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DIET and how to prepare for an ABDOMINAL ULTRASOUND

AUTHOR OF OVER 12,000 DIAGNOSTIC ULTRASOUND SCANS

Types of examinations carried out:

  • Complete abdomen ultrasound
  • Ultrasound of the upper abdomen (study of the biliary-pancreatic system)
  • Lower abdomen ultrasound (genitourinary excretory system study)
  • Renal artery echo doppler
  • Ultrasound of intestinal loops
  • Scrotal ultrasound
  • Transrectal ultrasonography
  • Breast ultrasound
  • Ultrasound of the neck (thyroid gland, parathyroid glands, major salivary glands, laterocervical lymph nodes)
  • Ultrasound of surface tissues
  • Ultrasound of the superficial lymph node stations (neck, armpits, groin)
  • Skeletal muscle ultrasound (large joints of shoulder, elbow, hip, knee, ankle; small joints of wrist, hand and foot).

Dr. Giorgio Bolognini

I graduated in Medicine and Surgery at the University of Pisa in 2008. During my university years I developed a strong interest in the study of real-time diagnostics of the human anatomy. However, it is thanks to the University Specialization in Diagnostic Ultrasound in Surgery obtained at the Department of Oncology and Transplants Division of Surgery of Cisanello in 2011 and the subsequent Diploma in Clinical Ultrasound S.I.U.M.B., that I discovered the possibility of studying the human body and its functioning without the need for a surgical exploration.

I was fascinated by this important advancement of non-invasive medical technology and have spent years of intense study and over 1,000 hours of practical internships at the best diagnostic centres in Italy, including the Department of Oncology and Transplantation Division of Surgery at the Cisanello Hospital for abdominal and interventional ultrasound, the G.B. Rossi Polyclinic at the Borgo Roma Hospital in Verona for biliary-pancreatic ultrasound, the Principe di Piemonte di Senigallia Hospital breast centre, the Ospedale del Mare hospital in Naples for thyroid and endocrine system ultrasound scans and the Ospedale Maggiore hospital in Bologna for musculoskeletal ultrasound scans. My incessant desire to expand my degree of knowledge of anatomy and human pathology, led me to a Master's Degree in Interventional Ultrasound and the prestigious Master's Degree in Nephrology-Urology at the Scuola Superiore Sant'Anna in Pisa and, subsequently, six S.I.U.M.B Diplomas in Ultrasound Specialist.

At the same time, I enthusiastically carried out my work as a non-panel ultrasound sonographer at the Studi Medici S.R.L. in Montecatini Terme, the city where I have always lived and to which I am deeply attached. To date I remain mainly a scholar of human physio-anatomy and an enthusiast of ultrasound techniques and their new application possibilities, among which one of the most interesting is undoubtedly the study of microcirculation. This technique is of great help in detecting small solid tumour lesions, allowing an initial differential diagnosis. Since 2018, I have been using the Toshiba Aplio 300 Platinum Version ultrasound system in the clinic, which is equipped with the Micro Vascular Doppler module, called SMI (acronym for Superb Micro-Vascular Imaging) 

SYNTHESIS OF THE METHOD

MICROCIRCULATION STUDY

The device used by the unit is a Toshiba Aplio 300, equipped with new software that allows to study microcirculation: the Superb Micro-Vascular Imaging (SMI acronym).

The principle used by this innovative vascular module is based on an algorithm that separates slow-flowing arterial signals from artifacts due to the motility of the vascular walls and adjacent tissues, thus trying to preserve the image of the microcirculation. The traditional Doppler applies wall filters to remove these movement artifacts, yet it reduces the definition of the microcirculation itself (basically it cannot distinguish the artifacts from the slow-flow circles). 
The SMI module is capable of analysing the characteristics of any type of motion artifact by ultimately extracting only clinically relevant information and allowing to analyse flows at a low speed using high frame rates. 
The SMI can be used in two manners: the colour module (cSMI) that simultaneously shows the information in B-mode and in colour mode; the grayscale module (mSMI) that focuses only on the micro-vascularization tissue, eliminating the background information.

This innovative vascular study method, while not replacing a contrast injected into the venous system and therefore not adding actual information on intralesional vascularization, based on my work experience allows to identify small renal, liver and pancreatic tumours thanks to the mass effect that these lesions exert on the peripheral microcirculation, thus enabling to have a sort of negative ultrasound of the neoplastic mass to be analysed even if small, greatly increasing the diagnostic sensitivity of the method.


IMAGE - Example of a small angiomyolipoma-like renal tumour identified thanks to the mass effect exerted on the peripheral microcirculation.

OPENING HOURS

I am available every day by appointment at the Studi Medici S.R.L. - Corso Matteotti 107 in Montecatini Terme, with the following schedule:

 Monday  3 p.m. - 6 p.m.
 Tuesday   3 p.m. - 5 p.m.
 Wednesday  9 a.m. - 11 a.m.
 Thursday  3 p.m. - 5 p.m.
 Friday        9 a.m. - 12 a.m.

For more information regarding pre-examination information or other topics, please check the Questions and Answers section.

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