Journal of Clinical Ultrasound最新文献_第10页

Prognostic Factors for Complications Following Ultrasound-Guided Percutaneous Kidney Biopsy: A 7-Year Retrospective Study. 超声引导下经皮肾活检术后并发症的预后因素：一项7年回顾性研究。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-08-06 DOI: 10.1002/jcu.70020

Sehyun Jung, Seunghye Lee, Hyejin Jeon, Hani Jang, Se-Ho Chang, Hyun-Jung Kim

{"title":"Prognostic Factors for Complications Following Ultrasound-Guided Percutaneous Kidney Biopsy: A 7-Year Retrospective Study.","authors":"Sehyun Jung, Seunghye Lee, Hyejin Jeon, Hani Jang, Se-Ho Chang, Hyun-Jung Kim","doi":"10.1002/jcu.70020","DOIUrl":"https://doi.org/10.1002/jcu.70020","url":null,"abstract":"Introduction: Ultrasound-guided percutaneous kidney biopsy is a key diagnostic tool, but it carries a risk of complications. This study aimed to evaluate complication rates and identify associated clinical and procedural factors.Methods: This retrospective study analyzed 627 patients who underwent ultrasound-guided percutaneous kidney biopsy between January 2013 and December 2019. Logistic regression models were used to assess associations between complications and potential risk factors, adjusting for demographics, clinical characteristics, and procedural variables.Results: Complications occurred in 75% of patients, with hematoma (69.7%) being the most frequent, followed by pain (14.5%). Older age (adjusted odds ratio [OR], 0.99; 95% confidence interval [CI], 0.97-1; p = 0.024). Obesity (adjusted OR, 0.5; 95% CI, 0.34-0.74; p < 0.001) and smoking (adjusted OR, 0.57; 95% CI, 0.36-0.9; p = 0.015) were associated with a reduced risk of complications.Conclusions: Complications were common following ultrasound-guided percutaneous kidney biopsy; however, the majority were minor and clinically manageable. Older age, obesity, and smoking were independently associated with a lower risk of complications. These findings highlight the overall safety of the procedure and emphasize the importance of individualized risk assessment in clinical practice.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144789284","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

Transesophageal Echocardiography Can Detect Atrial Fibrillation Masked by a Pacemaker: A Case Series. 经食管超声心动图可以检测由起搏器掩盖的心房颤动：一个病例系列。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-08-06 DOI: 10.1002/jcu.70031

Yuya Kobayashi, Chinami Yuzawa, Minori Kurashina, Yusaku Shimizu, Yoshiki Sekijima

引用次数: 0

A Case of Ultrasound Findings in Male Encapsulated Papillary Carcinoma of the Breast. 男性乳腺包膜状乳头状癌超声表现1例。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-08-04 DOI: 10.1002/jcu.70021

Wenhao Qu, Yangsiyu Duan, Yanfang Wang, Fang Nie

引用次数: 0

Clinical Use of Lung Ultrasound by Emergency and Intensive Care Physicians: A Swiss National Survey. 临床使用肺部超声急诊和重症监护医生：瑞士全国调查。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-07-30 DOI: 10.1002/jcu.70025

Norah Villars, Thomas Berlet, Luca Cioccari

{"title":"Clinical Use of Lung Ultrasound by Emergency and Intensive Care Physicians: A Swiss National Survey.","authors":"Norah Villars, Thomas Berlet, Luca Cioccari","doi":"10.1002/jcu.70025","DOIUrl":"https://doi.org/10.1002/jcu.70025","url":null,"abstract":"Purpose: Lung ultrasound (LUS) has gained popularity in the emergency department (ED) and intensive care unit (ICU). However, little is known about its use, training, indications, and implementation barriers. Therefore, we performed a survey to evaluate the current practice of LUS among ED and ICU physicians with varying experience levels across regions in Switzerland.Methods: A 27-question online survey was disseminated across 108 EDs and 75 ICUs using snowball sampling via department heads.Results: Of all 18 participants from 183 invited departments (49.0% ED physicians, 42.3% ICU physicians, 8.7% from other specialties), 190 (95.5%) use ultrasound and 164 (82.8%) use LUS in their clinical practice. Predominantly, LUS is utilized for evaluating dyspnea (95.9%), shock (76.2%), and hypoxemia (73.5%). ICU physicians used LUS more for invasive procedures, while less experienced physicians had lower certification rates. Standardized protocols for LUS examination or documentation were reported by only 22.5% and 38.9% of responders, respectively. The main barriers identified were time constraints, lack of training opportunities, and underestimation of LUSs diagnostic value.Conclusions: LUS is widely adopted and considered highly relevant by ED and ICU physicians. However, disparities in usage and proficiency were observed between ICU and non-ICU physicians, as well as between more and less experienced practitioners. Addressing the identified training gaps and promoting standardized protocol adoption are imperative for optimizing LUSs integration into patient care.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144742222","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

The Predictive Role of Cervical Volume, Cervical Length, and Uterocervical Angle for Preterm Birth. 宫颈体积、宫颈长度和子宫宫颈角对早产的预测作用。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-07-25 DOI: 10.1002/jcu.70014

Ceren Eker Karaman, Burcu Dincgez, Nefise Nazlı Yenigül, Gulten Ozgen

{"title":"The Predictive Role of Cervical Volume, Cervical Length, and Uterocervical Angle for Preterm Birth.","authors":"Ceren Eker Karaman, Burcu Dincgez, Nefise Nazlı Yenigül, Gulten Ozgen","doi":"10.1002/jcu.70014","DOIUrl":"https://doi.org/10.1002/jcu.70014","url":null,"abstract":"Objectives: Predictive tests for preterm birth are considered extremely important considering the associated morbidities. Here, we aimed to assess the predictive role of cervical volume for preterm birth and compare this role with uterocervical angle and cervical length. Additionally, we aimed to evaluate the success of combinations of cervical volume, uterocervical angle, and cervical length in predicting preterm birth.Methods: A total of 485 pregnant women between 16 and 24th gestational weeks of gestation were included in this prospective observational study. Then, the patients were grouped as preterm and term births. The clinical characteristics, obstetric outcomes, and sonographic findings including uterocervical angle, cervical length, and cervical volume were compared between groups. The predictive roles of sonographic findings for preterm birth were analyzed by receiver operating characteristic curve and regression analysis.Result: Cervical length ≤ 35.7 mm predicted preterm birth with 81.16% sensitivity and 79.81% specificity (p < 0.001, AUC = 0.843) while uterocervical angle > 94.9° predicted it with 98.55% sensitivity and 54.57% specificity (p < 0.001, AUC = 0.751). Cervical volume ≤ 30.4 mm3 predicted preterm birth with 86.96% sensitivity and 77.4% specificity (p < 0.001, AUC = 0.886). No significant difference was found between cervical length and cervical volume, both of which are superior to uterocervical angle in predicting preterm birth. The combination of cervical length, uterocervical angle, and cervical volume increases the risk of preterm birth by approximately 153 times.Conclusion: Cervical volume could be considered a new predictor for preterm birth. Moreover, its use with cervical length and uterocervical angle may bring us closer to a more successful prediction of preterm birth.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144707645","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

Beyond Accuracy: Methodological Gaps in Reviews on Ultrasonography for Cervical Cancer. 准确性之外：宫颈癌超声检查的方法学空白。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-07-24 DOI: 10.1002/jcu.70023

Pedro Henrique Machado Carani, Victor Arthur Ohannesian, Alvaro Martino Netto, Guilherme Ciconelli Del Guerra, Miguel José Francisco Neto

引用次数: 0

Uterine Necrosis Following Uterine Compression Sutures in Severe Postpartum Hemorrhage: A Case Report and Literature Review. 重度产后出血子宫压迫缝合后子宫坏死1例报告并文献复习。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-07-24 DOI: 10.1002/jcu.24068

Jianyang Lu, Hongbo Zhai

引用次数: 0

Assessing Gallbladder Wall Thickening due to Systemic Venous Congestion Using the VExUS Score With Point-Of-Care Ultrasound. 使用即时超声的VExUS评分评估全身静脉充血引起的胆囊壁增厚。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-07-24 DOI: 10.1002/jcu.70019

Issac Cheong, Francisco Marcelo Tamagnone

引用次数: 0

The Clinical Value of Real-Time Shear Wave Elastography in Evaluating Closed Complete Achilles Tendon Ruptures. 实时剪切波弹性成像评估闭合性完全性跟腱断裂的临床价值。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-07-22 DOI: 10.1002/jcu.70010

Wenxian Yang, Qirui Yu, Yuhao Wang, Dan Li, Xueting Tang, Weiyong Liu

{"title":"The Clinical Value of Real-Time Shear Wave Elastography in Evaluating Closed Complete Achilles Tendon Ruptures.","authors":"Wenxian Yang, Qirui Yu, Yuhao Wang, Dan Li, Xueting Tang, Weiyong Liu","doi":"10.1002/jcu.70010","DOIUrl":"https://doi.org/10.1002/jcu.70010","url":null,"abstract":"Objective: To evaluate the clinical value of real-time shear wave elastography (RTSWE) in diagnosing complete closed Achilles tendon ruptures (ATRs), emphasizing preoperative assessment and postoperative healing monitoring.Methods: A total of 72 consecutive patients with ultrasound-confirmed complete closed ATRs (68 men, 4 women) participated. Morphometric parameters, including tendon gap length, rupture-to-insertion distance, and tendon thickness, were assessed by conventional ultrasound. Shear wave elastography (SWE) provided quantitative biomechanical data through shear wave velocity (SWV) measurements at the proximal and distal segments of ruptured and contralateral asymptomatic tendons, as well as adjacent soleus muscles.Results: Patients' mean age was 37.14 ± 9.58 years, with a significant male predominance (94.4%). Ruptures occurred nearly equally in the left (52.8%) and right (47.2%) tendons. Morphological changes were significant, with increased thickness at proximal [6.81 (2.72) mm vs. 4.97 (0.92) mm; p < 0.001] and distal segments [8.22 (3.10) mm vs. 4.97 (0.92) mm; p < 0.001] compared to asymptomatic tendons. SWV analysis demonstrated significantly lower stiffness at the proximal segment of ruptured tendons compared with distal segments [3.55 (1.26) m/s vs. 4.87 (1.80) m/s; p < 0.001] and contralateral tendons [4.59 (1.64) m/s vs. 4.87 (1.80) m/s; p < 0.001].Conclusion: RTSWE provides valuable quantitative biomechanical information for preoperative planning and postoperative monitoring of complete closed ATRs. Elastographic changes remain confined to the free tendon segment without affecting the proximal musculotendinous junction of the soleus muscle, indicating compartment-specific mechanical alterations following tendon rupture.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144690460","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

Diagnostic Neuromuscular Ultrasonography of Spinal Accessory Nerve Injury After Cosmetic Rhytidectomy. 美容除皱术后脊髓副神经损伤的神经肌肉超声诊断。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-07-21 DOI: 10.1002/jcu.70015

Kira S Kopacz, Michelle L Mauermann, Ruple S Laughlin, Jacob L Sellon, Alexander Y Shin, Nicholas A Pulos, Allen T Bishop, Andres A Maldonado, Robert J Spinner, James B Meiling

引用次数: 0