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Biomedical subjects

H B Meire

Publications and source records attributed to H B Meire.

54 records · Page 3Linked to original sources
PubMed1978

Place of ultrasound and radiography in obstetrics.

In the two years after an ultrasound service was introduced at this hospital obstetric referrals for abdominal radiography decreased by over 55%. Most of these were for estimation of fetal maturity. Out of 349 such patients subjected to radiography in 1976, 176 had already been examined by ultrasound; in only four did radiography appear to influence management. We believe that if a satisfactory ultrasound scan is obtained before 30 weeks of gestation subsequent radiological estimation of fetal maturity is unjustified. Radiography may still be necessary, however, for diagnosing fetal abnormalities.

Congenital Abnormalities↗
PubMed1978

Distinction of benign from malignant ovarian cysts by ultrasound.

The ultrasonic characteristics of benign and malignant cystic ovarian tumours have been reviewed. The value of each of eight different ultrasonic features has been assessed and the specificity of each for confirmation or exclusion of malignancy is indicated. In combination they permit correct differentiation in 91 percent of cases.

Diagnosis, Differential↗
PubMed1978

Comparative clinical impact of endoscopic pancreatography, grey-scale ultrasonography, and computed tomography (EMI scanning) in pancreatic disease: preliminary report.

Grey-scale ultrasound scanning (US), computed tomography (CT), and endoscopic retrograde cholangiopancreatography (ERCP) were performed in a series of 50 patients with known or suspected pancreatic disease. The impact of the individual tests were assessed in the relevant clinical context. With a maximum of 100, the overall clinical impact score of ERCP (75) exceeded that of CT(63) and US (36). In patients with obscure pain, and in those with relapsing pancreatitis, a combination of US and ERCP provides good clinical guidance. Computed tomography scanning can currently be reserved for documentation of patients with a major mass lesion. None of the techniques can detect early pancreatic cancer, except of the papilla of Vater, where ERCP is diagnostic. Recommendations for future diagnostic strategies may alter as grey-scale ultrasonography and computed tomography develop, and, in any case, depend on many factors including local expertise, availability, and cost.

Adolescent↗
PubMed1978

Preparation of the patient for abdominal ultrasound scanning.

The value of dietary restriction and laxatives both separately and in combination for the reduction of bowel gas has been investigated and compared with unprepared patients. No significant difference was found between the results from prepared and un-prepared patients.

Abdomen↗
PubMed1978

A comparison of grey-scale image recording systems.

There is currently a rapid rise in the variety of image recording systems and recording media available for use with ultrasound and CT scanners. We have evaluated nine different systems and ten recording media and have compared their cost, convenience and performance. The choice of system in a particular department depends upon many factors, especially the number of images recorded and the reasons for recording them. We suggest that a busy department will probably require one of the more expensive automatic devices since these are the most convenient to use and have the lowest cost per image.

Photography↗
PubMed1977

The diagnostic process: a comparison of scanning techniques.

In choosing between various scanning techniques the factors to be considered include availability, cost, the type of equipment, the expertise of the medical and technical staff, and the inherent capabilities of the system. Although it is difficult to state dogmatically which scanning technique is best for each patient and condition, one or other technique is clearly preferable in some areas of medicine. Ultrasound, for example, should be used in obstetrics, while computerized tomography has revolutionised neuroradiological diagnosis. Nevertheless, there is still no substitute for good history taking and a thorough physical examination. The most important factor determining the choice of technique is the system's ability to answer the specific question required for the management of the patient.

Data Display↗
PubMed1977

Comparison of ultrasound and computer-assisted tomography in pancreatic diagnosis.

In a series of patients suspected of having pancreatic disease both ultrasound and computerized tomography (CT) were performed. The diagnosis has been confirmed in 50 patients. Computerized tomography visualized the pancreas in all 50 (100%) whereas ultrasound was successful in 40 patients (80%). The ultrasound failures were due to bowel gas anterior to the pancreas. The overall diagnostic accuracy was 84% for computerized tomography and 64% for ultrasound; however, in those cases where ultrasound successfully detected the pancreas the diagnostic accuracy was 80%.

Carcinoma↗
PubMed1975

Common artifacts in ultrasound scanning.

Numerous artifacts can occur during contact B scanning of the abdomen. These artifacts may give anatomically inaccurate scans and thus lead the interpreter into making an inaccurate diagnosis. This paper describes and illustrates artifacts resulting from improper scanning techniques, improperly set gain levels, motion related organ distortion, and acoustic reverberations.

Abdomen↗
PubMed1975

Ultrasound recording of fetal breathing.

Apparatus for recording fetal chest wall movements is described. Special reference is made to technical considerations which can improve the quality of records obtained. Fetal breathing was observed in 44 out of 45 recordings. Maternal respiration and pulse could give rise to potentially confusing signals which were identified by recording these parameters on a separate channel.

Female↗
PubMedDate not supplied

Measurements of hindlimb blood flow recorded using Doppler ultrasound during administration of vasoactive agents in halothane-anesthetized horses.

The purpose of the study was to determine the ability of Doppler ultrasound to detect changes in femoral blood flow during pharmacologic manipulation of arterial blood pressure. Doppler ultrasonography was performed in the femoral vessels of six halothane-anesthetized horses before and during administration of phenylephrine HCI and sodium nitroprusside. The time-averaged mean velocity and volumetric flow were calculated. The contour of the velocity waveform was assessed, and the early diastolic deceleration slope (EDDS) and pulsatility index (PI) were calculated. Administration of phenylephrine HCI resulted in increased mean aortic blood pressure (MABP) by 40% (29.3-53.0%). This caused significant decrease in cardiac output (26.8 to 13.5 l/min), femoral arterial velocity (left artery 7.20 to 4.00 cm/s; right artery 5.01 to 3.39 cm/s) and volumetric flow (left artery 556 to 221 ml/min; right artery 397 to 193 ml/min) in the femoral vessels and significant increase in systemic vascular resistance (163 to 433 dyn-s/cm5), EDDS (1a: 285 to 468: ra: 250 to 481) and PI (1a: 9.38 to 20.4; ra 17.1 to 29.1). Administration of sodium nitroprusside resulted in a decreased MABP of 27.2% (22.5-33%). This increased cardiac output (20.8 to 32.4 L/min), however, no significant changes were observed in femoral blood flow. Despite obvious changes in the waveform contour, no significant change occurred in EDDS or PI. These results suggest that Doppler ultrasound may be useful for measuring femoral blood flow in anesthetized horses. However, waveform analysis appears to be limited when multiple changes occur in central and peripheral haemodynamics.

Anesthetics, Inhalation↗