Bill Smith

Current trends and advances in ultrasound contrast studies of the fallopian tubes and uterine cavity – a review article

Laparoscopy and hysteroscopy are universally accepted as the gold standards for examination of the fallopian tubes and uterine cavity respectively. Nevertheless current RCOG, HFEA and NICE guidelines promote ultrasound imaging modalities for first-line diagnostic testing in this respect. Hysterosonosalpingiography (HSS or HyCoSy) and saline infusion sonohysterography (SIS) evaluation of the tubes and uterine cavity are […]

Bill Smith, Nikki Stillwell

Clincial Diagnostic Services

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Increasing impact of ultrasound imaging technology in the assessment of abnormal uterine bleeding

Abnormal uterine bleeding (AUB) remains a major indication for gynaecological ultrasound examination. The causes of AUB are varied and very often present with co-existing pelvic pain. These elements were reflected within a large observational study carried out at Clinical Diagnostic Services, London, involving symptomatic patients referred for pelvic ultrasound over a period of more than […]

Mr Bill Smith

Clinical Diagnostic Services

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A historical review of diagnostic ultrasound imaging

The impact of individual imaging technologies can be gauged in terms of the areas of medicine they benefit, cost factors, accessibility, acceptability to patients and concerns regarding potential biological hazards. It is in this context that ultrasound scanning has, over the years, proven to be of tremendous diagnostic value both in terms of its influence […]

Mr Bill Smith

Clinical Diagnostic Services

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Advances in 2D and 3D gynaecological ultrasound

Advances in ultrasound technology present the opportunity to adopt a degree of flexibility in terms of practical scanning applications as well as access to a range of associated imaging modalities. There is no doubt that greater utilisation of these individual elements combines to increase the diagnostic effectiveness of ultrasound examination. This particularly applies to ultrasound […]

Mr Bill Smith

Clinical Diagnostic Services

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Advanced 3D TVS saline infusion sonohysterography

Diagnostic hysteroscopy is the endoscopic examination of the uterine cavity and its internal features. It has long been established as the principal investigation into the causes of abnormal uterine bleeding. Typical findings might include the presence of intracavital lesions (eg endometrial polyps, fibroids or adhesions), abnormal development of the endometrium or congenital anatomical malformation of […]

Mr Bill Smith, Mr Mohammed Aziz, Nikki Stillwell, Mr Raj Rai

Clinical Diagnostic Services

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