{"title":"Ultrasound Fusion Imaging-Assisted Percutaneous Microwave Ablation for Hepatic Focal Nodular Hyperplasia: Technical Feasibility and Therapeutic Outcomes.","authors":"Qiqi Liu, Shuang Liang, Huahui Liu, Liping Luo, Cai Hu, Shanshan Wu, Sainan Guan, Ronghua Yan, Erjiao Xu","doi":"10.1002/jcu.24019","DOIUrl":"https://doi.org/10.1002/jcu.24019","url":null,"abstract":"<p><p>This study retrospectively evaluated the effectiveness and safety of ultrasound (US) fusion imaging-assisted microwave ablation (MWA) for focal nodular hyperplasia (FNH) in 13 patients. The patients included seven with large nodules (≥ 50 mm) and six with small nodules (< 50 mm). Both technical success and efficacy rates were 100%, with no local tumor progression (LTP) or major complications observed during follow-up. There was no significant difference in efficacy and safety between the large and small nodule groups. Additionally, 42.9% (3/7) of large nodules were treated with a single antenna for MWA.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ultrasound Imaging and Guidance for Medial Meniscus Pathology: Myth or Reality?","authors":"Vincenzo Ricci, Antonio Corvino","doi":"10.1002/jcu.23915","DOIUrl":"https://doi.org/10.1002/jcu.23915","url":null,"abstract":"","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gabriele Tonni, Gianpaolo Grisolia, Giosuè Giordano Incognito, Waldo Sepulveda, Rodrigo Ruano, Edward Araujo Júnior, Marcio Fragoso Vieira, Mario Lituania
{"title":"Twin Reversed Arterial Perfusion (TRAP) Sequence Phenotypes: A Comprehensive Visual Analysis.","authors":"Gabriele Tonni, Gianpaolo Grisolia, Giosuè Giordano Incognito, Waldo Sepulveda, Rodrigo Ruano, Edward Araujo Júnior, Marcio Fragoso Vieira, Mario Lituania","doi":"10.1002/jcu.23988","DOIUrl":"https://doi.org/10.1002/jcu.23988","url":null,"abstract":"<p><p>Twin reversed arterial perfusion (TRAP) sequence is a rare and severe complication of monochorionic twins, occurring in approximately 1 in 35 000 pregnancies. It is characterized by the presence of a severely abnormal, nonviable acardiac twin and a structurally normal pump twin, which sustains the circulation of both fetuses through abnormal vascular placental anastomoses. This pictorial essay aims to illustrate the sonographic and Doppler findings associated with TRAP sequence, emphasizing the diagnostic prenatal features. Typical findings include the absence of cardiac activity in the acardiac twin, structural anomalies such as acardia, acrania, underdeveloped upper body, and paradoxical reversed flow patterns in the umbilical artery. Early diagnosis and close ultrasound monitoring are crucial for selecting antenatal treatment, including expectant management and fetal intervention. By presenting illustrative cases, this article provides a comprehensive overview to bolster the understanding of the different associated phenotypes and recognition of TRAP sequence amongst clinicians and sonographers.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"CONGENITAL MEGALOURETHRA: Lower Urinary Tract Obstruction With \"The Sandwich Sign\".","authors":"Ishita Agarwal, Akshatha Prabhu, Srishti Chandra, Shobhna Sengar, Anita Kaul","doi":"10.1002/jcu.24078","DOIUrl":"https://doi.org/10.1002/jcu.24078","url":null,"abstract":"<p><p>Congenital megalourethra is a rare disorder that causes functional urinary tract obstruction. A multigravida at 16 weeks' gestation referred for an abdominal cyst was found to have a large urinary bladder along with another dilated cystic structure between the fetal legs (sandwich sign), bilateral echogenic kidneys, and anhydramnios, features suggestive of congenital megalourethra. Medical termination of pregnancy was performed. The male abortus was noted to have a massively distended bladder and a dilated penile urethra. Another patient referred in view of suspected bladder outlet obstruction was diagnosed to have a megalourethra on imaging at our center using the sandwich sign. In severe oligohydramnios the \"sandwich sign\" helps in \"ruling in\" the diagnosis of megalourethra and ruling out the common differential diagnosis of a posterior urethral valve.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Fetal Aortic Isthmus Doppler Evaluation in Pre-Eclampsia Patients.","authors":"Gulsan Karabay, Zeynep Seyhanli, Ahmet Arif Filiz, Betul Tokgoz Cakir, Gizem Aktemur, Sadun Sucu, Nazan Vanli Tonyali, Furkan Akin, Umut Karabay, Zehra Vural Yilmaz","doi":"10.1002/jcu.24079","DOIUrl":"https://doi.org/10.1002/jcu.24079","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the role of fetal aortic isthmus (AoI) Doppler parameters in predicting adverse perinatal outcomes in pre-eclampsia patients.</p><p><strong>Methods: </strong>This prospective study included 60 pre-eclampsia patients (divided into early-onset [EOPE] and late-onset [LOPE] groups) and 74 controls from Ankara Etlik City Hospital. Doppler parameters-such as aortic isthmus flow index (IFI), systolic/diastolic ratio (S/D), pulsatility index (PI), and resistive index (RI)-were collected, and their associations with adverse perinatal outcomes were analyzed using ROC analysis.</p><p><strong>Results: </strong>In the EOPE group, gestational age, birth weight, and APGAR scores were significantly lower compared to the LOPE and control groups (p < 0.001). The EOPE group also showed significantly higher rates of NICU (neonatal intensive care unit) admission, preterm birth, respiratory distress syndrome, and need for mechanical ventilation (p < 0.001). The cut-off values for IFI (> 1.13) and AoI S/D (> 7.42) were found to be significant predictors of adverse perinatal outcomes.</p><p><strong>Conclusion: </strong>AoI Doppler parameters may aid in predicting adverse neonatal outcomes in pre-eclampsia patients. The values of IFI, S/D, PI, and RI show potential as useful tools in clinical management, especially in monitoring high-risk pregnancies.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Melanoma Metastasis to the Gallbladder. An Incomplete Literature Review.","authors":"Orlando Catalano, Antonio Corvino","doi":"10.1002/jcu.23914","DOIUrl":"https://doi.org/10.1002/jcu.23914","url":null,"abstract":"","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unveiling Cleidocranial Dysplasia: An Antenatal Journey Through Ultrasound and Delivering the Importance of Taking Phenotype History; \"Echoes of the Past\".","authors":"Revati Tekwani, Hemangini Thakkar, Aadesh Singh Parmar","doi":"10.1002/jcu.24082","DOIUrl":"https://doi.org/10.1002/jcu.24082","url":null,"abstract":"<p><p>Cleidocranial dysplasia (CCD) is an inherited condition predominantly affecting the clavicles and cranial structures. Advancements in prenatal imaging offer the potential for early detection. A 30-year-old pregnant woman came in for a review of 2nd trimester anomaly scan. The ultrasound suggested a diagnosis of non-lethal skeletal dysplasia. Both parents were called in for counseling. The father was observed to have facial dysmorphism. An X-ray examination clinched the final diagnosis of cleidocranial dysplasia, which was confirmed through whole exome sequencing. This case report highlights the antenatal detection of cleidocranial dysplasia and emphasizes the crucial role of taking family history in a suspected case of skeletal dysplasia.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Incidence and Diagnostic Performance of Ultrasound for Abdominal Organ Involvements (Liver, Spleen, Renal, Pancreas, and Gastrointestinal Tract) in Pediatric Patients With Hematological Malignancy.","authors":"Takahiro Hosokawa, Yumiko Sato, Yutaka Tanami, Yuki Arakawa, Kyoichi Deie, Itaru Iwama, Hiroshi Kawashima, Eiji Oguma","doi":"10.1002/jcu.24083","DOIUrl":"https://doi.org/10.1002/jcu.24083","url":null,"abstract":"<p><strong>Objectives: </strong>To demonstrate abdominal organ (liver, spleen, renal, pancreatic, and gastrointestinal tract) involvement incidence in pediatric patients with hematological malignancy and describe the diagnostic performance of ultrasound in detecting this involvement.</p><p><strong>Methods: </strong>Sixty-five pediatric patients with hematological malignancies who underwent ultrasound before other imaging examinations, such as computed tomography or fluorodeoxyglucose positron emission tomography, were reviewed. To assess the diagnostic performance of ultrasound for abdominal organ involvement, results were compared with other imaging findings.</p><p><strong>Results: </strong>Thirty-four patients (52.3%) exhibited abdominal organ involvement (liver, 40.0% [26/65]; spleen, 38.5% [25/65]; kidney, 12.3% [8/65]; pancreas, 6.2% [4/65]; and gastrointestinal tract, 7.7% [5/65]). Sonography could detect 22 of 26, 23 of 25, five of eight, three of four, and four of five cases of liver, spleen, renal, and pancreas involvement, respectively. Diagnostic accuracy, sensitivity, and specificity for sonography were 93.8%, 88.5%, and 0% (liver), 96.9%, 92.0%, and 0% (spleen), 95.4%, 62.5%, and 0% (kidney), 98.5%, 75%, and 0% (pancreas), and 98.5%, 80%, and 0% (gastrointestinal tract), respectively.</p><p><strong>Conclusions: </strong>Abdominal organ involvement incidence in hematological malignancies was 52.3%. Ultrasound provided reliable diagnostic performance for the initial evaluation of these involvements, and physicians could rapidly plan adequate further examinations based on these results.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jiajia Wang, Yunyun Zhan, Yu Bi, Xiabi Wu, Rubing Li, Yunxin Gu, Lan Gao, Tong Tang, Mei Peng
{"title":"Ultrasound Inversion Imaging Improves the Specificity of BI-RADS Category 4A Masses, Especially in Masses Without Calcification. A Single-Center Experience.","authors":"Jiajia Wang, Yunyun Zhan, Yu Bi, Xiabi Wu, Rubing Li, Yunxin Gu, Lan Gao, Tong Tang, Mei Peng","doi":"10.1002/jcu.24077","DOIUrl":"https://doi.org/10.1002/jcu.24077","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess whether ultrasound inversion imaging enhances the specificity of Breast Imaging Reporting and Data System (BI-RADS) BI-RADS 4A masses, reducing unnecessary biopsies.</p><p><strong>Method: </strong>From July 2021 to March 2023, 425 pathologically confirmed breast masses were collected from the Second Affiliated Hospital of Anhui Medical University. Based on a five-point scale of inversion imaging criteria proposed in a previous study, the diagnostic performance of three classification algorithms, including BI-RADS, BI-RADS category after inversion imaging, and BI-RADS category after inversion imaging without calcification masses-via receiver operating characteristic (ROC) curve analysis.</p><p><strong>Results: </strong>Among the 425 breast masses, 116 masses were classified as BI-RADS category 4A (82 benign, 34 malignant). After inversion imaging, 74 benign BI-RADS category 4A masses were correctly downgraded to BI-RADS category 3, avoiding biopsies. ROC curve values indicated that the specificity, sensitivity, and accuracy were 31.06%, 98.48%, and 72.94%, respectively, with BI-RADS, 72.05%, 95.83%, and 86.82%, respectively, with BI-RADS after inversion imaging, and 86.51%, 97.75%, and 93.09%, respectively, with BI-RADS category after inversion imaging without calcification masses.</p><p><strong>Conclusion: </strong>Ultrasound inversion imaging offers a feasible supplementary method to distinguish between benign and malignant breast masses, improving BI-RADS 4A specificity, especially for non-calcified masses.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}