Journal of Clinical Ultrasound最新文献_第7页

Spontaneous Pseudoaneurysm of an External Carotid Artery Branch Presenting as a Parotid Mass: A Case Report and Literature Review 自发性颈外动脉假性动脉瘤以腮腺肿块表现：1例报告及文献复习。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-09-03 DOI: 10.1002/jcu.70063

Ahmet Bozer, Melda Apaydin

引用次数: 0

Unveiling Adrenal Ganglioneuroma in a 6-Year-Old Boy: Imaging Insights and Minimally Invasive Treatment. 揭露一个6岁男孩的肾上腺神经节神经瘤：影像学观察和微创治疗。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-09-02 DOI: 10.1002/jcu.70053

Yanming He, Yiwen Zhu, Juan Song, Sufen Zhou

引用次数: 0

Aortic Pulse Wave Velocity: A Novel Sonographic Marker for Early Preeclampsia Risk Screening. 主动脉脉波速度：早期子痫前期风险筛查的一种新的超声标记。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-09-02 DOI: 10.1002/jcu.70052

Mohadese Dashtkoohi, Mohammad Sadeq Najafi, Elahe Amirkhalili, Maryam Bakhtiyari, Mahnoush Shafat, Mohammadamin Parsaei, Nafiseh Saedi, Sedigheh Hantoushzadeh

引用次数: 0

Treating Images, Not Patients: The Overuse of Musculoskeletal Ultrasound Findings. 治疗图像，而不是患者：过度使用肌肉骨骼超声检查结果。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-08-30 DOI: 10.1002/jcu.70054

Ahmad Jasem Abdulsalam, Renu Ambardar, Diaa Shehab

引用次数: 0

Ultrasonographic Geniohyoid Muscle Measurements and Their Relationship With Quality of Life and Functional Outcomes in Older Patients With Stroke. 老年脑卒中患者膝舌骨肌超声测量及其与生活质量和功能结局的关系。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-08-30 DOI: 10.1002/jcu.70057

Vildan Binay Safer, Nezahat Muge Catikkas, Aysegul Gultekin, Umut Safer

{"title":"Ultrasonographic Geniohyoid Muscle Measurements and Their Relationship With Quality of Life and Functional Outcomes in Older Patients With Stroke.","authors":"Vildan Binay Safer, Nezahat Muge Catikkas, Aysegul Gultekin, Umut Safer","doi":"10.1002/jcu.70057","DOIUrl":"https://doi.org/10.1002/jcu.70057","url":null,"abstract":"Background and aims: To our knowledge, no previous study has comprehensively examined the relationship between geniohyoid (GH) muscle characteristics and key functional outcomes in patients with stroke. We aimed to investigate the associations between ultrasonographic GH muscle indices and clinical outcomes, including quality of life, mobility, functionality, and disability, with a focus on an older subgroup.Methods: In this prospective cross-sectional study, we enrolled patients who had a stroke with dysphagia. Quality of life, mobility, and functional status were evaluated using the Stroke-Specific Quality of Life Scale (SS-QOL), the Rivermead Mobility Index (RMI), and Brunnstrom Recovery Stages, respectively. Disability was assessed with the Modified Rankin Scale (mRS) and ambulation ability was determined using the functional ambulation classification (FAC). We measured GH muscle thickness (GHMT) and cross-sectional area (GHCSA) via ultrasonography.Results: Fifty-seven patients (56.1% male) with a mean age of 65 ± 10.4 years were recruited. In the total group, GHMT was positively correlated with SS-QOL, RMI total, gross motor functions, leg and trunk, and FAC (p < 0.05) and negatively correlated with mRS (p = 0.026). The GHCSA was significantly associated with SS-QOL, all RMI subdomains, Brunnstrom hand stages, and FAC (p < 0.05). The SS-QOL and FAC scores were found to be independently associated with both GHMT and GHCSA even after multiple adjustments. In the older subgroup, GHCSA remained correlated with SS-QOL and RMI scores while GHMT showed no significant associations.Conclusion: The GHCSA demonstrated significant correlations with quality of life and mobility in both total and older subgroups. As the first study, these findings suggest that GH muscle may serve as a potential biomarker for assessing poststroke quality of life and functional status.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144956022","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

Evaluation of Fetal Myocardial Performance Index in Gestational and Pregestational Diabetic Pregnancies. 妊娠期和妊娠前期糖尿病妊娠胎儿心肌功能指数的评价。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-08-29 DOI: 10.1002/jcu.70048

Didar Kurt, Cigdem Kunt Isguder, Nisa Unlu, Habibe Ayvacı Taşan, Aylin Yilmaz, Niyazi Tug

{"title":"Evaluation of Fetal Myocardial Performance Index in Gestational and Pregestational Diabetic Pregnancies.","authors":"Didar Kurt, Cigdem Kunt Isguder, Nisa Unlu, Habibe Ayvacı Taşan, Aylin Yilmaz, Niyazi Tug","doi":"10.1002/jcu.70048","DOIUrl":"https://doi.org/10.1002/jcu.70048","url":null,"abstract":"Purpose: This study aimed to evaluate the modified myocardial performance index (MPI) in fetuses of mothers with pregestational diabetes mellitus (DM) and gestational diabetes mellitus (GDM) and to assess its relationship with adverse perinatal outcomes.Methods: This case-control study included 157 singleton pregnancies divided into three groups: pregestational DM (n = 17), GDM (n = 52), and controls (n = 88). Fetal echocardiography was used to measure modified MPI, isovolumetric contraction time (ICT), isovolumetric relaxation time (IRT), ejection time (ET), and mitral E/A. Neonatal outcomes, including neonatal intensive care unit (NICU) admission and respiratory distress syndrome (RDS), were recorded. Statistical analyses were performed using appropriate tests.Results: Fetuses of diabetic mothers had significantly higher modified MPI and ICT values compared to controls (p = 0.007, p < 0.001 and p = 0.003, p < 0.001). NICU admission and RDS rates were also more frequent in pregnancies complicated by pregestational diabetes (p = 0.002 and p = 0.001, respectively). However, modified MPI was not associated with NICU admission or RDS (p > 0.05).Conclusions: Elevated modified MPI and ICT in diabetic pregnancies may reflect subclinical fetal cardiac dysfunction, although they do not predict short-term adverse neonatal outcomes. Further prospective research is needed to establish the clinical utility of fetal modified MPI for risk stratification in diabetic pregnancies.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144956070","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

Evaluation of the Efficacy of Ultrasound-Guided Posterior Tibial Nerve Pulsed Radiofrequency Treatment in the Management of Diabetic Neuropathic Pain. 超声引导下胫后神经脉冲射频治疗糖尿病神经性疼痛的疗效评价。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-08-29 DOI: 10.1002/jcu.70056

Gozde Erol, Gevher Rabia Genc Perdecioglu, Gokhan Yildiz, Damla Yuruk, Ufuk Turan, Ismet Melek, Omer Taylan Akkaya

{"title":"Evaluation of the Efficacy of Ultrasound-Guided Posterior Tibial Nerve Pulsed Radiofrequency Treatment in the Management of Diabetic Neuropathic Pain.","authors":"Gozde Erol, Gevher Rabia Genc Perdecioglu, Gokhan Yildiz, Damla Yuruk, Ufuk Turan, Ismet Melek, Omer Taylan Akkaya","doi":"10.1002/jcu.70056","DOIUrl":"https://doi.org/10.1002/jcu.70056","url":null,"abstract":"Objectives: To evaluate the efficacy of ultrasound (US)-guided pulsed radiofrequency (PRF) treatment of posterior tibial nerve (PTN) in patients with painful diabetic peripheral neuropathy (PDPN) refractory to pharmacotherapy.Methods: US-guided PTN-PRF treatment was applied for 240 s at a maximum temperature of 42°C with a pulse width of 20 ms in 55 patients with PDPN. The primary aim of this study was to evaluate the efficacy of US-guided PRF treatment of the PTN on pain scores using a Visual Analog Scale (VAS) in patients with type 2 diabetes mellitus who had pharmacotherapy-resistant PDPN. The secondary aims were to evaluate the impact of PRF on sleep quality using the Jenkins Sleep Scale (JSS), assess neuropathic pain severity using the PainDETECT Questionnaire (PDQ), and determine the incidence of procedure-related adverse events.Results: US-guided PTN-PRF provided effective pain reduction at both 1 and 3 months compared with baseline. The VAS score reduction rate was 62.5% at 1 month and 37.5% at 3 months post-treatment. PTN-PRF improved sleep disorders by providing pain control. The JSS score reduction rate was 43.75% at 1 month and 25% at 3 months after treatment. No procedure-related adverse events were reported in any participants.Conclusion: US-guided PTN-PRF treatment is an effective and safe method for pain control and sleep quality improvement in patients with PDPN refractory to pharmacological treatment.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144956038","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

High-Frequency Micro-Ultrasound Transrectal Imaging Enhances Staging and Preoperative Planning of Prostate Radiation Induced Rectal Cancer: A Case Report. 高频微超声经直肠显像提高前列腺辐射诱发直肠癌的分期和术前规划：1例报告。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-08-29 DOI: 10.1002/jcu.70022

Randall G Bissette, Lucas A Arney, Mia P Edelson, Ethan T Nethery, Madaliene E Denison, Terry P Nickerson, Daniel B Rukstalis

引用次数: 0

Initial Ultrasound for Meckel's Diverticulum and Duplication Cyst in Pediatric Patients: Diagnostic Performance, Limitations, and Pitfalls. 儿科患者梅克尔憩室和重复囊肿的初始超声诊断：诊断性能、局限性和缺陷。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-08-28 DOI: 10.1002/jcu.70046

Takahiro Hosokawa, Yumiko Sato, Yutaka Tanami, Kyoichi Deie, Ryusuke Nambu, Itaru Iwama, Hiroshi Kawashima, Eiji Oguma

{"title":"Initial Ultrasound for Meckel's Diverticulum and Duplication Cyst in Pediatric Patients: Diagnostic Performance, Limitations, and Pitfalls.","authors":"Takahiro Hosokawa, Yumiko Sato, Yutaka Tanami, Kyoichi Deie, Ryusuke Nambu, Itaru Iwama, Hiroshi Kawashima, Eiji Oguma","doi":"10.1002/jcu.70046","DOIUrl":"https://doi.org/10.1002/jcu.70046","url":null,"abstract":"Purpose: To evaluate the diagnostic performance of ultrasound in detecting Meckel's diverticulum (MD) and duplication cysts (DC) and to identify factors influencing diagnostic accuracy.Methods: Among 66 patients with MD or DCs, we assessed the effect of symptom presence, atypical complications (hemoperitoneum, perforation, or acute pancreatitis), and lesion shape (tubular or cystic) on initial sonographic diagnostic accuracy using Fisher's exact test.Results: Initial ultrasound correctly diagnosed 49.9% (27/66) of cases. Correct diagnosis rates differed significantly between MD and DC (11/17 vs. 33/5, p < 0.001) and between tubular and cystic lesions (13/15 vs. 36/2, p < 0.001). No significant differences were observed for symptomatic versus asymptomatic cases (22/6 vs. 34/4, p = 0.302) or for cases with versus without atypical complications (1/27 vs. 5/33, p = 0.230). However, all DC cases with atypical complications were misdiagnosed on ultrasound.Conclusion: Ultrasound demonstrated reliable diagnostic performance for DCs; however, MDs were more challenging to identify. Consequently, when MDs are suspected on clinical grounds, additional imaging, such as Tc-99m scintigraphy, should be considered. In patients with DCs, atypical complications, such as hemoperitoneum or acute pancreatitis, may obscure sonographic diagnosis. Sonographers should therefore include DCs in the differential diagnosis when these complications arise without an apparent etiology.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144956064","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 Predictive Model Study on Differentiating Intrahepatic Cholangiocarcinoma From Hepatocellular Carcinoma Using Contrast-Enhanced Ultrasound, Shear Wave Elastography, and Clinical Feature-Based Nomogram. 对比增强超声、剪切波弹性成像和基于临床特征的Nomogram鉴别肝内胆管癌与肝细胞癌的预测模型研究。

IF 1.4 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-08-26 DOI: 10.1002/jcu.70047

Lu Liu, Kun Chen, Liyun Xue, Xueqi Li, Xiaohui Qiao, Guangwen Cheng, Hong Ding

{"title":"A Predictive Model Study on Differentiating Intrahepatic Cholangiocarcinoma From Hepatocellular Carcinoma Using Contrast-Enhanced Ultrasound, Shear Wave Elastography, and Clinical Feature-Based Nomogram.","authors":"Lu Liu, Kun Chen, Liyun Xue, Xueqi Li, Xiaohui Qiao, Guangwen Cheng, Hong Ding","doi":"10.1002/jcu.70047","DOIUrl":"https://doi.org/10.1002/jcu.70047","url":null,"abstract":"Objectives: This study sought to design and verify a nomogram that utilizes ultrasonographic and clinical indicators to differentiate between intrahepatic cholangiocarcinoma (ICC) and hepatocellular carcinoma (HCC).Methods: From November 2022 to September 2024, 136 patients with confirmed ICC or HCC were enrolled and randomly assigned to training and validation groups in a 7:3 ratio. Preoperative B-mode ultrasound, contrast-enhanced ultrasound, two-dimensional shear wave elastography features, and clinical indicators were retrieved and compared. Least Absolute Shrinkage and Selection Operator regression and multivariate logistic regression analysis were used to identify independent factors and develop a predictive nomogram. The model's evaluation focused on discrimination, calibration, and clinical utility.Results: Significant predictive factors for ICC include a history of hepatitis, levels of alpha-fetoprotein and carbohydrate antigen 19-9, rim-like arterial phase hyperenhancement, and the stiffness ratio between the lesion and liver parenchyma. With AUC values of 0.987 (95% CI: 0.969, 1.000) for the training set and 0.926 (95% CI: 0.813, 1.000) for the validation set, the nomogram exhibited strong differentiation capabilities between the two entities.Conclusions: The nomogram combining multimodal indicators achieved high AUC values in both the validation and test sets (AUC = 0.926-0.987), demonstrating robust diagnostic accuracy for distinguishing ICC from HCC. This tool could aid in clinical decision-making for these challenging diagnoses.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144955954","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