Online ISSN: 2515-8260

Keywords : Ultrasonography


A Randomized Control Study of Comparison of Standard Care versusUltrasonography Guided Single Dose of MethylprednisoloneAcetate Injection for Planar Fasciopathy

Keshav Dev, Amar Singh Meena, Mahesh Meena, Mrinal Joshi

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 1344-1354

Objectives:Plantar fasciitis is a painful condition but can be self-limiting condition.
Among the different treatment which exit, physiotherapy and corticosteroid injection
are effective and popular. In this study, the author evaluated the efficacy of standard
care versus ultrasonography guided single dose of methylprednisolone acetate injection
for planar fasciopathy.
Design:This randomized clinical trial conducted in Physical Medicine & Rehabilitation
department of S M S medical college.
Method:Patients were allocated to standard care physiotherapy group (n=35) and
ultrasonography guided steroid injection group (n=35) equally. Pain and functional
ability on a visual analog scale (VAS), plantar fascia thickness and Foot Ankle
Disability Index (FADI) were evaluated at baseline and at 6 weeks after treatment.
Results:The mean age was not different between both groups (40.60±10.64 years versus
41.43±9.66 years, p=0.734). There was a reduction in VAS from baseline to weeks 6
(after treatment) (65.315±7.182 vs 32.57±4.235, respectively) (P<0.001). PF thickness at
6 weeks significantly reduced to 3.895±0.18 compared to baseline (P<0.001).FADI had a
considerable improved at week 6 (76.675±2.131) compared to baseline (62.915±1.823)
(P<0.001).
Conclusion:Both interventions caused improvement in pain and functional ability 2
months after treatment. Although inter difference were not significant.

Ultrasonography for the evaluation of hyperechoic breast lesions: a clinical and radiologic investigation

Dr Nirali Dhruv Patel, Dr Gurudatt Thakkar, Dr Manish R Shah

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 2972-2978

Aim: Ultrasonography for the evaluation of hyperechoic breast lesions.
Material and methods: The retrospective clinical study was conducted, after ethical
permission from the institution. An ultrasonographically guided core needle biopsy was
performed on 980 of 1000 subjects, with 51 percent (n=510) of lesions being benign, 41
percent (n=410) being malignant, and 8 percent (n=80) being high risk. A single
radiologist with expertise in the field performed the ultrasonographically guided core
needle biopsy, ultrasonographic imaging, and associated interpretation. Two orthogonal
views were captured for documentation. Clinical and mammography parameters and
clinical aspects, as well as additional radiologic imaging reports, were evaluated for all
research individuals.

Usefulness of high resolution ultrasonography and color doppler in diagnosis and differentiating of scrotal diseases

Dr. Alok Dwivedi, Dr Yogesh Kumar Yadav

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 1408-1412

Background: Acute scrotum is defined as acute pain with or without scrotal swelling,
may be accompanied by local signs or general symptoms. The present study was
conducted to assess usefulness of high resolution ultrasonography and color doppler in
diagnosis and differentiating of scrotal diseases.
Materials & Methods: 87 patients of scrotal diseases was included. A thorough
examination was performed and symptoms and clinical diagnosis was made. All the
patients underwent scrotal ultrasonography using 7.0- 12.0 MHZ high frequency linear
array transducer coupled with colour doppler in Esaote My Lab 40 and Phillips affinti
70G equipment. The ultrasound findings were recorded.
Results: Age group 20-30 years had 47, 31-40 years had 25 and 41-50 years had 15
patients. The difference was significant (P< 0.05). Common diagnosis was hydrocele in
25, epididymal cyst in 20, pyocele in 11, funiculitis in 4, epididymitis in 5, testicular
abscess in 8, varicocele in 8 and testicular tumour in 6 cases. The difference was
significant (P< 0.05). Left side was involved in 32, right side in 28 and both sides in 27
cases. The difference was significant (P< 0.05).
Conclusion: High frequency ultrasonography with color doppler is an efficient
diagnostic imaging modality in the evaluation of scrotal diseases.

Assessment of quantitative spectral Doppler parameters; resistivity index (RI) and acceleration time (AT) together to show their reliability for differential diagnosis of parenchymal thyroid diseases

Dr. Aditya Kaul, Dr. Monika Sharma, Dr. Sidhant Lochav, Dr. Govind Khatri, Dr. Bhawna Sandhir, Dr. Ankitaa Thakral

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 1, Pages 1124-1129

Aim:To assess some quantitative spectral Doppler parameters, resistivity index (RI) and
acceleration time (AT) together to show their reliability for differential diagnosis of
parenchymal thyroid diseases.
Methods: This study was conducted in the Department of Radiology, Maharishi
Markandeshwar University, Solanfor the period of 1 year. Patientsweredivided into five
groups such as group I (normal); group II had first detected, early untreated Hashimoto
disease(EH);groupIII comprised of chronic Hashimoto patients that are under treatment
and/or follow up (H); group IV had multinodular parenchymal hyperplasia (M) and group V
had nodular hyperplasia with Hashimoto (HM). They underwent spectral Dopplerultrasound
usingPhilipsAfiniti 70 G machine by a linear 5-12 MHz probe. Quantitative spectral Doppler
parameters such as resistivity index (RI) and acceleration time (AT) were recorded.
Results: Out of 200, 62.5% were female and 37.5% male most of the patients between 30-40
years 42.5% and followed by 40-50 years was 30%. The distribution of patients was done
based on diseases. The mean RI in group I was 0.57, in group II was 0.60, in group III was
0.45, in group IV was 0.51 and in group V was 0.53. Mean AT in group I was 25.9, in group
II was 24.8, in group III was 69.5, in group IV was 45.8 and in group V was 44.5.The
difference was significant (P< 0.05).
Conclusion: The resistivity index and acceleration time together are reliable for differential
diagnosis of parenchymal thyroid diseases.

INTRICATE ASSESSMENT OF EFFECTIVENESS OF MRI & USG PROCEDURES FOR VARIOUS PATHOLOGIES RELATED TO FEMALE PELVIC: AN ORIGINAL RESEARCH STUDY

Dr. Sunny Goyal, Dr. Prachi Jain, Dr. Dalip Singh Dhiman, Dr. Rajender Punia, Dr. Deergha Singh, Dr. Fayaz Khan H

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 1, Pages 163-169

Aim: To evaluate efficiencies of magnetic resonance imaging & ultrasonographyprocedures for various pathologies related to female pelvic region.
Materials & Methods: This study was performed on total sixty patients. All patients reported for various clinical issues of pelvic region. Magnetic resonance imaging & ultrasonography procedures were used as diagnostic imaging modality. Scanning outcomes of magnetic resonance imaging & ultrasonography have been categorized as group one and group two respectively. All suggestive findings of both imaging modalities were correlated with clinical diagnosis. Based on these existences of correlations, Results thus obtained was compiled and sent for basic statistical analysis. P value less than 0.05 was considered significant (p< 0.05).   
Results: Among all sixty studied patients, females were 14 in age group of 25-28 years. 13 patients were seen in age range of 33-36 years. P value was reported to be significant for this (0.01). Magnetic resonance imaging confirmed Inborn Anomalies in 3 patients. Uterine Mutilation was confirmed in 16 patients by magnetic resonance imaging. Pathologies related to Adnexa were noted in 28 patients. P value was reported to be significant for this (0.002). Endometrial Malignancies were noted in 2 patients. P value was reported to be significant for this (0.001). Pathologies related to Adnexa were noted in 25 patients by Ultrasonography. P value was reported to be significant for this (0.010).
Conclusion: Magnetic resonance imaging was able to detect and confirm almost all studied pathologies related to female pelvic region. Ultrasonography procedure was unable to detect few of those pathologies. Therefore, magnetic resonance imaging is superior and accurate option for scanning pelvis region.

Prospective and observational ultrasonographic evaluation of fatty liver disease and cardiovascular diseases in type 2 diabetic patients

Dr. Pratibha Gupta, Dr. Anchal Sharma, Dr. Ranchit Narang, Dr. Govind Khatri, Dr. Aastha Makkar, Dr. Sahil Chawla

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 1, Pages 1103-1107

Aim: To evaluate fatty liver disease and cardiovascular diseases in type 2 diabetic patients
using ultrasonography.
Methodology: The prospective and observational study was conducted in the Department of
Radiology, Maharishi Markandeshwar Medical College and Hospital, Kumarhatti, Himachal
Pradesh for the period 9 months. 300 patients diagnosed with type 2 diabetes and ultrasound
abdomen showing fatty changes in liver without any other co-morbidities were included.
Patients were divided in three groups according to the duration of the diagnosis of diabetes.
The distributions of different groups were GROUP A- less than 5 years, GROUP B-in
between 5 to 10 years and GROUP C-more than 10 years. A brief history was taken of the
patient’s complaints and then the patients Random blood sugar and BMI values, as mentioned
in the patient’s case paper were recorded and then ultrasonographic evaluation of the study
subjects was performed by a single radiologist and the following parameters were examined
after obtaining informed consent-Liver echogenicity, Portal Vein Doppler study, Mesenteric
fat pad thickness and Carotid Artery Doppler study. Study method was Interview schedule
questionnaire, OPD records, bedside tickets, physical examination and laboratory
measurements.
Results: Out of the 300 patients, 145 (48.3%) were males, and 155 (51.7%) were females.
Majority (39%) of the patients belonged to 50-60 years of age group followed by 25.7%
patients in the age group of 40-50 years. 18.3% belonged to 60-70 tears of age, 10.7% were
less than 40 years, and 6.3% belonged to more than 70 years of age. Out of the 300 cases, 225
(75%) cases had fatty liver and 75 (25%) cases had non-fatty liver. Out of the included
patients, 33.4% (100) were in group A, 40% (120) were in group B, and 26.6% (80) were in
group C. Out of 300 patients, 70 (23.3%) cases had ischemic changes, but majority of patients
(230, 76.7%) did not have ischemic changes.
Conclusion: Liver ultrasound examination should be considered in every patient with newly
diagnosed type 2 diabetes because the prevalence of NAFLD is extremely high in this group
of patients. It can be said that there was an association between cardiovascular risk factors
and NAFLD in patients with type 2 diabetes mellitus.

An analytical cross-sectional study to evaluate the diagnostic accuracy of ultrasonography in detecting nasal bone fractures compared with CT as the reference standard

Dr. Naresh Tripathi, Dr. Anchal Sharma, Dr. Govind Khatri, Dr. Sahil Chawla, Dr. Aditya Kaul, Dr. Yashaswi Sharma

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 1, Pages 1130-1134

Aim: To evaluate the diagnostic accuracy of ultrasonography in detecting nasal bone
fractures compared with CT as the reference standard.
Methodology: A cross-sectional study was conducted in the Department of Radiology,
Maharshi Medical College & Hospital, Kumarhatti, Dist. Solan, Himachal Pradesh, pin code
173229 for the period of 1 year. The study group consisted of 100 patients with nasal bone
fracture who were investigated by physical examination. These patients were then examined
by conventional radiography and sonography. Physical examination was considered as the
gold standard for the diagnosis of nasal bone fracture. All patients were investigated
radiographically by a lateral and a Waters view X-ray at the beginning. The results were
evaluated by a radiologist. The reports were then recorded as either “positive” or “negative”
according to the existence of nasal bone fracture. Then, patients were examined by
sonography. Soft tissue edema and subperiosteal hematoma was also examined as a possible
predictor to differentiate an acute from a chronic fracture. The negative and positive
likelihood ratios (LR- and LR+), NPV and PPV were calculated and used for determining the
diagnostic accuracy. The LR-of ultrasonography was lower than radiography. The LR+of
sonography for the diagnosis of nasal bone fracture was 65.20 [9.28-390.10] which represents
a large and conclusive increase in the likelihood of the fracture in the presence of positive
findings. Furthermore, LR of sonography was 0.14 [0.10-0.21] which proposed a large to
moderate decrease in the likelihood of the fracture, in the presence of negative findings. LR+
of radiography was 6.20 [2.87-6.27] which showed a small increase of the likelihood of
fracture in positive results and the LR¯ of x-ray was 0.36 [0.21-0.42] which proposed a small
decrease in the likelihood of the fractures when the findings were negative.
Results: In this study, 100 patients who had nasal bone fracture in their physical examination
were investigated by sonography and radiography. Of these patients, 31 were women and 69
were men. The mean age of patients was 24.7 years. 37 (37%) patients were between 20-30
years and 28 (28%) were between 30-40 years, and 5 (5%) patients were < 20 years of age
group, while 7 (7%) were > 50 yearsand 23 patients were between 40-50 years of age group.
The youngest patient included in the study was a 12 year old male child and the oldest
patientwas a male of 60 years of age. Of the 100 patients, 78 had nasal bone fracture
(according to physical examination) and 22 patients were found normal but were investigated
due to legal issues. Out of the 78 clinically proven nasal bone fracture cases, conventional
radiography showed a fracture line in 65 cases.

A cross-sectional prospective assessment of the sonographic morphology of pelvic masses and its correlation with the histopathological diagnosis

Dr. Govind Khatri, Dr. Monika Sharma, Dr. Aditya Kaul, Dr.Ankitaa Thakral, Dr. Pratibha Gupta, Dr. Naresh Tripathi

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 1, Pages 1142-1150

Aim: To evaluate the sonographic morphology of pelvic masses and to correlate with the
histopathological diagnosis of the patients who underwent surgical intervention.
Material and Methods: A cross-sectional prospective study was conducted in the
Department of Radiology Maharishi Markandeswar Medical College and Hospital
Kumarhatti, Solan,Himachal Pradesh for the period of 1 year. Total 100 female patients with
Gynecological masses using high resolution ultrasonography and findings correlated with
histopathology or serial sonographic examination.
Results: Majority of the patients were in the age group of 40-50 years with mean age of 36.3
years. The minimum number was in the age group of below 20 years. The most common
chief complaint of female patients enrolled in our study was pelvic pain 36 (36%) followed
by pain and palpable mass 16(16%).Menstrualirregularity, menorrhagia, post-menopausal
bleeding, infertility, and amenorrhea were the other less common complaints in the female
patients of our study. Out of 100 patients evaluated by ultrasonography 25 (25%) were having
ovarian pathologies and 45(45%) were having uterine pathologies. Eleven patients presented
with localized collection in the fallopian tube pathologies. Few cases there were involvement
8(8%) of vagina. Fibroids were the most common uterine masses.
Conclusion: The USG is most commonly preferred imaging tool to evaluate gynecological
masses. It’s important to differentiate gynecological and non-gynecological masses on
sonography for accurate management of the patient.

EVALUATION OF ROLE OF TRANSABDOMINAL ULTRASOUND IN UTERINE AND ADNEXAL FACTORS IN INFERTILITY

Dr Poonam Ohri, Dr Niveditha Basappa, Dr Kulwinder Kaur, Dr Manasi Kohli, Parushi Kohli, Dr Prabnoor Kaur

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 282-291

Background: The desire to procreate is universal phenomenon. Childlessness is considered
as a curse in many societies and is one of the causes of marital breakups. WHO has defined
infertility as ‘Failure to conceive over 12 months of uninterrupted sexual practice. USG has
become a well-established technique for imaging ovarian and uterine pathologies. Methods:
This is a hospital based cross sectional, observation study,included total of 51 cases. The
patients with chief complaints of infertility presenting to gynaecology OPDs were referred to
the department of Radiodiagnosis,Guru Nanak Dev Hospital, Amritsar and all patients were
subjected to transabdominal ultrasonography using 3.5 MHz sector transducer. Results: Out
of 51 cases studied, 35 were of primary infertility and 16 were of secondary infertility.
Duration of infertility varied from 1.75- 17 years in patients with primary infertility and 2-10
years in patients with secondary infertility,maximum cases between 2-4 years.. Nonspecific
enlargement of uterus on one case, 3 with fibroid, 3 with endometrial calcification, one with
infantile uterus and one bicornuate uterus. Ovaries were normal in 37 cases, abnormal in 9
cases, not visualized in 3 cases on left and 1 on right side. Left ovary enlarged in one case.
Ovarian cyst in 3 cases, T.O masses in 5 cases and PCOD in one case. Fluid in POD in 4
cases.Conclusion: It is concluded that ultrasound is very helpful in assessment of uterus and
adnexal pathologies. USG is non-invasive, cheap, acceptable, easily available modality. It can
diagnose structural abnormality and helps in making diagnosis of etiologic factor in patients
of infertility and also in management and follow up of patients of infertility.

EvaluationHigh-Resolution Sonography and Colour Doppler in assessment of Complicated Anterior Abdominal Wall Hernia

Yara Ibrahim Abdel Hamid, Enas Mohamed Khattab, Ahmed Abdel Azim Isamail,Sameh Saber Baioumy

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 4087-4096

Background: There are wide range of pathology affecting the anterior abdominal
wall which range from simple fluid collection to hernias to complex neoplasms.
Anterior abdominal wall hernias are the most common lesion of anterior
abdominal lesions. The aim of the present study was to evaluate high-resolution
sonography and colour Doppler in assessment of complicated anterior abdominal
wall hernia. Patients and methods: This study includes (48) patients were referred
for sonography due to vomiting and abdominal pain of unobvious cause. Patients
were subjected to full clinical examination and high-resolution Ultrasound and
Doppler examination and X-Ray for intestinal obstruction if needed. Results: Mean
defect size of hernia associated with bowel ischemia was 1.3±0.85 cm while the
bowel wall thickness mean was 4.1 ±0.3 mm, in contrary, the mean defect size of
hernia with non-ischemic bowel was 2.9 ±0.65 cm and the bowel wall thickness
mean was 2.2 ±0.89 mm. Among the studied group, Reduction of viable loops and
herniorrhaphy were done in 45.8 % of patients, Reduction of viable loops and
hernioplasty in 22.9% of cases, while resection and primary anastomosis were done
in (14.6) of cases. The ultrasound finding comparing with the operative data
revealed that ultrasound had 100% sensitivity, while accuracy in diagnosis of
peristalsis, bowel irreducibility, bowel thickness was ranged from 93.4% to 98.8%.
Also Doppler accuracy was 100% Conclusion:High-resolution ultrasonography
(US) is non-invasive, safe and effective and simple diagnostic tool for detecting the
presence of abdominal wall hernias and accurately detecting the contentand the
possible associated complications.

PREVALENCE OF ASYMPTOMATIC ROTATOR CUFF TEARS IN INDIVIDUALS WITH CONTRA LATERAL SYMPTOMATIC ROTATOR CUFF TEAR DIAGNOSED BY ULTRASONOGRAPHY IN A HOSPITAL. ORIGINAL RESEARCH ARTICLE

Dr. Ashish. S. Babhulkar, Dr. Dhananjay. D. Deshmukh, Dr. Ajinkya. N. Deshpande

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 4792-4801

Shoulder disorders are the most common complaint in general population and have an unfavorable outcome in many patients. Shoulder pain is the third most common cause of musculoskeletal consultation in primary care. Degenerative rotator cuff tear is the characteristic cause of shoulder pain and most often involves the supraspinatus tendon (SSP tendon). These tears can cause the significant impact on patient’s life, marking the functional impairment of shoulder joints. Plain radiography, ultrasonography, MRI, are the imaging modalities used for the assessment of rotator cuff-related pathologies. Ultrasonography of shoulder is accepted as the investigation of choice for rotator cuff abnormality mainly because it is non-invasive, cost effective, time consuming and well tolerated imaging modality that uses high frequency transducers to diagnose rotator cuff tears.This research deals with the study of prevalence of asymptomatic rotator cuff tears and their correlation with respect to age, sex, hand dominance and diabetes mellitus.

Comparative analysis of clinical, radiological and operative findings in Acute Abdomen Cases

Dr.Sumitoj Singh, Dr. Ashok Kumar, Dr.Nandu unnikrishnan, Dr.Narinder Pal Singh, Dr Vandana Sidhu

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 3393-3401

AIM: The present study was carried out as an attempt to correlate and emphasize the
salient approaches to the diagnosis and treatment of the various acute abdominal
conditions.
Material and methods: This study was a prospective observational study consisted of 50
patients with non‑traumatic acute abdomen presenting to the ED that were clinically
diagnosed acute abdomen. Detailed history was taken followed by clinical examination
and radiological investigations for all the patients. Comparative analysis of all
investigations and clinical features were made and a provisional diagnosis was derived.
Results: The results showed that mean age of the patient is 38± 13.6 years with M: F ratio
of 1:3.5. Acute cholecystitis was the most common cause of acute abdomen, accounting
for 36% of total cases followed by perforation peritonitis (24%) which included peptic
perforation and intestinal perforation. The accuracies was recorded for clinical features,
ultrasonography andXray for acute abdomen cases.
Conclusion: We concluded that Plain X rays and ultrasonography can be used for
diagnosing acute abdominal emergencies; they are the cheaper, non-invasive, quick,
reliable and highly accurate modality in diagnosing the exact cause of pain and its origin
in a patient presenting with an acute abdomen and thus helps the physician or surgeon to
plan the timely management