Document Detail


Contrast-enhanced power Doppler imaging: comparison with scintigraphic phases of revascularization of the femoral head in Legg-Calvé-Perthes disease.
MedLine Citation:
PMID:  12131443     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The authors evaluated the usefulness of an ultrasound contrast agent (SHU 508A) to help identify different scintigraphic phases of revascularization of the femoral head in children with Legg-Calvé-Perthes (LCP) disease. Eighteen unenhanced and contrast-enhanced power Doppler images and scintigrams of the pathologic hip in 18 children with LCP disease were compared. The scintigraphic stages of Conway's classification for LCP disease (stage A, recanalization; stage B, neovascularization) were compared with the degree of vascularity and mean peak enhancement ratios obtained from analysis of Doppler sonograms. Qualitatively, the patient's age (< or = or >7 years old) at the time of examination had a significant effect on the degree of vascularity visualized on postcontrast ultrasound images according to the scintigraphic stages. Quantitatively, there were no differences for overall mean peak enhancement ratios between stages A and B. Power Doppler ultrasound increased visualization of Doppler signals significantly but did not help in differentiating scintigraphic phases.
Authors:
Andrea S Doria; Roberto Guarniero; Rui M De Godoy Jr; Carlos Buchpiguel; Marcelo Modena; Fabiano G Cunha; Carlos Luzo; Laszlo J Molnar; Marcelo T Sapienza; Giovanni G Cerri
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of pediatric orthopedics     Volume:  22     ISSN:  0271-6798     ISO Abbreviation:  J Pediatr Orthop     Publication Date:    2002 Jul-Aug
Date Detail:
Created Date:  2002-07-19     Completed Date:  2002-09-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8109053     Medline TA:  J Pediatr Orthop     Country:  United States    
Other Details:
Languages:  eng     Pagination:  471-8     Citation Subset:  IM    
Affiliation:
University of São Paulo, São Paulo, Brazil. andrea.doria@sickkids.ca
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MeSH Terms
Descriptor/Qualifier:
Child
Child, Preschool
Contrast Media
Female
Femur Head / blood supply*
Humans
Legg-Perthes Disease / radionuclide imaging*,  ultrasonography*
Male
Neovascularization, Physiologic / physiology*
Probability
Radiographic Image Enhancement / methods*
Radionuclide Imaging / methods
Sensitivity and Specificity
Severity of Illness Index
Statistics, Nonparametric
Technetium / diagnostic use
Ultrasonography, Doppler, Color / methods*
Chemical
Reg. No./Substance:
0/Contrast Media; 7440-26-8/Technetium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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