Journal of Clinical Ultrasound最新文献_第10页

Fetuses with deceleration of growth improve their growth following maternal rest 生长减速的胎儿在母体休息后会改善生长状况

IF 0.9 4区医学

Journal of Clinical Ultrasound Pub Date : 2024-09-18 DOI: 10.1002/jcu.23832

Greggory R. DeVore, Bardo Polanco

{"title":"Fetuses with deceleration of growth improve their growth following maternal rest","authors":"Greggory R. DeVore, Bardo Polanco","doi":"10.1002/jcu.23832","DOIUrl":"https://doi.org/10.1002/jcu.23832","url":null,"abstract":"ObjectiveThe purpose of this study was to determine if fetuses with deceleration of growth velocity resulting in an EFW <10th percentile increase their growth above the 10th percentile following 2 weeks of maternal rest in the left lateral recumbent position.MethodsThis was a retrospective observational study of 265 fetuses with the prenatal diagnosis of an EFW <10th percentile. Fetuses were classified by four definitions of abnormal growth velocity: (1) a growth velocity less than 20 g/day, (2) 30 percentile decrease in the EFW, (3) 50 percentile decrease in the EFW, and (4) abnormal growth trajectory. Once the fetuses were identified with an EFW <10th percentile the patient was requested to begin 2 weeks of rest in the left lateral recumbent position during her waking hours following which the EFW was reassessed 2 week later to determine the effect of maternal rest on the EFW.ResultsIrrespective of the four types of decreased growth velocity described in the methods section, there was as significant increase (p < 0.001) in the EFW following 2 weeks of maternal rest as follows: (1) growth less than 20 g/day (75%); (2) decrease of 30 or more EFW percentiles (79%); (3) decrease of 50 or more EFW percentiles (64%); and abnormal growth trajectory (77%).ConclusionsThis suggests an important role of increased maternal cardiac output as the result of resting in the left lateral recumbent position that may be associated with improved fetal growth. These observations should be the basis for future prospective randomized trials to test this hypothesis.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142268792","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}

引用次数: 0

Well-differentiated inflammatory liposarcoma in the muscularis of the gallbladder. 胆囊肌层中分化良好的炎性脂肪肉瘤。

IF 0.9 4区医学

Journal of Clinical Ultrasound Pub Date : 2024-09-18 DOI: 10.1002/jcu.23830

Jianfei Chen,Congyu Tang,Zhidan Geng,Qiqin You,Hongli Cao,Wenping Wang,Qing Yu,Haixia Yuan

引用次数: 0

Can ultrasound elastography be useful in the diagnosis of poor ovarian response? 超声弹性成像能否用于诊断卵巢反应不良？

IF 0.9 4区医学

Journal of Clinical Ultrasound Pub Date : 2024-09-18 DOI: 10.1002/jcu.23827

Ebru Sahin Gulec, Esra Bahar Gur, Secil Karaca Kurtulmus, Bilgesu Cetinel Kaygun, Esin Kasap, Ahmet Demir

{"title":"Can ultrasound elastography be useful in the diagnosis of poor ovarian response?","authors":"Ebru Sahin Gulec, Esra Bahar Gur, Secil Karaca Kurtulmus, Bilgesu Cetinel Kaygun, Esin Kasap, Ahmet Demir","doi":"10.1002/jcu.23827","DOIUrl":"https://doi.org/10.1002/jcu.23827","url":null,"abstract":"ObjectivesThis study aims to compare the elastographic properties of the ovaries of patients with poor ovarian response (POR) with healthy controls by using real‐time ultrasound tissue elastography and to investigate the predictive value of ovarian strain ratio (OSR) in the diagnosis of POR.Materials and MethodsA cross‐sectional study was conducted among infertility patients. OSR measurements of 46 women diagnosed with POR and 41 healthy controls with male infertility were performed by real‐time ultrasound tissue elastography. Ovarian volume, OSR, antral follicle count (AFC), age, body mass index (BMI), anti‐mullerian hormone (AMH), follicle stimulating hormone (FSH), and estradiol (E2) values, were compared between the groups. A receiver operating characteristic curve was used to compare the sensitivity and specificity of OSR, AFC, AMH, FSH, and E2 for POR diagnosis.ResultsPatients with POR were significantly older, had a lower duration of infertility, lower AMH, higher FSH, higher E2, lower AFC and ovarian volume (p < 0.01, p = 0.02, p < 0.01, p < 0.01, p < 0.01, p < 0.01, p < 0.01, respectively). The mean OSR of both ovaries was similar between the groups. For the diagnosis of POR, the sensitivity and specificity for AMH were 97.5% and 100%, for AFC were 86.7% and 97.6%; for FSH were 66.7% and 80.5%, for E2 were 53.3% and 90.2%, respectively.ConclusionsThe significant independent predictors of the POR were AMH, AFC, and FSH, with no additional significant contribution from OSR. However, considering the relationship between POR and ovarian fibrosis, it is recommended to investigate this issue in more comprehensive studies.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142252912","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}

引用次数: 0

Isolated congenital arhinia: Fetal magnetic resonance imaging and pediatric computed tomography 3D reconstructions, long-term follow-up and review of the literature. 孤立性先天性鼻窦炎：胎儿磁共振成像和儿科计算机断层扫描三维重建、长期随访和文献综述。

IF 0.9 4区医学

Journal of Clinical Ultrasound Pub Date : 2024-09-18 DOI: 10.1002/jcu.23843

Pedro Teixeira Castro,Ana Paula Pinho Matos,Gerson Ribeiro,Tatiana Fazecas,Edward Araujo Júnior,Heron Werner

引用次数: 0

Study on ultrasound diagnosis and pathological anatomy of fetal complex congenital heart disease in the first trimester 妊娠头三个月胎儿复杂先天性心脏病的超声诊断和病理解剖研究

IF 0.9 4区医学

Journal of Clinical Ultrasound Pub Date : 2024-09-17 DOI: 10.1002/jcu.23818

Shuihua Yang, Jizeng Li, Guican Qin, Mengfeng Liang, Yan Liang, Suli Luo, Zuojian Yang, Yulan Pang, Feiwen Long, Yanni Tang, Lin Kong

{"title":"Study on ultrasound diagnosis and pathological anatomy of fetal complex congenital heart disease in the first trimester","authors":"Shuihua Yang, Jizeng Li, Guican Qin, Mengfeng Liang, Yan Liang, Suli Luo, Zuojian Yang, Yulan Pang, Feiwen Long, Yanni Tang, Lin Kong","doi":"10.1002/jcu.23818","DOIUrl":"https://doi.org/10.1002/jcu.23818","url":null,"abstract":"PurposeTo assess the feasibility of using the stereo‐microscope to identify the pathological anatomy of the congenital heart diseases in the first trimester.MethodsFifteen fetuses of 8–12 weeks aborted due to prevent miscarriage failure and 42 fetuses of 11–14 weeks with congenital heart diseases were included in the study, we dissected their hearts through a stereo‐microscope, then compared with the prenatal ultrasonographic diagnosis.ResultsUsing stereomicroscopy, the positive view of the heart and the great arteries, the long axis view of the aortic arch, the inflow tract view of the bottom heart, the semilunar valve view of the bottom heart, and the transverse section of the ventricle were showed contented and obtained satisfactory images, but the structure of atrioventricular valve and venous system had a lower rate of display.ConclusionThe characteristic pathological changes of cardiac inflow and outflow tract can be obtained by dissecting the heart sequential under the stereo‐microscopy. However it is often difficult to obtain satisfactory pathological sections for pulmonary venous abnormalities and Ebstein anomaly.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142252915","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}

引用次数: 0

Ultrasound is helpful to diagnose and identify aggressive angiomyxoma: A case report 超声波有助于诊断和识别侵袭性血管肌瘤：病例报告

IF 0.9 4区医学

Journal of Clinical Ultrasound Pub Date : 2024-09-17 DOI: 10.1002/jcu.23826

Min Wan, Hong Luo

引用次数: 0

A comparison of the effects of nifedipine and indomethacin used in preterm labor tocolytic treatment on feto-maternal Doppler ultrasonography flow. 比较硝苯地平和吲哚美辛用于早产催产治疗对胎儿-产妇多普勒超声血流的影响。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2024-09-16 DOI: 10.1002/jcu.23825

Bekir Sitki Isenlik, Hasan Berkan Sayal, Bilgesu Cetinel Kaygun, Merve Turk, Hasan Ali Inal

{"title":"A comparison of the effects of nifedipine and indomethacin used in preterm labor tocolytic treatment on feto-maternal Doppler ultrasonography flow.","authors":"Bekir Sitki Isenlik, Hasan Berkan Sayal, Bilgesu Cetinel Kaygun, Merve Turk, Hasan Ali Inal","doi":"10.1002/jcu.23825","DOIUrl":"https://doi.org/10.1002/jcu.23825","url":null,"abstract":"Objective: To compare the effects of nifedipine and indomethacin, used for tocolytic purposes in the treatment of preterm labor (PTL), on fetal-maternal Doppler blood flows and perinatal outcomes.Materials and methods: Eighty pregnant women between weeks 24 and 32 of gestation who used nifedipine (n = 40) and indomethacin (n = 40) as tocolytic treatments due to PTL were prospectively and consecutively included in the study. Sociodemographic, obstetric, and laboratory and Doppler flow parameters were compared between the groups.Results: Statistically significant differences were observed between the groups in terms of gestational age at delivery and birth weight, Doppler flows (umbilical artery (UA) Pulsatility Index (PI), and UA Resistance Index (RI)) at 12, 24, and 48 h, middle cerebral artery RI at 12 h, and ductus venosus (DV) PI and DV-RI at 12, 24, and 48 h (p < 0.05).Conclusions: The findings of this study showed that nifedipine and indomethacin used in the treatment of PTL had significant effects on UA-PI and UA-RI Doppler flows at 12, 24, and 24 h, MCA-RI Doppler flows at 12 h, and DV-PI and DV-RI Doppler flows at 12, 24, and 48 h. Further studies involving larger numbers of participants are now needed to support these results.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142288238","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}

引用次数: 0

Ultrasonographic manifestations of Charcot-Marie-Tooth disease due to a mutation in the PMP22 gene: A case image. PMP22基因突变导致的夏科-玛丽-牙病的超声表现：病例图片。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2024-09-16 DOI: 10.1002/jcu.23834

Baisong Zhang, Shuyi Lyu

引用次数: 0

Sonographic findings associated with complications in pediatric patients with septic arthritis. 与化脓性关节炎儿科患者并发症相关的超声波检查结果。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2024-09-16 DOI: 10.1002/jcu.23836

Takahiro Hosokawa, Yumiko Sato, Yutaka Tanami, Eiji Oguma

{"title":"Sonographic findings associated with complications in pediatric patients with septic arthritis.","authors":"Takahiro Hosokawa, Yumiko Sato, Yutaka Tanami, Eiji Oguma","doi":"10.1002/jcu.23836","DOIUrl":"https://doi.org/10.1002/jcu.23836","url":null,"abstract":"Objectives: Ultrasound is a valuable tool for diagnosing septic arthritis and guiding the development of treatment plans. This study aimed to identify sonographic findings associated with complications in septic arthritis.Methods: Twelve patients aged <5 years diagnosed with septic arthritis were classified into two groups: those with and without complications. Complications were defined as the destruction of the epiphyseal bone head and metaphysis bone cortex. The following sonographic findings were compared between the two groups using Fisher's exact test: synovial membrane thickness, joint effusion, diminished hyperechoic foci within the epiphyseal bone head, and diminished smooth metaphyseal bone cortex.Results: Overall, 4 of 12 patients developed complications. Joint effusion and synovial membrane thickening were detected in all patients with septic arthritis. The incidence of diminished hyperechoic foci within the epiphyseal bone head was significantly different between the two groups (presence/absence in patients with complications vs. without = 3/1 vs. 0/8, p = 0.018). The incidence of diminished smooth metaphyseal bone cortex was higher in patients with complications than in those without; however, this difference was not statistically significant (presence/absence in patients with complications vs. without = 4/0 vs. 3/5, p = 0.081).Conclusion: Ultrasound proved to be an effective diagnostic tool for septic arthritis and also demonstrated its potential in predicting complications of septic arthritis in the pediatric population.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142288249","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}

引用次数: 0

Incarceration of the gravid uterus: Ultrasound diagnosis and pregnancy outcomes. 妊娠子宫嵌顿：超声诊断与妊娠结局

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2024-09-16 DOI: 10.1002/jcu.23835

Meixiang Zhang, Yingchun Luo, Dongmei Liu, Yulin Peng, Liqiong Hou

{"title":"Incarceration of the gravid uterus: Ultrasound diagnosis and pregnancy outcomes.","authors":"Meixiang Zhang, Yingchun Luo, Dongmei Liu, Yulin Peng, Liqiong Hou","doi":"10.1002/jcu.23835","DOIUrl":"https://doi.org/10.1002/jcu.23835","url":null,"abstract":"Background: This research aims to summarize the ultrasound features and pregnancy outcomes of incarceration of the gravid uterus (IGU), providing a basis for clinical management.Methods: A retrospective cohort study was conducted on pregnant patients with IGU at Hunan Provincial Maternal and Child Health Care Hospital in China, spanning from September 30, 2016, to May 31, 2024. Data on maternal age, parity, medical history, risk factors, gestational age, clinical manifestations, ultrasound examination, treatment methods, time, and method for terminating pregnancy, and pregnancy outcomes were collected. We compared cases diagnosed before and after 20 gestational weeks.Results: During the study period, 13 pregnant women were diagnosed with IGU, and 140 162 deliveries were recorded at our hospital. Two cases were referred from other hospitals and did not deliver in our hospital. Accordingly, the incidence of IGU was 0.08‰ (11/140, 162). The most prevalent risk factor for IGU was previous abdominal or pelvic surgery (61.54%, 8/13). Dysuria or even urinary retention was the primary symptom (38.46%, 5/13). Spontaneous resolution occurred in only one case (7.69%). All cases were detected using prenatal ultrasound examination with typical characteristics, including a retroverted uterus and the fundus located behind the cervix. No statistically significant differences between the two comparison groups were found in successful uterine reduction (p > 0.05).Conclusion: The definition of IGU should include symptomatic cases of any gestational age. Despite a low prevalence of this pregnancy complication, the overall prognosis of IGU is good. In the absence of severe symptoms, regular monitoring may be an option. Typical ultrasound imaging features enable a definitive diagnosis of IGU.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142288245","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}

引用次数: 0