Journal of Clinical Ultrasound最新文献_第4页

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

Patellar Height Measured on Radiographs and MR Imaging and Its Relationship With Chondromalacia Patella. 髌骨高度的x线和MR测量及其与髌骨软骨软化症的关系。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-09-21 DOI: 10.1002/jcu.70085

Ji Na Kim, Hee Jin Park, Yeon Gyu Choi, Myung Sub Kim

{"title":"Patellar Height Measured on Radiographs and MR Imaging and Its Relationship With Chondromalacia Patella.","authors":"Ji Na Kim, Hee Jin Park, Yeon Gyu Choi, Myung Sub Kim","doi":"10.1002/jcu.70085","DOIUrl":"https://doi.org/10.1002/jcu.70085","url":null,"abstract":"Background: This study aimed to evaluate the relationship between chondromalacia patella (CMP) and patellar height using Insall-Salvati (IS) and modified Insall-Salvati (MIS) methods on both conventional radiographs (CR) and magnetic resonance imaging (MRI).Methods: We conducted a retrospective review of 198 patients who underwent knee MRI. Patellar height was measured using IS and MIS on both CR and MRI by two musculoskeletal radiologists. CMP was classified according to the International Cartilage Repair Society (ICRS) grade. Grades 1-2 were defined as low-grade CMP, and grades 3-4 as high-grade CMP. We analyzed the relationship between patellar height and CMP severity, as well as the inter-reader and inter-modality reliabilities.Results: High-grade CMP had significantly lower IS and MIS values on both CR and MRI compared to the normal cartilage group. In patients over 50 years old, the MIS value on both CR and MRI showed a significantly negative correlation with CMP grade. Inter-reader reliability was excellent for both IS and MIS across CR and MRI. Inter-modality reliability was excellent for IS and good for MIS. Higher IS and MIS values were observed on MRI than on CR. This is regarding the measurement results of both reviewers.Conclusions: IS and MIS on both CR and MR images were reliable measures of patellar height and significantly correlated with CMP grade. In older patients, a lower MIS ratio was associated with a higher CMP grade. Although MRI tends to yield slightly higher IS and MIS values than CR, both modalities showed good agreement in measuring patellar height. These results suggest that reduced patellar height could be a relevant imaging finding in association with CMP severity.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113324","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

Advanced Ultrasound Quantitative Analysis in Hepatology: A Systematic Review of Methodologies for Characterizing Focal Liver Lesions. 肝病学中的先进超声定量分析：局灶性肝脏病变表征方法的系统综述。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-09-21 DOI: 10.1002/jcu.70084

Sinan Li, Huiling Liu, Weihong Li, Xiaotao Gao

引用次数: 0

Unexpected Giant Right Coronary Artery Aneurysm Diagnosed by Computed Tomography Angiography in the Emergency Department. 急诊部计算机断层血管造影诊断意外巨大右冠状动脉动脉瘤。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-09-21 DOI: 10.1002/jcu.70083

Stefano Giusto Picchi, Giulia Lassandro, Rosita Comune, Filomena Pezzullo, Stefania Tamburrini, Giulio Cocco, Nino Cocco, Domenico Tafuri, Antonio Corvino

引用次数: 0

Giant Aortic Aneurysm Complication of Kawasaki Disease. 川崎病的巨主动脉瘤并发症。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-09-21 DOI: 10.1002/jcu.70079

Rafael P Correia, Diogo Pinotti, Eliane Lucas, Anna C Rissi, Iago N Leite, Fernanda M C F Lemos, Felipe O Lorca, Nathalie J M Bravo-Valenzuela, Sandra de Jesus Pereira, Jefferson Magalhães

引用次数: 0

Point-Of-Care Ultrasound for Rapid Diagnosis and Management of Pericardial Effusion in Penetrating Trauma: A Systematic Review and Meta-Analysis. 穿透性创伤心包积液的即时超声快速诊断和治疗：系统回顾和荟萃分析。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-09-21 DOI: 10.1002/jcu.70070

Hany A Zaki, Yavuz Yigit, Eman E Shaban, Benny Ponappan, Yasser Osman Abdelaal, Ahmed Shaban, Amira Shaban, Muna Al Maslamani

引用次数: 0

Diagnostic Performance of Ultrasound to Evaluate Mild Hip Osteoarthritis: Comparison With Radiography and MRI. 超声评估轻度髋关节骨关节炎的诊断性能：与x线摄影和MRI的比较。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-09-20 DOI: 10.1002/jcu.70086

Antti Kemppainen, Saana Kaartinen, Mika T Nevalainen

{"title":"Diagnostic Performance of Ultrasound to Evaluate Mild Hip Osteoarthritis: Comparison With Radiography and MRI.","authors":"Antti Kemppainen, Saana Kaartinen, Mika T Nevalainen","doi":"10.1002/jcu.70086","DOIUrl":"https://doi.org/10.1002/jcu.70086","url":null,"abstract":"Purpose: To study the diagnostic performance of ultrasound (US) in mild hip osteoarthritis (HOA) compared to conventional radiography (CR) and magnetic resonance imaging (MRI).Methods: Fifty-eight patients referred to CR for suspected HOA with at least unilateral Kellgren-Lawrence (KL) 2 change in the CRs were recruited. Bilateral hip US and MRI (n = 116) were performed, and patients filled the Visual Analog Scale (VAS) bilaterally. A sum US score was formed, and its correlation to KL grades and VAS scores was tested. Descriptive statistics, Chi square and McNemar's test, Spearman correlation, and linear regression analysis were applied as statistical techniques.Results: US and CR showed similar moderate diagnostic performance compared to MRI with moderate correlation (r = 0.449) between US sum score and KL grades. With pain associations, US sum score showed an OR = 1.725 (CI 1.169-2.546) and KL grades an OR = 2.058 (CI 1.038-4.082).Conclusion: US and CR demonstrated similar moderate diagnostic capability in detecting mild HOA compared to MRI, and both the US sum score and KL grades were associated with increased hip pain. With US and CR demonstrating different aspects of HOA, our findings support the complementary role of US in evaluating patients with suspected HOA.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145102790","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

Chronic Morel-Lavallée Lesion Treated With Percutaneous Ultrasonic Debridement. 经皮超声清创治疗慢性morel - lavallsamade病变。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-09-16 DOI: 10.1002/jcu.70082

John D Karp, Samuel O Oduwole, Levon N Nazarian

{"title":"Chronic Morel-Lavallée Lesion Treated With Percutaneous Ultrasonic Debridement.","authors":"John D Karp, Samuel O Oduwole, Levon N Nazarian","doi":"10.1002/jcu.70082","DOIUrl":"https://doi.org/10.1002/jcu.70082","url":null,"abstract":"Morel-Lavallée lesion is defined as an internal degloving injury. A trauma involving shearing forces causes separation of the superficial fascia from the overlying subcutaneous tissue and skin, creating a potential space for hemolymphatic fluid to accumulate. This leads to the development of a self-resolving or potentially chronic collection. Classically, lesions arise in the lateral thigh. Imaging features depend on the duration of the lesion. Acutely, ultrasound and MR imaging will demonstrate a hematoma-like mass that is parallel to the underlying fascia. As the lesion evolves over time, calcifications with a dense capsule can form. Patients typically present with a persistent, localized swelling and pain that may radiate throughout the thigh. Initially, conservative therapy can be efficient; however, once a capsule forms, surgical management is the current gold standard therapy. Tenex (Tenex Health, Lake Forest, CA) is a device that uses high-frequency ultrasonic waves to perform percutaneous debridement to disrupt and remove calcifications in the setting of various chronic musculoskeletal conditions. This case describes the successful use of this technology in a 68-year-old female with a 10-year history of a Morel-Lavallée lesion. Treatment of Morel-Lavallée lesions using the Tenex device is a feasible, minimally invasive alternative to conventional surgery.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069698","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-Based Diagnosis of Interstitial Ectopic Pregnancy: Role of Morphological Features. 间质性异位妊娠的超声诊断：形态学特征的作用。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-09-15 DOI: 10.1002/jcu.70067

Wei Yonghan, Pan Meishu, Tuo Jingchu, Lin Lihua, Li Jinjin, Wei Shujing

引用次数: 0