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  • 1995-1999  (3)
  • 1
    Electronic Resource
    Electronic Resource
    Springer
    European radiology 6 (1996), S. 700-703 
    ISSN: 1432-1084
    Keywords: Thymus gland ; Ultrasonography ; Infant
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A new method of measuring the size of the thymus in infants less than 1 year of age is presented. The width of the thymus was measured in a transverse image while the area of the largest lobe was assessed in a longitudinal image. The thymic index was then defined as the product of these two values. Intra-and interobserver variation analysis were performed in 23 infants. Each infant was scanned alternately by both of two radiologists, and later the same day the measurements were repeated. The mean differences between the first and second measurements (intraobserver variation) were −0.25 (2 SD 7.56) and −1.13 (2 SD 10.80), respectively, for the two observers. The mean difference between the first measurements of the two observers (interobserver variation) was 1.47 (2 SD 9.39). In a postmortem study of 12 infants the thymic index measured by sonography showed an acceptable correlation to the actual volume (c = 0.80) and weight (c = 0.87) of the thymus. In conclusion, our sonographic estimate of the volume of the thymus, the thymic index, in infants under 8 months of age seems to be easy, reliable and reproducible.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    European radiology 7 (1997), S. 57-60 
    ISSN: 1432-1084
    Keywords: Key words: Pleural effusion ; Chest X-ray ; Sonography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. Diagnosis of pleural effusion (PE) on supine chest X-ray (SCXR) is considered difficult. This study aimed at evaluating the accuracy of the diagnosis of PE on SCXR and was performed in two phases. At phase 1, a formula for the sonographic estimation of the volume of PE was established by correlating 24 measurements (in 7 patients in whom complete drainage was achieved) with the drained volumes. At phase two, 112 consecutive SCXRs were supplemented by sonography of the chest. The films were evaluated for the presence of PE and for the presence of different radiologic signs of PE. Sonography showed PE in 41 right and 30 left hemithoraces. The overall accuracy of the diagnosis of PE on SCXR was 82 %. Only one of the undiagnosed PEs had a volume of 〉 300 ml. The most accurate signs were increased density of the hemithorax, blunted costophrenic angle, and loss of the hemidiaphragm silhouette.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Der Gynäkologe 31 (1998), S. 140-143 
    ISSN: 1433-0393
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Zusammenfassung Die meisten Feten diabetischer Schwangerschaften sind im 1. Trimenon von einer frühen Verzögerung des Wachstums unterschiedlichen Ausmaßes betroffen. Es besteht eine signifikante Beziehung zwischen der frühen Wachstumsverzögerung und der Qualität der Diabetes Einstellung. Eine signifikante (≥ 6 Tage) Verzögerung des frühen Wachstums bedeutet ein erhöhtes Risiko für die Entstehung von Fehlbildungen. Eine signifikante Verzögerung des frühen Wachstums ist ferner mit einem erhöhten Risiko für eine Beeinträchtigung der psychomotorischen Entwicklung im Kindesalter verbunden. Vor der Konzeption sollte eine optimale Einstellung der Blutzuckerkontrolle angestrebt werden und Schwangerschaften sollten geplant werden. Bei schwangeren Diabetikerinnen sollte im 1. Trimenon eine Ultraschalluntersuchung mit Bestimmung der Abmessungen des Feten vorgenommen werden. Die Betreuung diabetischer Schwangerer einschließlich der Festlegung des optimalen Zeitpunktes für die Geburt sollte sich an dem anhand der Ultraschallmasse in der Frühschwangerschaft festgelegten Alter orientieren, insbesondere wenn eine signifikante Diskrepanz zum Schwangerschaftsalter ausgehend von der letzten Periode besteht.
    Type of Medium: Electronic Resource
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