Friday, October 18, 2019

Is a 3-D Ultrasound Better Than a 2-D Ultrasound?

When you are pregnant, you might wonder as to what is the difference between a 2D, a 3D, and a 4D ultrasound. A majority of women opt for an ultrasound when they are pregnant. With the advent of imaging technologies in ultrasound, 2D, 3D, and 4D ultrasounds have become pretty prominent.

What are the different types of ultrasounds?

There are certain major differences in the types of ultrasounds that are usually performed during pregnancy. Every ultrasound makes use of sound waves to generate a picture. The oldest is the 2D or two-dimensional image. At present, 3D or three-dimensional images, and four-dimensional images or 4D are pretty popular. However, 3D and 4D ultrasounds are not really considered to be basic prenatal tests. In general, insurance may not really cover the expense of these types of ultrasounds. It is a different case if your doctor tells you that these tests are vital.

In general, 2D ultrasound provides you with outlines and images that look flat. This can be used to view the various internal organs of the baby. This is useful when it comes to diagnosing heart defects, problems with the kidneys, and various other potential internal problems.

3D images are mainly used to provide you with various three-dimensional external images. Now, these images can be highly useful when it comes to diagnosing some common issues like a cleft lip. In the case of a 4D ultrasound, the image is updated on a consistent basis. It becomes a moving image, eventually.

What are the common advantages and disadvantages?


These types of ultrasound have certain advantages plus disadvantages. Most families tend to prefer 3D images. This is mainly because they look to provide more realistic images of the baby as compared to those of 2D images. In the latter case, the images are mainly flat. You are required to talk to your doctor about the type of ultrasound you are using. You would also have to look for the reason behind it. If your doctor does not really offer you a 3D or 4D ultrasound, you can go ahead and ask him/her about it.

Why go for ultrasounds?


Ultrasounds are usually used to verify a number of variables when you are pregnant. These include some reasons like:


  • The age of your baby
  • Any probable issues in your uterus, cervix, ovaries or the placenta
  • The way your baby is developing
  • The number of babies you are carrying
  • The issues/s you or your baby might be having
  • The heart rate of your baby
  • The amniotic fluid level
  • Signs of down syndrome
  • The growth and position of your baby in your uterus

What to know about 2D ultrasound?


It can be said that 2D is the most conventional ultrasound scanning. This implies that it sends and receives ultrasound waves in a single plane. The reflected waves tend to provide a flat image of the fetus that is black-and-white. You can see this image through the plane. When you move the transducer, you can view various planes. When the right plane is attained, a still film can be created from the recording. A good deal of the detailed evaluation of fetal anatomy and morphology has been performed with the help of a 2D ultrasound.

Ultrasounds need to be used only for medical purposes. As per the Food and Drug Administration (FDA), you should not get ultrasounds done just for fun! After all, ultrasound is medical technology. This implies that you must try to avoid places which offer ultrasounds that are not really recommended by your doctor. This is mainly because the amount of time you and your baby are exposed to the ultrasound may not really be limited. Also, the ultrasound may not really be performed in a proper manner. Though ultrasound in Perth is highly safe, there is no proper research to indicate as to how prolonged exposure to ultrasound can affect a baby.

What to know about 3D ultrasound?


The images created in a 2D ultrasound are further integrated by high-speed computing software. This offers a 3-dimensional image. The technology lying behind 3D ultrasound is required to deal with image volume data acquisition, volume display and volume data analysis.

In general, three major techniques are used here to acquire volume data. Freehand movements of the probe can be used with or without position sensors to create the images.

Mechanical sensors are also built into the probe head. Also, matrix array sensors are used that make use of a single sweep to get a good deal of data. This incorporates a set of 2D frames that have been taken in succession. It is then that data analysis offers a 3-D image. The operator can then extract any view or plane of interest. This helps to visualize the structures in the context of their morphology, relationship, and size with each other. 

Data can be displayed with the help of the rendering images or multi planar format.The former is a computerized process that involves filling in the gaps to generate a clear 3D image. Also, there is a tomographic model that enables the viewing of various parallel slices in the transverse plane from the data set.

The multi planar format enables the operator to assess various 2D planes simultaneously. With the help of a reference dot on the screen that represents the point of intersection of 3 orthogonal planes, it can be freely shifted to gather an image at any plane within the volume that is scanned.

Advantages of 3D imaging over 2D imaging


In 3D imaging, the use of various virtual planes leads to sharper visualization of fetal heart structures. This is not really attainable by 2D imaging. 3D enables the diagnosis of fetal face defects. It enables the diagnosis of fetal skeletal or neural tube defects. In addition, it takes less time for standard plane visualization. At the same time, it is less dependent on operator skill plus experience for diagnosis of the basic fetal anomalies.

Thursday, August 8, 2019

When CT Scan is Needed for Head Injury?

People of all ages lead with their heads when they move about. There are many repercussions of a head injury.

In earlier times, CT scans didn't exist. Usually, when the patient does well, he goes home. However, if that is not the case, the neurosurgeon is called in to evaluate the patient. Currently, CT scans can be found in even the smallest hospital.

Doctors need the proper reassurance of hard evidence like an X-ray or CT. Every case is different and needs to be considered individually.



CT scan


Here are some of the guidelines that the doctors follow in order to decide whether a CT scan is needed for head injury:

Concussions with High Risk that needs an operation

  • the person is not fully awake within 2 hours after injury
  • there is a suspected depressed skull fracture
  • there is a suspected fracture of the base of the skull, bruising of both eyes, blood behind the eardrum, etc.
  • vomiting takes more than 2 times
  • the patient is older than 65 years of age

Concussions with Medium Risk for injury to the brain

  • amnesia of before impact of greater than 30 minutes
  • dangerous mechanism

Usually, a CT scan is required with any one of the following findings in a person who is fully awake:
  • headache
  • vomiting
  • age of more than 60 years
  • drug or alcohol intoxication
  • amnesia
  • visible trauma above the collarbone
  • seizure

However, this set of rules is applied based on the patient's exact situation. Communication among the physician, patient, and family is very crucial. Effective communication allows the proper treatment pathway.

A blow to the head or a severe twist to your neck lead to a severe headache. Such headaches can lead to results such as brain injury such as concussion, bleeding on the brain, or cracks to the skull.

Head and neck injuries are pretty common. The health care provider needs to examine you for a possible concussion or another injury. The health care provider may order a CT scan of the brain to make sure you do not have a fractured skull or a serious brain injury.
 

Importance of CT scans

CT scans can show if there is swelling or bleeding in the brain or a fracture in the skull. Thus, in case you have signs of a serious injury, a CT scan is usually the best first test to diagnose it. It is then that your health care provider will look for specific signs of a more serious problem. These include:
  • Weakness on one side of your face or body
  • Trouble speaking, hearing or swallowing
  • Reduced vision
  • Seizures
  • Repeated vomiting
  • Severe headache
  • One pupil larger than the other
  • Fluid or blood from an ear or nose
  • Tenderness over the skull
  • Having thinner blood

Most health care providers follow guidelines that recommend performing CT scans only for patients who are at higher risk for skull fractures or bleeding in the brain. Many people who have head injuries do not have either of these problems. Thus, the simple concussions do not show up on a CT scan.

In case you do not have any of these signs, your risk of a serious injury needing surgery or leading to serious complications is truly less. In this case, a CT scan will not help.

On examination, if it is found that you are able to walk and talk normally, the chance of you having a serious injury needing surgery or special treatment is low.
 

Exposure to radiation during CT scan

A CT scan makes use of X-rays to generate images of the brain and skull. X-rays are a form of radiation that heightens the risk of cancer over your lifetime. Risks from radiation exposure pretty much add up. Thus, one needs to avoid unnecessary radiation when possible.

Recovery from head injuries takes time

You might experience some mild symptoms, such as headaches, dizziness, nausea, feeling unsteady, sensitivity to light or loud noises, or difficulties with memory or concentration. These symptoms improve eventually.

You should immediately go to an emergency department when you experience any of the following symptoms:

  • A headache that gets worse with time
  • Drowsiness
  • Difficult in recognizing people or places
  • Consistent vomiting
  • Weird behavior or extreme irritability
  • Seizures of the arms or legs
  • Weak arms or legs on one side of the body
  • Impaired balance or speech

In order to get better, rest until your symptoms improve. You must avoid strenuous physical activity, mainly sports, intense exercise, and another heavy form of work.

You must be cautious not to injure your head again. In case your symptoms deteriorate with a particular activity, then you should avoid it. Keep in mind that there are certain guidelines that help people recover from a head injury.

Make sure to ask your doctor when you can return to your normal activities. Do not forget to drink enough fluids and avoid alcohol. You can stay hydrated all the time. Make sure to avoid alcohol. It may help you recover more quickly.

Try not to stress your brain too much. You must avoid activities that are emotionally and mentally demanding until your symptoms improve. Such activities include studying, reading, playing video games or watching television.

You can ask your health care provider about medicine. You should take pain medication as instructed by your doctor, like acetaminophen (Tylenol), ibuprofen (Advil, Motrin) or naproxen (Aleve).

In case your symptoms continue for the next few weeks, you need to follow up with your health care provider.
 

Risks of CT scan

CT scans use radiation. This can increase your risk of cancer. Children have more risks since their brains are developing. Young children may need sedative drugs so they lie still for a scan. These drugs have risks. And imaging test results are sometimes unclear. This can lead to more tests and visits to a specialist.
 

Cost of Scans

Brain scans cost a good deal. A standard brain CT scan might cost hundreds of dollars. On the other hand, an MRI scan costs even more. In case your results are not so clear, you may have to pay for extra tests.