Journal of Clinical Ultrasound最新文献

{"title":"Assessment of Neovascularization in de Quervain's Disease With Superb Microvascular Imaging.","authors":"Muhammed Said Beşler, Muhammet Batuhan Gökhan, Nurdan Çay","doi":"10.1002/jcu.23975","DOIUrl":"https://doi.org/10.1002/jcu.23975","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the first extensor compartment tenosynovitis of the wrist using the novel superb microvascular imaging (SMI) technique, which can accurately detect small vessels and slow-flow blood signals.</p><p><strong>Methods: </strong>Twenty-eight patients diagnosed with de Quervain's disease between January 2022 and August 2022 (71.4% female, median age 40.5 [interquartile range: 28-50] years), and 14 age- and gender-matched healthy volunteers (71.4% female, mean ± standard deviation age 39.4 ± 8.2 years) were included. B-mode and SMI evaluations were performed sonographically on the tendons of the first extensor compartment.</p><p><strong>Results: </strong>The tendon area was higher in the symptomatic group compared to the control group (24.5 [interquartile range: 22.25-40] mm² vs. 18.5 ± 5.7 mm², p < 0.001, respectively). The vascular index (VI) (%) was measured higher in the symptomatic group compared to the asymptomatic group (2.1 ± 1.7 vs. 0 [range, 0-0.8], p < 0.001, respectively). A strong positive correlation was found between the visual analog scale score and the VI (rho = 0.731, p < 0.001). The VI showed 89% specificity and 75% sensitivity in distinguishing de Quervain's disease according to receiver operating characteristics analysis (area under the curve: 0.862, 95% confidence interval: 0.756-0.967). Interobserver agreement in VI measurement was excellent (intraclass correlation coefficient: 0.880, 95% confidence interval: 0.741-0.945).</p><p><strong>Conclusion: </strong>SMI for the detection of neovascularization and quantitative VI measurement may serve as a novel potential diagnostic tool in the clinical assessment of de Quervain's disease.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795595","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":"Correlation of Doppler Pulmonary Artery Parameters With Gestational Age in Normal Fetuses at 20-32 Weeks.","authors":"Xiaofeng Zhou, Yan Jiang, Xiaolong Zhang, Dan Xie, Mingsheng Zheng, Nan Ye, Na Shu, Shuqiang Gao","doi":"10.1002/jcu.23977","DOIUrl":"https://doi.org/10.1002/jcu.23977","url":null,"abstract":"<p><strong>Objective: </strong>To measure pulmonary artery (PA) diameters and Doppler values in normal fetuses and to analyze their trends and correlations with gestational age (GA).</p><p><strong>Methods: </strong>We took PA ultrasound measurements of normal fetuses with GAs of 20-32 weeks, including the main pulmonary artery (MPA), right pulmonary artery (RPA), and left pulmonary artery (LPA) inner diameters and MPA Doppler parameters [acceleration time (AT), ejection time (ET), AT/ET ratio, peak systolic velocity (PSV), end-diastolic velocity (EDV), pulsatility index (PI), and resistance index (RI)]. The subjects were divided into early (20-24 weeks), middle (24-28 weeks), and late (28-32 weeks) GA groups.</p><p><strong>Results: </strong>In total, 336 fetuses with GAs of 21 + 3 weeks to 31 + 2 weeks were included (early, n = 161; middle, n = 105; late, n = 70). The PSV, EDV, AT, ET, and PA diameters correlated positively with the GA. The correlations of the PA diameters were the strongest, and a linear regression model was obtained: MPA diameter (cm) = (-0.286 + 0.005) × GA (days).</p><p><strong>Conclusions: </strong>The MPA, PI, RI, and AT/ET ratios are relatively stable before the GA of 32 weeks. The MPA, LPA, and RPA diameters increase with the GA.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764128","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":"Evaluation of Lymph Nodes Using a Combination of Advanced Sonographic Techniques: Superb Microvascular Imaging and Shear Wave Elastography.","authors":"Nusret Seher, Alaaddin Nayman, İsmail Dilek, Seyit Erol, Ayşe Arı, Ahmet Baytok, Halil Özer, Nevzat Serdar Uğraş, Mustafa Koplay","doi":"10.1002/jcu.23987","DOIUrl":"https://doi.org/10.1002/jcu.23987","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the diagnostic performance of a novel combination of advanced sonographic techniques in distinguishing between malignant and benign lymph nodes.</p><p><strong>Methods: </strong>A total of 59 patients with enlarged lymph nodes were evaluated with conventional ultrasound (US), superb microvascular imaging (SMI), and shear wave elastography (SWE) even before ultrasound-guided percutaneous biopsy. Following the development of regression models, the diagnostic utility of univariate and multivariate parameters was evaluated using receiver operating characteristic (ROC) analysis.</p><p><strong>Results: </strong>Forty-one of the 59 lymph nodes were benign. The shortest diameter, longest diameter, elasticity (kPa), velocity (m/s), and vascularity index (VI) of malignant lymph nodes were all significantly higher than those of benign lymph nodes. In univariate analysis, the AUC values for VI and SDkPa were 0.793 and 0.818, respectively, with the short axis having the highest AUC of 0.910. The diagnostic accuracy value for SDkPa was the highest (0.88). The regression model with short axis, SDkPa, and VI variables had the best diagnostic performance in the multivariate analysis (AUC 0.967; 0.89 sensitivity, 0.95 specificity, 0.89 PPV, 0.95 NPV, and 0.93 accuracy).</p><p><strong>Conclusion: </strong>The combination of SMI and SWE results in a highly reliable diagnostic model for differentiating between malignant and benign lymph nodes.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143772460","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 Examination in Graves Synovitis.","authors":"Abdullah Emre Uğur, Beytullah Yazar, Levent Özçakar","doi":"10.1002/jcu.23985","DOIUrl":"https://doi.org/10.1002/jcu.23985","url":null,"abstract":"","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752963","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 Diagnosis of Ovarian Hernia in a Premature First-Born Twin: A Case Report.","authors":"Tong Liu, Fei Li, Bei Wang, Hongyi Qu","doi":"10.1002/jcu.23986","DOIUrl":"https://doi.org/10.1002/jcu.23986","url":null,"abstract":"<p><p>Ovarian hernia is a special type of inguinal hernia, typically due to incomplete closure of the Nuck canal. In premature infants, the incidence of inguinal hernia increases with decreasing gestational age. This article reports a case of ovarian hernia in a 2-month-old female infant born prematurely, the first-born twin, diagnosed by ultrasound showing cystic echoes and blood flow signals within a lump in the right inguinal area. Ultrasonography should be used as the preferential method for the evaluation of ovarian hernia in infants.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742908","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":"Accuracy of Fetal Transcerebellar Diameter in Predicting Gestational Age in Singleton Pregnancies During the Second Trimester: A Cross-Sectional Study in Sudan.","authors":"Amal Elhag, Mohammad Alobaidy, Dalia Adam, Eltayeb AbdAlla, Mahasin G Hassan, Tasneem S A Elmahdi, Mozdalifah Elnaeem, Safaa Mohammed","doi":"10.1002/jcu.23973","DOIUrl":"https://doi.org/10.1002/jcu.23973","url":null,"abstract":"<p><strong>Background: </strong>Pregnancy dating in the second trimester is particularly crucial for maternal and fetal health in developing countries, such as Sudan, where women may present as late as the second trimester at the first antenatal visit. This study aimed to assess the accuracy of the fetal transcerebellar diameter (TCD) in the prediction of gestational age (GA) in the second trimester and compare it with conventionally used measures.</p><p><strong>Methods: </strong>This cross-sectional study was conducted at two obstetric clinics in Khartoum State and Northern State among 300 women with singleton pregnancies who were treated from October to December 2022. Demographic, clinical, and fetal biometry data were obtained, entered into Microsoft Excel, and analyzed via SPSS v26.</p><p><strong>Results: </strong>The study revealed that 30% of participants received antenatal care for the first time during the second trimester. The mean GA based on the last menstrual period (LMP) was 21.40 weeks (SD ± 2.50). The correlations between LMP-based GA and fetal biometry-based GA were as follows: BPD (r = 0.844), HC (r = 0.840), AC (r = 0.869), and FL (r = 0.861), and TCD exhibited the strongest correlation (r = 0.952).</p><p><strong>Conclusion: </strong>TCD is the most accurate parameter for dating pregnancies during the second trimester. Incorporating TCD in routine ultrasounds during the second trimester would be beneficial in managing pregnancy, particularly in low-income countries such as Sudan, where access to early antenatal care is limited.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730133","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 Gastroschisis: Review From Diagnosis to Delivery.","authors":"Karina Felippe Monezi Pontes, Thalita Diógenes Muniz, João Victor Jacomele Caldas, Gregorio Lorenzo Acácio, Denise Araujo Lapa, Liliam Cristine Rolo, Edward Araujo Júnior","doi":"10.1002/jcu.23976","DOIUrl":"https://doi.org/10.1002/jcu.23976","url":null,"abstract":"<p><p>Gastroschisis is a rare congenital condition that is increasing in incidence, possibly due to new lifestyles of women. Prenatal diagnosis is almost always possible in the second trimester, and color Doppler may be helpful. Fetuses with gastroschisis have higher rates of intrauterine growth restriction, but these rates may be overestimated by formulas that use abdominal circumference measurements in their calculations. Prenatal ultrasound markers of adverse perinatal outcomes have variable accuracy and should be interpreted with caution when suggesting early delivery. Intrauterine surgery is a future option for cases of complex gastroschisis, but it is still in the early stages of development. Gastroschisis is associated with a high risk of fetal death after 37 weeks of gestation, and fetal vitality monitoring is mandatory. The type of delivery does not alter perinatal outcomes.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730162","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":"Influence of Clinical Context on Emergency Medicine Residents' Interpretation of Gallbladder Ultrasound Images: A Pilot Analysis.","authors":"Bastian Rodrigues de Castro, Havva-Nur Bayraktar, Joana Rodrigues de Castro, Caroline Poletti, Alix Collard, Florence Dupriez","doi":"10.1002/jcu.23979","DOIUrl":"https://doi.org/10.1002/jcu.23979","url":null,"abstract":"<p><strong>Introduction: </strong>Clinical ultrasound is an essential tool for emergency medicine practitioners. It is particularly useful for evaluating abdominal pain to detect the presence of gallstones or to identify other signs compatible with the diagnosis of biliary colic or cholecystitis. Although these signs are well-defined in the literature, the influence of clinical context on ultrasound interpretation has not yet been studied. The primary objective of this study is to evaluate the impact of clinical context on emergency medicine residents' interpretation of clinical ultrasound images of normal and pathological gallbladders.</p><p><strong>Materials and methods: </strong>This prospective observational pilot study was conducted from May to September 2023 with emergency medicine residents from three Belgian universities. Participants watched a 45-min tutorial video on clinical gallbladder ultrasound and then completed a multiple-choice questionnaire consisting of 40 dynamic ultrasound loop images, 20 without clinical context and the same 20 images with written descriptions of the clinical context. Paired Student's t-test was performed to compare diagnostic performances with and without clinical context.</p><p><strong>Results: </strong>Overall, 23 participants completed the study, with 920 ultrasound loops being analyzed. The inclusion of clinical context significantly improved the overall diagnostic performance and especially the diagnosis of acute cholecystitis (p = 0.0309 and p = 0.0164, respectively). The overall sensitivity and specificity without clinical context were 0.74 (95% CI, 0.69-0.79) and 0.82 (95% CI, 0.76-0.87) respectively, and 0.79 (95% CI, 0.74-0.84) and 0.84 (95% CI, 0.79-0.90) with clinical context. In the subgroup of acute cholecystitis, sensitivity and specificity without clinical context were 0.56 (95% CI, 0.44-0.67) and 0.97 (95% CI, 0.95-0.99) respectively, and 0.78 (95% CI, 0.68-0.88) and 0.97 (95% CI, 0.95-0.99) with clinical context.</p><p><strong>Conclusion: </strong>The integration of clinical context appears to positively influence the interpretation of gallbladder ultrasound images, thereby enhancing diagnostic performance, especially sensitivity and particularly in the case of acute cholecystitis.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730166","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 Fetal Cardiac Morphology and Function in Pregnant Women With Systemic Lupus Erythematosus Using Speckle Tracking Echocardiography.","authors":"Jian Wu, Yanping Ruan, Hairui Wang, Xiaoyan Gu, Jiancheng Han, Yihua He","doi":"10.1002/jcu.23974","DOIUrl":"https://doi.org/10.1002/jcu.23974","url":null,"abstract":"<p><strong>Purpose: </strong>Study aimed to assess fetal heart morphology and function in pregnancies with systemic lupus erythematosus (SLE) utilizing speckle tracking echocardiography (STE) and to evaluate indicators for predicting fetal subclinical cardiac damage in this population.</p><p><strong>Methods: </strong>The study involved 99 SLE-affected fetuses and 99 gestational age-matched controls. The fetal cardiac morphology and function parameters were calculated using STE (FetalHQ).</p><p><strong>Results: </strong>The absolute values of left ventricular (LV) global longitudinal strain (GLS), right ventricular (RV) GLS, LV fractional area change (FAC), and RV FAC in the SLE group were lower than those in the control group (p < 0.001). The 24-segment fractional shortening (FS) analysis revealed significantly lower FS in the SLE group than the controls for LV segments 11-12 and RV segments 4-24. The 24-segment sphericity index (SI) analysis indicated significantly lower SI in the SLE group than the controls for LV segments 1-24 and RV segments 1-8. The LV GLS (AUC = 0.859) and RV GLS (AUC = 0.841) could be considered good predictors of subclinical myocardial damage in SLE-affected fetuses.</p><p><strong>Conclusions: </strong>STE indicated that fetuses in pregnant women with SLE present cardiac morphology and function that have changed compared to the controls. Further investigations are needed to evaluate STE indices such as the GLS, FAC, and 24-segment FS and SI to predict fetal prognosis in pregnant women with SLE.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730103","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":"Evaluation of Fetal Myocardial Contractility of Pre-Existing Diabetes Mellitus by Three-Dimensional Ultrasonography Using STIC and Vocal Methods.","authors":"Letícia Bucioli Oliveira, Alberto Borges Peixoto, Nathalie Jeanne Bravo-Valenzuela, André Souza Malho, Rosiane Mattar, Edward Araujo Júnior","doi":"10.1002/jcu.23972","DOIUrl":"https://doi.org/10.1002/jcu.23972","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate global and ventricular myocardial contractility in fetuses of pregnant women with pre-existing diabetes compared with normal fetuses using three-dimensional (3D) ultrasound with the Virtual Organ Computer-aided Analysis (VOCAL) and Spatio-temporal Image Correlation (STIC) methods.</p><p><strong>Methods: </strong>A retrospective cross-sectional study was performed on 60 normal fetuses and 20 fetuses from pregnant women with pre-existing diabetes. The STIC and VOCAL methods were used to calculate fetal cardiac volumes. Global contractility was calculated by subtracting cardiac volume in diastole from cardiac volume in systole. Ventricular contractility was calculated by subtracting diastolic ventricular volume from systolic ventricular volume. Myocardial contractility was correlated with gestational age using Spearman's coefficient (r), while the difference between normal and diabetic pregnant women was calculated using Student-t and Mann-Whitney tests.</p><p><strong>Results: </strong>Pregnant women with pre-existing diabetes had a higher mean number of pregnancies than normal pregnant women (2.4 vs. 1.8 pregnancies, p = 0.028). There were no significant differences in global and ventricular contractility between normal fetuses and those of pregnant women with previous diabetes (p = 0.070 and 0.186, respectively). A moderate positive significant correlation was observed between gestational age and global myocardial contractility (r = 0.58, p < 0.0001). There was a strong positive significant correlation between gestational age and ventricular myocardial contractility (r = 0.62, p < 0.0001). A one-week increase in gestational age was responsible for an increase in global and ventricular myocardial contractility of 0.222 and 0.1505 cm³, respectively. Considering only pregnant women with pre-existing diabetes, there was a strong negative significant correlation between glycated hemoglobin levels and global myocardial contractility (r = -0.63, p = 0.027) and a moderate negative significant correlation and ventricular myocardial contractility (r = -0.59, p = 0.044).</p><p><strong>Conclusions: </strong>The global and ventricular myocardial contractility of normal fetuses and fetuses of pre-existing diabetes pregnant women measured by 3D ultrasound using the STIC and VOCAL methods showed a linear and positive correlation with gestational age and no significant differences between them.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730110","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}