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Biomedical subjects

R H Picker

Publications and source records attributed to R H Picker.

35 records · Page 2Linked to original sources
PubMed1980

Parathyroid sonography: a useful aid to preoperative localization.

Parathyroid sonography was used to identify 19 of 23 glands enlarged to over 5 mm in transverse diameter in 22 patients presenting with hyperparathyroidism, both primary and secondary. The false positive and false negative rates were 5 percent and 6 percent, respectively.

Adenoma↗
PubMed1980

Assessment of ovulation by ultrasound and estradiol levels during spontaneous and induced cycles.

Both Graafian follicle growth and subsequent ovulation were studied in 45 menstrual cycles of 28 patients by the estimation of plasma estradiol levels and by the measurement of follicle size and number by ultrasound. Twenty spontaneous ovulatory cycles were studied as controls compared with twenty cycles in which ovulation was induced by clomiphene and five cycles in which ovulation was induced by human pituitary gonadotropin. The means of the peak estradiol levels during the cycles in which one follicle was present were 1553.1 +/- 87.8 pmoles/liter in the spontaneous cycles and 2296.8 +/- 163.4 pmoles/liter in the clomiphene-treated cycles. Ultrasound was shown to be complementary to endocrine profiles because the number and diameter of Graafian follicles could be measured accurately by this technique.

Clomiphene↗
PubMed1980

Twin pregnancy suspected before implantation.

A case is reported in which the diagnosis of twin pregnancy was suspected by the appearance of 2 follicles on ultrasound examination and by high levels of plasma estradiol and progesterone.

Adult↗
PubMed1979

Assessment of ovulation by ultrasound and plasma estradiol determinations.

The timing of ovulation was studied daily during the periovular period in 19 women attending an artificial insemination clinic during 24 menstrual cycles; B-mode ultrasound examination and plasma estradiol (E2) determinations were used. The maximum diameters of the ovarian follicles and the peak plasma E2 determinations all occurred within 2 days prior to and including the day of ovulation, as determined by conventional means, in the 12 normal cycles studied. The average values on the day prior to ovulation (day -1) for maximum follicle size and peak E2 determination were 2.5 cm and 1660 pmole/liter, respectively. Two definite ultrasonic patterns were noted after ovulation: The follicle either disappeared or filled with internal echoes. It is concluded from the preliminary study that ultrasound examination and plasma E2 determinations are equally effective in predicting the time of ovulation.

Estradiol↗
PubMed1978

Preoperative parathyroid identification by ultrasonic scan.

A preliminary report of the use of ultrasonic scans to locate parathyroid tissue before neck exploration is presented. Three patients suffering from hyperparathyroidism had abnormal parathyroid tissue located before surgery. These findings were confirmed at operation. The role of ultrasonic scans of the neck before exploration is discussed.

Aged↗
PubMed1976

A safe method of amniocentesis for lecithin/sphingomyelin determination in late pregnancy using ultrasound.

Two hundred consecutive amniocenteses for lecithin/sphingomyelin (L/S) determination in late pregnancy are reviewed. These procedures were performed under ultrasonic control before induction of labor or elective cesarean section in a prospective study to determine a safe method for aminocentesis. Complications included 3 failures, 14 blood-stained samples, 2 cases of labor occuring within 24 hours after amniocentesis, and 1 maternal abdominal wall hematoma. There was no cases of perinatal morbidity or mortality. It is proposed that this is a safe method of abdominal amniocentesis for L/S determination in late pregnancy.

Amniocentesis↗