Journal of Clinical Ultrasound最新文献_第3页

Ultrasound Imaging/Guidance for Superficial Radial (Dorsolateral Branch) Neuropathy After Ganglion Excision Surgery. 神经节切除术后浅桡（背外侧支）神经病变的超声成像/指导。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-09-27 DOI: 10.1002/jcu.70089

Burak Tolga Başoluk, Beytullah Yazar, Levent Özçakar

引用次数: 0

Comparison of Ultrasound and Magnetic Resonance Imaging in Diagnosing Peripheral Intraneural Ganglion Cysts. 超声与磁共振诊断周围神经节囊肿的比较。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-09-26 DOI: 10.1002/jcu.70091

Karina A Lenartowicz, Jeffrey A Strakowski, Robert J Spinner

引用次数: 0

Distinguishing Between Early Acute Gangrenous Appendicitis and Uncomplicated Acute Appendicitis Using Ultrasonography: A Retrospective Observational Study. 超声鉴别早期急性坏疽性阑尾炎与单纯急性阑尾炎的回顾性观察研究。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-09-26 DOI: 10.1002/jcu.70094

Min Zhang, Siling Ren, Jian Li, Xiaohui Zhou, Xianpeng Tang, Qiang Hu, Li Tian, Qianrong Zhang, Yuhang Deng, Yi Zhou, Hao Tan, Min Zhao, Yixiang Lian, Shaobin Huang, Qiong Li, Linyuan Jin

{"title":"Distinguishing Between Early Acute Gangrenous Appendicitis and Uncomplicated Acute Appendicitis Using Ultrasonography: A Retrospective Observational Study.","authors":"Min Zhang, Siling Ren, Jian Li, Xiaohui Zhou, Xianpeng Tang, Qiang Hu, Li Tian, Qianrong Zhang, Yuhang Deng, Yi Zhou, Hao Tan, Min Zhao, Yixiang Lian, Shaobin Huang, Qiong Li, Linyuan Jin","doi":"10.1002/jcu.70094","DOIUrl":"https://doi.org/10.1002/jcu.70094","url":null,"abstract":"Introduction: This study aimed to evaluate the diagnostic value of ultrasonography in distinguishing early acute gangrenous appendicitis (AGA) from uncomplicated acute appendicitis (UAA).Methods: This retrospective observational study was conducted at a tertiary teaching hospital in Changsha Central Hospital, including 305 patients with AGA and 398 patients with UAA, confirmed through surgical and pathological examination. Univariate analyses of clinical and ultrasonographic data were followed by multivariate logistic regression modeling to identify significant risk factors for AGA.Results: Univariate analysis revealed significant intergroup differences in sex, age, symptom duration, leukocyte count, neutrophil percentage, outer appendiceal diameter, peri-appendiceal mesentery thickness, appendicolith obstruction, intra-appendiceal fluid echogenicity, intra-appendiceal gas, appendiceal wall anomalies, and peri-appendiceal fluid. Multivariate analysis identified male sex (odds ratio [OR] = 1.788, p = 0.014), age ≥ 44 (OR = 2.174, p = 0.002), symptom duration ≥ 32 h (OR = 2.396, p < 0.001), neutrophils ≥ 84% (OR = 2.615, p < 0.001), peri-appendiceal mesentery thickness ≥ 7 mm (OR = 5.302, p < 0.001), intra-appendiceal fluid with poor ultrasound penetration (OR = 2.025, p = 0.004), appendicolith obstruction (OR = 2.030, p = 0.020), and appendiceal wall anomalies (OR = 16.772, p < 0.001).Conclusion: Ultrasonographic findings like appendiceal wall anomalies, intra-appendiceal gas, and peri-appendiceal fluid offer high specificity for diagnosing early AGA, while peri-appendiceal mesentery thickness ≥ 7 mm demonstrates high sensitivity. Combining ultrasound with clinical evaluation facilitates AGA diagnosis and informed treatment decisions.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145175737","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

A Rare Case of Trousseau Syndrome-Related Nonbacterial Thrombotic Endocarditis Caused by Mucinous Ovarian Carcinoma. 罕见的由黏液性卵巢癌引起的与Trousseau综合征相关的非细菌性血栓性心内膜炎1例。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-09-26 DOI: 10.1002/jcu.70095

Xiaofang Zhong, Shuyu Luo, Yuanyuan Sheng, Lixin Chen, Yingying Liu

引用次数: 0

Ultrasonic Analysis of Maternal Pelvic Floor Differences Among Delivery Mode Combinations After the Second Birth: A Single-Center Study. 超声分析二胎后产妇盆底分娩方式的差异：一项单中心研究。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-09-26 DOI: 10.1002/jcu.70088

Jiali Shou, Kun Wang, Wanting Xu, Huihui Yang, Yu He

{"title":"Ultrasonic Analysis of Maternal Pelvic Floor Differences Among Delivery Mode Combinations After the Second Birth: A Single-Center Study.","authors":"Jiali Shou, Kun Wang, Wanting Xu, Huihui Yang, Yu He","doi":"10.1002/jcu.70088","DOIUrl":"https://doi.org/10.1002/jcu.70088","url":null,"abstract":"Purpose: This study aimed to assess the impact of delivery mode combinations after the second birth on maternal pelvic floor differences using transperineal ultrasound.Methods: A total of 266 women were enrolled in this study. According to the different delivery modes of two births, women were categorized as repeat vaginal birth (RVB), vaginal birth after cesarean section (VBAC), cesarean section after vaginal birth (CAVB), and repeat cesarean section (RCS) groups. Univariate analysis was performed to compare levator hiatus area (LHA-V), bladder neck-symphyseal distance on Valsalva (BSD-V), bladder neck descent (BND), and the occurrence of pelvic organ prolapse (POP) among the four groups. Multiple linear regression analysis was performed to identify factors associated with LHA-V.Results: BSD-V in the RVB, VBAC and CAVB groups was lower and their BND was greater than the counterparts in the RCS group (p < 0.05). The VBAC group exhibited a significantly lower BSD-V and greater BND compared to the CAVB group. The prevalence of POP was the highest in the RVB group and the lowest in the RCS group. LHA-V was the only ultrasound parameter statistically different in all pairwise comparisons among the four groups. The multiple linear regression analysis results demonstrated a significant relationship between LHA-V and different delivery modes of two births, neonatal weight, BND, uterine and perineal body position on Valsalva.Conclusion: For women with both modes, vaginal birth after cesarean section exhibited significantly lower BSD-V, greater BND and larger LHA-V, with a higher prevalence of POP compared to the reverse sequence. Meanwhile, LHA-V was identified as a sensitive ultrasound indicator for differentiating pelvic floor outcomes across delivery mode combinations.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145149150","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

Primary Mesenteric Malignant Yolk Sac Tumor: A Case Report. 原发性肠系膜恶性卵黄囊瘤1例。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-09-26 DOI: 10.1002/jcu.70087

Lian-di Liu, Shuang Zheng, Ran Chen, Lin Li, Jin-Song Yu

引用次数: 0

Mayer-Rokitansky-Küster-Hauser Syndrome With Concurrent Adenomyosis and Leiomyoma in Rudimentary Uterus: A Case Report. 初级子宫并发子宫腺肌症和平滑肌瘤的mayer - rokitansky - k<s:1> ster- hauser综合征1例报告。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-09-26 DOI: 10.1002/jcu.70074

Yixuan Zhang, Zhenzhen Liu, Ying Wang, Lan Zhu, Yafei Qi, Huadan Xue, Hongyan Wang, Jianchu Li

引用次数: 0

Cerebral Embolism Caused by Thrombosis of Aortic Sinus. 主动脉窦血栓形成所致脑栓塞。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-09-26 DOI: 10.1002/jcu.70096

Houyu Li, Anlingzi Zou, Weiwei Xiao, Xue Gao, Zhihong Wei, Shaomei Yu

引用次数: 0

Is Middle Cerebral Artery Doppler a Reliable Tool for Fetal Monitoring? A Prospective Observational Study on Intra and Inter-Observer Variability. 大脑中动脉多普勒是胎儿监护的可靠工具吗？一项关于观察者内部和观察者之间变异的前瞻性观察研究。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-09-24 DOI: 10.1002/jcu.70075

Giulia Masini, Alessandra Gizzi, Ilaria Ponziani, Elisa Spataro, Viola Seravalli, Lucia Pasquini

{"title":"Is Middle Cerebral Artery Doppler a Reliable Tool for Fetal Monitoring? A Prospective Observational Study on Intra and Inter-Observer Variability.","authors":"Giulia Masini, Alessandra Gizzi, Ilaria Ponziani, Elisa Spataro, Viola Seravalli, Lucia Pasquini","doi":"10.1002/jcu.70075","DOIUrl":"https://doi.org/10.1002/jcu.70075","url":null,"abstract":"Purpose: Evaluation of intra- and inter-observer variability of middle cerebral artery (MCA) pulsatility index (PI) in pregnancies complicated by fetal growth restriction (FGR) compared to normally grown controls and literature review.Methods: Prospective observational cross-sectional study. Singleton pregnancies between 26 and 40 weeks were included and divided into two groups based on fetal growth: fetal growth restricted and normally grown fetuses. Fetal growth restricted fetuses were divided into early and late FGR. Intra-and inter-observer variability were assessed by Intraclass Correlation Coefficient (ICC) and interpreted following the TRUST criteria and GRRAS guidelines.Results: One hundred and fifty patients were included in the study. Forty-eight cases were complicated by FGR: 27 early-onset and 21 late-onset. 13/48 (27%) showed middle cerebral artery redistribution. Intra and interobserver reproducibility were \"poor\" in the appropriate for gestational age (AGA) fetuses. In the FGR group, the intraobserver reproducibility was \"moderate\" and interobserver reproducibility was \"moderate/poor\". Intraobserver reproducibility was \"good\" in early FGR and \"moderate\" in late FGR cases, while interobserver reproducibility was \"moderate\" in early FGR and \"poor\" in late FGR cases.Conclusion: MCA PI Doppler repeatability is superior in FGR fetuses compared to AGA fetuses. MCA pulsatility index can be used with confidence in FGR, especially if early onset.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145130949","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-Guided vs. Conventional Needle Puncture: A Comparative Study of Success Rates. 超声引导与传统穿刺：成功率的比较研究。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-09-23 DOI: 10.1002/jcu.70042

Dingyuan Xu, Chuang Li, Gan Wu, Pei Wang, Xin Ma, Bin Wang, Guangke Wang

{"title":"Ultrasound-Guided vs. Conventional Needle Puncture: A Comparative Study of Success Rates.","authors":"Dingyuan Xu, Chuang Li, Gan Wu, Pei Wang, Xin Ma, Bin Wang, Guangke Wang","doi":"10.1002/jcu.70042","DOIUrl":"https://doi.org/10.1002/jcu.70042","url":null,"abstract":"Purpose: This study aims to compare the puncture success rates and procedural efficiency between ultrasound-guided and conventional (non-ultrasound) methods in laryngeal electromyography (LEMG) to evaluate the clinical benefits of ultrasound guidance.Methods: A self-controlled study design was used in this research. Nineteen patients underwent LEMG using both conventional and ultrasound-guided techniques. In the conventional method, the laryngologist performed needle punctures in the cricothyroid and thyroarytenoid muscles based on experience, with ultrasound only observing and recording. In the ultrasound-guided method, the sonologist actively guided the laryngologist during the needle puncture. Puncture success rates and examination times were compared between the two techniques, while electromyographic recordings were analyzed by neurophysiologists.Results: Ultrasound successfully visualized all cricothyroid muscles (38 sides) and thyroarytenoid muscles (38 sides). Compared to the conventional method, Ultrasound-guided LEMG achieved a higher success rate (97.43% vs. 88.15%, p < 0.05, Chi-square test) and reduced examination time (3.81 ± 0.61 min vs. 5.54 ± 0.52 min, p < 0.001, Paired t-tests).Conclusions: Ultrasound can provide detailed visualization of the laryngeal structures. Ultrasound guidance significantly reduces examination time and improves puncture accuracy in LEMG, demonstrating its high clinical value.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124805","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