Journal of Clinical Ultrasound最新文献_第5页

Endometrial Osseous Metaplasia: A Retrospective Analysis and Systematic Review. 子宫内膜骨性化生：回顾性分析和系统评价。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-05-28 DOI: 10.1002/jcu.24085

Olimpia Gabrielli, Giuliana Orlandi, Paolo Toscano, Enrica Di Lella, Antonia Lettieri, Luigi Manzo, Laura Letizia Mazzarelli, Gabriele Ruffo, Carmine Sica, Ferdinando Antonio Gulino, Giosuè Giordano Incognito, Attilio Tuscano, Laura Ieno, Marco Palumbo, Maurizio Guida, Aniello Di Meglio

引用次数: 0

Point-of-Care Ultrasound for Early Detection of Pneumoperitoneum Following Percutaneous Gastrostomy and the Use of the Shifting Phenomenon. 即时超声对经皮胃造口术后气腹的早期检测及移位现象的应用。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-05-27 DOI: 10.1002/jcu.24090

Issac Cheong, Francisco Marcelo Tamagnone

{"title":"Point-of-Care Ultrasound for Early Detection of Pneumoperitoneum Following Percutaneous Gastrostomy and the Use of the Shifting Phenomenon.","authors":"Issac Cheong, Francisco Marcelo Tamagnone","doi":"10.1002/jcu.24090","DOIUrl":"https://doi.org/10.1002/jcu.24090","url":null,"abstract":"Pneumoperitoneum, the presence of free air in the abdominal cavity, is a known complication of percutaneous gastrostomy tube placement. While often benign and self-limiting, persistent or symptomatic pneumoperitoneum may indicate underlying gastrostomy dysfunction or gastrointestinal perforation, requiring prompt recognition and intervention. We report the case of a 19-year-old patient admitted to the Intensive Care Unit after a high-impact trauma, who developed abdominal pain and distension following percutaneous gastrostomy placement. Bedside ultrasound revealed the presence of reverberation artifacts consistent with free intraperitoneal air, with dynamic changes observed upon probe pressure, suggesting a shifting phenomenon. Computed tomography (CT) confirmed extensive pneumoperitoneum, and surgical exploration identified gastrostomy tube leakage, necessitating repositioning. The patient had an uneventful postoperative course. This case highlights the role of point-of-care ultrasound as a valuable bedside tool for the early detection of pneumoperitoneum, particularly in critically ill patients. While CT remains the gold standard, ultrasound provides a rapid, non-invasive, and radiation-free alternative for initial assessment, facilitating timely diagnosis and management.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144150542","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

Achilles Tendinopathy and/or Retrocalcaneal Bursitis During Quinolone Treatment: Sonographic "Puzzle". 喹诺酮治疗期间跟腱病和/或跟骨后滑囊炎：超声“谜题”。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-05-27 DOI: 10.1002/jcu.24088

Beytullah Yazar, Abdullah Emre Uğur, Levent Özçakar

引用次数: 0

Refining Non-Invasive Diagnosis of Diabetic Nephropathy: The Role of Renal Artery Resistive Index. 改进糖尿病肾病的无创诊断：肾动脉阻力指数的作用。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-05-27 DOI: 10.1002/jcu.24084

Juan Guo, Xiaoyu Li, Qinjie Weng, Zhifang Yang, Yunyun Hu, Fuzhou Yi, Yue Song, Ri Ji

{"title":"Refining Non-Invasive Diagnosis of Diabetic Nephropathy: The Role of Renal Artery Resistive Index.","authors":"Juan Guo, Xiaoyu Li, Qinjie Weng, Zhifang Yang, Yunyun Hu, Fuzhou Yi, Yue Song, Ri Ji","doi":"10.1002/jcu.24084","DOIUrl":"https://doi.org/10.1002/jcu.24084","url":null,"abstract":"Rationale and objectives: Accurate differentiation between diabetic nephropathy (DN) and non-diabetic renal disease (NDRD) in type 2 diabetes mellitus (T2DM) patients is crucial for effective management. This study aims to evaluate the diagnostic value of ultrasound, particularly the renal artery resistive index (RRI), in distinguishing DN from NDRD in T2DM patients with early to mid-stage chronic kidney disease (CKD).Materials and methods: This retrospective study included 164 T2DM patients with renal disease who underwent renal biopsy. Patients were divided into a derivation group (137) and a validation group (27). Each group was further categorized into DN and NDRD subgroups based on biopsy results. Clinical, laboratory, and ultrasound data, including RRI and diabetic retinopathy (DR), were analyzed to differentiate DN from NDRD.Results: RRI values were significantly higher in DN patients, with optimal cutoffs of ≥ 0.72 for CKD stages 1-2 and ≥ 0.74 for stage 3. Combining RRI with DR achieved a specificity and positive predictive value (PPV) of 100% for diagnosing DN, confirmed in the validation group.Conclusions: This study emphasizes the need for distinct RRI cutoff values for T2DM patients in early and mid-stage CKD. Stage-specific RRI cutoffs, combined with DR, provide a reliable, non-invasive approach to distinguish DN from NDRD, enhancing clinical decision-making.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144150544","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

From Diagnosis to Treatment of an Extreme Case of Sump Syndrome Presenting With Cholangitis. 从诊断到治疗一例以胆管炎为表现的池型综合征。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-05-23 DOI: 10.1002/jcu.24089

Ahmet Tanyeri

引用次数: 0

The Added Value of Shear Wave Elastography in the Diagnosis and Grading of Carpal Tunnel Syndrome. 剪切波弹性成像在腕管综合征诊断和分级中的附加价值。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-05-23 DOI: 10.1002/jcu.24091

Enes Gurun, Mesut Ozturk

引用次数: 0

Prediction of Transabdominal Ultrasound for Detection of Polycystic Ovary Using Hormonal Profile as Gold Standard. 以激素谱为金标准预测经腹超声诊断多囊卵巢。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-05-23 DOI: 10.1002/jcu.24069

Mahasin G Hassan, Lamya Alabdulaziz, Reham Alsadhan, Anoud Alotaibi, Shooq Alghamdi, Alhanouf Bin Ammar, Taif Alotaibi, Anhar Alrajhi, Rana Alowayshiq, Albatoul Alduraibi

{"title":"Prediction of Transabdominal Ultrasound for Detection of Polycystic Ovary Using Hormonal Profile as Gold Standard.","authors":"Mahasin G Hassan, Lamya Alabdulaziz, Reham Alsadhan, Anoud Alotaibi, Shooq Alghamdi, Alhanouf Bin Ammar, Taif Alotaibi, Anhar Alrajhi, Rana Alowayshiq, Albatoul Alduraibi","doi":"10.1002/jcu.24069","DOIUrl":"https://doi.org/10.1002/jcu.24069","url":null,"abstract":"Background: Polycystic ovary is a hormonal disorder affecting reproductive women, causing hormonal imbalances and multiple cysts. Transabdominal sonography is a noninvasive method for Polycystic ovary assessment, but its accuracy is debated, necessitating validation with gold standard hormonal profiles.Significance of the study: In virginal females, transvaginal sonography is prohibited. The findings of this study provide valuable insights into transabdominal sonography prediction of polycystic ovary in those females.Aim: This research addressed the need to evaluate the correlation of transabdominal sonography findings in the context of polycystic ovary with hormonal profile as the gold standard.Methods: This cross-sectional study retrospectively reviewed medical records and data to evaluate the prediction of transabdominal sonography for detecting polycystic ovary using hormonal profile as the gold standard. The researchers analyzed data from a randomly selected sample and compared it to laboratory investigations using a designed data collection sheet.Results: The analysis revealed significant correlations between certain diagnostic features and the luteinizing hormone to follicle-stimulating hormone ratio. These include right and left ovarian volume (p = 0.012 and 0.007, respectively) and right and left ovarian follicular diameter (p = 0.001 for both ovaries).Conclusion: The study highlights the difficulties in diagnosing polycystic ovary syndrome using Transabdominal sonography and hormonal tests, emphasizing the need for a comprehensive approach that integrates both methods for accurate diagnosis.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144135980","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

Assessment of Different Delivery Modes on Levator Ani Muscle and Pelvic Organ Prolapse in Twin Pregnancy Using Pelvic Floor Ultrasound: A Prospective Randomized Study. 盆底超声评估双胎妊娠不同分娩方式对提肛肌和盆腔器官脱垂的影响：一项前瞻性随机研究。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-05-23 DOI: 10.1002/jcu.24080

Minxian Meng, Yue Zhai, Shuihua Xu, Chuandong Zhou, Fangli Tian

引用次数: 0

Evaluation of Long-Term Cardiac Function in MIS-C Patients Using Speckle Tracking Echocardiography. 斑点跟踪超声心动图评价misc患者的长期心功能。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-05-21 DOI: 10.1002/jcu.24064

Tülay Demircan, Sedef Öksüz, Sedat Bağlı, Barış Güven, Kaan Yıldız, Cem Karadeniz, Raşit Aktaş, Nazmi Narin, Ceren Sarıoğlu

{"title":"Evaluation of Long-Term Cardiac Function in MIS-C Patients Using Speckle Tracking Echocardiography.","authors":"Tülay Demircan, Sedef Öksüz, Sedat Bağlı, Barış Güven, Kaan Yıldız, Cem Karadeniz, Raşit Aktaş, Nazmi Narin, Ceren Sarıoğlu","doi":"10.1002/jcu.24064","DOIUrl":"https://doi.org/10.1002/jcu.24064","url":null,"abstract":"Background: Multisystem inflammatory syndrome in children (MIS-C) is associated with cardiac involvement in 67%-80% of cases. Cardiac symptoms often normalize rapidly after treatment, but few studies are available on the long-term cardiac effects.Methods: Our study evaluated the cardiac functions of 40 patients diagnosed with MIS-C between August 2021 and November 2022. Conventional echocardiography (ECHO), electrocardiography (ECG), speckle tracking echocardiography (STE), and cardiac MR were performed at the time of diagnosis and 3-nd 6-month follow-up.Results: Of the 40 patients, 65% (26) were male and 35% (14) were female. The average age at diagnosis was 8.37 ± 4.59 years (range 2-17). Systolic dysfunction was observed in 11(27.5%) patients on conventional ECHO; two patients (5%) required extracorporeal membrane oxygenation (ECMO) support. All patients showed rapid normalization of conventional ECHO findings with treatment. At the 3-month follow-up, no abnormalities in left ventricle ejection fraction (LVEF) and fractional shortening (LVFS) were detected on conventional ECHO, but STE revealed contraction abnormalities in the mid-inferior and apical inferior regions of the two-chamber view, the basal inferoseptal and mid-anterolateral regions of the four-chamber view, though improvement was noted compared to initial findings. At the 6-month follow-up, only a minimal contraction abnormality persisted in the two-chamber mid-inferior region. Cardiac MR performed at 1 year in 8 (20%) patients revealed normal results.Conclusions: The cardiac effects of MIS-C were found to improve rapidly with treatment. STE is a valuable tool for detecting and monitoring regional contraction abnormalities in MIS-C patients.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144110994","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

Predictive Factors of Rotator Cuff Retear After Arthroscopic Repair Based on Preoperative Shoulder Ultrasonography. 基于术前肩部超声检查的关节镜修复后肩袖再撕裂的预测因素。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-05-21 DOI: 10.1002/jcu.24086

Huaguo Zhang, Jiayang Wu, Cuiwen Zhang, Guiting Fang, Zhiyu Huang, Qiang Teng, Xiaofei Zheng, Xing Zhong

{"title":"Predictive Factors of Rotator Cuff Retear After Arthroscopic Repair Based on Preoperative Shoulder Ultrasonography.","authors":"Huaguo Zhang, Jiayang Wu, Cuiwen Zhang, Guiting Fang, Zhiyu Huang, Qiang Teng, Xiaofei Zheng, Xing Zhong","doi":"10.1002/jcu.24086","DOIUrl":"https://doi.org/10.1002/jcu.24086","url":null,"abstract":"Purpose: This study aimed to identify independent predictors of rotator cuff retear and to develop a predictive model using preoperative ultrasonography data.Methods: A retrospective analysis of 215 patients (219 shoulders) who underwent arthroscopic rotator cuff repair (ARCR) for supraspinatus tendon tears was conducted. Retears were defined using the Sugaya classification confirmed by MRI. Clinical and preoperative ultrasonography data were evaluated, and a logistic regression model was developed for predicting rotator cuff retear based on preoperative ultrasonography, and a receiver operating characteristic curve was used to assess the predictive capability.Results: The retear rate was 16.9% in our enrolled 219 cases. A significant difference was found between the intact and retear groups in age, tear size, stages of supraspinatus tendon retraction, osseous changes, concurrent infraspinatus tendon tears, and Heckmatt scale scores for both supraspinatus and infraspinatus muscles in univariate analysis. Multivariate regression identified the Heckmatt scale score of the infraspinatus muscles and the supraspinatus tendon retraction stage as independent predictors of postoperative rotator cuff retear. The prediction model's area under the curve was 0.909 (95% CI: 0.863-0.944).Conclusion: Preoperative ultrasonography provides a reliable tool for predicting postoperative retears in ARCR patients. High-risk findings (supraspinatus tendon retraction beyond Stage 2 and infraspinatus muscle Heckmatt scales exceeding Grade 2) should guide personalized surgical and rehabilitation strategies.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111003","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