Journal of Clinical Ultrasound最新文献

{"title":"Prevalence of Chronic Liver Disease Based on Ultrasound Shear Wave Elastography in an Adult Asian Indian Population Attending Outpatient Preventive Radiology Clinics in India.","authors":"Rijo M Choorakuttil, Rajas N Chaubal, Thara Pratap, Venkatesh K Arunachalam, S Harish Kumar, Neha Bagri, Anjali Gupta, Amarnath Chelladurai, Praveen K Nirmalan","doi":"10.1002/jcu.23888","DOIUrl":"https://doi.org/10.1002/jcu.23888","url":null,"abstract":"<p><strong>Aim: </strong>To determine the ultrasound shear wave elastography (SWE)-based prevalence of chronic liver disease in an adult Asian Indian population attending preventive radiology outpatient clinics in India.</p><p><strong>Methods: </strong>Liver stiffness measures (LSMs) were ascertained using ultrasound SWE and interquartile range/median (IQR/M) ratio ≤ 30% kilopascal (kPa) units were considered a good quality measurement. Details of modifiable risk factors including comorbidity and personal risk behaviors were collected. The liver was graded based on the Society of Radiologists in Ultrasound Liver Elastography Consensus Statement and Grades 4 and 5 indicated compensated advanced chronic liver disease (cACLD) and clinically significant portal hypertension (CSPH). A multivariate logistic regression model was used to analyze associations with chronic advanced liver disease.</p><p><strong>Results: </strong>The median LSM in the study participants (n = 1145) was 8.0 (IQR 6.5, 9.85) kPa units. 10.65% of the study population had advanced chronic liver disease (cACLD and CSPH) and 22.79% had LSM that was suggestive of cACLD. cACLD and CSPH were significantly associated with comorbidities, personal risk behaviors, and lean and obese body mass indices. Modifiable risk factors were present in 20%-50% of participants with LSM between 7 and 13 kPa.</p><p><strong>Conclusion: </strong>Information on the prevalence of LSM-based cACLD and CSPH and modifiable risk factors in persons with LSM between 7 and 13 kPa will help to design preventative strategies using LSM as an objective imaging biomarker.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142604698","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":"Ultrasonic Image Characteristics of Palatine Tonsils in Healthy Children and Analysis of Factors Influencing Image Quality.","authors":"Ying Cao, Lei Sun, XiaoPeng Li, Qi Zhang, Yue Gao, Hua Wang","doi":"10.1002/jcu.23882","DOIUrl":"https://doi.org/10.1002/jcu.23882","url":null,"abstract":"<p><strong>Objective: </strong>To explore the ultrasonic image characteristics of palatine tonsils in healthy children and the factors affecting image quality.</p><p><strong>Methods: </strong>A total of 750 images of palatine tonsils were collected from 375 healthy children. According to ultrasonic image quality, the images were divided into three groups. Both systemic and local factors were analyzed among the different groups.</p><p><strong>Results: </strong>The palatine tonsils showed quasi-circular or flat oval, low echo or light and dark band arrangement, a striped medium echo, and a clear boundary. Age, height, weight, body mass index, body surface area, distance from the skin to the posterior margin of the tonsils, thickness of the anterior soft tissue of the tonsils, and thickness of the anterior submandibular gland of the tonsils were significantly different among the different image quality groups (p < 0.05). Multivariate logistic regression analyses revealed that height, weight, thickness of the anterior soft tissue of the tonsils, and thickness of the anterior submandibular gland of the tonsils were independent factors affecting the quality of the ultrasonic images of the palatine tonsils.</p><p><strong>Conclusions: </strong>There are characteristic ultrasonic image manifestations of the palatine tonsils. Tonsil ultrasound image quality is affected by individual and local factors.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583030","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":"A Case With Gallbladder Villous Tubular Adenoma With High-Grade Intraepithelial Neoplasia Combined With Rectal Villous Tubular Adenocarcinoma.","authors":"Muhammad Asad Iqbal, Hui Zhou, Ziou Zhao, Nida Fatima Moazzam, Jie Hou, Hui Sun, Xian Wang","doi":"10.1002/jcu.23890","DOIUrl":"https://doi.org/10.1002/jcu.23890","url":null,"abstract":"<p><p>We present the rare case of a 79-year-old female patient with the coexistence of gallbladder villous tubular adenoma and rectal villous tubular adenocarcinoma. She initially presented with blood in the stool, prompting a diagnosis of rectal cancer. Further examination revealed findings suggestive of a gallbladder pathology. Subsequent imaging and histopathological analyses confirmed the presence of a gallbladder villous tubular adenoma, high-grade intraepithelial neoplasia, and rectal villous tubular adenocarcinoma. Surgical interventions included laparoscopic radical resection of the rectal cancer and cholecystectomy. Immunohistochemical examination differentiated between the two distinct adenomatous conditions. This case underscores the importance of thorough evaluation and multidisciplinary approaches for accurate diagnosis and management of complex presentations of gastrointestinal neoplasms.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142576164","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":"Study of Risk Factors and Image Findings of Isolated Abdominal Incidentally Detected Aortic Dissection.","authors":"Hiromasa Tsubouchi, Hidenori Onishi, Koji Maeno, Masaya Nakagaichi, Ikue Tsukushi, Youichi Kitano, Yoshitaka Makino, Hiroyuki Hayashi, Hidekazu Terasawa, Hiroko Kabuto, Toshihiro Misawa, Taku Sanada, Azusa Hisada, Kazuo Notsumata, Kazuhiro Okafuji, Osamu Yamamura","doi":"10.1002/jcu.23889","DOIUrl":"https://doi.org/10.1002/jcu.23889","url":null,"abstract":"<p><strong>Introduction: </strong>Isolated abdominal aortic dissection (IAAD) has been reported to account for 1.1%-4.1% of all aortic dissections. If detected late, it is associated with a risk of aortic rupture. We investigated the risk factors and characteristic imaging findings of incidentally discovered IAAD using abdominal ultrasonography (AUS) during health check-up and hereby report our findings.</p><p><strong>Methods: </strong>The study sample included 41 patients with abdominal aortic abnormalities identified by AUS performed during a health check-up at our hospital and who were diagnosed with IAAD by contrast-enhanced computed tomography (CT); in addition, 205 patients were included in the nonevent group. Furthermore, risk factors and characteristic imaging findings of IAAD were examined retrospectively.</p><p><strong>Results: </strong>Compared with the nonevent group, smoking and fatty liver were observed significantly more frequently in the IAAD group. Ultrasound findings indicated an intimal flap in 35 cases (85.4%), whereas CT scan revealed displacement of intimal calcifications in 32 cases (78.0%).</p><p><strong>Conclusion: </strong>Compared with the nonevent group, there were significantly more cases of fatty liver and smoking habits in the IAAD group. In older patients with risk factors for fatty liver and smoking habits, if IAAD is suspected, it is important to monitor the abdominal aorta using ultrasonography during health check-ups.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142576153","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":"Assessment of Cheyne-Stokes respiration using diaphragmatic ultrasonography.","authors":"Issac Cheong, Francisco Marcelo Tamagnone","doi":"10.1002/jcu.23785","DOIUrl":"10.1002/jcu.23785","url":null,"abstract":"<p><p>This case explores Cheyne-Stokes respiration (CSR), a breathing pattern common in heart failure and brain injury patients. Using diaphragmatic ultrasound, the study assesses a 74-year-old patient with heart failure exhibiting CSR during sleep. Diaphragmatic excursion patterns reveal the characteristic crescendo-decrescendo pattern of CSR.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141982409","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":"A spontaneously healed distal femoral fracture in an infant born preterm: A case report and review of the literature.","authors":"Telford Yeung, Roli Agrawal, Judy Seesahai, Tammy Warkentin","doi":"10.1002/jcu.23781","DOIUrl":"10.1002/jcu.23781","url":null,"abstract":"<p><p>Distal femoral fractures are uncommon in the newborn period, and conventional radiographs can miss the diagnosis in infants born prematurely due to delayed ossification. Hence, modalities like ultrasound may have a role in diagnosis. Herein, we report a male infant born preterm with a swollen knee due to a distal femoral fracture after a non-traumatic Caesarean section. The fracture was not present on the conventional radiograph. Instead, it was detected on a repeat sonogram and healed spontaneously with no complications. This case describes the importance of musculoskeletal radiographic expertise for diagnosis of this uncommon newborn fracture.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141992333","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":"Determining the normal range of the calcaneus-metatarsal angles in the second-trimester fetal ultrasound examination using the novel measurement technique \"Melek's angles\": A cross-sectional study.","authors":"Ümran Kılınçdemir Turgut, Neşe Yücel","doi":"10.1002/jcu.23780","DOIUrl":"10.1002/jcu.23780","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study is to establish the normal calcaneus-metatarsal angles in order to facilitate the recognition of fetal foot deformities. Therefore, a novel measurement technique was determined using ultrasound and applied to nonanomalous fetuses in the 18th to 23rd gestational weeks.</p><p><strong>Materials and methods: </strong>This cross-sectional study included 100 low-risk, nonanomalous fetuses in the 18th to 23rd weeks of gestation. Measurements were obtained using the novel measurement technique in fetal ultrasound examination. Fetal biometry, foot sole length, first and fifth metatarsal diaphyseal length measurements were taken. The acute angle measurement of the line segment passing between the calcaneus outer lateral and proximal fifth metatarsal with the long axis of the first metatarsal diaphysis (CA-mtt₁) and long axis of the fifth metatarsal diaphysis (CA-mtt₅) was taken. Interobserver and intraobserver reliabilities were assessed by intraclass correlations (ICC).</p><p><strong>Results: </strong>A strong positive correlation was detected between bi-parietal diameter (BPD) and foot sole length, first metatarsal diaphyseal length and fifth metatarsal diaphyseal length (p < 0.0001). No significant correlation of these CA-mtt₁ and CA-mtt₅ angles with BPD was detected (p = 0.35, p = 0.82, respectively). The data suggest that the CA-mtt₁ and CA-mtt₅ angles remained consistently within a narrow range and were determined to be 20.0° ± 8.7° and 7.8° ± 7.5°, respectively. Intraobserver and interobserver agreement for CA-mtt₁ angle was moderate (ICC, 0.655) and moderate (ICC, 0.615), for CA-mtt₅ angle was moderate (ICC, 0.631) and moderate (ICC, 0.605), respectively.</p><p><strong>Conclusion: </strong>A normal reference range was established for fetal sole length, first metatarsal diaphysis length, fifth metatarsal diaphysis length, CA-mtt₁ angle, and CA-mtt₅ angle in the 18th to 23rd weeks of gestation. It was determined that the CA-mtt₁ and CA-mtt₅ angles remained relatively constant within a narrow range throughout the assessed gestational weeks.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141992334","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":"A surviving neonate with congenitally unguarded tricuspid valve orifice.","authors":"Weiwei Xiao, Liqin Ji, Xue Gao, Houyu Li, Anlingzi Zou, Yao He, Shaomei Yu","doi":"10.1002/jcu.23782","DOIUrl":"10.1002/jcu.23782","url":null,"abstract":"<p><p>The hospital admitted a 3-day-old female infant presenting with persistent facial cyanosis and hypoxic symptoms, and echocardiography revealed a congenitally unguarded tricuspid valve orifice with an atrial septal defect. After being followed up until the age of one and a half years, the child underwent bidirectional Glenn's surgery and achieved successful survival.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142000023","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":"Three-dimensional navigation inside a normal fetal heart in a virtual reality environment.","authors":"Nathalie Jeanne Bravo-Valenzuela, Maria Fátima Monteiro Pereira Leite, Jorge Lopes, Vinícius Arcoverde, Gerson Ribeiro, Edward Araujo Júnior, Heron Werner","doi":"10.1002/jcu.23788","DOIUrl":"10.1002/jcu.23788","url":null,"abstract":"<p><p>Three-dimensional navigation allows in a virtual reality environment across the fetal heart structures using glasses and joysticks. This technology allows virtual interactive discussions among multidisciplinary teams providing new perspectives on diagnosis and planning possible surgical corrections.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142008809","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":"POCUS for pediatric appendicitis in the pediatric emergency department: An 8-year retrospective review.","authors":"Eric Scheier, Efrat Shapira Levy, Amir Fisher","doi":"10.1002/jcu.23813","DOIUrl":"10.1002/jcu.23813","url":null,"abstract":"<p><strong>Background: </strong>In many centers, pediatric radiology-performed ultrasound and/or POCUS fellowship training are not readily available.</p><p><strong>Objective: </strong>To present our experience using point of care ultrasound (POCUS) in a pediatric emergency medicine training program without POCUS fellowship-trained staff, and to demonstrate that POCUS of the appendix is feasible outside the context for POCUS fellowship training.</p><p><strong>Methods: </strong>We identified children diagnosed with appendicitis or periappendiceal abscess from June 2016 to June 2024. Variables reviewed include details of PED visit such as presenting symptoms, laboratory and imaging results, and PED treatment, as well as surgical report and pathology result. We evaluated the frequency and performance characteristics of POCUS over the study period.</p><p><strong>Results: </strong>999 children were diagnosed with appendicitis. POCUS was performed in 360 of 845 cases (43%) of histology-confirmed appendicitis and in 19 of 69 cases (28%) in which histology was negative for appendicitis. Both the number of POCUS examinations for appendicitis and the percentage of examinations correctly identifying appendicitis steadily increased over the study period. Accuracy was highest in the 5-10-year age range and lowest for females from 10 to 15 years. In 96% of cases with a pathology result of appendicitis and a positive POCUS examination, POCUS correctly identified appendicitis. However, only 6 of 19 POCUS examinations in children without appendicitis on histology found no appendicitis. Performance of POCUS for appendicitis was significantly associated with increased opioid administration and a 20-min mean decrease in length of pediatric emergency department stay.</p><p><strong>Conclusions: </strong>POCUS for appendicitis within the context of PEM fellowship training is feasible and associated with decreased length of stay.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142119937","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}