WFUMB Ultrasound Open最新文献

{"title":"Detection of fetal congenital heart defects on three-vessel view ultrasound videos","authors":"Netzahualcoyotl Hernandez-Cruz ,&nbsp;Olga Patey ,&nbsp;Bojana Salovic ,&nbsp;Divyanshu Mishra ,&nbsp;Md Mostafa Kamal Sarker ,&nbsp;Aris Papageorghiou ,&nbsp;J. Alison Noble","doi":"10.1016/j.wfumbo.2024.100075","DOIUrl":"10.1016/j.wfumbo.2024.100075","url":null,"abstract":"<div><h3>Background:</h3><div>Detecting congenital heart defects (CHDs) is challenging due to the difficulty of identifying subtle abnormalities in fetal heart structures.</div></div><div><h3>Objectives:</h3><div>To develop a deep learning-based method for segmenting vessels in the three-vessel view (3VV) to characterise the vessels by size and spatial relationships to detect abnormal fetal hearts.</div></div><div><h3>Methods:</h3><div>We present a deep learning-based method that takes as input a fetal heart ultrasound (US) video of the three vessels view (3VV) and an anchor frame, which contains the segmentation of the pulmonary artery (PA), aorta (Ao), and superior vena cava (SVC) in the 3VV. The method automatically segments the anatomical structures subsequent to the anchor frame and classifies the US video as normal or abnormal. The method consists of two phases. The first phase combines three residual networks (ResNets) extended with a self-attention block and a refinement module. The second phase extends a ResNet with two CoordConv layers integrating spatial coordinates. We assess segmentation performance using the intersection over union (IoU) and dice similarity coefficient (DSC) metrics and classification of US videos using sensitivity and specificity. We also investigate the tolerance to failure of the method by introducing mislabelled anchor frames. The dataset used in this study consists of 150 US videos of the 3VV; 50 videos were used for training, and 100 videos (50 normal videos, 50 abnormal videos) for testing.</div></div><div><h3>Results:</h3><div>In terms of anatomical structure segmentation accuracy, the method achieves an average IoU of 89.5% (99.5% for PA, 85.0% for Ao, and 84.1% for SVC), and an average DSC of 0.950% (0.946% for PA, 0.969% for Ao, and 0.934% for SVC). Detection of abnormal videos achieved a sensitivity of 0.99 and specificity of 1.0. The tolerance to failure analysis shows a decrease in the sensitivity of 0.023 and 0.015 for normal and abnormal case videos, respectively.</div></div><div><h3>Conclusions:</h3><div>The initial evaluation of our approach to fetal CHDs on 3VV ultrasound videos is promising but requires further refinement and evaluation on a larger dataset to assess clinical utility. The approach is designed to be translatable to low-resource settings where fetal echocardiography experts are unavailable due to the simple acquisition protocol.</div></div>","PeriodicalId":101281,"journal":{"name":"WFUMB Ultrasound Open","volume":"2 2","pages":"Article 100075"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142720135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Methods and validation of velacur determined fat fraction in patients with MASLD","authors":"Mohammad Honarvar ,&nbsp;Julio Lobo ,&nbsp;Caitlin Schneider ,&nbsp;Samuel Klein ,&nbsp;Gordon I. Smith ,&nbsp;Rohit Loomba ,&nbsp;Alnoor Ramji ,&nbsp;Tarek Hassanein ,&nbsp;Eric M. Yoshida ,&nbsp;Emily Pang ,&nbsp;Michael P. Curry ,&nbsp;Nezam H. Afdhal","doi":"10.1016/j.wfumbo.2024.100061","DOIUrl":"10.1016/j.wfumbo.2024.100061","url":null,"abstract":"<div><h3>Introduction</h3><p>As prevalence of patients with steatotic liver diseases increases throughout the world, it is necessary to have accurate and accessible methods to estimate liver fat content. Using quantitative ultrasound parameters, such as attenuation and backscatter, it is possible to estimate liver fat with MRI proton density fat fraction as the reference standard. Velacur determined fat fraction (VDFF) is a new output measurement on Velacur (Sonic Incytes Medical Corp, Vancouver, BC).</p></div><div><h3>Methods</h3><p>This study described the results of parameter fitting and validation of VDFF, which is a combination of quantitative ultrasound parameters. Patients were recruited from sites within the US and Canada. All patients had contemporaneous Velacur and MRI proton density fat fraction scans. The quantitative ultrasound parameter fitting was completed using linear regression on a random sub-sample approach, and a separate cohort was used for validation. The AUC for detection of 5 % liver fat based on MRI-PDFF and the correlation between MRI-PDFF and VDFF was measured in both cohorts.</p></div><div><h3>Results</h3><p>VDFF had an AUROC of 0.97 for the detection of MRI-PDFF &gt;5 % in the parameter fitting cohort, and 0.99 in the validation cohort. The correlation [95 % CI] between MRI-PDFF and VDFF was r = 0.84 [0.78–0.89] for the parameter fitting cohort and r = 0.90 [0.82–0.95] for the validation cohort.</p></div><div><h3>Conclusion</h3><p>The Velacur Determined Fat Fraction (VDFF) is an accurate and accessible way to estimate steatosis as measured by MRI-PDFF. Velacur VDFF can fill the unmet need of an accurate means to diagnosis hepatic steatosis and serve as a potential alternative to biopsy or MRI-PDFF.</p></div>","PeriodicalId":101281,"journal":{"name":"WFUMB Ultrasound Open","volume":"2 2","pages":"Article 100061"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949668324000296/pdfft?md5=b2ba02eeedafea6bdb5468e19fe2dbc6&pid=1-s2.0-S2949668324000296-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141845003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability testing of sonographic techniques in detecting lateral displacement of patellar tendon","authors":"Jan-Tyrone Cabrera ,&nbsp;Consuelo Gonzalez-Suarez ,&nbsp;Cristel Bernice Wee ,&nbsp;Gabriel Rodnei Geslani ,&nbsp;Emmanuel Guevara ,&nbsp;Reil Vinard Espino ,&nbsp;Ivan Neil Gomez","doi":"10.1016/j.wfumbo.2024.100065","DOIUrl":"10.1016/j.wfumbo.2024.100065","url":null,"abstract":"<div><h3>Objectives</h3><p>Patellofemoral pain syndrome (PFPS), a common knee condition, is characterized as presence of peripatellar pain during activities especially during loading of the lower extremity. Gonzalez-Suarez et al. (2021) developed a sonographic technique that assessed patellar tendon displacement within the trochlear groove. This study aims to determine the reliability of this sonographic technique.</p></div><div><h3>Methods</h3><p>Intra-rater and inter-rater reliability study of three sonologist on the lateral displacement of the patellar tendon using ultrasound. Patellar tendon displacement was assessed using the three novel sonographic measurement techniques: 1) region of trochlear groove where the patellar tendon midpoint is located, 2) distance between deepest portion of the trochlear groove and patellar tendon midpoint and 3) percentage of lateral displacement of the patellar tendon. The measurements were done with the patients in supine and standing.</p></div><div><h3>Results</h3><p>Ten participants with a mean age of 27.6 ± 1.56 years were included in the study. Pilot studies were done to improve the sonographic technique. Intraclass correlation coefficients yielded good to excellent inter-rater and excellent intra-rater reliability (&gt;0.75) in the supine and standing positions except the inter-rater reliability of the region of the trochlear groove where patellar tendon midpoint is in supine position.</p></div><div><h3>Conclusion</h3><p>The sonographic techniques for measurement of lateral patellar tendon displacement showed good to excellent intra-rater and inter-rater reliability between sonologists of different levels of expertise using a well-defined scanning protocol.</p></div>","PeriodicalId":101281,"journal":{"name":"WFUMB Ultrasound Open","volume":"2 2","pages":"Article 100065"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949668324000338/pdfft?md5=7c69b3638c7b90051b4f85761b0c37f5&pid=1-s2.0-S2949668324000338-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142229892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quantitative ultrasound for steatosis assessment using Hepatoscope®: Confounding technical factors","authors":"Adrien Besson ,&nbsp;Baptiste Hériard-Dubreuil ,&nbsp;Joel Gay ,&nbsp;Adèle Delamarre ,&nbsp;Juliette Foucher ,&nbsp;Claude Cohen-Bacrie","doi":"10.1016/j.wfumbo.2024.100069","DOIUrl":"10.1016/j.wfumbo.2024.100069","url":null,"abstract":"<div><div>Quantitative ultrasound (QUS) is a well-suited modality to address large-scale screening and monitoring of liver steatosis as it is low-cost, non-invasive, and point-of-care. However, technical and biological confounders lead to difficulties in establishing universal cutoff values for diagnosis. Hepatoscope® remedies this issue as it integrates a unique QUS measurement technique enabling the simultaneous measurements of the backscattering coefficient, the attenuation coefficient and the speed of sound. Such measurements are performed in a large two-dimensional region of interest (ROI) and in a free breathing regime such that a relatively large portion of the liver is sampled. We studied the influence of the size of the ROI, its depth and the number of measurements on the QUS parameters with Hepatoscope® both in vitro on four calibrated phantoms and clinically on 60 participants referred to a hepatology consultation for chronic liver disease. We demonstrated that using large ROIs consistently improves the system reliability and the clinical applicability. We did not observe any systematic effect related to the depth of the ROI. We also showed that averaging consecutive measurements leads to better system reliability and better clinical applicability.</div></div>","PeriodicalId":101281,"journal":{"name":"WFUMB Ultrasound Open","volume":"2 2","pages":"Article 100069"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142539515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultrasound for evaluating gastrointestinal symptoms in irritable bowel syndrome patients: A systematic review","authors":"Anas Elgenidy ,&nbsp;Ramez M. Odat ,&nbsp;Mohamed Hesn ,&nbsp;Asmaa Abodaif ,&nbsp;Mohamed S. Elgendy ,&nbsp;Mohammad Alzu'bi ,&nbsp;Abdelrahman R. Youssef ,&nbsp;Shady Sapoor ,&nbsp;Mahmoud Mohamed AlSanafini ,&nbsp;Moustafa Elnewishy ,&nbsp;Paula Gamal Wassef","doi":"10.1016/j.wfumbo.2024.100053","DOIUrl":"https://doi.org/10.1016/j.wfumbo.2024.100053","url":null,"abstract":"<div><h3>Introduction</h3><p>Irritable bowel syndrome (IBS) is a prevalent gastrointestinal disorder with unclear pathogenesis, characterized by diverse symptoms such as bloating, abdominal pain, and altered bowel habits. Medical imaging, particularly ultrasound, has gained importance in diagnosing and managing IBS due to its non-invasiveness and affordability. We aim to evaluate the utility of ultrasound (US) in diagnosing and monitoring IBS by assessing various aspects such as intestinal motility, gallbladder function, urinary bladder, gastric function, autonomic dysfunction, and vagus nerve assessment.</p></div><div><h3>Methods</h3><p>Studies were collected from PubMed, Scopus, Cochrane, Embase, and the Web of Science. Eligible studies were selected based on the inclusion criteria. Data extraction covered study characteristics (such as country, US device type, patients, age, site of US evaluation, and dyspepsia) and the role of the US in bowel-wall thickness, sigmoid colon motility, gallbladder function, gastric function, autonomic dysfunction, and vagus nerve assessment.</p></div><div><h3>Results</h3><p>Twenty studies were included, encompassing diverse ultrasound modalities and patient populations. Ultrasound showed promise in assessing bowel-wall thickness, sigmoid colon motility, gallbladder function, gastric function, autonomic dysfunction, and vagus nerve assessment in IBS patients. Notably, ultrasound demonstrated potential for distinguishing between IBS and inflammatory bowel disease (IBD) and aiding in disease prediction and severity assessment.</p></div><div><h3>Conclusion</h3><p>This comprehensive review underscores the value of ultrasound in diagnosing and managing IBS, offering insights into its diverse applications and diagnostic accuracies across various aspects of gastrointestinal function. However, further research is warranted to address the limitations and optimize the diagnostic accuracy of ultrasound in IBS management.</p></div>","PeriodicalId":101281,"journal":{"name":"WFUMB Ultrasound Open","volume":"2 2","pages":"Article 100053"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949668324000211/pdfft?md5=78dd76fc12350a5bb8562535ff663aba&pid=1-s2.0-S2949668324000211-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “Ultrasound imaging measurements to determine reduced diaphragm thickness and relevance to breathing pattern disorders diagnosis in females” [WFUMB Ultrasound Open 1 (2) (2023) 100010]","authors":"S. Peirce ,&nbsp;S. Mooney ,&nbsp;M. Rohan ,&nbsp;R. Ellis","doi":"10.1016/j.wfumbo.2024.100071","DOIUrl":"10.1016/j.wfumbo.2024.100071","url":null,"abstract":"","PeriodicalId":101281,"journal":{"name":"WFUMB Ultrasound Open","volume":"2 2","pages":"Article 100071"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143093833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improved sonographic detection of adenomyosis with volumetric transvaginal sonography","authors":"Seoiyoung Ahn ,&nbsp;Ted L. Anderson ,&nbsp;Brannan Griffin ,&nbsp;Arthur C. Fleischer","doi":"10.1016/j.wfumbo.2024.100063","DOIUrl":"10.1016/j.wfumbo.2024.100063","url":null,"abstract":"<div><h3>Introduction</h3><p>Pre-ablation detection of adenomyosis may be clinically helpful to decrease the risk of ablation failure and subsequent hysterectomy. Two-dimensional (2D) combined with three-dimensional (3D) Transvaginal sonography (TVS) may be able to improve detection of adenomyosis prior to ablation, potentially allowing better identification of candidates for endometrial ablation and reducing the risk of ablation failure.</p></div><div><h3>Methods</h3><p>A single-center, retrospective study of patients with endometrial ablation failure and subsequent hysterectomy between 2005 and 2023 who had pre-ablation TVS and histopathology-proven adenomyosis was performed. Sensitivities of 2D and 2D/3D TVS for pre-operative detection of adenomyosis were calculated.</p></div><div><h3>Results</h3><p>Among a total of 87 women with pathology-proven adenomyosis after hysterectomy, 40 underwent 2D TVS only prior to ablation, while 47 underwent both 2D and 3D TVS. Of the 40 women who only underwent 2D TVS, 22 were found to have adenomyosis while 18 were negative for adenomyosis. Of the 47 women who underwent both 2D and 3D TVS, 34 were found to have adenomyosis while 13 were negative for adenomyosis. The sensitivities of 2D TVS and 2D/3D TVS for adenomyosis were 0.55 and 0.72, respectively.</p></div><div><h3>Conclusions</h3><p>Both 2D and 3D TVS reflect the challenge of depicting a wide spectrum of sonographic findings of adenomyosis from microscopic myometrial implants to more extensive involvement of the transmural myometrium. The use of both 2D and 3D TVS has a greater preoperative sensitivity for sonographically diagnosing adenomyosis compared to 2D TVS alone. Potential improvements for enhanced TVS detection might include elastography and vascularity assessment.</p></div>","PeriodicalId":101281,"journal":{"name":"WFUMB Ultrasound Open","volume":"2 2","pages":"Article 100063"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949668324000314/pdfft?md5=87b453f948612a37a61887881dde029d&pid=1-s2.0-S2949668324000314-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142150045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aberration correction in 3D transthoracic echocardiography","authors":"Svein-Erik Måsøy ,&nbsp;Bastien Dénarié ,&nbsp;Anders Sørnes ,&nbsp;Espen Holte ,&nbsp;Bjørnar Grenne ,&nbsp;Torvald Espeland ,&nbsp;Erik Andreas Rye Berg ,&nbsp;Ole Marius Hoel Rindal ,&nbsp;Wayne Rigby ,&nbsp;Tore Bjåstad","doi":"10.1016/j.wfumbo.2024.100062","DOIUrl":"10.1016/j.wfumbo.2024.100062","url":null,"abstract":"<div><p>Three-dimensional cardiac imaging has been available in the clinic for more than two decades. Continuous improvement in image quality has occurred in this period due to the development of probe technology and beamforming techniques. The purpose of this article is to quantitatively and qualitatively analyze the effect of a commercially available aberration correction algorithm on clinically acquired 3D transthoracic echocardiography (3D TTE) images. Clinical triplane and 3D volume cineloops of at least one cardiac cycle of pre-beamformed channel data were captured from 50 patients using a GE HealthCare Vivid E95 system with the 4Vc-D matrix array probe. This resulted in a total of 3200 vol and 3136 triplane frames. The data were post-processed with and without aberration correction. Quantitatively, assessed by an image quality parameter based on coherence, all recordings were improved by aberration correction compared to those without aberration correction. Triplane data obtained a larger improvement in image quality than volume data. Qualitatively, as demonstrated by case examples, aberration-corrected images appear sharper, have a brighter tissue signal compared to the cavity, and provide better delineation of cardiac structures. 3D rendering of valves can also be significantly improved. In general, aberration correction provides a systematic improvement in clinical cardiac triplane and 3D volume images.</p></div>","PeriodicalId":101281,"journal":{"name":"WFUMB Ultrasound Open","volume":"2 2","pages":"Article 100062"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949668324000302/pdfft?md5=64eb86fc6b7e009ad2c772d5fba14c28&pid=1-s2.0-S2949668324000302-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142049671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidental findings of gallbladder and bile ducts – Management strategies: Normal findings, anomalies, “silent gallstones” and bile duct dilatation - A World Federation of Ultrasound in Medicine and Biology (WFUMB) position paper","authors":"Christian Jenssen ,&nbsp;Christian P. Nolsøe ,&nbsp;Torben Lorentzen ,&nbsp;Jae Young Lee ,&nbsp;Nitin Chaubal ,&nbsp;Kathleen Möller ,&nbsp;Caroline Ewertsen ,&nbsp;Xin Wu Cui ,&nbsp;Edda Leonor Chaves ,&nbsp;Alina Popescu ,&nbsp;Yi Dong ,&nbsp;Christoph F. Dietrich","doi":"10.1016/j.wfumbo.2024.100034","DOIUrl":"https://doi.org/10.1016/j.wfumbo.2024.100034","url":null,"abstract":"<div><p>The World Federation of Ultrasound in Medicine and Biology (WFUMB) has started a series of position papers highlighting the role of ultrasound techniques for diagnosis, risk assessment and follow-up of incidental imaging findings. Gallbladder and biliary tree are among the most frequent anatomical localizations of incidental findings. A first part of the position paper on incidental findings of gallbladder and bile ducts was related to gallbladder polyps and other incidental findings of the gallbladder wall. Based on a description of normal findings, this second part addresses congenital anomalies and variations of the gallbladder and the biliary tree, asymptomatic bile duct dilatation and “silent” gallstones. Based on evidence on prevalence and outcome and with a special focus on ultrasound techniques, the position paper makes recommendations regarding diagnostic work-up, follow-up and treatment of these incidental findings.</p></div>","PeriodicalId":101281,"journal":{"name":"WFUMB Ultrasound Open","volume":"2 1","pages":"Article 100034"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949668324000028/pdfft?md5=fc29af4cef7a33769aab2ce8ba2a3b20&pid=1-s2.0-S2949668324000028-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139914596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between ultrasound imaging of dorsalis pedis artery and foot health symptoms in people with rheumatoid arthritis","authors":"R. Boman ,&nbsp;S. Penkala ,&nbsp;R.H.M. Chan ,&nbsp;F. Joshua ,&nbsp;N. Kamalaraj ,&nbsp;R.T.H. Cheung","doi":"10.1016/j.wfumbo.2024.100036","DOIUrl":"https://doi.org/10.1016/j.wfumbo.2024.100036","url":null,"abstract":"<div><h3>Background</h3><p>Rheumatoid arthritis (RA) is an autoimmune connective tissue disease which affects joint function and multiple body systems. Poor foot health for people with RA has a negative impact on mobility, functional capacity, and quality of life. Additional to joint pain, people with RA may develop vascular disease e.g., vasculitis, which can have increasingly detrimental effects on foot health, quality of life and longevity. If identified early, adverse effects may be prevented. However, the link between foot health symptoms and ultrasound identified precursory changes for vasculitis is yet to be established.</p></div><div><h3>Objectives</h3><p>This study aimed to examine the association between foot health symptoms and the integrity of the dorsalis pedis artery (DPA).</p></div><div><h3>Methods</h3><p>We recruited 47 participants with RA and 47 characteristic-matched controls. All participants completed an online survey which included demographic questions and Foot Health Status Questionnaire (FHSQ). Ultrasound imaging measured participants’ proximal DPA in terms of degree of wall inflammation, lumen diameter, artery diameter, lumen-to-artery diameter ratio and peak systolic velocity.</p></div><div><h3>Results</h3><p>Significant differences (<em>p</em> &lt; 0.001) were noted between groups for degree of wall inflammation, artery diameter and lumen to artery diameter ratio, while lumen diameter and peak systolic velocity demonstrated no statistical difference. Degree of wall inflammation demonstrated stronger association with FHSQ score (r = −0.454, <em>p</em> &lt; 0.001) than artery diameter (r = −0.361, <em>p</em> &lt; 0.001) and lumen-to-artery diameter ratio (r = 0.404, <em>p</em> &lt; 0.001), while FHSQ score did not relate to lumen diameter (<em>p</em> = 0.798) nor peak systolic velocity (<em>p</em> = 0.258).</p></div><div><h3>Conclusion</h3><p>We identified specific vascular ultrasound parameters were associated with foot symptoms among people with RA. This non-invasive imaging technique may be a viable method to monitor foot health and disease management.</p></div>","PeriodicalId":101281,"journal":{"name":"WFUMB Ultrasound Open","volume":"2 1","pages":"Article 100036"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949668324000041/pdfft?md5=a554c7b382409c774d25dbb4151d2188&pid=1-s2.0-S2949668324000041-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139748319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}