Online ISSN: 2515-8260

Keywords : Color Doppler

Evaluation of scrotal swellings by colour doppler ultrasonography

Dr. Biplab Debbarma; Dr. Chandini Reang; Dr. Kaushik Tripura

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 675-680

Background and Objective: The preferred method for separating testicular torsion from inflammatory diseases is colour Doppler ultrasonography (US), which can help patients avoid needless surgical explorations.

CT portography using MDCT versus color doppler in detection of varices in cirrhotic patients

Dr Sakshi Agarwal, Dr Naveen SS, Dr Vijay Kumar, Dr Ankush Malik, Dr. Shashank Chapala

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 402-408

Background: All chronic liver diseases end with cirrhosis. Upper gastrointestinal tract
hemorrhage brought on by the formation of esophageal varices is the most frequent
cause of death in cirrhotic individuals. It will be possible to prevent potential difficulties
during interventional procedures and surgery if portosystemic collaterals are diagnosed
using non-invasive approaches.
Materials and Methods: A cross-sectional study involving 90 patients who were
diagnosed with liver cirrhosis based on symptoms and test results and presented to the
medical gastroenterology department. To best display portal venous architecture,
disease, and venous collaterals, Color Doppler US was first done using the Philips Epiq
7G machine. The transducer and gain settings were changed in each instance. The work
station was used to obtain portography pictures while the 256 Slice Phillips (Brilliance)
was used to do CT. All of the patients underwent endoscopy, and the results were
compared using the Pearson's Coefficient test to those obtained from USG and CT.
Results: Of the 90 patients, 26, 14, 38, and 12 had esophageal varices of Grades I–III
and none at all. Grade I and II varices were not found in USG, however 8/12 Grade III
varices were. All 38 cases of grade II varices and 12 cases of grade III varices were
found using CT. For the diagnosis of paraesophageal, splenorenal, anterior abdominal
wall, peri-umbilical, and peri-cholecystic collaterals, USG and CT showed excellent
agreement (Kappa values >0.7). There was no agreement between USG and CT for the
detection of esophageal, gastric mucosal, perigastric, and retroperitoneal collaterals.
Conclusion: Grade III varices are found by USG, while Grade II and III varices are
found by CT. Compared to USG, CT is more effective at delineating all portosystemic
collaterals. When defining intricate collateral routes, USG is less accurate than MDCT
portal venous phase. In order to identify unanticipated varices that could cause
considerable bleeding during liver transplant procedures, multislice CT can be used to
detect potentially problematic varices by tracing the path of tortuous veins.

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.