Publications by authors named "Kathleen Moller"

The present work describes the process of the sonographic examination, normal findings and measurements in the B-mode ultrasound evaluation. Reference is made to anatomical variants in shape, the pyramidal lobe, tubercle of Zuckerkandl, ectopic thyroid tissue, and their significance. Particular attention is paid to the reference values, the very miscellaneous reference values in different geographic regions of the world and influencing factors.

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In patients with chronic inflammatory bowel disease (IBD), endoscopic techniques (including capsule techniques and balloon enteroscopy for the small intestine), ultrasound (US), computed tomography (CT) and magnetic resonance imaging (MRI) are primarily used as often complementary imaging techniques. Radiation exposure needs to be kept in mind when using CT and conventional X‑ray-techniques. Therefore, most importantly, ultrasound and MRI have changed the routine diagnostics of intestinal diseases.

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Introduction: Medical education, especially in ultrasound training, is undergoing significant changes. This study examines practical issues in ultrasound medical education, emphasizing state-of-the-art teaching methods, their effectiveness, and implementation challenges.

Methods: The study analyzed advancements in ultrasound education, including randomized controlled trials comparing peer-to-peer teaching with traditional faculty-led instruction.

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Primary pulmonary sarcoma and mesothelioma are rare malignancies. The review article discusses the appearance of these tumors in B-mode ultrasound (US), color Doppler ultrasound and contrast-enhanced ultrasound (CEUS). In particular, the article is intended to inspire the examination of thoracic wall tumors and pleural masses with the possibilities of ultrasonography and to obtain histologically evaluable material using US or CEUS-guided sampling.

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Reliable and reproducible measurement methods have been established, and reference values are used in almost all scientific disciplines. Knowledge of reference values is crucial to distinguish physiological from pathological processes and, therefore, subsequently, for the clinical management of patients. Image storage and documentation of measurements and normal findings should be part of quality assurance in imaging.

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Article Synopsis
  • The review discusses primary benign mesenchymal tumors of the pancreas, which are very rare and often diagnosed only after surgery.
  • These tumors are usually identified through postoperative histology, leading to significant pancreatic surgery even for benign cases.
  • The summary includes limited findings from abdominal imaging and endoscopic ultrasound (EUS), with some case reports demonstrating modern ultrasound techniques used for diagnosis.
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  • The review discusses mesenchymal pancreatic tumors that have intermediate biological behavior and how they appear in imaging studies.
  • These tumors are rare, much like their benign and malignant counterparts, and are typically diagnosed after surgery through histology.
  • The text also briefly summarizes the limited information available on ultrasound and endoscopic ultrasound findings, including the use of contrast-enhanced techniques for these pancreatic lesions.
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Article Synopsis
  • - This review details rare malignant pancreatic lesions, particularly focusing on the imaging characteristics of uncommon epithelial tumors like solid pseudopapillary neoplasm and acinar cell carcinoma.
  • - It highlights how these tumors can be visualized using ultrasound, endoscopic ultrasound (EUS), and contrast-enhanced techniques.
  • - The overview emphasizes that pancreatic tumors are diverse, and not all are the common types like ductal adenocarcinoma or neuroendocrine tumors.
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An incidental focal liver lesion (IFLL) is defined as a hepatic lesion identified in a patient imaged for an unrelated reason. They are frequently encountered in daily practice, sometimes leading to unnecessary, invasive and potentially harmful follow-up investigations. The clinical presentation and the imaging aspects play an important role in deciding if, and what further evaluation, is needed.

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The manifestation of benign hematological infiltration in the liver is a challenge due to their rare occurrence and therefore, limited awareness and the general need for biopsy and histological confirmation. Owing to the rarity of these lesions, there are limited data concerning their appearance on ultrasound and, specifically, contrast-enhanced ultrasound. In a series of papers, we have compiled the US and CEUS characteristics of rare FLL, where there are few reports and images available, in order to build up a library of these cases.

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Article Synopsis
  • - Acquiring skills in diagnostic ultrasound is essential for modern healthcare, but traditional teaching methods often lack sufficient hands-on practice, which is crucial for mastering anatomy interpretation and scan techniques.
  • - The paper investigates different teaching roles in ultrasound education, including physicians, anatomists, peer tutors, and sonographers, emphasizing their importance in providing diverse support and practical experience.
  • - A well-structured ultrasound curriculum that incorporates various teaching methods and peer-assisted learning can enhance educational outcomes and ease faculty workload, highlighting the need for thorough training for all instructors involved.
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Article Synopsis
  • This review categorizes and discusses rare malignant mesenchymal tumors of the pancreas, emphasizing their imaging characteristics.
  • It highlights that these tumors may present differently than the more common pancreatic cancers, like ductal adenocarcinoma or neuroendocrine tumors.
  • The overview consolidates existing data to provide a clearer understanding of these less common pancreatic tumors.
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  • * It highlights the importance of correlating ultrasound results with pathological features for better differential diagnosis, especially in high-risk populations where point-of-care ultrasound can serve as an initial screening tool.
  • * The review cautions that while ultrasound can aid in sample collection for tuberculosis testing, a diagnosis of extrapulmonary tuberculosis cannot be confirmed solely through ultrasound, as many findings are non-specific.
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Article Synopsis
  • The article discusses guidelines from the World Federation for Medicine and Biology (WFUMB) regarding contrast-enhanced ultrasound (CEUS) specifically related to very rare focal liver lesions (FLL).
  • It focuses on the ultrasound appearance of peliosis hepatis and porphyria cutanea tarda, highlighting how these conditions can often be diagnosed visually without needing a biopsy.
  • The goal is to enhance clinicians' understanding of the clinical presentation and imaging characteristics of these focal liver lesions to improve diagnostic accuracy.
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