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Barbara Spector Hertzberg

Professor Emerita of Radiology
Radiology
Box 3808 Med Ctr, Durham, NC 27710
2526A Hosp South, Durham, NC 27710

Selected Publications


Interobserver Variability of Sonographic Features Used in the American College of Radiology Thyroid Imaging Reporting and Data System.

Journal Article AJR Am J Roentgenol · July 2018 OBJECTIVE: The purpose of this study was to assess interobserver variability in assigning features in the American College of Radiology Thyroid Imaging Reporting and Data System (ACR TI-RADS) lexicon and in making recommendations for thyroid nodule biopsy. ... Full text Link to item Cite

Ultrasound for Lower Extremity Deep Venous Thrombosis: Multidisciplinary Recommendations From the Society of Radiologists in Ultrasound Consensus Conference.

Journal Article Circulation · April 3, 2018 Venous ultrasound is the standard imaging test for patients suspected of having acute deep venous thrombosis (DVT). There is variability and disagreement among authoritative groups regarding the necessary components of the test. Some protocols include scan ... Full text Link to item Cite

Reduction in Thyroid Nodule Biopsies and Improved Accuracy with American College of Radiology Thyroid Imaging Reporting and Data System.

Journal Article Radiology · April 2018 Purpose To compare the biopsy rate and diagnostic accuracy before and after applying the American College of Radiology (ACR) Thyroid Imaging Reporting and Data System (TI-RADS) criteria for thyroid nodule evaluation. Materials and Methods In this retrospec ... Full text Link to item Cite

Ultrasound examination of the extracranial cerebrovascular system

Journal Article Journal of Ultrasound in Medicine · September 1, 2016 Cite

The incarcerated uterus: a review of MRI and ultrasound imaging appearances.

Journal Article AJR Am J Roentgenol · July 2013 OBJECTIVE: The objective of this article is to review the MRI and ultrasound appearances of incarcerated uterus. CONCLUSION: Incarcerated uterus is a rare but serious complication of pregnancy in which the gravid uterus becomes trapped in the posterior pel ... Full text Link to item Cite

Covered transjugular intrahepatic portosystemic shunts: accuracy of ultrasound in detecting shunt malfunction.

Journal Article AJR Am J Roentgenol · April 2013 OBJECTIVE: The purpose of this study was to determine the accuracy of ultrasound for detecting transjugular intrahepatic portosystemic shunt (TIPS) malfunction in covered stents in comparison with bare metal stents. MATERIALS AND METHODS: During a 6-year p ... Full text Link to item Cite

Dichorionic, diamnionic twin pregnancy discordant for anencephaly: Report of two cases and literature review.

Journal Article Radiol Case Rep · 2013 Anencephaly is a lethal diagnosis. In the unique situation of a twin pregnancy discordant for anencephaly, early ultrasound diagnosis based on the discrepancy in the appearance of the heads can facilitate management and potentially decrease morbidity and m ... Full text Link to item Cite

Ultrasound

Chapter · January 19, 2012 Cite

Ultrasound: Case 11

Chapter · January 19, 2012 Cite

Ultrasound: Case 18

Chapter · January 19, 2012 Cite

Ultrasound: Case 10

Chapter · January 19, 2012 Cite

Ultrasound: Case 9

Chapter · January 19, 2012 Cite

Ultrasound: Case 19

Chapter · January 19, 2012 Cite

Ultrasound: Case 12

Chapter · January 19, 2012 Cite

Unilateral luteoma of pregnancy mimicking a malignant ovarian mass on magnetic resonance and ultrasound.

Journal Article J Magn Reson Imaging · March 2009 Featured Publication Luteoma of pregnancy is a rare, tumorlike ovarian mass that develops during pregnancy and regresses after delivery. Generally, these masses are discovered incidentally during cesarean delivery or tubal ligation. Some of these patients will develop hirsutis ... Full text Link to item Cite

Discordance of prenatal and neonatal brain development in twins.

Journal Article Early Hum Dev · March 2009 Featured Publication BACKGROUND: Discordance of birth weight has been observed in twin pairs, though little is known about prenatal and early neonatal discordance of head and brain size, and the role that zygosity and chorionicity play in discordances of early brain developmen ... Full text Link to item Cite

AIUM practice guideline for ultrasonography in reproductive medicine

Journal Article Journal of Ultrasound in Medicine · January 1, 2009 Full text Cite

Prenatal mild ventriculomegaly predicts abnormal development of the neonatal brain.

Journal Article Biol Psychiatry · December 15, 2008 Featured Publication BACKGROUND: Many psychiatric and neurodevelopmental disorders are associated with mild enlargement of the lateral ventricles thought to have origins in prenatal brain development. Little is known about development of the lateral ventricles and the relation ... Full text Link to item Cite

Management of thyroid nodules detected at US: Society of Radiologists in Ultrasound consensus conference statement.

Journal Article Ultrasound Q · December 2006 The Society of Radiologists in Ultrasound convened a panel of specialists from a variety of medical disciplines to come to a consensus on the management of thyroid nodules identified with thyroid ultrasonography (US), with particular focus on which nodules ... Full text Link to item Cite

Management of thyroid nodules detected at US: Society of Radiologists in Ultrasound consensus conference statement.

Journal Article Radiology · December 2005 The Society of Radiologists in Ultrasound convened a panel of specialists from a variety of medical disciplines to come to a consensus on the management of thyroid nodules identified with thyroid ultrasonography (US), with particular focus on which nodules ... Full text Link to item Cite

Ultrasound: The Requisites

Book · January 1, 2004 This new volume in the popular Radiology Requisitesâ„¢ series efficiently presents all of the core knowledge in general, vascular, and obstetric/gynecologic ultrasound. It covers everything from basic principles through state-of-the-art tech-niques, with a f ... Full text Cite

A spectrum of Doppler waveforms in the carotid and vertebral arteries.

Journal Article AJR Am J Roentgenol · December 2003 Featured Publication Full text Link to item Cite

Carotid artery stenosis: grayscale and Doppler ultrasound diagnosis--Society of Radiologists in Ultrasound consensus conference.

Journal Article Ultrasound Q · December 2003 The Society of Radiologists in Ultrasound convened a multidisciplinary panel of experts in the field of vascular ultrasonography (US) to come to a consensus regarding Doppler US for assistance in the diagnosis of carotid artery stenosis. The panel's consen ... Full text Link to item Cite

Sonography of fetal choroid plexus cysts: detection depends on cyst size and gestational age.

Journal Article J Ultrasound Med · November 2003 OBJECTIVE: To establish diagnostic criteria for the diagnosis of fetal choroid plexus cysts across gestation. METHODS: Prenatal sonographic images of 166 fetuses without choroid plexus cysts were prospectively collected from 13 weeks to term. Texture chara ... Full text Link to item Cite

Carotid artery stenosis: gray-scale and Doppler US diagnosis--Society of Radiologists in Ultrasound Consensus Conference.

Journal Article Radiology · November 2003 Featured Publication The Society of Radiologists in Ultrasound convened a multidisciplinary panel of experts in the field of vascular ultrasonography (US) to come to a consensus regarding Doppler US for assistance in the diagnosis of carotid artery stenosis. The panel's consen ... Full text Link to item Cite

Ultrasound assessment of the fetal middle cerebral artery peak systolic velocity: A comparison of the near-field versus far-field vessel.

Journal Article Am J Obstet Gynecol · October 2003 OBJECTIVE: Doppler assessment of the fetal middle cerebral artery peak systolic velocity may obviate the need for more invasive procedures in the alloimmunized patient. The purpose of this study was to compare middle cerebral artery peak systolic velocity ... Full text Link to item Cite

AIUM Standard for the Performance of an Ultrasound Examination of the Abdomen or Retroperitoneum

Journal Article Journal of Ultrasound in Medicine · October 2002 The American Institute of Ultrasound in Medicine (AIUM) is an educational, scientific, and professional society concerned with the advancement of the art and science of ultrasound in medicine and research. To promote this mission, the AIUM is pleas ... Full text Cite

Transperineal versus transvaginal sonography during pregnancy - Reply

Journal Article JOURNAL OF ULTRASOUND IN MEDICINE · 2002 Cite

Ultrasonographic evaluation of the cervix: transperineal versus endovaginal imaging.

Journal Article J Ultrasound Med · October 2001 Featured Publication OBJECTIVE: This study compares transperineal and endovaginal ultrasonography of the gravid cervix to evaluate image quality and assess for a systematic difference in cervical lengths measured by the 2 techniques. METHODS: Transperineal and endovaginal ultr ... Full text Link to item Cite

Infant cerebral ventricle volume: a comparison of 3-D ultrasound and magnetic resonance imaging.

Journal Article Ultrasound Med Biol · August 2001 Enlargement of the cerebral lateral ventricles is observed in several neuropsychiatric disorders with origins in early brain development. Lateral ventricle size is also predictive of poor neurodevelopmental outcome in premature infants. Three-dimensional ( ... Full text Link to item Cite

Nonstenotic internal carotid arteries: effects of age and blood pressure at the time of scanning on Doppler US velocity measurements.

Journal Article Radiology · July 2001 PURPOSE: To assess the effects of age and blood pressure at the time of scanning on internal carotid artery velocities and cross-sectional diameter at Doppler ultrasonography (US). MATERIALS AND METHODS: During 12 months, 1,020 consecutive patients underwe ... Full text Link to item Cite

Physician training requirements in sonography.

Journal Article AJR Am J Roentgenol · April 2001 Full text Link to item Cite

The anterior iliac separation: alternative index for pelvic morphometry in fetuses with Down syndrome.

Journal Article AJR Am J Roentgenol · April 2001 OBJECTIVE: The goal of this study was to assess the diagnostic use of an anterior iliac separation measurement as an alternative index for the iliac angle in the assessment of fetal pelvic morphometry. SUBJECTS AND METHODS: In 358 fetuses, the anterior ili ... Full text Link to item Cite

Outcome in children with fetal mild ventriculomegaly: a case series.

Journal Article Schizophr Res · March 30, 2001 Mild enlargement of the lateral ventricles is associated with schizophrenia and other neurodevelopmental disorders. While it has been hypothesized that ventricle abnormalities associated with neurodevelopmental disorders arise during fetal brain developmen ... Full text Link to item Cite

Physician sonography training competency.

Journal Article AJR Am J Roentgenol · March 2001 Full text Link to item Cite

Physician training requirements in sonography -: Reply

Journal Article AMERICAN JOURNAL OF ROENTGENOLOGY · 2001 Cite

Nonenhanced helical CT and US in the emergency evaluation of patients with renal colic: prospective comparison.

Journal Article Radiology · December 2000 PURPOSE: To compare nonenhanced helical computed tomography (CT) with ultrasonography (US) for the depiction of urolithiasis. MATERIALS AND METHODS: During 9 months, 45 patients (mean age, 44 years; mean weight, 92.5 kg) prospectively underwent both nonenh ... Full text Link to item Cite

Diagnosis of ectopic pregnancy.

Journal Article AJR Am J Roentgenol · October 2000 Full text Link to item Cite

Transjugular intrahepatic portosystemic shunts (TIPS): effects of respiratory state and patient position on the measurement of Doppler velocities.

Journal Article AJR Am J Roentgenol · July 2000 OBJECTIVE: The purpose of this prospective study was to examine the effects of patient position and respiratory state on the measurements of Doppler velocities in transjugular intrahepatic portosystemic shunts. SUBJECTS AND METHODS: Thirty-eight transjugul ... Full text Link to item Cite

Physician training requirements in sonography: how many cases are needed for competence?

Journal Article AJR Am J Roentgenol · May 2000 Featured Publication OBJECTIVE: Physician competence in the performance of sonographic studies was assessed after their involvement in predetermined increments of cases to determine whether the case volumes currently required by the American Institute of Ultrasound in Medicine ... Full text Link to item Cite

Normal fetal pelvis: important factors for morphometric characterization with US.

Journal Article Radiology · May 2000 PURPOSE: To prospectively evaluate iliac angle and iliac length in a large number of normal fetuses and to identify factors that may influence these measurements. MATERIALS AND METHODS: At antenatal ultrasonography (US) in 356 fetuses, the iliac angle and ... Full text Link to item Cite

Vertebral artery Doppler waveform changes indicating subclavian steal physiology.

Journal Article AJR Am J Roentgenol · March 2000 OBJECTIVE: The goal of this study was to characterize and classify changes in antegrade vertebral artery waveforms that may represent the early stages of subclavian steal physiology. SUBJECTS AND METHODS: A prospective examination of waveforms from 1914 ve ... Full text Link to item Cite

Variability of Doppler US measurements along the common carotid artery: effects on estimates of internal carotid arterial stenosis in patients with angiographically proved disease.

Journal Article Radiology · February 2000 PURPOSE: To determine the effect of variability of common carotid arterial (CCA) velocities on velocity ratios used to assess internal carotid arterial (ICA) stenosis. MATERIALS AND METHODS: Doppler ultrasonographic (US) velocity measurements were obtained ... Full text Link to item Cite

Pelvic CT morphometry in Down syndrome: implications for prenatal US evaluation--preliminary results.

Journal Article Radiology · January 2000 PURPOSE: To characterize pelvic morphometric differences in patients with and those without Down syndrome by using computed tomography (CT) and to determine useful indexes for ultrasonographic (US) evaluation. MATERIALS AND METHODS: Pelvic CT scans in seve ... Full text Link to item Cite

Refractory shadowing from pelvic masses on sonography: a useful diagnostic sign for uterine leiomyomas.

Journal Article AJR Am J Roentgenol · January 2000 OBJECTIVE: Our objective was to determine the diagnostic usefulness of sonography for revealing a recurrent acoustic shadowing pattern when imaging for possible uterine leiomyoma. SUBJECTS AND METHODS: During an 18-month period, all pelvic masses discovere ... Full text Link to item Cite

Evaluation of fetal gastrointestinal tract

Journal Article Ultrasound in Medicine and Biology · January 1, 2000 Antenatal ultrasound detects a wide range of abnormalities of the fetal gastrointestinal tract. Although some of these abnormalities produce distinctive, if not diagnostic, sonographic patterns, occasionally pathologic processes originating from organ syst ... Full text Cite

Percutaneous liver biopsy: a cost-benefit analysis comparing sonographic and CT guidance.

Journal Article AJR Am J Roentgenol · November 1999 OBJECTIVE: We compared the relative cost of a liver biopsy performed with sonographic guidance with that of one performed with CT guidance in a cost-benefit analysis model. MATERIALS AND METHODS: Variables were estimated from a search of the literature and ... Full text Link to item Cite

PACS in sonography: accuracy of interpretation using film compared with monitor display. Picture archiving and communication systems.

Journal Article AJR Am J Roentgenol · November 1999 Featured Publication OBJECTIVE: The goal of this study was to determine the relative accuracy of interpretation of sonography when viewed on a monitor or on film. MATERIALS AND METHODS: Four radiologists twice interpreted a series of 440 sonograms using the following sequences ... Full text Link to item Cite

Antenatal ultrasonographic diagnosis of rhizomelic chondrodysplasia punctata.

Journal Article J Ultrasound Med · October 1999 Rhizomelic chondrodysplasia punctata is an autosomal recessive disorder characterized by stippled epiphyses and rhizomelic shortening of the long bones. Most fetuses with the disorder die in utero or shortly thereafter, and the few that survive suffer seve ... Full text Link to item Cite

Assessment of stenosis: implications of variability of Doppler measurements in normal-appearing carotid arteries.

Journal Article Radiology · August 1999 PURPOSE: To examine the variability of Doppler measurements along the extra-cranial courses of the nondiseased common carotid artery (CCA) and internal carotid artery (ICA) and determine the effect of this variability on assessment of carotid arterial sten ... Full text Link to item Cite

A role for maternal serum screening in detecting chromosomal abnormalities in fetuses with isolated choroid plexus cysts: a prospective multicentre study.

Journal Article Prenat Diagn · May 1999 A prospective multicentre study was performed to identify patients with fetal choroid plexus cysts and examine the association between choroid plexus cysts and chromosome abnormalities in the context of variables such as maternal age, serum triple-screen r ... Link to item Cite

Sonographic evaluation of fetal CNS: technical and interpretive pitfalls.

Journal Article AJR Am J Roentgenol · February 1999 Featured Publication Full text Link to item Cite

Ovarian cyst rupture causing hemoperitoneum: imaging features and the potential for misdiagnosis.

Journal Article Abdom Imaging · 1999 BACKGROUND: To describe the spectrum of imaging findings and clinical presentations produced after rupture and hemorrhage of an ovarian cyst. METHODS: Imaging studies and hospital records of nine patients who were ultimately diagnosed with hemoperitoneum f ... Full text Link to item Cite

Mild ventriculomegaly detected in utero with ultrasound: clinical associations and implications for schizophrenia.

Journal Article Schizophr Res · October 9, 1998 The most consistent structural abnormality of the brain associated with schizophrenia is that of mild enlargement of the lateral cerebral ventricles. Mild ventriculomegaly (MVM) of the fetal brain detected in utero with ultrasound is associated with develo ... Full text Link to item Cite

Vasa previa: prenatal diagnosis by transperineal sonography with Doppler evaluation.

Journal Article J Clin Ultrasound · October 1998 Antepartum diagnosis of vasa previa is of critical importance because of the high fetal mortality rate in unrecognized cases. This report describes the sonographic findings in 2 cases of vasa previa and demonstrates that transperineal sonography with Doppl ... Full text Link to item Cite

The fetal gastrointestinal tract.

Journal Article Semin Roentgenol · October 1998 Full text Link to item Cite

Enlarged fetal gallbladder: prognostic importance for aneuploidy or biliary abnormality at antenatal US.

Journal Article Radiology · September 1998 Featured Publication PURPOSE: To test the strength of the association of cholecystomegaly with aneuploidy and biliary abnormality and to assess the prognostic importance of the detection of an enlarged fetal gallbladder at antenatal ultrasonography (US). MATERIALS AND METHODS: ... Full text Link to item Cite

Dr Kliewer and colleagues respond

Journal Article Radiology · March 1998 Full text Cite

Fat necrosis in the breast: sonographic features.

Journal Article Radiology · January 1998 PURPOSE: To evaluate the ultrasonographic (US) features and evolution of fat necrosis in the breast. MATERIALS AND METHODS: The US features of 31 breast masses in 23 patients were reviewed. Fat necrosis was diagnosed on the basis of histologic (n = 20) and ... Full text Link to item Cite

Sonographic estimates of vein size in the lower extremities: subjective assessment compared with direct measurement.

Journal Article J Clin Ultrasound · 1998 PURPOSE: We studied whether subjective impression of vein size is a valid means of assessment during sonographic evaluation for deep vein thrombosis. METHODS: Diameter was assessed at 5 predetermined venous segments on 975 legs of 721 patients referred for ... Full text Link to item Cite

Fetal cerebral ventriculomegaly: misidentification of the true medial boundary of the ventricle at US.

Journal Article Radiology · December 1997 Featured Publication PURPOSE: To investigate the implications of mistaking the medial surface of the cerebral hemisphere for the medial wall of the lateral ventricle at antenatal ultrasonography (US) and to identify US clues that might help avoid this interpretive error. MATER ... Full text Link to item Cite

Ultrasound evaluation of third-trimester bleeding

Journal Article Radiologist · December 1, 1997 Third-trimester vaginal bleeding is a common indication for referral for ultrasound evaluation. Hemorrhage complicates up to 2 to 5% of gestations and is a major source of perinatal morbidity and mortality. This discussion focuses on the use of ultrasound ... Cite

Early systole in the healthy kidney: variability of Doppler US waveform parameters.

Journal Article Radiology · October 1997 PURPOSE: To determine the sampling variability of intrarenal Doppler ultrasound (US) indexes of early systole in a screened population of healthy individuals. MATERIALS AND METHODS: Doppler US measurements were obtained in the superior, middle, and inferio ... Full text Link to item Cite

Third ventricle: size and appearance in normal fetuses through gestation.

Journal Article Radiology · June 1997 PURPOSE: To define the size and appearance of the normal fetal third ventricle. MATERIALS AND METHODS: The third ventricle was prospectively assessed in 441 consecutive normal second- and third-trimester fetuses. The fetuses were divided into six gestation ... Full text Link to item Cite

Sonographic assessment of lower limb vein diameters: implications for the diagnosis and characterization of deep venous thrombosis.

Journal Article AJR Am J Roentgenol · May 1997 OBJECTIVE: The goals of this study were to define the normal range of diameters in the deep veins of the thigh and to compare this range with diameters of veins with acute thrombus and of veins with chronic changes from prior deep venous thrombosis (DVT). ... Full text Link to item Cite

Dysmorphologic features of the fetal pelvis in Down syndrome: prenatal sonographic depiction and diagnostic implications of the iliac angle.

Journal Article Radiology · December 1996 PURPOSE: To determine whether the axial pelvic profile is morphologically different in fetuses with Down syndrome from those with a normal karyotype. MATERIALS AND METHODS: Pelvic images were selected from ultrasound studies in 27 fetuses with trisomy 21 a ... Full text Link to item Cite

Epididymal leiomyoma: sonographic features.

Journal Article J Ultrasound Med · November 1996 Full text Link to item Cite

Temporal artery tap: usefulness and limitations in carotid sonography.

Journal Article Radiology · November 1996 PURPOSE: To examine the effectiveness of percussion of the superficial temporal artery for identification of the external carotid artery (ECA). MATERIALS AND METHODS: The temporal artery tap maneuver was performed on 324 carotid arteries (163 patients). Ev ... Full text Link to item Cite

Nonvisualization of the fetal gallbladder: frequency and prognostic importance.

Journal Article Radiology · June 1996 PURPOSE: To assess the frequency of fetal gallbladder visualization through gestation and to determine the prognostic importance of nonvisualization. MATERIALS AND METHODS: Demonstration of the gallbladder was prospectively attempted in 578 consecutive sec ... Full text Link to item Cite

Fetal brain development of twins assessed in utero by ultrasound: implications for schizophrenia.

Journal Article Schizophr Res · May 1996 There is evidence that some forms of schizophrenia are due to alterations of in utero brain development. Given the concordance rate for schizophrenia in monozygotic twins is approx. 45%, it is not clear how a shared genetic predisposition for schizophrenia ... Full text Link to item Cite

Renal resistive indexes: variability in Doppler US measurement in a healthy population.

Journal Article Radiology · April 1996 PURPOSE: To determine the variability in resistive index (RI) in normal kidneys, possible causes of variability, and consequences of reporting a single value. MATERIALS AND METHODS: Doppler ultrasound RI measurements were obtained in the upper, middle, and ... Full text Link to item Cite

Can the US examination for lower extremity deep venous thrombosis be abbreviated? A prospective study of 755 examinations.

Journal Article Radiology · April 1996 PURPOSE: To determine if the ultrasound (US) survey of the lower extremity for deep venous thrombosis (DVT) can be curtailed without compromising diagnostic efficacy. MATERIALS AND METHODS: The authors performed 755 US examinations in 721 patients (1,024 l ... Full text Link to item Cite

Urinary bladder diverticula: sonographic diagnosis and interpretive pitfalls.

Journal Article J Ultrasound Med · March 1996 Diverticula of the urinary bladder can occasionally appear as complex pelvic masses not obviously connected to the bladder. Such presentations can lead to diagnostic confusion and interpretative error. Sonographic findings and clinical histories were revie ... Full text Link to item Cite

Doppler sonography in the evaluation of corporovenous competence after penile vein ligation surgery.

Journal Article J Ultrasound Med · March 1996 Doppler ultrasonographic findings in patients after penile vein ligation surgery are described and compared to the results of cavernosometry and cavernosography. Peak systolic and end diastolic velocities were recorded for both cavernosal arteries at 5 min ... Full text Link to item Cite

Doppler sonography in the diagnosis of antepartum pyelonephritis: value of intrarenal resistive index measurements.

Journal Article J Ultrasound Med · January 1996 This study aims to define the effects of pyelonephritis on intrarenal resistive indices and to determine the role of Doppler sonography in the diagnosis of pyelonephritis in pregnant patients. Twenty pregnant women with pyelonephritis underwent renal Doppl ... Link to item Cite

Detection of deep venous thrombosis: prospective comparison of MR imaging and sonography.

Journal Article J Magn Reson Imaging · 1996 Seventy-five patients (41 women and 34 men, 20-85 years old) with clinically suspected deep venous thrombosis (DVT) were examined with MR imaging and sonography. In 26 patients, the final diagnosis was acute femoropopliteal DVT. The sensitivity of MR imagi ... Full text Link to item Cite

Ectopic pregnancy: ultrasonographic diagnosis and interpretive pitfalls.

Journal Article South Med J · December 1995 The ultrasonographic evaluation of ectopic pregnancy is fraught with potential pitfalls in image interpretation. Though recent advances in sonographic techniques have improved the precision and scope of the study, considerable expertise is still needed to ... Link to item Cite

Color Doppler sonographic appearance of patent needle tracts after femoral arterial catheterization.

Journal Article Radiology · October 1995 PURPOSE: To determine the color Doppler sonographic characteristics and clinical relevance of persistent needle tracts after femoral arterial puncture. MATERIALS AND METHODS: After diagnostic (n = 18,825) or interventional (n = 8,489) cardiac catheterizati ... Full text Link to item Cite

Ultrasonographically guided manual compression of femoral artery injuries.

Journal Article J Ultrasound Med · September 1995 To determine the success and complication rates of ultrasonographically guided manual compression in patients with femoral arterial injuries after femoral arterial catheterization, we performed 53 sonographically guided compression repairs in 51 patients. ... Full text Link to item Cite

Lipomatous uterine masses: potential to mimic ovarian dermoids on endovaginal sonography.

Journal Article J Ultrasound Med · September 1995 Lipomatous uterine masses are uncommon hyperechoic pelvic neoplasms composed partly of adipose tissue. Because of the high level of echogenicity, these uterine masses can produce produce a sonographic appearance strikingly similar to the "dermoid plug" tha ... Full text Link to item Cite

Spontaneously changing gravid cervix: clinical implications and prognostic features.

Journal Article Radiology · September 1995 PURPOSE: To assess the implications of spontaneous changes in the length and configuration of the gravid cervix during a single ultrasound (US) examination and to correlate specific cervical dimensions with pregnancy outcome. MATERIALS AND METHODS: Sonogra ... Full text Link to item Cite

Color Doppler sonography of groin complications following femoral artery catheterization.

Journal Article AJR Am J Roentgenol · August 1995 Color Doppler sonography has proved to be an excellent technique for the evaluation of groin complications following femoral artery catheterization [1-4]. With the widespread use of fibrinolytic therapy, anticoagulants, and large-diameter vascular sheaths, ... Full text Link to item Cite

Acoustic shadowing from uterine leiomyomas: sonographic-pathologic correlation.

Journal Article Radiology · July 1995 PURPOSE: To investigate the origin of discrete shadowing from uterine leiomyomas at ultrasound (US) that does not progress from an echogenic origin. MATERIALS AND METHODS: Seven hysterectomy specimens with leiomyomas were scanned in a water bath. With US g ... Full text Link to item Cite

Fetal bifid sacrum artifact: normal developmental anatomy simulating malformation.

Journal Article Radiology · June 1995 PURPOSE: To determine the clinical importance and origin of a bifid configuration of the fetal sacrum seen during routine fetal sonography. MATERIALS AND METHODS: An apparent bifid malformation of the sacral spine was seen in 24 fetuses at antenatal sonogr ... Full text Link to item Cite

Periprosthetic mycobacterial infection. CT and mammographic findings.

Journal Article Clin Imaging · 1995 Organisms of the Mycobacterium fortuitum complex are an uncommon but important cause of periprosthetic infection following augmentation mammoplasty or other breast surgery. This etiological agent must be considered in the particular case of periprosthetic ... Full text Link to item Cite

US evaluation of fetal growth

Journal Article Radiologist · January 1, 1995 Cite

Brief overview of gynecologic sonography

Journal Article Radiologist · January 1, 1995 Cite

Optimizing transperineal sonographic imaging of the cervix: the hip elevation technique.

Journal Article J Ultrasound Med · December 1994 Although transperineal ultrasonography is a valuable technique for imaging the cervix in pregnancy, transperineal imaging can be compromised when bowel gas obscures the external portion of the cervix. To determine if a hip elevation technique could improve ... Full text Link to item Cite

Fetal lateral ventricles: reassessment of normal values for atrial diameter at US.

Journal Article Radiology · November 1994 PURPOSE: To assess the normal range of cerebral ventricular atrial diameters during the second and third trimesters of pregnancy. MATERIALS AND METHODS: The transverse diameter of the atrium of the lateral ventricle was prospectively measured in 739 consec ... Full text Link to item Cite

Fetal fourth ventricle: US appearance and frequency of depiction.

Journal Article Radiology · August 1994 PURPOSE: To define the normal appearance of the fetal fourth ventricle throughout gestation and ascertain an expected frequency of depiction at different gestational ages. MATERIALS AND METHODS: Three hundred ten consecutive second- and third-trimester fet ... Full text Link to item Cite

Cerebellar vermian defects: antenatal sonographic appearance and clinical significance.

Journal Article J Ultrasound Med · August 1994 A partial or complete defect of the cerebellar vermis may occur sporadically or as a component of the Dandy-Walker syndrome, the Dandy-Walker variant, Down's syndrome, or Joubert-syndrome. We identified a defect of the cerebellar vermis in nine fetuses on ... Full text Link to item Cite

Choroid plexus-ventricular wall separation in fetuses with normal-sized cerebral ventricles at sonography: postnatal outcome.

Journal Article AJR Am J Roentgenol · August 1994 OBJECTIVE: The choroid plexus typically fills the atrium of the lateral ventricles of the brain in normal fetuses, but separates from the medial ventricular wall with increasing ventriculomegaly. Sonographic depiction of choroid plexus-ventricular wall sep ... Full text Link to item Cite

Doppler evaluation of renal artery stenosis: interobserver agreement in the interpretation of waveform morphology.

Journal Article AJR Am J Roentgenol · June 1994 OBJECTIVE: Analysis of Doppler waveform morphology for features of the tardus-parvus phenomenon has been promoted as a useful and accurate means for detecting renal artery stenosis. The purpose of this study was to examine and quantify the interobserver ag ... Full text Link to item Cite

Diagnosis of acute cholecystitis with color Doppler sonography: significance of arterial flow in thickened gallbladder wall.

Journal Article AJR Am J Roentgenol · May 1994 OBJECTIVE: Thickening of the gallbladder wall is a common though nonspecific sonographic finding. The purpose of this study was to determine if color Doppler sonography shows arterial flow in thickened gallbladder walls more frequently in patients with cho ... Full text Link to item Cite

Sonography of the fetal gastrointestinal tract: anatomic variants, diagnostic pitfalls, and abnormalities.

Journal Article AJR Am J Roentgenol · May 1994 Prenatal sonography has the potential to show a wide range of abnormalities in a fetus's gastrointestinal tract. Suspected fetal gastrointestinal abnormalities should be interpreted with caution, however, as the sonographic appearance of a healthy fetus's ... Full text Link to item Cite

Fetal brain development of twins assessedIn utero by ultrasound

Journal Article Biological Psychiatry · May 1994 Full text Cite

Deep venous thrombosis: value of self-augmentation US evaluation.

Journal Article Radiology · February 1994 In 10 healthy volunteers (three men and seven women, aged 24-35 years [mean, 27 years]) and 28 patients (11 men and 17 women, aged 38-74 years [mean, 60 years]) with symptoms for deep venous thrombosis (DVT), self-augmentation ultrasound (US) scanning was ... Full text Link to item Cite

Bilateral lower extremity evaluation of deep venous thrombosis with color flow and compression sonography.

Journal Article J Ultrasound Med · February 1994 Recognition of the accuracy of CUS for diagnosis of DVT has led to increased requests for bilateral lower extremity CUS studies. Compared to unilateral lower limb CUS studies, these examinations are often requested when the clinical suspicion of DVT is les ... Full text Link to item Cite

Ultrasound diagnosis of fetal anomalies associated with in utero cocaine exposure: further support for cocaine-induced vascular disruption teratogenesis.

Journal Article Fetal Diagn Ther · 1994 The dramatic increase in cocaine use over the past decade has led to a concern about its possible teratogenicity. We have identified 6 structural fetal anomalies which we postulate may have cocaine-induced vascular accidents as the teratogenic mechanism: 2 ... Full text Link to item Cite

Ultrasound evaluation for ectopic pregnancy

Journal Article Radiologist · January 1, 1994 Cite

Renal artery stenosis: analysis of Doppler waveform parameters and tardus-parvus pattern.

Journal Article Radiology · December 1993 PURPOSE: The utility of Doppler parameters and waveform contour analysis for diagnosis of renal artery stenosis was studied in a hypertensive population screened for renovascular hypertension. MATERIALS AND METHODS: The Doppler results were compared with t ... Full text Link to item Cite

Fetal biometry in the Brachmann-de Lange syndrome.

Journal Article Am J Med Genet · November 15, 1993 The Brachmann-de Lange syndrome (BDLS) is diagnosed in children on the basis of a distinctive clinical phenotype which includes retarded physical growth. Because there are no genetic or biochemical tests at present, the antenatal detection of the syndrome ... Full text Link to item Cite

Complications of cesarean section: role of transperineal US.

Journal Article Radiology · August 1993 The pelvic area was prospectively examined with transabdominal and transperineal ultrasonography (US) in 22 patients referred for US evaluation for possible complications of cesarean section. The region of the uterine wound was seen with transabdominal US ... Full text Link to item Cite

Doppler US assessment of maternal kidneys: analysis of intrarenal resistivity indexes in normal pregnancy and physiologic pelvicaliectasis.

Journal Article Radiology · March 1993 Duplex ultrasound was performed in both kidneys of 156 normotensive pregnant women without suspected renal disease and 25 nonpregnant women of childbearing age to determine if resistivity indexes are different between pregnant and nonpregnant women and to ... Full text Link to item Cite

Femoral artery pseudoaneurysms: value of color Doppler sonography in predicting which ones will thrombose without treatment.

Journal Article AJR Am J Roentgenol · November 1992 OBJECTIVE: The purpose of this study was to evaluate the Doppler imaging characteristics of femoral artery pseudoaneurysms occurring after cardiac catheterization to determine if color Doppler sonography can be used to predict which pseudoaneurysms would u ... Full text Link to item Cite

Diagnosis of placenta previa during the third trimester: role of transperineal sonography.

Journal Article AJR Am J Roentgenol · July 1992 Placenta previa can be difficult to diagnose with transabdominal sonography during the third trimester of pregnancy, because of difficulties in imaging the cervix late in pregnancy. Although transperineal sonography offers an additional view of the cervix, ... Full text Link to item Cite

Hyperechoic meconium in the third trimester fetus: an uncommon normal variant.

Journal Article J Ultrasound Med · December 1991 Fetal meconium is usually hypoechoic or isoechoic to adjacent abdominal structures on antenatal sonography. Hyperechoic meconium is associated with pathologic conditions, such as meconium ileus, meconium peritonitis, and anorectal malformations. The author ... Full text Link to item Cite

Ultrasound of the postpartum uterus. Prediction of retained placental tissue.

Journal Article J Ultrasound Med · August 1991 We reviewed ultrasound images an 53 postpartum patients referred for possible retained products of conception and correlated specific ultrasound patterns with clinical and pathologic follow-up. The most common finding in patients with retained placental ti ... Full text Link to item Cite

Sonography of the cervix during the third trimester of pregnancy: value of the transperineal approach.

Journal Article AJR Am J Roentgenol · July 1991 Transabdominal sonography reliably depicts the cervix during the first and second trimesters of pregnancy, but cervical visualization becomes increasingly difficult as the third trimester progresses. To evaluate the possibility of using a perineal approach ... Full text Link to item Cite

Transperineal US: alternative technique to improve visualization of the presenting fetal part.

Journal Article Radiology · June 1991 Transperineal ultrasound (TPU) was used as an alternative imaging technique to evaluate the anatomy of the presenting part in 27 second- and third-trimester fetuses when transabdominal ultrasound (US) images were suboptimal. Use of TPU improved visualizati ... Full text Link to item Cite

Mild fetal renal pelviectasis. Differentiation from hilar vascularity using color Doppler sonography.

Journal Article J Ultrasound Med · May 1991 Ultrasound often detects a sonolucent region in the hilum of the fetal kidney. Although this sonolucency is usually assumed to represent mild dilatation of the fetal renal collecting system, in pediatric and adult kidneys blood vessel lumina can simulate p ... Full text Link to item Cite

Sonographic diagnosis of premature cervical dilatation. Potential pitfall due to lower uterine segment contractions.

Journal Article J Ultrasound Med · February 1991 Antenatal sonography is an accepted method of evaluating the cervix and lower uterine segment. Dilatation of the endocervical canal can be missed due to compression by an overdistended urinary bladder, intermittent changes in configuration of the cervix, a ... Full text Link to item Cite

Sonographic characteristics of small cerebral blood vessels. An in vivo and postmortem study.

Journal Article J Ultrasound Med · December 1990 The ultrasound appearance of small cerebral blood vessels was investigated with in vivo and postmortem sonography. Linear echoes corresponding in distribution to small branches of major cerebral blood vessels, particularly deep medullary veins, were seen d ... Full text Link to item Cite

Use of endo-vaginal ultrasound to optimize visualization of the distal fetal spine in breech presentations.

Journal Article J Ultrasound Med · September 1990 Endovaginal ultrasound was used to evaluate the spine of 13 second-trimester fetuses in which transbdominal images were considered equivocal due to suboptimal visualization of the distal spine and where the fetus was in a breech presentation. Endovaginal s ... Full text Link to item Cite

Fetal umbilical artery Doppler response to graded maternal aerobic exercise and subsequent maternal mean arterial blood pressure: predictive value for pregnancy-induced hypertension.

Journal Article Am J Obstet Gynecol · September 1990 Predictive tests for the identification of women at high risk of the development of preeclampsia are critical to allow the most appropriate preventive measures. Preeclampsia is a vasospastic condition of pregnancy characterized by early and enhanced vascul ... Full text Link to item Cite

Value of sonography in the diagnosis of intracranial hemorrhage and periventricular leukomalacia: a postmortem study of 35 cases.

Journal Article AJR Am J Roentgenol · September 1990 Periventricular leukomalacia and germinal matrix hemorrhages are major causes of neurodevelopmental abnormalities in the premature neonate. Although sonography is widely used to detect these abnormalities and is thought to be sensitive for hemorrhages and ... Full text Link to item Cite

Color flow and image-directed Doppler ultrasound evaluation of iatrogenic arteriovenous fistulas in the groin.

Journal Article J Clin Ultrasound · 1990 Color flow image-directed Doppler ultrasound was used to image 9 iatrogenic arteriovenous (AV) fistulas in the groin following femoral artery catheterization. Characteristic findings in the color images and spectral waveforms seen in most patients included ... Full text Link to item Cite

Value of sonography in the diagnosis of intracranial hemorrhage and periventricular leukomalacia: a postmortem study of 35 cases.

Journal Article AJNR Am J Neuroradiol · 1990 Periventricular leukomalacia and germinal matrix hemorrhages are major causes of neurodevelopmental abnormalities in the premature neonate. Although sonography is widely used to detect these abnormalities and is thought to be sensitive for hemorrhages and ... Link to item Cite

Fetal gastrointestinal abnormalities.

Journal Article Radiol Clin North Am · January 1990 A wide range of abnormalities of the fetal gastrointestinal tract is currently detectable by antenatal sonography, but the sonographic appearance of normal fetal bowel is variable, with considerable overlap between normal and abnormal patterns. In examinin ... Link to item Cite

Nonuniformity of fetal umbilical systolic/diastolic ratios as determined with duplex Doppler sonography.

Journal Article J Ultrasound Med · August 1989 Fetal umbilical arterial systolic/diastolic (S/D) ratios are said to be uniform throughout the umbilical cord. We evaluated this phenomenon by performing duplex Dopper on 73 fetuses at three sites in the umbilical cord: near the placental origin, in the fr ... Full text Link to item Cite

Normal sonographic appearance of the fetal neck late in the first trimester: the pseudomembrane.

Journal Article Radiology · May 1989 A linear specular reflection simulating a membrane was visualized along the back of the neck on sonograms of ten normal fetuses ranging in age from 10 to 14 menstrual weeks. Follow-up ultrasound studies of eight of the fetuses and postpartum clinical exami ... Full text Link to item Cite

Fetal choroid plexus lesions. Relationship of antenatal sonographic appearance to clinical outcome.

Journal Article J Ultrasound Med · February 1989 The sonograms and clinical outcomes of 31 fetuses with antenatally detected choroid plexus lesions were retrospectively reviewed. Lesions were classified as simple cysts in 22 cases (71%) and complex lesions in 9 (29%). Simple cysts tended to be smaller in ... Full text Link to item Cite

THE 3 LINES - ORIGIN OF SONOGRAPHIC LANDMARKS OF THE FETAL HEAD - REPLY

Journal Article AMERICAN JOURNAL OF ROENTGENOLOGY · February 1, 1989 Link to item Cite

First trimester fetal cardiac activity. Sonographic documentation of a progressive early rise in heart rate.

Journal Article J Ultrasound Med · October 1988 The heart rates of 124 first trimester fetuses were determined with real-time sonography and were analyzed with regard to gestational age. The mean embryonic heart rate increased from 101 beats per minute (bpm) at 5 to 5.95 menstrual weeks to 143 bpm at 8 ... Full text Link to item Cite

Augmentation and replacement cystoplasty: sonographic findings.

Journal Article Radiology · December 1987 Sonographic evaluation of the urinary tract after bladder augmentation and replacement procedures often reveals unexpected findings that result from incorporation of bowel into the urinary bladder wall. Familiarity with such findings is important to avoid ... Full text Link to item Cite

The three lines: origin of sonographic landmarks in the fetal head.

Journal Article AJR Am J Roentgenol · November 1987 Antenatal sonography consistently reveals three parallel echogenic lines on high-axial scans of the fetal head. Previous descriptions of fetal intracranial anatomy assumed that the inner line originates from the interhemispheric fissure and that the outer ... Full text Link to item Cite

Postasphyxial encephalopathy in term infants. Sonographic demonstration of increased echogenicity of the thalamus and basal ganglia.

Journal Article J Ultrasound Med · April 1987 Sonographic abnormalities secondary to postasphyxial encephalopathy in neonates are reviewed. This report emphasizes an additional finding, increased echogenicity of the thalamus and basal ganglia, demonstrated in four term infants. This abnormal finding i ... Full text Link to item Cite

Significance of membrane thickness in the sonographic evaluation of twin gestations.

Journal Article AJR Am J Roentgenol · January 1987 A retrospective study of 55 twin pregnancies was performed to determine the role of sonography in distinguishing between dichorionic and monochorionic diamniotic gestations solely by evaluating the thickness of the membrane between the fetuses. The presenc ... Full text Link to item Cite

Sonography of an intratesticular lipoma.

Journal Article J Ultrasound Med · November 1985 Full text Link to item Cite

Right atrial appendage pacing: radiographic considerations.

Journal Article AJR Am J Roentgenol · July 1985 Transvenous pacing accomplished from the right atrial appendage, either alone or in combination with right ventricular pacing, is becoming increasingly popular for selected patients in whom the contribution of atrial systole is advantageous. On the frontal ... Full text Link to item Cite

A histopathologic study of 716 unselected eyes in patients with cancer at the time of death.

Journal Article Am J Ophthalmol · June 1983 To determine the frequency of ocular metastases in the general population, we conducted a prospective histopathologic study of 716 eyes obtained from patients who had malignant neoplasms at the time of death. Fifty-two patients had ocular metastases; all o ... Full text Link to item Cite

A histopathological study of 716 unselected eyes in patients with cancer at the time of death

Journal Article American Journal of Ophthalmology · January 1, 1983 To determine the frequency of ocular metastases in the general population, we conducted a prospective histopathologic study of 716 eyes obtained from patients who had malignant neoplasms at the time of death. Fifty-two patients had ocular metastases; all o ... Cite