Faculty of Medicine
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Item type:Publication, Ultrasound-guided Biopsy of Musculoskeletal Soft-tissue Tumors: Basic Principles, Usefulness and Limitations(Sciendo, 2022-04); ; The aim of this article is to provide a short review of the literature concerning the basic principles, usefulness and limitations of ultrasound-guided biopsy of musculoskeletal soft-tissue tumors, with particular focus on core needle biopsies. Musculoskeletal soft-tissue tumors represent a rare and complex group of heterogeneous lesions. Prompt diagnosis of these uncommon lesions can improve the outcome and increase the patient survival rate. A biopsy examination of soft-tissue tumors with imaging modalities is necessary in all cases of aggressive or undetermined lesions. Although fine needle aspiration can be helpful for the biopsy of certain tumor types, core needle biopsy is a standard procedure in most tertiary sarcoma centers. It has a high diagnostic accuracy, low complication rate and lower price in comparison to open biopsy, and can replace it in the majority of cases of soft-tissue tumor assessment. However, the examining physician has to be familiar with the technique, and the strengths and potential difficulties in performing ultrasound-guided biopsy, as well as possible solutions to obstacles. Several recently developed ultrasound techniques can be helpful and improve the outcome of imaging-guided biopsies of musculoskeletal lesions. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Sarcopenia, More Than Just Muscle Atrophy: Imaging Methods for the Assessment of Muscle Quantity and Quality(Georg Thieme Verlag KG, 2023-09); Ivanoski, SlavchoSarcopenia, a progressive reduction of muscle mass and function, is associated with adverse outcomes in the elderly. Sarcopenia and muscle atrophy are not equal processes. Low muscle strength in association with muscle quantity/quality reduction is currently the optimal method for assessing sarcopenia. There is a practical need for indirect measurement of muscle strength using state-of-the-art imaging techniques. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Ultrasound - Guided Percutaneous Sclerotherapy of Simple Renal Cysts - Five Years Report(Balkan Cities Association of Nephrology, Dialysis, Transplantation and Artificial Organs, 2020); ; ; ; Introduction. The sclerotherapy is considered a safe and effective treatment of simple renal cysts, usually per- formed by urologists. It was a five-year retrospective report on our tertiary clinical experience with simple renal cysts sclerotherapy performed by nephrologists. Methods. We analyzed the medical histories of patients who underwent sclerotherapy from January 2015 until the end of December 2019 counting overall 23 sessions of sclerotherapy. The method (aspiration or drainage) was chosen according to cyst size and depth. Sclerothe- rapy with 96% alcohol was performed. The cyst size was recorded, and the curative effect was evaluated by the residual cyst volume; over 20% residua in the cyst size was considered as a failed treatment. Patients we- re reexamined by ultrasound at 12-month follow-up, or earlier if symptomatic. Results. The mean age of patients was 58.68±11.08 years and majority of them were females. Most of the cysts [17] induced flank pain, dysregulated hypertension was present in 22% of patients and one have obstructted the urine flow. The mean cyst volume was 540±307.51 ml. All cysts were successfully treated. The mean cyst volume decreased significantly. Concerning the compli- cations, sporadic cases of pain and vomitus occurred du- ring only three treatment procedures. At the follow-up, all patients who suffered from unsatisfactory blood pre- ssure control improved and the hydronephrosis resolved. In five cases there was reoccurrence of a symptomatic cyst, with a need of re-treatment in the follow-up period. Conclusion. Ultrasound-guided aspiration and sclerothe- rapy of simple renal cysts is a safe and effective proce- dure that may be carried out by nephrologists. - Some of the metrics are blocked by yourconsent settings
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