Visualization and hypervascularization of the haemorrhoidal plexus in vivo using power Doppler imaging transanal ultrasonography and three-dimensional power Doppler angiography
Aim The purpose of this study was to demonstrate the distribution of haemorrhoidal arteries and the relationship between vascularity and growth of haemorrhoids. Method One‐hundred and three patients with haemorrhoids were studied. Using power Doppler imaging (PDI) transanal ultrasound and three‐dime...
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| Veröffentlicht in: | Colorectal disease 2013-11, Vol.15 (11), p.e686-e691 |
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| creator | Miyamoto, H. Asanoma, M. Miyamoto, H. Takasu, C. Masamune, K. Shimada, M. |
| description | Aim
The purpose of this study was to demonstrate the distribution of haemorrhoidal arteries and the relationship between vascularity and growth of haemorrhoids.
Method
One‐hundred and three patients with haemorrhoids were studied. Using power Doppler imaging (PDI) transanal ultrasound and three‐dimensional power Doppler angiography (3D‐PDA), the course of the arteries supplying the haemorrhoids was identified. Measurement of the PDI area was made using the cursor to outline the power Doppler signal of the haemorrhoid, approximately 1 cm above the dentate line.
Results
The haemorrhoidal arteries were seen as branches of the superior rectal artery and were detected in 75.7, 71.8, 68.0 and 62.1% of the 11, 7, 3 and 1 o'clock positions in the lithotomy position. The median number of haemorrhoidal arteries significantly increased from three to six with progression of the Goligher classification from Grade 1 to Grade 4 (P |
| doi_str_mv | 10.1111/codi.12406 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_1449280754</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1449280754</sourcerecordid><originalsourceid>FETCH-LOGICAL-i3576-bf86da14407fdd7c19f36f29c55d8eb121360a6b816edfbc34e7a2376fc566193</originalsourceid><addsrcrecordid>eNpVUctu1DAUtRCIlsKGD0Beskmx48ROljBTSqWKSmigS-smdiYGxw52Mu30q_qJeB6thDc-uudxZR-E3lNyTtP51HplzmleEP4CndKCs4wyWr3c4zyrakpO0JsYfxNCuaDVa3SStKzgdX2KHn-ZOIM1DzAZ7zA4hfvtqMMGYjtbCE-E7_DUa9yDHnwIvTcKLB6tvp8jNg5vzMbjORq3xqO_0wEv_ZjYgM0A6910CuAiuGSabcLRO78OMPbb_cqpD1pnygzaxbRtF_1fCri1Oerfolcd2KjfHe8z9PPrxWrxLbu-ubxafL7ODCsFz5qu4gpoURDRKSVaWneMd3ndlqWqdENzyjgB3lSUa9U1LSu0gJwJ3rUl57RmZ-jjIXcM_u-s4yQHE1ttLTjt5yhTdJ1XRJRFkn44Sudm0EqOIb06bOXTLycBPQjujNXbZ54SuetP7vqT-_7k4mZ5tUfJkx08Jk76_tkD4Y_kgolS3n6_lOLLj9uVWC0lZ_8ABMmjFA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1449280754</pqid></control><display><type>article</type><title>Visualization and hypervascularization of the haemorrhoidal plexus in vivo using power Doppler imaging transanal ultrasonography and three-dimensional power Doppler angiography</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Miyamoto, H. ; Asanoma, M. ; Miyamoto, H. ; Takasu, C. ; Masamune, K. ; Shimada, M.</creator><creatorcontrib>Miyamoto, H. ; Asanoma, M. ; Miyamoto, H. ; Takasu, C. ; Masamune, K. ; Shimada, M.</creatorcontrib><description>Aim
The purpose of this study was to demonstrate the distribution of haemorrhoidal arteries and the relationship between vascularity and growth of haemorrhoids.
Method
One‐hundred and three patients with haemorrhoids were studied. Using power Doppler imaging (PDI) transanal ultrasound and three‐dimensional power Doppler angiography (3D‐PDA), the course of the arteries supplying the haemorrhoids was identified. Measurement of the PDI area was made using the cursor to outline the power Doppler signal of the haemorrhoid, approximately 1 cm above the dentate line.
Results
The haemorrhoidal arteries were seen as branches of the superior rectal artery and were detected in 75.7, 71.8, 68.0 and 62.1% of the 11, 7, 3 and 1 o'clock positions in the lithotomy position. The median number of haemorrhoidal arteries significantly increased from three to six with progression of the Goligher classification from Grade 1 to Grade 4 (P < 0.0001). The PDI areas in Grades 1, 2, 3 and 4 were 0.04 ± 0.03, 0.18 ± 0.07, 0.38 ± 0.18 and 0.96 ± 0.32 cm2 (P < 0.05).
Conclusion
The distribution of haemorrhoidal arteries varies widely in both number and position. Using PDI transanal ultrasonography and 3D‐PDA it was possible to visualize the haemorrhoid plexus and the course of the haemorrhoidal artery in vivo.</description><identifier>ISSN: 1462-8910</identifier><identifier>EISSN: 1463-1318</identifier><identifier>DOI: 10.1111/codi.12406</identifier><identifier>PMID: 24034699</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Anal Canal - blood supply ; Anal Canal - diagnostic imaging ; Arteries - diagnostic imaging ; Endosonography ; Female ; Haemorrhoidal artery ; Hemorrhoids - diagnostic imaging ; Humans ; Imaging, Three-Dimensional ; internal haemorrhoid ; Male ; Middle Aged ; Patient Positioning ; power Doppler imaging ; Rectum - blood supply ; Rectum - diagnostic imaging ; three-dimensional power Doppler angiography ; Ultrasonography, Doppler, Color ; Young Adult</subject><ispartof>Colorectal disease, 2013-11, Vol.15 (11), p.e686-e691</ispartof><rights>Colorectal Disease © 2013 The Association of Coloproctology of Great Britain and Ireland</rights><rights>Colorectal Disease © 2013 The Association of Coloproctology of Great Britain and Ireland.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fcodi.12406$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fcodi.12406$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24034699$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Miyamoto, H.</creatorcontrib><creatorcontrib>Asanoma, M.</creatorcontrib><creatorcontrib>Miyamoto, H.</creatorcontrib><creatorcontrib>Takasu, C.</creatorcontrib><creatorcontrib>Masamune, K.</creatorcontrib><creatorcontrib>Shimada, M.</creatorcontrib><title>Visualization and hypervascularization of the haemorrhoidal plexus in vivo using power Doppler imaging transanal ultrasonography and three-dimensional power Doppler angiography</title><title>Colorectal disease</title><addtitle>Colorectal Dis</addtitle><description>Aim
The purpose of this study was to demonstrate the distribution of haemorrhoidal arteries and the relationship between vascularity and growth of haemorrhoids.
Method
One‐hundred and three patients with haemorrhoids were studied. Using power Doppler imaging (PDI) transanal ultrasound and three‐dimensional power Doppler angiography (3D‐PDA), the course of the arteries supplying the haemorrhoids was identified. Measurement of the PDI area was made using the cursor to outline the power Doppler signal of the haemorrhoid, approximately 1 cm above the dentate line.
Results
The haemorrhoidal arteries were seen as branches of the superior rectal artery and were detected in 75.7, 71.8, 68.0 and 62.1% of the 11, 7, 3 and 1 o'clock positions in the lithotomy position. The median number of haemorrhoidal arteries significantly increased from three to six with progression of the Goligher classification from Grade 1 to Grade 4 (P < 0.0001). The PDI areas in Grades 1, 2, 3 and 4 were 0.04 ± 0.03, 0.18 ± 0.07, 0.38 ± 0.18 and 0.96 ± 0.32 cm2 (P < 0.05).
Conclusion
The distribution of haemorrhoidal arteries varies widely in both number and position. Using PDI transanal ultrasonography and 3D‐PDA it was possible to visualize the haemorrhoid plexus and the course of the haemorrhoidal artery in vivo.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anal Canal - blood supply</subject><subject>Anal Canal - diagnostic imaging</subject><subject>Arteries - diagnostic imaging</subject><subject>Endosonography</subject><subject>Female</subject><subject>Haemorrhoidal artery</subject><subject>Hemorrhoids - diagnostic imaging</subject><subject>Humans</subject><subject>Imaging, Three-Dimensional</subject><subject>internal haemorrhoid</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patient Positioning</subject><subject>power Doppler imaging</subject><subject>Rectum - blood supply</subject><subject>Rectum - diagnostic imaging</subject><subject>three-dimensional power Doppler angiography</subject><subject>Ultrasonography, Doppler, Color</subject><subject>Young Adult</subject><issn>1462-8910</issn><issn>1463-1318</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVUctu1DAUtRCIlsKGD0Beskmx48ROljBTSqWKSmigS-smdiYGxw52Mu30q_qJeB6thDc-uudxZR-E3lNyTtP51HplzmleEP4CndKCs4wyWr3c4zyrakpO0JsYfxNCuaDVa3SStKzgdX2KHn-ZOIM1DzAZ7zA4hfvtqMMGYjtbCE-E7_DUa9yDHnwIvTcKLB6tvp8jNg5vzMbjORq3xqO_0wEv_ZjYgM0A6910CuAiuGSabcLRO78OMPbb_cqpD1pnygzaxbRtF_1fCri1Oerfolcd2KjfHe8z9PPrxWrxLbu-ubxafL7ODCsFz5qu4gpoURDRKSVaWneMd3ndlqWqdENzyjgB3lSUa9U1LSu0gJwJ3rUl57RmZ-jjIXcM_u-s4yQHE1ttLTjt5yhTdJ1XRJRFkn44Sudm0EqOIb06bOXTLycBPQjujNXbZ54SuetP7vqT-_7k4mZ5tUfJkx08Jk76_tkD4Y_kgolS3n6_lOLLj9uVWC0lZ_8ABMmjFA</recordid><startdate>201311</startdate><enddate>201311</enddate><creator>Miyamoto, H.</creator><creator>Asanoma, M.</creator><creator>Miyamoto, H.</creator><creator>Takasu, C.</creator><creator>Masamune, K.</creator><creator>Shimada, M.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201311</creationdate><title>Visualization and hypervascularization of the haemorrhoidal plexus in vivo using power Doppler imaging transanal ultrasonography and three-dimensional power Doppler angiography</title><author>Miyamoto, H. ; Asanoma, M. ; Miyamoto, H. ; Takasu, C. ; Masamune, K. ; Shimada, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-i3576-bf86da14407fdd7c19f36f29c55d8eb121360a6b816edfbc34e7a2376fc566193</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anal Canal - blood supply</topic><topic>Anal Canal - diagnostic imaging</topic><topic>Arteries - diagnostic imaging</topic><topic>Endosonography</topic><topic>Female</topic><topic>Haemorrhoidal artery</topic><topic>Hemorrhoids - diagnostic imaging</topic><topic>Humans</topic><topic>Imaging, Three-Dimensional</topic><topic>internal haemorrhoid</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patient Positioning</topic><topic>power Doppler imaging</topic><topic>Rectum - blood supply</topic><topic>Rectum - diagnostic imaging</topic><topic>three-dimensional power Doppler angiography</topic><topic>Ultrasonography, Doppler, Color</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Miyamoto, H.</creatorcontrib><creatorcontrib>Asanoma, M.</creatorcontrib><creatorcontrib>Miyamoto, H.</creatorcontrib><creatorcontrib>Takasu, C.</creatorcontrib><creatorcontrib>Masamune, K.</creatorcontrib><creatorcontrib>Shimada, M.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Colorectal disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Miyamoto, H.</au><au>Asanoma, M.</au><au>Miyamoto, H.</au><au>Takasu, C.</au><au>Masamune, K.</au><au>Shimada, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Visualization and hypervascularization of the haemorrhoidal plexus in vivo using power Doppler imaging transanal ultrasonography and three-dimensional power Doppler angiography</atitle><jtitle>Colorectal disease</jtitle><addtitle>Colorectal Dis</addtitle><date>2013-11</date><risdate>2013</risdate><volume>15</volume><issue>11</issue><spage>e686</spage><epage>e691</epage><pages>e686-e691</pages><issn>1462-8910</issn><eissn>1463-1318</eissn><abstract>Aim
The purpose of this study was to demonstrate the distribution of haemorrhoidal arteries and the relationship between vascularity and growth of haemorrhoids.
Method
One‐hundred and three patients with haemorrhoids were studied. Using power Doppler imaging (PDI) transanal ultrasound and three‐dimensional power Doppler angiography (3D‐PDA), the course of the arteries supplying the haemorrhoids was identified. Measurement of the PDI area was made using the cursor to outline the power Doppler signal of the haemorrhoid, approximately 1 cm above the dentate line.
Results
The haemorrhoidal arteries were seen as branches of the superior rectal artery and were detected in 75.7, 71.8, 68.0 and 62.1% of the 11, 7, 3 and 1 o'clock positions in the lithotomy position. The median number of haemorrhoidal arteries significantly increased from three to six with progression of the Goligher classification from Grade 1 to Grade 4 (P < 0.0001). The PDI areas in Grades 1, 2, 3 and 4 were 0.04 ± 0.03, 0.18 ± 0.07, 0.38 ± 0.18 and 0.96 ± 0.32 cm2 (P < 0.05).
Conclusion
The distribution of haemorrhoidal arteries varies widely in both number and position. Using PDI transanal ultrasonography and 3D‐PDA it was possible to visualize the haemorrhoid plexus and the course of the haemorrhoidal artery in vivo.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>24034699</pmid><doi>10.1111/codi.12406</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Anal Canal - blood supply Anal Canal - diagnostic imaging Arteries - diagnostic imaging Endosonography Female Haemorrhoidal artery Hemorrhoids - diagnostic imaging Humans Imaging, Three-Dimensional internal haemorrhoid Male Middle Aged Patient Positioning power Doppler imaging Rectum - blood supply Rectum - diagnostic imaging three-dimensional power Doppler angiography Ultrasonography, Doppler, Color Young Adult |
| title | Visualization and hypervascularization of the haemorrhoidal plexus in vivo using power Doppler imaging transanal ultrasonography and three-dimensional power Doppler angiography |
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