Thesis (Ph. D.)--University of Washington, 1999. / Vita. Includes bibliographical references (leaves 110-118).

Thesis (Ph. D.)--University of Wisconsin--Madison, 1983. / Typescript. Vita. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 261-265).

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Dissertation submitted in full compliance with the requirements for the Master's degree in Technology: Radiography, Durban Institute of Technology, Durban, 2004. / The object of this study was to use Transvaginal ultrasound to evaluate the thickness of the endometrium to exclude endometrial abnormality in Black South African women with postmenopausal uterine bleeding. Transvaginal ultrasound is an excellent diagnostic method for assessing endometrial pathology. The study was carried out at the Gynaecological Ultrasound Department, King Edward VIII Hospital. The study included 76 Black women with postmenopausal uterine bleeding. The thickness of the endometrium was measured by Transvaginal ultrasound. The measurement included both endometrial layers (double-layer technique). The Transvaginal ultrasound measurement was compared with the histopathological diagnosis of the biopsy specimens. At the end of the investigation, findings obtained were 3.9% non-representative, 44.8% endometrial adenocarcinomas, 14.5% benign polyp, 3.9% chronic Endometritis, 17.1% benign endometrium, 5.3% endometrial hyperplasia, 9.2% atrophic endometrium, 3.9% myometrial invasion and 1.3% Malignant Mixed Mullerian Tumour. In this study, the thickness of the endometrial echo varied from 5mm to 35mm, with a mean of 18,2mm. When the thickness of the endometrial echo was compared with the histopathological results, the mean value for non-representative was 7.83mm, much lower than the thickness of an active endometrium (13.25mm). In cases with atrophic endometrium, the thickness ranged from 6mm to 30mm with a mean of 15.86mm. The mean value obtained for cases with endometrial adenocarcinoma was 20.32mm (range 11 to 35mm). The sensitivity, specificity and accuracy of Transvaginal ultrasound for detecting endometrial malignancy were 100% if the cutoff limit of 4mm was used In conclusion, this study using Transvaginal ultrasound demonstrated that a thickness limit greater than 8mm was considered in detecting malignancy. No malignant endometrium was thinner than 5mm. Therefore in women with postmenopausal uterine bleeding and an endometrium less than 4mm, it may be justified not to perform further investigations. Transvaginal ultrasound is a simple, well-tolerated safe and reliable method for identifying endometrial thickness in postmenopausal Black South African women. / M

published_or_final_version / Electrical and Electronic Engineering / Master / Master of Philosophy

Cardiovascular diseases is a leading cause of death worldwide and improvement of the corresponding screening tool is the best way to deal with this clinical problem. In this thesis we attempted to develop a framework of ultrasound high frame rate vector flow imaging (VFI) by emphasizing on the design of corresponding flow detector and flow estimator. We believe that the high temporal resolution and the complex blood flow visualization ability of high frame rate VFI enables it to be further developed as a reliable flow imaging modality for cardiological examination. In order to achieve high temporal resolution, fast data acquisition algorithm was applied in the framework. Doppler signals acquired using this acquisition algorithm have two unique characteristics comparing with conventional data acquisition algorithm: (1) widen spectral bandwidth and (2) greater clutter to blood signal ratio. These signal characteristics give rise to unique signal processing. In addition, complex blood flow pattern, which is common in cardiological examination, induces extra challenges in implementing high frame rate VFI. In this thesis, flow detector which is adaptive to different flow scenarios and high dynamic range 2D flow estimator were presented. The proposed flow detector employes K-means++ clustering algorithm to classify clutter components from acquired Doppler signals. As a performance analysis, Field II simulation studies were performed by a parabolic flow phantom (flow velocity: 10mm/s to 200mm/s; tissue motion: 10mm/s; beam-flow angle: 60?). The post-filtered Doppler power map and BCR were used as qualitative and quantitativemeasures of detectors performance. Analyzed result has indicated that, as compared with clutter downmixing detector and eigen-based detector, the proposed flow detector could classify and suppress clutter component more effectively. Results also suggested that the proposed flow detector is more adaptive to slow flow scenarios where existing flow detectors failed to distinguish between blood and clutter components. For the proposed flow estimator, it was characterized by the interpolation of speckle tracking results in Lagrangian reference frame. The estimation bias and RMS error were calculated for different flow scenarios (flow velocity: 100mm/s to 500mm/s; beam-flow angle: 15? to 60?). It was found that the proposed flow estimator provides higher dynamic range than conventional speckle tracking-based flow estimator. Nonetheless, it is also observed that the estimation variances and errors increases in slow flow scenarios. In order to demonstrate the medical potential of the proposed high frame rate VFI framework. A carotid bifurcation simulation model with realistic blood flow pattern calculated using computational fluid dynamic software was applied in the performance evaluation study. In the VFI image obtained, complex blood flow pattern was readily visualized. In contrast, conventional ultrasound flow imaging was only able to estimate axial velocity map and thus lead to many ambiguities in analyzing the complex blood flow pattern. It proved that ultrasound high frame rate VFI has the potential to be further developed into a new cardiological examination technique. / published_or_final_version / Electrical and Electronic Engineering / Master / Master of Philosophy

Title page, contents and summary only. The complete thesis in print form is available from the University of Adelaide Library. / "In early arthritis, it is important to make a diagnosis before structural damage has occurred, with early disease modifying therapy effective in improving long term outcomes. The first part of this thesis addresses the deficiency in our current knowledge of standardisation and reproducibility of ultrasound (US) findings. Chapter 2 describes a standardised protocol developed for assessing the metacarphphalangeal (MCP) joints and novel measurements of synovial inflammation. Chapter 3 compares early arthritis subjects to a control group, and showed significantly more US synovitis and abnormally increased measurements, with extensor tenosynovitis (ET) and power Doppler (PD_ positivity highly specific to the early arthritis group. Chapter 4 validates HRUS findings in a subset of subjects using MRI as the reference standard..Chapter 5 presents longitudinal data which suggests that clnical swelling and PD positivity at the MCP joints were the most sensitive to change as a reseult of disease-modifying therapy. Chapter 6 validates an US assessment tooldevelopedbadsed on “sentinel joints” whilst factors that may hemp to differentiate subjects with polyarthralgias from those with early RA are identified in chapter 7. The results of this study suggest that early RA needs to be redefined in the light of our US findings. The prognostic value of early US abnormalities will contlinue to be investigated." -- from Abstract. / http://proxy.library.adelaide.edu.au/login?url= http://library.adelaide.edu.au/cgi-bin/Pwebrecon.cgi?BBID=1317258 / Thesis (Ph.D.) -- University of Adelaide, School of Medicine, 2008

Title page, contents and summary only. The complete thesis in print form is available from the University of Adelaide Library. / "In early arthritis, it is important to make a diagnosis before structural damage has occurred, with early disease modifying therapy effective in improving long term outcomes. The first part of this thesis addresses the deficiency in our current knowledge of standardisation and reproducibility of ultrasound (US) findings. Chapter 2 describes a standardised protocol developed for assessing the metacarphphalangeal (MCP) joints and novel measurements of synovial inflammation. Chapter 3 compares early arthritis subjects to a control group, and showed significantly more US synovitis and abnormally increased measurements, with extensor tenosynovitis (ET) and power Doppler (PD_ positivity highly specific to the early arthritis group. Chapter 4 validates HRUS findings in a subset of subjects using MRI as the reference standard..Chapter 5 presents longitudinal data which suggests that clnical swelling and PD positivity at the MCP joints were the most sensitive to change as a reseult of disease-modifying therapy. Chapter 6 validates an US assessment tooldevelopedbadsed on “sentinel joints” whilst factors that may hemp to differentiate subjects with polyarthralgias from those with early RA are identified in chapter 7. The results of this study suggest that early RA needs to be redefined in the light of our US findings. The prognostic value of early US abnormalities will contlinue to be investigated." -- from Abstract. / http://proxy.library.adelaide.edu.au/login?url= http://library.adelaide.edu.au/cgi-bin/Pwebrecon.cgi?BBID=1317258 / Thesis (Ph.D.) -- University of Adelaide, School of Medicine, 2008