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Beyond the placenta: Amniotic fluid, umbilical cord and cervix
Abstracts
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Ultrasound (CEUS), respectively. Explanation of their hemodynamic behaviour post contrast injection based on their histology and recognition of atypical patterns of contrast enhancement. The main malignant FLLs will be presented (cases of the HCC and metastases). Since the FLL is present, how to describe the main findings of the lesions is essential. FLL should be characterized as the location (segment), number of lesions( if 3 or more nodules), size (at least 2 axes), echotexture, echogenicity, presence of necrosis / calcification / perinodular halo. Margin: regularity / definition. Besides these findigns, it is very important characterize if there is vascular infiltration / thrombosis (portal vein, hepatic veins, ICV). If there is thrombosis of the portal system: staging it is helpful (give affected segments, extension). Another point is trying to define the thrombosis origin (hematogenous or tumoral). Presence of dilatation of the bile ducts must be reported, and ascites as well. The pattern of liver parenchyma must be reported: chronic liver disease or not / volume redistribution and other signs of cirrhosis.
clinical guidelines, not always provides the desired results and maintains a considerable incidence of cardiorespiratory insufficiency. Echocardiography can council us on these patients’ clinical handling, not only the initial fluid therapy but also on the best-suited election of the vasoactive/inotropic treatment and the early detection of complications. It contributes as well to improving the etiological diagnosis, allowing one to know the heart performance with more precision. The parameters that are evaluated cardiac function, ejection fraction, and Cardiac Output index, systolic volume. The Pre-load: Ventricular size, diameter of the inferior vena cava (IVC). Post-load: Peripheral Vascular Resistance Anatomy: pericardial fluid with or without tamponade. Probably is the time that hemodinamic monitoring guided by Ultrasound be generalized in all ICUs
Hands-on Scanning: Peripheral Nerves of the Upper Extremity
Concomitant Entities During Gestation: Is There a Mole Among Us? Margaret Dziadosz New York University, New York, New Jersey, United States
Moderators: Kenneth Lee, MD, Humberto Rosas, MD On completion of this session, participants will have gained hands-on experience in scanning the periperal nerves of the upper extremity.
Nonfetal Obstetric Ultrasound Moderator: Ana Monteagudo, MD
Moderators: Dean Nakamoto, MD, Cornnie Deurdulian, MD
It is estimated that 1/22,000 – 1/100,000 gestations will have a concomitant molar gestation present. Increased first trimester surveillance allows further diagnosis but also opens a pandoras box of differential diagnosis including that of subchorionic hematoma and placental mesencymal dysplasia. Definitive diagnosis has significant implications for patient counseling and potential for morbid outcomes. Normal sonographic placental appearance, concomitant molar gestations and sonographic differentials will be presented in addition to a brief commentary on clinical significance of abnormal findings.
After attending this session, participants will be able to identify some common as well as uncommon complications during interventional procedures. They will also understand how to avoid possible complications and ways to manage them once the complications do occur.
Beyond the placenta: Amniotic fluid, umbilical cord and cervix Jonathan Rosner OB/GYN, Division of MFM, NYU Langone Medical Center , New York, New York, United States
Know When to Hold ’Em: How to Avoid Complications During Interventional Procedures and How to Manage When You Get Them
New Horizons in Critical Care: Part 1 Moderator: Eitan Dickman, MD, RDMS Update in Clinician–Performed Echocardiography Jorge Rabat Surgery, Fremantle Hospital, Bolivar, Bolivar, Venezuela, Bolivarian Republic Of The use of ultrasound has developed over the last 50 years into an indispensable first-line test for the cardiac evaluation of symptomatic patients. Echocardiography is a very important tool in emergency department offering vital clues in early diagnosis and also very useful in assisting therapeutic procedures. The fact that echocardiography is a portable rapid, noninvasive technology which can be repeated when required makes it highly useful in emergency department. Hence all physicians managing critically ill patients should learn the skill of echocardiographic examination in a focused Echocardiography has shown to be an essential diagnostic tool in the critically ill patient’s manner. This skill adds to the clinical acumen towards a correct diagnosis and treatment. assessment. In this scenario the initial fluid therapy, such as it is recommended in the actual
Often overlooked but still clinically important is the amniotic fluid, umbilical cord and cervix. We will review the normal and abnormal states of the amniotic fluid, umbilical cord and cervix including the differential diagnosis, appropriate ways to measure and report as well as clinical implications and management.
Quantitative Imaging Biomarker Development Moderators: Paul Carson, PhD, Mark Palmeri, MD, PhD Quantitative Pressure Estimation with Subharmonics Flemming Forsberg Radiology, Thomas Jefferson University, Philadelphia, Pennsylvania, United States Objective: Our group has previously shown the subharmonic amplitude of microbubble-based ultrasound contrast agents is a good indicator of hydrostatic pressure in vitro and has developed a noninvasive pressure measurement technique, known as subharmonic-aided pressure estimation (SHAPE), based on this principle. Noninvasive SHAPE measurements may be a useful alternative to catheter-based measurements of
S45
Ultrasound (CEUS), respectively. Explanation of their hemodynamic behaviour post contrast injection based on their histology and recognition of atypical patterns of contrast enhancement. The main malignant FLLs will be presented (cases of the HCC and metastases). Since the FLL is present, how to describe the main findings of the lesions is essential. FLL should be characterized as the location (segment), number of lesions( if 3 or more nodules), size (at least 2 axes), echotexture, echogenicity, presence of necrosis / calcification / perinodular halo. Margin: regularity / definition. Besides these findigns, it is very important characterize if there is vascular infiltration / thrombosis (portal vein, hepatic veins, ICV). If there is thrombosis of the portal system: staging it is helpful (give affected segments, extension). Another point is trying to define the thrombosis origin (hematogenous or tumoral). Presence of dilatation of the bile ducts must be reported, and ascites as well. The pattern of liver parenchyma must be reported: chronic liver disease or not / volume redistribution and other signs of cirrhosis.
clinical guidelines, not always provides the desired results and maintains a considerable incidence of cardiorespiratory insufficiency. Echocardiography can council us on these patients’ clinical handling, not only the initial fluid therapy but also on the best-suited election of the vasoactive/inotropic treatment and the early detection of complications. It contributes as well to improving the etiological diagnosis, allowing one to know the heart performance with more precision. The parameters that are evaluated cardiac function, ejection fraction, and Cardiac Output index, systolic volume. The Pre-load: Ventricular size, diameter of the inferior vena cava (IVC). Post-load: Peripheral Vascular Resistance Anatomy: pericardial fluid with or without tamponade. Probably is the time that hemodinamic monitoring guided by Ultrasound be generalized in all ICUs
Hands-on Scanning: Peripheral Nerves of the Upper Extremity
Concomitant Entities During Gestation: Is There a Mole Among Us? Margaret Dziadosz New York University, New York, New Jersey, United States
Moderators: Kenneth Lee, MD, Humberto Rosas, MD On completion of this session, participants will have gained hands-on experience in scanning the periperal nerves of the upper extremity.
Nonfetal Obstetric Ultrasound Moderator: Ana Monteagudo, MD
Moderators: Dean Nakamoto, MD, Cornnie Deurdulian, MD
It is estimated that 1/22,000 – 1/100,000 gestations will have a concomitant molar gestation present. Increased first trimester surveillance allows further diagnosis but also opens a pandoras box of differential diagnosis including that of subchorionic hematoma and placental mesencymal dysplasia. Definitive diagnosis has significant implications for patient counseling and potential for morbid outcomes. Normal sonographic placental appearance, concomitant molar gestations and sonographic differentials will be presented in addition to a brief commentary on clinical significance of abnormal findings.
After attending this session, participants will be able to identify some common as well as uncommon complications during interventional procedures. They will also understand how to avoid possible complications and ways to manage them once the complications do occur.
Beyond the placenta: Amniotic fluid, umbilical cord and cervix Jonathan Rosner OB/GYN, Division of MFM, NYU Langone Medical Center , New York, New York, United States
Know When to Hold ’Em: How to Avoid Complications During Interventional Procedures and How to Manage When You Get Them
New Horizons in Critical Care: Part 1 Moderator: Eitan Dickman, MD, RDMS Update in Clinician–Performed Echocardiography Jorge Rabat Surgery, Fremantle Hospital, Bolivar, Bolivar, Venezuela, Bolivarian Republic Of The use of ultrasound has developed over the last 50 years into an indispensable first-line test for the cardiac evaluation of symptomatic patients. Echocardiography is a very important tool in emergency department offering vital clues in early diagnosis and also very useful in assisting therapeutic procedures. The fact that echocardiography is a portable rapid, noninvasive technology which can be repeated when required makes it highly useful in emergency department. Hence all physicians managing critically ill patients should learn the skill of echocardiographic examination in a focused Echocardiography has shown to be an essential diagnostic tool in the critically ill patient’s manner. This skill adds to the clinical acumen towards a correct diagnosis and treatment. assessment. In this scenario the initial fluid therapy, such as it is recommended in the actual
Often overlooked but still clinically important is the amniotic fluid, umbilical cord and cervix. We will review the normal and abnormal states of the amniotic fluid, umbilical cord and cervix including the differential diagnosis, appropriate ways to measure and report as well as clinical implications and management.
Quantitative Imaging Biomarker Development Moderators: Paul Carson, PhD, Mark Palmeri, MD, PhD Quantitative Pressure Estimation with Subharmonics Flemming Forsberg Radiology, Thomas Jefferson University, Philadelphia, Pennsylvania, United States Objective: Our group has previously shown the subharmonic amplitude of microbubble-based ultrasound contrast agents is a good indicator of hydrostatic pressure in vitro and has developed a noninvasive pressure measurement technique, known as subharmonic-aided pressure estimation (SHAPE), based on this principle. Noninvasive SHAPE measurements may be a useful alternative to catheter-based measurements of