CLINICS is an electronic journal that publishes peer-reviewed articles in continuous flow, of interest to clinicians and researchers in medical and biomedical sciences.
Edited by: Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP)
CLINICS is an electronic journal that publishes peer-reviewed articles in continuous flow, of interest to clinicians and researchers in medical and biomedical sciences.
Edited by: Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP)
12/Jan/2021
Hermann dos Santos Fernandes , Artur Salgado de Azevedo , Thiago Camargo Ferreira , Shirley Andrade Santos , Joel Avancini Rocha-Filho , Joaquim Edson Vieira
DOI: 10.6061/clinics/2021/e2170
The practice of regional anesthesia is in a state of progressive evolution, mainly due to the advent of ultrasound as an anesthesiologist’s instrument. Alternative techniques for postoperative analgesia of abdominal surgeries, such as transversus abdominis plane block, oblique subcostal transversus abdominis plane block, rectus abdominis muscle sheath block, ilioinguinal and iliohypogastric nerve block, and quadratus lumborum plane block, have proven useful, with good analgesic efficacy, especially when neuroaxial techniques (spinal anesthesia or epidural anesthesia) are not possible. This review discusses […]
Keywords: Abdominal wall; Analgesia; Peripheral Nerve; Regional Anesthesia; Ultrasonography
Graziele Aparecida Simões Lima , Rossana Verónica Mendoza López , Gislaine Aparecida Ozório , Ricardo Miguel Costa de Freitas , Jose Willegaignon , Marcelo Tatit Sapienza , [...]
06/Oct/2020
Graziele Aparecida Simões Lima , Rossana Verónica Mendoza López , Gislaine Aparecida Ozório , Ricardo Miguel Costa de Freitas , Jose Willegaignon , Marcelo Tatit Sapienza , [...]
DOI: 10.6061/clinics/2020/e1843
To systematically review and analyze the medical literature to assess ultrasonography echotexture changes in thyroid cancer patients for the detection of chronic sialadenitis caused by radioiodine therapy. Methods: Sources were retrieved from PubMed, Scopus, EMBASE and LILACS through November 2018. All studies that assessed ultrasonographic features before 131I administration and at 12 months after 131I administration were selected. After data extraction, statistical analysis was performed by using Stata software. Results: From a total of 435 studies, 4 studies involving 665 […]
Keywords: Differentiated Thyroid Cancer; Major Salivary Glands; Radioiodine; Sialadenitis; Ultrasonography
15/Jul/2020
Renato de Oliveira Pereira, Larissa Almondes da Luz, Diego Cipriano Chagas, Jefferson Rodrigues Amorim, Elmo de Jesus Nery-Júnior, Araci Castelo Branco Rodrigues Alves, [...]
DOI: 10.6061/clinics/2020/e1805
OBJECTIVES: In breast cancer diagnosis, mammography (MMG), ultrasonography (USG) and magnetic resonance imaging (MRI) are the imaging methods most used. There is a scarcity of comparative studies that evaluate the accuracy of these methods in the diagnosis of breast cancer. METHODS: A cross-sectional study was carried out through the review of electronic medical records of 32 female patients who underwent breast imaging examinations at a imaging diagnostic center in Teresina, State of Piauí, Brazil. Patients who had these three imaging […]
Keywords: Breast Cancer; Magnetic Resonance Imaging; Mammography; Ultrasonography
11/Jun/2020
Lucas de Pádua Gomes de Farias , Eduardo Kaiser Ururahy Nunes Fonseca , Daniel Giunchetti Strabelli , Bruna Melo Coelho Loureiro , Yuri Costa Sarno Neves , Thiago Potrich Rodrigues , [...]
DOI: 10.6061/clinics/2020/e2027
The coronavirus disease (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), emerged in Wuhan city and was declared a pandemic in March 2020. Although the virus is not restricted to the lung parenchyma, the use of chest imaging in COVID-19 can be especially useful for patients with moderate to severe symptoms or comorbidities. This article aimed to demonstrate the chest imaging findings of COVID-19 on different modalities: chest radiography, computed tomography, and ultrasonography. In addition, it intended […]
Keywords: Computed Tomography; Coronavirus; COVID-19; Radiography; SARS-CoV-2; Ultrasonography
16/Sep/2019
Carlos Augusto M. Menegozzo , Priscila Gadelho Cazolari, Fernando da Costa Ferreira Novo, Ramiro Colleoni, Edivaldo Massazo Utiyama
DOI: 10.6061/clinics/2019/e1087
ABSTRACT OBJECTIVES: The benefits of implementing point-of-care ultrasound (POCUS) in the emergency department are well established. Ideally, physicians should be taught POCUS during medical school. Several different courses have been designed for that purpose and have yielded good results. However, medical students need specifically designed courses that address the main objectives of knowledge acquisition and retention. Despite that, there is limited evidence to support knowledge retention, especially in the mid-term. The purpose of this study is to evaluate short- and […]
Keywords: Medical Education; Medical Student; Point-of-Care Technology; Ultrasonography
25/Oct/2018
Amanda Favaro Cagnolati, Marcel Nader, Marcello Henrique Nogueira-Barbosa, Claudio Henrique Barbieri
DOI: 10.6061/clinics/2018/e162
OBJECTIVES: The aim of this study was to perform ultrasonographic characterization of the normal ulnar collateral ligament in different age groups and compare it in men and women and in dominant and nondominant hands. METHODS: Forty right-handed volunteers in the age groups 20-30, 31-40, 41-50, and 51-60 years without a history of trauma or surgical procedure in the studied joint were evaluated. The studied parameters were ligament length, greatest ligament thickness, ligament longitudinal section area in the longitudinal plane, distance […]
Keywords: Metacarpophalangeal Joint; Thumb; Ulnar Collateral Ligament; Ultrasonography
01/Oct/2017
Pedro Felipe Magalhães Peregrino, Marcos de Lorenzo Messina, Ricardo dos Santos Simões, José Maria Soares-Júnior, Edmund Chada Baracat
DOI: 10.6061/clinics/2017(10)08
Uterine leiomyoma is the most frequently occurring solid pelvic tumor in women during the reproductive period. Magnetic resonance-guided high-intensity focused ultrasound is a promising technique for decreasing menorrhagia and dysmenorrhea in symptomatic women. The aim of this study is to review the role of Magnetic resonance-guided high-intensity focused ultrasound in the treatment of uterine fibroids in symptomatic patients. We performed a review of the MEDLINE and Cochrane databases up to April 2016. The analysis and data collection were performed using […]
Keywords: High-Intensity Focused Ultrasound Ablation; Leiomyoma; Magnetic Resonance Imaging; Menorrhagia; Ultrasonography
01/Sep/2016
Gustavo de Paula Pereira, Victor Bunduki, Eliane Azeka Hase, Rossana Pulcineli Vieira Francisco, Marcelo Zugaib
DOI: 10.6061/clinics/2016(09)05
OBJECTIVE: To analyze the prenatal outcomes in a cohort of fetuses with mild bilateral pyelectasis and determine whether performing serial ultrasounds is a good follow-up strategy. METHODS: A prospective longitudinal study was conducted on 62 fetuses with mild bilateral pyelectasis. Fetal mild bilateral pyelectasis was considered when the renal pelvis measured (in millimeters) ≥5.0 to 10.0, ≥7.0 to 10.0, and ≥10.0 to 15 at ≤23 weeks 6 days, 24 to 31 weeks 6 days, and ≥32 weeks, respectively, with no […]
Keywords: Fetal Hydronephrosis; Fetal Pyelectasis; Renal Pelvis; Ultrasonography
01/Dec/2015
Julianny Cavalheiro Nery Nakano, Adolfo Wenjaw Liao, Maria de Lourdes Brizot, Mariana Miyadahira, Rossana Pulcineli Vieira Francisco, Marcelo Zugaib
DOI: 10.6061/clinics/2015(12)09
The aim of this study was to compare different fetal growth curves in twin pregnancies with severe placental insufficiency. A retrospective cross-sectional analysis of 47 twin pregnancies with absent or reverse end diastolic flow in the umbilical artery of one fetus was performed. Pregnancies with major fetal abnormalities, twin-twin transfusion or three or more fetuses were not included. The estimated fetal weight zeta-scores were calculated for both fetuses (abnormal Doppler and co-twin) according to the following criteria: Hadlock, Liao and […]
Keywords: Abdominal Circumference; Estimated Weight; Fetal Growth; Placental Insufficiency; Twin Pregnancy; Ultrasonography
01/Nov/2012
Allan C. Pieroni Gonçalves, Eloísa M. M. S. Gebrim, Mário L. R. Monteiro
DOI: 10.6061/clinics/2012(11)18
Although the diagnosis of Graves’ orbitopathy is primarily made clinically based on laboratory tests indicative of thyroid dysfunction and autoimmunity, imaging studies, such as computed tomography, magnetic resonance imaging, ultrasound and color Doppler imaging, play an important role both in the diagnosis and follow-up after clinical or surgical treatment of the disease. Imaging studies can be used to evaluate morphological abnormalities of the orbital structures during the diagnostic workup when a differential diagnosis versus other orbital diseases is needed. Imaging […]
Keywords: Color Doppler Ultrasonography; Graves' Ophthalmopathy; Magnetic Resonance Imaging; Multidetector computed tomography; Optic Nerve Diseases; Ultrasonography
01/May/2012
Adolfo Wenjaw Liao, Maria de Lourdes Brizot, Helenice Júlio Kang, Renata Almeida Assunção, Marcelo Zugaib
DOI: 10.6061/clinics/2012(05)08
OBJECTIVE: The purpose of this study was to establish longitudinal reference ranges for fetal ultrasound biometry measurements and growth parameters in twin pregnancies. METHOD: A total of 200 uncomplicated twin pregnancies before 21 weeks of gestation were recruited for this prospective, longitudinal study. Women who abandoned follow-up, pregnancies with unknown outcomes or pregnancies with complications were excluded. Ultrasound scans were performed every three weeks, and biparietal and occipitofrontal diameters, head and abdominal circumferences, and femur diaphysis length measurements were obtained […]
Keywords: Biometry; Pregnancy; Reference Values; Twins; Ultrasonography
01/May/2011
Jorge Milhem Haddad, Ricardo Muniz Ribeiro, Wanderley Marques Bernardo, Maurício Simões Abrão, Edmund Chada Baracat
DOI: 10.1590/S1807-59322011000500013
OBJECTIVE: To evaluate vaginal cone therapy in two phases, passive and active, in women with stress urinary incontinence. METHODS: A prospective study was conducted at the Department of Obstetrics and Gynecology, São Paulo University, Brazil. Twenty-four women with a clinical and urodynamic diagnosis of stress urinary incontinence were treated with vaginal cones in a passive phase (without voluntary contractions of the pelvic floor) and an active phase (with voluntary contractions), each of which lasted three months. Clinical complaints, a functional […]
Keywords: Muscle Dysfunction; Pelvic floor; Physical Therapy; Ultrasonography; Urinary Incontinence
01/Jan/2011
Maria Inês Novis, Ronaldo Hueb Baroni, Luciana Mendes de Oliveira Cerri, Romulo Loss Mattedi, Carlos Alberto Buchpiguel
DOI: 10.1590/S1807-59322011000100006
OBJECTIVES: To evaluate transrectal ultrasound, amplitude Doppler ultrasound, conventional T2-weighted magnetic resonance imaging, spectroscopy and dynamic contrast-enhanced magnetic resonance imaging in localizing and locally staging low-risk prostate cancer. INTRODUCTION: Prostate cancer has been diagnosed at earlier stages and the most accepted classification for low-risk prostate cancer is based on clinical stage T1c or T2a, Gleason score <6, and prostate-specific antigen (PSA) <10 ng/ml. METHODS: From 2005 to 2006, magnetic resonance imaging was performed in 42 patients, and transrectal ultrasound in […]
Keywords: Cancer staging; Doppler Ultrasound; Magnetic Resonance Imaging; Magnetic Resonance Spectroscopy; Prostatic neoplasm; Ultrasonography
01/Oct/2009
Gurkan Turker, Fatma Nur Kaya, Alp Gurbet, Hale Aksu, Cuneyt Erdogan, Ahmet Atlas
DOI: 10.1590/S1807-59322009001000009
OBJECTIVES: To compare the landmark-guided technique versus the ultrasound-guided technique for internal jugular vein cannulation in spontaneously breathing patients. METHODS: A total of 380 patients who required internal jugular vein cannulation were randomly assigned to receive internal jugular vein cannulation using either the landmark- or ultrasound-guided technique in Bursa, Uludag University Faculty of Medicine, between April and November, 2008. Failed catheter placement, risk of complications from placement, risk of failure on first attempt at placement, number of attempts until successful […]
Keywords: Central venous cannulation; Complication; Jugular vein; Landmark; Ultrasonography
01/Jul/2009
Marcio Henrique Mendes, Alberto Jorge Betinjane, Adhele de Sá Cavalcante, Cheng Te Cheng, Newton Kara-José
DOI: 10.1590/S1807-59322009000700005
INTRODUCTION: A cataract is defined as an opacity of any portion of the lens, regardless of visual acuity. In some advanced cases of cataracts, in which good fundus visualization is not possible, an ultrasound examination provides better assessment of the posterior segment of the globe. OBJECTIVES: This study aims to evaluate the ultrasonographic records of patients with advanced cataracts who were examined during cataract campaigns. METHODS: The ultrasonographic findings obtained from 215 patients examined in cataract campaigns conducted by the […]
Keywords: Cataract; Posterior segment; Retinal detachment; Ultrasonography; Vitreous opacities