Dijagnostički ultrazvuk u muskuloskeletnom sustavu

master's thesis

• Title (english): Diagnostic ultrasound in musculoskeletal system
• Author: Lovro Mijalić
• Mentor: Gordana Ivanac (mentor)
• Committee member: Boris Brkljačić (predsjednik povjerenstva)
• Committee member: Milan Radoš (član povjerenstva)
• Committee member: Gordana Ivanac (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Radiology); Zagreb
• Defense date and country: 2023-07-13, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Radiology

Abstract

je vrlo ekonomična, prijenosna i dostupna metoda koja je značajno napredovala kao dijagnostičko sredstvo od svoje prve primjene u kliničkoj praksi od strane austrijskog neurologa Karla Dussika (1908.-1968.). Omogućuje blisku interakciju između operatora i pacijenta te olakšava identifikaciju određenih područja ili pokreta koji izazivaju simptome. Ultrazvuk je posebno koristan za pedijatrijske pacijente jer omogućuje pregled bez potrebe za sedacijom ili odvajanjem od roditelja, za razliku od magnetske rezonancije (MRI).

Moderne ultrazvučne mašine visoke razlučivosti pružaju detaljan prikaz muskuloskeletnih struktura i patologija. Ovaj rad se fokusira na prikaz muskuloskeletnih stanja koja zahvaćaju velike zglobove, koja su sve češće predmet ultrazvučnih pregleda. Također, istražuje se upotreba ultrazvuka za probir pedijatrijske populacije radi otkrivanja poremećaja razvoja kuka. Obrađuju se obećavajuće tehnike poput sonoelastografije i ultrazvučnih kontrastnih sredstava kao potencijalnih alata u dijagnostici raznih bolesti muskuloskeletnog sustava.

Ipak, važno je imati na umu ograničenja ultrazvuka. Ultrazvučni valovi imaju ograničenu penetraciju u kosti, zglobove i duboke strukture. Za pouzdanu interpretaciju potrebno je veliko poznavanje anatomije i patologije. Iako je MRI metoda izbora za dijagnostiku većine muskuloskeletnih stanja, ultrazvuk se pokazao kao praktičan i vrijedan dodatni alat.

Abstract (english)

Ultrasound is a highly economical, portable, and accessible method that has significantly advanced as a diagnostic tool since its first application in clinical practice by Austrian neurologist Karl Dussik (1908-1968). It allows for close interaction between the operator and the patient, facilitating the identification of specific areas or movements that provoke symptoms. Ultrasound is particularly beneficial for pediatric patients, as it enables examinations without the need for sedation or separation from parents, unlike MRI scans.

Modern high-resolution ultrasound machines provide detailed visualization of musculoskeletal structures and pathologies. This study focuses on the depiction of musculoskeletal conditions affecting large joints, which are increasingly becoming the subject of ultrasound examinations. Additionally, the study explores the use of ultrasound for screening pediatric populations for developmental hip disorders. Promising techniques such as sonoelastography and ultrasound contrast agents are highlighted as potential tools in the diagnosis of various musculoskeletal diseases.

However, it is important to acknowledge the limitations of ultrasound. Ultrasound waves have limited penetration into bones, joints, and deep structures. Accurate interpretation requires extensive knowledge of anatomy and pathology. While MRI remains the method of choice for diagnosing most musculoskeletal conditions, ultrasound has demonstrated its practicality and value as an adjunctive tool.

• Keywords: ultrazvuk; muskuloskeletna stanja; veliki zglobovi; poremećaji razvoja kuka; sonoelastografija; ultrazvučna kontrastna sredstva
• Keywords (english): ultrasound; musculoskeletal conditions; large joints; developmental hip disorders; sonoelastography; ultrasound contrast agents
• Language: croatian
• URN:NBN: urn:nbn:hr:105:729508
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2023-10-26 11:51:28