aim of this study was to define the normal values of shear-wave speed for the healthy liver, gallbladder, pancreas, spleen and kidneys. MATERIALS AND METHODS: Thirty-five young healthy volunteers underwent Virtual Touch tissue quantification after having signed an informed consent form. All upper abdominal organs were examined by two independent operators. A phantom fluid model was also evaluated. All mean wave-velocity values were analysed and compared. RESULTS: One hundred and forty measurements of liver, pancreas, spleen and kidneys, and 70 measurements of the gallbladder lumen were performed. Twenty measurements on the phantom were also performed. Comparing all measurements separately made by each operator in different parts of the organs, no statistically significant differences were observed. A "XXXX/0" value was always obtained from all measurements performed on the gallbladder lumen and on the phantom fluid model. Liver, pancreas, spleen and kidney mean values were 1.59 m/s, 1.40 m/s, 2.44 m/s and 2.24 m/s, respectively. CONCLUSIONS: Virtual Touch tissue quantification is a new, promising implementation of the US ARFI technique, which provides numerical measurements of tissue stiffness. The mean shear-wave speed is lower in the pancreatic parenchyma than in the liver and kidney, whereas the spleen is characterised by the highest mean value. In simple fluids such as water, the value identified by the system with "XXXX" or 0, is always measure
Going Beyond Counting First Authors in Author Co-citation Analysis
The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Contrast-enhanced ultrasound of the pancreas
The introduction of contrast-enhanced ultrasonography (CEUS) has led to major improvements in the diagnostic capabilities of ultrasound (US). The innovative use of CEUS for study of the pancreas has created the need for a definition of the most frequent dynamic features of solid and cystic masses. CEUS is less expensive compared to computed tomography and magnetic resonance imaging and is able to significantly improve the accuracy of US, allowing better characterization and staging of pancreatic pathologie
Solid appearance of pancreatic serous cystadenoma diagnosed as cystic at ultrasound acoustic radiation force impulse imaging
CONTEXT: Acoustic radiation force impulse imaging is an emerging imaging modality. The study of the pancreas is a new and promising application of ultrasound acoustic radiation force impulse imaging. CASE REPORT: We present the first case of pancreatic serous cystadenoma which mimics a solid neoplasm at conventional imaging (US and CT), correctly diagnosed as cystic at ultrasound acoustic radiation force impulse imaging. CONCLUSION: The "XXXX" values always measured at Virtual Touch tissue quantification allow the diagnosis of a pancreatic cystic lesion with simple fluid content suggesting the diagnosis of serous cystadenoma
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