Journal of Clinical Ultrasound最新文献

{"title":"Prenatal and Postnatal Ultrasonographic Characteristics of Immature Teratoma in the Gastric Wall: A Case Report.","authors":"Yijin Chen, Li Huang, Wen Xiong","doi":"10.1002/jcu.24074","DOIUrl":"https://doi.org/10.1002/jcu.24074","url":null,"abstract":"<p><p>Teratomas are germ cell tumors from three embryonic germ layers. Immature teratomas in the gastric wall are extremely rare. A 31-year-old pregnant woman underwent prenatal ultrasound at 36 weeks, revealing a fetal abdominal mass. Postnatal imaging confirmed an immature teratoma originating from the stomach wall. This case highlights the importance of prenatal ultrasound for early diagnosis. Complete surgical resection remains the recommended treatment for this rare malignant tumor.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144583987","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":"Prospective Evaluation of Internal Cranial Fronto-Occipital Diameter/Corpus Callosum Length Ratio on Normal Depistage and IUFGR Prenatal Ultrasound.","authors":"M Sarreau, O Hubert, A Couillet, H Dahmouni, V Vequeau-Goua, I Silmenova Brachot","doi":"10.1002/jcu.24057","DOIUrl":"https://doi.org/10.1002/jcu.24057","url":null,"abstract":"<p><strong>Introduction: </strong>Aim to explore the feasibility of assessing the relationship between the internal cranial fronto-occipital diameter (IFOD) and corpus callosum (CC) length and compare this to fetuses with intrauterine growth restriction (IUGR).</p><p><strong>Materials and methods: </strong>Observationnal study including 989 fetuses: 912 eutrophic fetuses and 75 with IUGR. Strict quality control criteria were applied to CC measurements, which were taken in median sagittal section including the vermis. IFOD was measured along the same axis between the internal bone tables. IFOD/CC ratio was calculated and analyzed by pregnancy trimester. We compared the IFOD/CC ratio between eutrophic fetuses and those with IUGR, excluding cases with cerebral malformations or genetic disorders.</p><p><strong>Results: </strong>IFOD/CC ratio was, on average, 3.32 (±0.91) in the first trimester (< 21 GW) for 40 patients, 2.54 (±0.18) in the second trimester (21-30 GW) for 487 patients, and 2.47 (±0.08) in the third trimester (31-38 GW) for 385 patients. The ratio decreased proportionally with advancing pregnancy. The IFOD/CC ratio was 2.51 (±0.13) in eutrophic fetuses and 2.49 (±0.10) in fetuses with IUGR, with no significant difference between the two groups (Student's t-test, p value = 0.18).</p><p><strong>Conclusion: </strong>There was no significant difference between eutrophic fetuses and those with IUGR. This method appears to be quick and could offer an advantage over standard CC charts. It may also help minimize potential biases in detecting CC hypoplasia.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144583988","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":"Intraoperative Contrast-Enhanced Ultrasonography in Pediatric Surgeries: A Review of Techniques, Applications, and Outcomes.","authors":"Parya Valizadeh, Delaram J Ghadimi, Payam Jannatdoust, Ali Zare Dehnavi, Saeed Rahmani, Afsaneh Soltani, Noosha Samieefar","doi":"10.1002/jcu.24096","DOIUrl":"https://doi.org/10.1002/jcu.24096","url":null,"abstract":"<p><p>Contrast-enhanced ultrasound (CEUS) utilizes microbubble contrast agents to improve imaging clarity during surgeries, offering real-time visualization of anatomy and perfusion without ionizing radiation. CEUS has demonstrated feasibility in congenital heart defect repairs for monitoring procedures and cerebral perfusion, in developmental dysplasia of hip surgeries for assessing hip perfusion, in neurosurgery for delineating tumor margins, and in urogenital surgeries for guiding interventions. Intraoperative CEUS improves precision, reduces reliance on postoperative imaging, and enhances safety. While it is a safe and effective tool for intraoperative decision-making in pediatric surgeries, further studies are needed to expand its applications and standardize its use.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144564817","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":"Gender Determination Through Maxillary Sinus Volumes: A Single-Center Computed Tomography Study.","authors":"Murat Kaya, Osman Konukoğlu, Barış Can Arslan","doi":"10.1002/jcu.70005","DOIUrl":"https://doi.org/10.1002/jcu.70005","url":null,"abstract":"<p><strong>Purpose: </strong>To obtain values for gender determination using maxillary sinus measurements in human skeletal remains.</p><p><strong>Materials and methods: </strong>The images of 520 patients who underwent paranasal computed tomography were analyzed. Height (cm): Superior wall to the lowermost point of the inferior wall of the sinus, coronal plane width (cm): Outermost point of the lateral wall to the medial wall, axial plane length (cm): Longest anterior to posterior measurement of the cavity, axial plane, measurements of maxillary sinuses were made.</p><p><strong>Results: </strong>A statistically significant relationship exists between gender and the right maxillary sinus volume (χ² = 30.468; accuracy = 62%; p < 0.001). 63.88% (n = 168) of those with a volume below 17.49 cm³ were female, while 39.69% (n = 102) of those with a volume of 17.49 cm³ or higher were female. There is a statistically significant relationship between gender and the left maxillary sinus volume (χ² = 24.456; accuracy = 60%; p < 0.001). 63.95% (n = 149) of those with a volume below 18.08 cm³ were female, while 42.16% (n = 121) of those with a volume of 18.08 cm³ or higher were female.</p><p><strong>Conclusion: </strong>In forensic skeletal cases with unknown sex, the length, width, height, and volumetric measurements of the maxillary sinus using CT can determine whether it belongs to a male or a female.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144560183","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":"Comparison of Ultrasound and Magnetic Resonance Imaging in Diagnosing Peripheral Intraneural Ganglion Cysts.","authors":"Kezhen Qin, Tiezheng Wang, Hengtao Qi, Lishan Zhang, Yeting Wang, Wen Chen, Liyuan Cui, Huawei Zhang","doi":"10.1002/jcu.70007","DOIUrl":"https://doi.org/10.1002/jcu.70007","url":null,"abstract":"<p><strong>Background: </strong>Traditionally, the imaging diagnosis of peripheral intraneural ganglion cysts (IGCs) has primarily relied on MRI. However, few reports in the literature have evaluated peripheral IGCs using high-frequency ultrasound.</p><p><strong>Methods: </strong>From January 2013 to December 2023, 75 consecutive patients seen in Shandong Provincial Hospital Affiliated to Shandong First Medical University with symptoms related to the peripheral nerves and clinically suspected of having peripheral IGCs were included. Ultrasound and MRI were used to assess the peripheral nerves. The ultrasonographic and MRI images of IGCs were analyzed, and their image features were summarized. The data were compared with MRI. The κ-test was used to assess the level of agreement. The sensitivity, specificity, positive predictive value, negative predictive value, and Youden index for high-frequency ultrasound as a diagnostic tool were determined.</p><p><strong>Results: </strong>The diagnosis of IGCs was confirmed in 23 patients by surgery. The MRI diagnosis results were fully consistent with the surgery. There were no false-positive results and two false-negative results by ultrasound. The κ-value was 0.936. The sensitivity, specificity, positive and negative predictive values, and Youden index of ultrasound were 91.3%, 100%, 100%, 96%, and 0.913, respectively.</p><p><strong>Conclusion: </strong>MRI outperformed US in visualizing peripheral IGCs. Both US and MRI were valid indicators for comprehensive diagnosis of peripheral IGCs.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540385","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":"Home Monitoring of Ascites Using Portable Ultrasound and Telehealth Technology: A Pilot Study.","authors":"Borna E Dabiri, Kamal Tarabine, Tina Kapur, Paul B Shyn","doi":"10.1002/jcu.70004","DOIUrl":"https://doi.org/10.1002/jcu.70004","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the feasibility of using portable home ultrasound technology during radiologist-led telehealth visits for monitoring ascites in patients requiring repetitive paracentesis procedures.</p><p><strong>Methods: </strong>Seven patients with recurring ascites underwent home telehealth visits using a portable ultrasound device and tablet computer. Radiologist-led, patient-performed remote ultrasound was used to assess ascites volume and confirm or adjust paracentesis scheduling. Patient and radiologist satisfaction, impact on empiric scheduling, and comparison of ultrasound ascites assessments with volume removed during paracentesis were evaluated.</p><p><strong>Results: </strong>Portable ultrasound during telehealth visits enabled monitoring of ascites volume, with high levels of satisfaction reported by both patients and radiologists. In 10% of the telehealth visits, empirically scheduled paracentesis procedures were deferred to a later date due to ultrasound evidence of insufficient fluid volume. This avoided patient visits ending with aborted paracentesis procedures. Portable telehealth ultrasound assessments of ascites volume appropriately stratified the volume of fluid removed during paracentesis.</p><p><strong>Conclusion: </strong>This pilot study showed that home-based portable ultrasound under teleguidance from a radiologist is feasible in patients requiring repetitive paracentesis procedures.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528200","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":"Transperineal Ultrasound for Detecting Complications After Pelvic Organ Prolapse and Stress Urinary Incontinence Surgery.","authors":"Lan Bu, Xiaoyu Yang, Ailing Xu, Fang Nie","doi":"10.1002/jcu.24065","DOIUrl":"https://doi.org/10.1002/jcu.24065","url":null,"abstract":"<p><strong>Purpose: </strong>Assess the roles of two-dimensional (2D) and three-dimensional (3D) transperineal ultrasound (TPUS) among women suspected of having complications associated with surgical implantation for pelvic organ prolapse (POP) and stress urinary incontinence (SUI).</p><p><strong>Methods: </strong>A retrospective single-center cohort study was conducted, involving 130 women who underwent either vaginal or abdominal mesh implant placement for the treatment of pelvic organ prolapse (POP) or stress urinary incontinence (SUI) between January 2017 and December 2024. The position and mobility of the slings were dynamically assessed using 2D and 3D TPUS at rest and during the Valsalva maneuver.</p><p><strong>Results: </strong>Among 130 patients, 24 were categorized as symptomatic and 106 as asymptomatic. 89.2% (116/130) had one implant, while the remaining patients had two or more implants. Mid-urethral slings (MUS) were the most prevalent implants [63.8% (83/130)]. Chronic pelvic or abdominal pain was the most frequent clinical symptom [16.9% (22/130)]. There were more mesh implants in the symptomatic group [45.8% (11/24)] than in the asymptomatic group [3.8% (4/106)]. The sensitivity and specificity of transperineal ultrasound in detecting complications after pelvic floor sling surgery are approximately 89% and 92%, respectively.</p><p><strong>Conclusion: </strong>Transperineal 2D and 3D ultrasound effectively evaluates the position and mobility of pelvic mesh implants, demonstrating high sensitivity and specificity in detecting postoperative complications.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144496807","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 Elastography in Prostate Diseases: Current Status and Future Directions-A Review.","authors":"Jiawei Liang, Yunxin Zhao","doi":"10.1002/jcu.24092","DOIUrl":"https://doi.org/10.1002/jcu.24092","url":null,"abstract":"<p><p>Prostate diseases, including prostate cancer and benign prostatic hyperplasia, have become significant threats to men's health. Accurate and reliable diagnostic methods are critical for early detection and timely intervention. Although current imaging modalities such as conventional transrectal ultrasound, computed tomography, and magnetic resonance imaging play a crucial role in the diagnosis and treatment monitoring of prostate diseases, they remain hampered by certain limitations that prevent them from comprehensively and precisely addressing clinical demands. Ultrasound elastography (UE), as a rapidly emerging medical imaging technology, is gradually demonstrating broad application prospects in the diagnosis and treatment monitoring of prostate diseases. Numerous studies have validated the efficacy of UE in the diagnosis of prostate diseases, demonstrating its significant advantages in diagnostic accuracy and reduced invasiveness compared with conventional methods. Nevertheless, challenges persist in translating UE into routine clinical practice, such as the lack of standardized protocols, variability in result interpretation, and limited equipment availability. This article reviews the role of UE in the diagnosis and treatment monitoring of prostate diseases, critically evaluates its clinical potential and challenges, and serves as a reference for future in-depth research and clinical applications.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475432","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":"Utility of Lung Ultrasound as a Screening Tool in Patients With Clinical Suspicion of Interstitial Lung Disease.","authors":"Saikat Banerjee, Ganesh Sanjan, Prakash Sivaramakrishnan, Girish Sindhwani, Venkatesh Pai, Poonam Sherwani, Prakhar Sharma","doi":"10.1002/jcu.70003","DOIUrl":"https://doi.org/10.1002/jcu.70003","url":null,"abstract":"<p><strong>Purpose: </strong>The diagnosis of interstitial lung disease (ILD) is primarily based on clinico-radiological findings, often requiring multidisciplinary discussion (MDD) for confirmation. Lung ultrasound (LUS) is a safe, non-invasive, bedside tool that has been explored for ILD assessment.</p><p><strong>Methods: </strong>We conducted a hospital-based, single-center, cross-sectional diagnostic accuracy study on patients with clinical suspicion of ILD. All patients underwent routine blood tests, lung function tests, LUS, and high-resolution computed tomography (HRCT) following a standardized protocol. LUS assessed pleural abnormalities, including thickening, shredding, and B-lines.</p><p><strong>Results: </strong>The study included 56 patients (mean age 54.79 ± 11.88 years) with a female predominance (57.14%). Diagnoses included connective tissue disease-related ILD (26.79%), idiopathic pulmonary fibrosis (21.43%), non-specific interstitial pneumonia (12.50%), hypersensitivity pneumonitis (10.71%), sarcoidosis (7.14%), and no ILD (17.86%). LUS demonstrated a sensitivity of 91.30%, specificity of 80.00%, diagnostic accuracy of 89.29%, and a diagnostic odds ratio of 41.55. The receiver-operating characteristic (ROC) curve for ultrasound B-lines had an AUC of 0.941 (p < 0.001).</p><p><strong>Conclusion: </strong>The LUS B-lines score is a promising screening tool for ILD, with high diagnostic accuracy. Its bedside applicability makes it a valuable \"point-of-care\" test in ILD evaluation.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310005","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":"Improved Fetal Growth Associated With Maternal Rest in Fetuses Diagnosed With an Estimated Fetal Weight and an Abdominal Circumference Growth Velocity Less Than the 10th Percentile.","authors":"Greggory R DeVore, Bardo Polanco","doi":"10.1002/jcu.70002","DOIUrl":"https://doi.org/10.1002/jcu.70002","url":null,"abstract":"<p><strong>Introduction: </strong>Previous studies have demonstrated that fetuses with an estimated fetal weight (EFW) less than the 10th percentile with concomitant abdominal circumference (AC) growth velocity < 10th percentile are at increased risk for adverse perinatal outcomes.</p><p><strong>Material and methods: </strong>This was a retrospective case series of 104 fetuses who had a prior study in which the EFW was > 10th percentile and were identified with a subsequent EFW < 10th percentile with concomitant AC growth velocity between two examinations of < 10th percentile. The AC, head circumference (HC), and femur length (FL) growth velocity was computed as follows: [(AC, HC, FL_{EFW < 10th} - AC, HC, FL_{EFW Previous Examination})/(weeks gestation_{EFW < 10th} - weeks gestation_{EFW Previous Examination})]. Growth velocity 10th and 90th percentile reference values for the AC, HC, and FL, were derived from equations published from Intergrowth-21st Project of longitudinal fetal growth protocol. Once abnormal growth was identified (EFW plus AC growth velocity < 10th percentile), the patients were asked to begin a course of complete maternal rest for 2 weeks, lying in the left lateral recumbent position. Following 2 weeks of maternal rest, the EFW percentile and the growth velocity of the AC, HC, and FL were reassessed as follows: Period 1: pre-diagnosis of an EFW > 10th percentile versus EFW < 10th percentile; Period II: diagnosis of an EFW < 10th percentile versus 2 weeks following maternal rest. The velocity values were plotted on graphs and z-scores were computed. A p-value of < 0.05 was considered significant.</p><p><strong>Results: </strong>For Period I, 100% (N = 104) had an EFW and AC growth velocity < 10th percentile, 29% (30/104) a HC growth velocity < 10th percentile. Fifty-four percent (56/104) a FL growth velocity < 10th percentile. Period II, which evaluated growth after 2 weeks of maternal rest, demonstrated the following significant findings (p < 0.05): (1) increased EFW > 10th percentile (0% vs. 81%, 84/104); (2) increased AC growth velocity > 10th percentile (0% vs. 94%, 98/104); (3) increased HC growth velocity > 10th percentile (71%, 74/104 vs. 81%, 84/104), and FL growth velocity > 10th percentile (46%, 48/104 vs. 83%, 86/104).</p><p><strong>Conclusion: </strong>Following maternal rest in fetuses with an EFW < 10th percentile and an AC growth velocity < 10th percentile, there was a significant increase in the EFW percentile as well as the AC, HC, and FL growth velocities.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310004","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}