DIAPHRAGMATIC MUSCLE SONOGRAPHY IN THE PHYSIOTHERAPIST CLINICAL PRACTICE AS FUNCTIONAL ASSESSMENT OF THE CARDIO- RESPIRATORY PATIENT SUBJECT TO REHABILITATION TREATMENT
The aim of this work is to describe how the Ultrasound of the diaphragm muscle can be useful in the clinical practice of the physiotherapist as a support to the classical clinical tests such as wt 6 minutes and MIP/MEP pressures, after a rehabilitation program in COPD patients.
M mode sonographic of diaphragmatic motionAngelo Longoni
M-mode sonograpny (US) of the diaphragmatic motion may be an aid for the respiratory therapist to better
calibrate the cough-assist machine in uncooperative patients
Bending this way that way forwards and backwardsFiona Mellor
A presentation given at the South West UK radiographers study day in 2014. The overview was in vivo measurement of spinal biomechanics using quantitative fluoroscopy. The take home message is that flexion extension radiographs of the lumbar spine are unreliable due to measurement error and intra subject variability.
This slide introduces the research topic of HCI Lab, Gachon University, Korea (Professor Ahyoung Choi)
For more information, please visit our research web site.
https://sites.google.com/view/hcilab/home
M mode sonographic of diaphragmatic motionAngelo Longoni
M-mode sonograpny (US) of the diaphragmatic motion may be an aid for the respiratory therapist to better
calibrate the cough-assist machine in uncooperative patients
Bending this way that way forwards and backwardsFiona Mellor
A presentation given at the South West UK radiographers study day in 2014. The overview was in vivo measurement of spinal biomechanics using quantitative fluoroscopy. The take home message is that flexion extension radiographs of the lumbar spine are unreliable due to measurement error and intra subject variability.
This slide introduces the research topic of HCI Lab, Gachon University, Korea (Professor Ahyoung Choi)
For more information, please visit our research web site.
https://sites.google.com/view/hcilab/home
Information about monitoring after therapies for hcc by Dr Dhaval Mangukiya.
Details of Monitoring after therapies for HCC, Staging, Management of Hepatocellluar Carcioma, Limitation, RECIST criteria, Assessment, Target lesion, Special recommendations etc.
https://drdhavalmangukiya.com/
http://www.youtube.com/c/DrDhavalMangukiyaGastrosurgeonSurat
https://gastrosurgerysurat.blogspot.com/
TBI is the radiotherapy technique to irradiate whole body before doing stem cell transplant. The main purpose of doing TBIB is to condition the immune system of body so that there will be maximum chance of transplant acceptance.
Treatment & challenges of uh breast radiotherapySunilMaurya82
Simulation, Treatment & challenges faced to Radiation Therapist During CoVID 19 Pandamic By Mr Sunil Maurya, Radiation Therapist, Sir HN RELIANCE HOSPITAL and Research center, Mumbai
CIMT involves constraining the unaffected limb, along with intense therapy, in order to force the use of the affected limb with intent to improve motor function.
This work by respiratory physiotherapist Angelo Longoni aims to demonstrate how the use of diaphragmatic ultrasound can be helpful in the evaluation of results of rehabilitative respiratory programs.
Information about monitoring after therapies for hcc by Dr Dhaval Mangukiya.
Details of Monitoring after therapies for HCC, Staging, Management of Hepatocellluar Carcioma, Limitation, RECIST criteria, Assessment, Target lesion, Special recommendations etc.
https://drdhavalmangukiya.com/
http://www.youtube.com/c/DrDhavalMangukiyaGastrosurgeonSurat
https://gastrosurgerysurat.blogspot.com/
TBI is the radiotherapy technique to irradiate whole body before doing stem cell transplant. The main purpose of doing TBIB is to condition the immune system of body so that there will be maximum chance of transplant acceptance.
Treatment & challenges of uh breast radiotherapySunilMaurya82
Simulation, Treatment & challenges faced to Radiation Therapist During CoVID 19 Pandamic By Mr Sunil Maurya, Radiation Therapist, Sir HN RELIANCE HOSPITAL and Research center, Mumbai
CIMT involves constraining the unaffected limb, along with intense therapy, in order to force the use of the affected limb with intent to improve motor function.
Similar to DIAPHRAGMATIC MUSCLE SONOGRAPHY IN THE PHYSIOTHERAPIST CLINICAL PRACTICE AS FUNCTIONAL ASSESSMENT OF THE CARDIO- RESPIRATORY PATIENT SUBJECT TO REHABILITATION TREATMENT
This work by respiratory physiotherapist Angelo Longoni aims to demonstrate how the use of diaphragmatic ultrasound can be helpful in the evaluation of results of rehabilitative respiratory programs.
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The utility of 18F-fluorocholine PET/CT in the imaging of parathyroid adenomasNukleer Tıp Uzmanı
Introduction:
The aim of the study was to estimate the sensitivity of 18F-FCH PET/CT in preoperative localisation of hyperfunctioning parathyroid glands in patients with primary hyperparathyroidism (PHPT).
Material and methods:
Sixty-five consecutive patients with PHPT, who underwent neck ultrasound (US) and 99mTc/99mTc-MIBI dual-phase parathyroid scintigraphy, were prospectively enrolled. Twenty-two patients had unsuccessful parathyroid surgery prior to the study. PET/CT scans were performed 65.0 ± 13.3 min after injection of 218.5 ± 31.9 MBq of 18F-fluorocholine (FCH). Three experienced nuclear medicine physicians assessed the detection rate of hyperfunctioning parathyroid tissue. Response to parathyroidectomy and clinical follow-up served as a reference test. Per-patient sensitivity and positive predictive value (PPV) were calculated for patients who underwent surgery.
Results:
18F-FCH PET/CT was positive in 61 patients, and negative in 4. US and parathyroid scintigraphy showed positive and negative results in 20, 45 and 17, 48, respectively. US showed nodular goitre in 31 patients and chronic thyroiditis in 9 patients. Parathyroid surgery was performed in 43 (66%) patients. 18F-FCH PET/CT yielded a sensitivity of 100% (95% CI: 87.99–100) and PPV of 85.7% (95% CI: 70.77–94.06). Similar values were observed in patients with chronic thyroiditis, nodular goitre, and patients after an unsuccessful parathyroid surgery. PET/CT identified hyperparathyroidism complications (kidney stones, osteoporotic bone fractures, and brown tumours) in 11 patients.
Conclusions:
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18F-FCH PET/CT; fluorocholine; hyperparathyroidism; parathyroid imaging
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DIAPHRAGMATIC MUSCLE SONOGRAPHY IN THE PHYSIOTHERAPIST CLINICAL PRACTICE AS FUNCTIONAL ASSESSMENT OF THE CARDIO- RESPIRATORY PATIENT SUBJECT TO REHABILITATION TREATMENT
1. CLINICAL EXPERTISE AIDED BY TECHNOLOGY: HINTS FROM THE PAST TO BET ON THE FUTURE
N°
Methods:
For the study of the diaphragm muscle we a portable
ultrasound with a Convex probe (1-5 MHz). The patient
was positioned in semi-supine position (40°). The B mode
modality scan, in anterior subcostal view, was used in
order to indentify the diaphragm muscle whereas the M-
mode one was used to appreciate the diaphragmatic
kinetics, following the oscillation of the pleural/liver profile
generated during the respiratory acts. WT6 'and MIP/MEP
pressure were performed according to standard ATS. All
procedures were performed at the entrance and discharge
of COPD patients.
Conclusions:
The US of the diaphragm offers a valid, practical, rapid and
sensitive approach that could be overlapped with the
classical evaluation methods used by the physiotherapist in
the daily practice to monitor treatment’s efficacy.
Improvements in ultrasound parameters correlate with
those of 6MWT and MIP/ MEP and we could claim that
ultrasound is an excellent support in the functional
evaluation of the outcomes after rehabilitation of COPD
patients if gold-standard methods are not applicable in
case of temporary disability of the patient (severe
symptomatology, acute pain, clinical instability). Despite the
positive results found, these data are not sufficient and
statistically significant in order to draw up a protocol. Future
research work is required on the basis of the proposed
outcomes.
P2
!“DIAPHRAGMATIC MUSCLE SONOGRAPHY IN THE PHYSIOTHERAPIST
CLINICAL PRACTICE AS FUNCTIONAL ASSESSMENT OF THE CARDIO-
RESPIRATORY PATIENT SUBJECT TO REHABILITATION TREATMENT”
Angelo Longoni1 RT, Mariele Vago1 RT, Dionigi Mangiacasale1 MD, Paolo Pozzi1 MD, Albino De Marco1 MD,
Laura Cattaneo1 MD, Francesca Perin2 FT, Antonio Paddeu1 MD.
1. Cardio-Respiratory Rehabilitation “P. Giancola Foundation”, ASST Lariana S. Antony Abate Cantu’ Hospital , Como (Italy),
2. Physiotherapist, Varese
Mail: angelo.longoni@asst-lariana.it
Results:
A total of 116 patients aged 51 to 91, 78 men and 38 women
were included in the study. The standard unit of measurement
is centimeter. The data was examined with SmallTalk, an
programming language. This analysis shows a positive
response of at least one ultrasound parameter despite the
values of MIP/MEP have not improved. This exception could
probably underline a greater precision of the ultrasound in the
specific analysis of the diaphragmatic dynamics. From the
analysis of the data relative to the comparison between
distance walked in 6MWT and amplitude of the diaphragmatic
excursion measured in cm, the following results are obtained:
considering 100 patients who improved walking test
performance (75.9% of the total), 80% also optimized
diaphragmatic motility (72.29% with reference to 75.9%) while
the remaining 20% (3, 61%) did not improve the excursion
parameter. As far as patients with unchanged distance in
6MWT are concerned (24.1% of total patients), 95.24%
(22.85% on the graph) has an increase in diaphragmatic
excursion.
Treviso 21-23 Marzo 2019
Aim:
The aim of this work is to describe how the Ultrasound of
the diaphragm muscle can be useful in the clinical practice
of the physiotherapist as a support to the classical clinical
tests such as wt 6 minutes and MIP/MEP pressures, after
a rehabilitation program in COPD patients.
WT 6’ MIP-MEP
Supine position at 40°Convex probe 5 MHz
Data collection
MIP-MEP
B mode
Portable sonography