{"title":"Ultrasound diagnosis of carotid artery stenosis and occlusion.","authors":"Hidehiro Takekawa, Daisuke Tsukui, Saro Kobayasi, Keisuke Suzuki, Hirotoshi Hamaguchi","doi":"10.1007/s10396-022-01259-7","DOIUrl":"10.1007/s10396-022-01259-7","url":null,"abstract":"<p><p>Carotid artery ultrasonography is capable of diagnosing or inferring the presence or absence of stenosis or occlusion of the internal carotid artery (ICA) and vertebral artery (VA), as well as the not directly observable distal ICA, middle cerebral artery (MCA), and basilar artery (BA). Stenosis at the origin of the ICA is mainly evaluated using the parameter peak systolic velocity (PSV), with values of ≥ 200-230 cm/s indicating severe stenosis. Recently, the acceleration time ratio has been reported for diagnosis of ICA origin stenosis. An indicator called the end-diastolic (ED) ratio can be used for diagnosing occlusion of the distal ICA or the M1 segment of the MCA. The PSV of stenosis can be used to diagnose stenosis at the beginning of the VA or V1, and mean flow velocity, mean ratio, and diameter ratio can be used to diagnose distal VA occlusion. Furthermore, the usefulness of the VA pulsatility index and resistance index has been suggested for diagnosing stenosis or occlusion of the BA. This review outlines diagnostic sonography criteria for stenosis and occlusion of extracranial and intracranial arteries.</p>","PeriodicalId":111320,"journal":{"name":"Journal of Medical Ultrasonics (2001)","volume":" ","pages":"675-687"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40383176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Transthoracic three-dimensional echocardiography is useful to reveal the parachute-like asymmetric mitral valve.","authors":"Naka Saito, Hideaki Ueda, Yasuhiro Ichikawa","doi":"10.1007/s10396-022-01245-z","DOIUrl":"10.1007/s10396-022-01245-z","url":null,"abstract":"","PeriodicalId":111320,"journal":{"name":"Journal of Medical Ultrasonics (2001)","volume":" ","pages":"755-757"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40671851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Analysis of the relationship between the amplitude of aortic wall motion and heart function.","authors":"Hideki Tashiro, Samon Koyanagi, Akihiro Honda, Toshikatu Nonaka, Youhei Ohkubo, Chisana Naganuma, Daisuke Fukui, Kenichi Ichimura, Terufumi Sakai","doi":"10.1007/s10396-022-01238-y","DOIUrl":"https://doi.org/10.1007/s10396-022-01238-y","url":null,"abstract":"<p><strong>Purpose: </strong>Because the posterior wall of the aorta and left atrium are interlocked, the amplitude of motion of the aortic wall (AMAW) may reflect cardiac and vessel functions. This study examined the relationship between cardiac and vessel functions and AMAW.</p><p><strong>Methods: </strong>Patients with cardiovascular diseases or patients undergoing health examinations who visited a participating hospital and underwent echocardiography and brachial-ankle pulse-wave velocity (baPWV) examinations were registered. The correlations between echocardiographic indices, ankle-brachial index, and baPWV and AMAW on M-mode echocardiography were analyzed.</p><p><strong>Results: </strong>Overall, 184 patients were enrolled. Heart rate (r = - 0.1587), ejection fraction (EF; r = 0.3240), wall thickness (r = - 0.1598), peak early diastolic mitral annular velocity (E) to peak early diastolic mitral annular velocity ratio (e'; r = - 0.2463), and baPWV (r = - 0.1928) significantly correlated with AMAW. In the stratified multiple regression analysis, E/e' (standardized partial regression coefficients = - 0.1863) and mean baPWV (standardized partial regression coefficients = - 0.1917) in patients with an EF of ≥ 60% (n = 114) significantly correlated with AMAW. In patients with an EF of < 60% (n = 70), E/e' (standardized partial regression coefficients = - 0.2443) significantly correlated with AMAW.</p><p><strong>Conclusion: </strong>Because E/e' correlated with AMAW in patients with an EF of < 60% or ≥ 60%, AMAW might be an indicator of left atrial pressure elevation. Moreover, because AMAW correlated with baPWV in patients with an EF of ≥ 60%, changes in the restricted left atrial volume might influence diastolic dysfunction. AMAW may be related to cardiac and vessel functions.</p>","PeriodicalId":111320,"journal":{"name":"Journal of Medical Ultrasonics (2001)","volume":" ","pages":"689-693"},"PeriodicalIF":1.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9640406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40607528","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":"The effect of attenuation inside the acoustic traps on the configuration of vertical artifacts in lung ultrasound: an experimental study with simple models.","authors":"Toru Kameda, Naohisa Kamiyama, Nobuyuki Taniguchi","doi":"10.1007/s10396-022-01244-0","DOIUrl":"https://doi.org/10.1007/s10396-022-01244-0","url":null,"abstract":"<p><strong>Purpose: </strong>Using simple experimental models for lung ultrasound, we evaluated the relationship of the attenuation inside the sources of vertical artifacts to the echo intensity and attenuation of artifacts.</p><p><strong>Methods: </strong>As sources of artifacts, we made 10 different hemispherical gel objects with two different mediums (pure agar or agar containing graphite with an attenuation coefficient of 0.5 dB/cm · MHz) and five different diameters (3.6, 5.6, 7.5, 9.5, or 11.4 mm). Ten of each hemispherical gel object were prepared for the statistical analyses. Each object was placed onto a chest wall phantom as the plane of the hemisphere was placed in an upward position. The echo intensity and attenuation of the artifact generated from each object was measured and compared.</p><p><strong>Results: </strong>For all sizes, the intensity and attenuation of the artifacts in the objects made of agar containing graphite were significantly lower and larger, respectively, than those in the objects made of pure agar. In the objects containing graphite, the intensity decreased when the frequency was changed from 5 to 9 MHz.</p><p><strong>Conclusion: </strong>Based on this experiment, assessing the intensity and attenuation of vertical artifacts may help estimate the physical composition of sources of vertical artifacts in lung ultrasound.</p>","PeriodicalId":111320,"journal":{"name":"Journal of Medical Ultrasonics (2001)","volume":" ","pages":"545-553"},"PeriodicalIF":1.8,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9362371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40671850","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":"The tumor-infiltrating lymphocyte ultrasonography score can provide a diagnostic prediction of lymphocyte-predominant breast cancer preoperatively.","authors":"Akiko Kanou, Norio Masumoto, Kayo Fukui, Michiya Yokozaki, Shinsuke Sasada, Akiko Emi, Takayuki Kadoya, Koji Arihiro, Morihito Okada","doi":"10.1007/s10396-022-01240-4","DOIUrl":"10.1007/s10396-022-01240-4","url":null,"abstract":"<p><strong>Purpose: </strong>Tumor-infiltrating lymphocytes (TILs) are known to predict the therapeutic effect in breast cancer. Although a preoperative tissue biopsy can be used to evaluate TILs, TILs that are heterogeneously distributed might require examination of all preoperative tissue biopsy samples. We have recently reported that the TIL ultrasonography (US) score, as determined by characteristic US findings, provides excellent predictive performance for lymphocyte predominant breast cancer (LPBC). We herein aimed to determine whether the preoperative TIL-US score can more accurately predict LPBC than preoperative tissue biopsy.</p><p><strong>Methods: </strong>We assessed 161 patients with invasive breast cancer that were treated with curative surgery between January 2014 and December 2017. Stromal lymphocytes were examined on preoperative tissue biopsy tissues and surgical pathological specimens. Breast cancer samples with ≥ 50% stromal TILs were defined as pre-LPBC (preoperative tissue biopsy) and LPBC (surgical pathological specimens). Useful factors for predicting LPBC were searched among clinicopathological factors.</p><p><strong>Results: </strong>The TIL-US score cutoff value for predicting LPBC was 4 points based on the receiver operating characteristic curves (area under the curve: 0.88). Several significant predictors for LPBC were revealed by the undertaken multivariate logistic regression analysis (odds ratios: TIL-US score, 26.8; pre-LPBC, 18.6; HER2, 9.2; all, p < 0.05). The sensitivity, specificity, accuracy, positive predictive value, and negative predictive value were 0.74, 0.89, 0.85, 0.67, and 0.92 for the TIL-US score, respectively, and 0.51, 0.98, 0.87, 0.91, and 0.86 for the pre-LPBC, respectively.</p><p><strong>Conclusion: </strong>TIL-US scores can predict LPBC preoperatively and are characterized by a significantly high sensitivity and negative predictive value.</p>","PeriodicalId":111320,"journal":{"name":"Journal of Medical Ultrasonics (2001)","volume":" ","pages":"709-717"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40412900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jun Ajiki, Yasuyuki Naitoh, Yuta Inoue, Tsukasa Narukawa, Atsuko Fujihara, Fumiya Hongo, Osamu Ukimura
{"title":"Effectiveness of a voiding evaluation technique using a diaper equipped with a urination-activated alarm system to assess bladder function and voiding patterns in infants.","authors":"Jun Ajiki, Yasuyuki Naitoh, Yuta Inoue, Tsukasa Narukawa, Atsuko Fujihara, Fumiya Hongo, Osamu Ukimura","doi":"10.1007/s10396-022-01251-1","DOIUrl":"10.1007/s10396-022-01251-1","url":null,"abstract":"<p><strong>Purpose: </strong>Four-hour voiding observation is a conventional method for evaluating bladder function in infants. However, it requires a diaper check every 5 min during the observation period, which creates an unusual environment for the infant, making the evaluation of natural urination difficult. This study aimed to investigate the parameters of urination before mature bladder function using a diaper equipped with a urination-activated alarm system.</p><p><strong>Methods: </strong>The study participants were 51 infants aged 0-4 years without bladder dysfunction. A urination-activated sensor was used to notify the inspector wirelessly when urination was detected, enabling the immediate assessment of ultrasonically measured residual urine. Bladder capacity was calculated as the sum of both residual urine volume and micturition volume, and the residual urine rate as the residual urine volume divided by bladder capacity.</p><p><strong>Results: </strong>A total of 36 boys and 15 girls were enrolled. The median (interquartile range) residual urine volume, bladder capacity, and residual urine rate were 3.0 mL (1.1-6.6), 53.0 mL (33.9-75.3), and 7.0% (2.1-15.0), respectively. Infants aged 0-1 and 2-4 years were then classified into Group A (N = 27) and Group B (N = 24), respectively. The residual urine rate was significantly higher in Group A (11.0% [5.4-21.2]) than in Group B (4.8% [0.6-8.9]; p < 0.01).</p><p><strong>Conclusions: </strong>Voiding observation using a urination-activated alarm system allowed less invasive analysis in infants and revealed that the residual urine rate decreased with mature bladder function from about 2 years of age.</p>","PeriodicalId":111320,"journal":{"name":"Journal of Medical Ultrasonics (2001)","volume":" ","pages":"695-701"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40634150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prenatal imaging of a fetus with the rare combination of Pfeiffer syndrome and hypoplastic left heart syndrome.","authors":"Yuzo Kitadai, Nobuhiro Hidaka, Masahiro Sumie, Naoyuki Nakanami, Nobuhiko Kan, Yoichiro Serita, Kiyomi Tsukimori","doi":"10.1007/s10396-022-01249-9","DOIUrl":"10.1007/s10396-022-01249-9","url":null,"abstract":"","PeriodicalId":111320,"journal":{"name":"Journal of Medical Ultrasonics (2001)","volume":" ","pages":"753-754"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40578011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Association of amniotic fluid natriuretic peptide levels with ductus venosus Doppler flow in recipient twins with twin-to-twin transfusion syndrome : DV flow and NT-proBNP in TTTS recipient twins.","authors":"Mayumi Takano, Sumito Nagasaki, Junya Sakuma, Makiko Shimabukuro, Hikari Kotaki, Masahiko Nakata","doi":"10.1007/s10396-022-01241-3","DOIUrl":"10.1007/s10396-022-01241-3","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined the relationships between fetal quantitative Doppler parameters and amniotic fluid N-terminal prohormone brain natriuretic peptide (afNT-proBNP) levels as a biomarker of the increased cardiac load in recipient twins with twin-to-twin transfusion syndrome (TTTS).</p><p><strong>Methods: </strong>This single-center, prospective study included all monochorionic diamniotic (MD) twin pregnancies that were diagnosed with TTTS and underwent fetoscopic laser surgery. Doppler flow was used to measure the pulsatility index (PI) of the umbilical artery (UA), ductus venosus (DV), and middle cerebral artery (MCA) of each recipient and donor twins. The afNT-proBNP levels of recipient twins were examined at the time of surgery. The Spearman or Pearson correlation coefficients were used to assess the relationships between afNT-proBNP levels and Doppler parameters.</p><p><strong>Results: </strong>A total of 150 MD twin pregnancies were included. The afNT-proBNP levels of the recipient twins showed a stronger correlation with the DV-PI (r = 0.637; P < 0.001) of recipient twins than with the UA-PI and MCA-PI of recipient twins. The Doppler parameters of donor twins were scarcely correlated with the afNT-proBNP levels of the recipient twins.</p><p><strong>Conclusion: </strong>A positive correlation between the DV-PI and afNT-proBNP levels of recipient twins with TTTS was observed. The recipient twin with an increased DV-PI is expected to be under a high cardiac load; therefore, DV-PI is a useful parameter for assessing increased NT-proBNP levels consecutively and noninvasively.</p><p><strong>Clinical trial registration: </strong>This study was registered with Japanese Clinical Trial Registry \"UMIN-CTR\" ( http://www.umin.ac.jp/ctr/index-j.htm ; trial ID numbers UMIN000024486 and 000037702).</p>","PeriodicalId":111320,"journal":{"name":"Journal of Medical Ultrasonics (2001)","volume":" ","pages":"703-708"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40608068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Point-of-care ultrasound in musculoskeletal field.","authors":"Yuko Nakashima, Toru Sunagawa, Rikuo Shinomiya, Akira Kodama, Nobuo Adachi","doi":"10.1007/s10396-022-01252-0","DOIUrl":"10.1007/s10396-022-01252-0","url":null,"abstract":"<p><p>The musculoskeletal field is relatively new in point-of-care ultrasound (POCUS), a modality that has been gaining significance with the evolution of ultrasound (US) equipment and high-frequency probes. Images have become progressively clearer over the past decade, making it possible to diagnose many pathological conditions without exposure to radiation. Ultrasonography reveals many soft tissue pathologies that cannot be visualized using plain radiographs, which have historically been the first choice for the evaluation of musculoskeletal disorders. US saves money and time compared to magnetic resonance imaging (MRI). Although it is difficult to diagnose a disorder inside bone, its surface can be visualized very clearly, and it is also possible to visualize cartilage. Furthermore, with POCUS, it is possible to confirm a disorder and the continuity of the fibrous structures of muscles, tendons, and ligaments. In addition, the understanding of pathological conditions of motor disturbances, such as nerve or muscle/tendon injury, nerve paralysis, adhesions of the tendons, and joint instability, is deepened by observing the movement of these structures. Peripheral nerves, even small branches, can be visualized, and pathological conditions can be pinpointed by observing the nerve morphology, continuity, and relationship with the surrounding tissues. Children can be examined in a safe, relaxed environment, without leaving their parents. In addition, US is significantly different from other modalities in that it can be used for both diagnosis and treatment. Being able to visualize target sites improves safety and route accuracy of needle insertion for injection or puncture. Musculoskeletal POCUS is indispensable in routine medical care and is a technique that medical residents should acquire.</p>","PeriodicalId":111320,"journal":{"name":"Journal of Medical Ultrasonics (2001)","volume":" ","pages":"663-673"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40634151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}