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M9620213.TXT
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1996-02-26
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Document 0213
DOCN M9620213
TI Microabscesses of the liver and spleen in AIDS: detection with 5-MHz
sonography.
DT 9602
AU Murray JG; Patel MD; Lee S; Sandhu JS; Feldstein VA; Department of
Radiology, University of California, San Francisco; General Hospital,
USA.
SO Radiology. 1995 Dec;197(3):723-7. Unique Identifier : AIDSLINE
MED/96072857
AB PURPOSE: To determine whether sonograms of the liver and spleen,
obtained with 5-MHz linear-array transducers, aid in detection of
hepatosplenic microabscesses in patients with acquired immunodeficiency
syndrome (AIDS). MATERIALS AND METHODS: Abdominal sonographic
examinations (n = 111) were performed in 102 consecutive patients with
AIDS. A 3.5-MHz sector transducer was used in each study, with
additional images of the hepatic and splenic parenchyma obtained with a
5-MHz linear-array transducer. Each study was reviewed without benefit
of the 5-MHz images, and categories of the hepatic and splenic
parenchyma were as follows: 1, lesions definitely present; 2, lesions
possibly present; and 3, lesions absent. The 5-MHz images were
subsequently reviewed, and studies were recategorized. Findings were
correlated with results of pathologic examination. RESULTS: The 5-MHz
scans enabled identification of focal hepatic or splenic lesions in 14
of 96 studies placed in category 2 or 3 on the basis of the 3.5-MHz
sector scans. CONCLUSION: In patients with AIDS, 5-MHz sonograms of the
liver and spleen enable detection of microabscesses not confidently
identified on 3.5-MHz scans.
DE Abscess/MICROBIOLOGY/PATHOLOGY/*ULTRASONOGRAPHY Acquired
Immunodeficiency Syndrome/ULTRASONOGRAPHY Adult AIDS-Related
Opportunistic Infections/PATHOLOGY/*ULTRASONOGRAPHY
Candidiasis/PATHOLOGY/ULTRASONOGRAPHY Female Human Liver
Diseases/MICROBIOLOGY/PATHOLOGY/*ULTRASONOGRAPHY Lymphoma,
AIDS-Related/PATHOLOGY/ULTRASONOGRAPHY Lymphoma,
Non-Hodgkin's/PATHOLOGY/ULTRASONOGRAPHY Male Middle Age Mycobacterium
avium-intracellulare Infection/PATHOLOGY/ ULTRASONOGRAPHY Pneumocystis
carinii Infections/PATHOLOGY/ULTRASONOGRAPHY Sarcoma,
Kaposi's/PATHOLOGY/ULTRASONOGRAPHY Splenic
Diseases/MICROBIOLOGY/PATHOLOGY/*ULTRASONOGRAPHY Splenic
Neoplasms/PATHOLOGY/ULTRASONOGRAPHY Tuberculosis,
Hepatic/PATHOLOGY/ULTRASONOGRAPHY Tuberculosis,
Splenic/PATHOLOGY/ULTRASONOGRAPHY JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).