{"title":"Evaluation of Fetal Heart Using Fetal Heart Quantification (fetalHQ) Technique in an Indian Cohort.","authors":"Shreyasi Sharma, Mar Bennasar, Manisha Yadav","doi":"10.1002/jcu.23859","DOIUrl":"https://doi.org/10.1002/jcu.23859","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the intra- and interobserver reproducibility of parameters used to determine cardiac morphometry and deformation using FetalHQ in Indian population.</p><p><strong>Methodology: </strong>Two operators blinded to each other performed FetalHQ analysis independently on 35 normal fetuses of gestational age between 18 + 0 and 37 + 0 weeks and days. Intra- and interobserver correlation coefficient and limits of agreement were ascertained for parameters obtained from HQ analysis.</p><p><strong>Results: </strong>Excellent reproducibility (ICC > 0.9) was observed for global morphometric parameters. Ejection fraction, stroke volume, stroke volume/kg demonstrated excellent reliability (ICC > 0.9), cardiac output, fractional area change showed a lower correlation (ICC < 0.8), and right and left ventricular global strain showed no correlation. Twenty-four segment sphericity index of left ventricle (LV) and right ventricle (RV) showed low to moderate correlation (LV-ICC 0.48-0.79; RV-ICC 0.43-0.82). Fractional shortening (FS) showed poor intraobserver reliability in RV.</p><p><strong>Conclusion: </strong>FetalHQ provides reliable estimates of the global cardiac morphometry but not for global cardiac strain. Regional transverse contractility represented by FS has poor correlation in right ventricle, especially in the apical region, possibly due to moderator band. Nevertheless, it is a promising tool which requires technical advancements and validation to improve its accuracy and reliability.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142400350","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":"Ultrasonographic Assessment of Masseter and Anterior Temporal Muscle Thickness and Internal Structure in Young Adult Patients With Bruxism.","authors":"Elif Meltem Aslan, Aslıhan Artaş","doi":"10.1002/jcu.23866","DOIUrl":"https://doi.org/10.1002/jcu.23866","url":null,"abstract":"<p><strong>Objective: </strong>The current study is a comparative cross-sectional analysis study to determine the thickness and internal structure of the masseter muscle (MM) and anterior temporal muscle (ATM) in patients with bruxism by ultrasonography (USG).</p><p><strong>Materials and methods: </strong>A total of 100 patients (36 males, 64 females), 50 with bruxism and 50 without bruxism, aged 20-30 years were included in the study. All patients were investigated with MM and ATM USG. The thickness of the muscles was measured at rest and during clenching and the internal structure at rest was classified as Type I, II, and III. Differences in the internal structure between bruxism and non-bruxism groups were determined using the Chi-square test (p < 0.05).</p><p><strong>Results: </strong>The most common internal structure in bruxism was Type 2 in MM (74%) and Type 1 in ATM (46%), whereas in non-bruxism, Type 1 in MM (58%) and Type 1 in ATM (80%) were found most frequently. While there was a statistically significant difference in the internal echogenic pattern in the right MM and ATM in bruxism (p < 0.05), no significant difference was observed on the left side (p > 0.05). Bruxism patients had higher rest and clench thicknesses than non-bruxism patients on both sides in MM and ATM, however, this did not result in a statistically significant difference (p > 0.05).</p><p><strong>Conclusions: </strong>The results obtained showed that the evaluation of internal structure and thickness differences via USG is crucial in understanding the nature of the bruxism process affecting the masseter and ATM, facilitating its clinical diagnosis and leading to its treatment.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142400352","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":"The Clinical Application of Superb Microvascular Imaging in Evaluating Thyroid Related Diseases: A Systematic Review.","authors":"Jiaqi Ji, Enyu Tang, Ya'ni Wang, Xinlong Shi","doi":"10.1002/jcu.23863","DOIUrl":"https://doi.org/10.1002/jcu.23863","url":null,"abstract":"<p><p>This article reviews all published articles on the application of superb microvascular imaging (SMI) technique in thyroid related diseases before December 31, 2023. SMI, a recently developed ultrasound imaging modality, could display microvascular information by eliminating clutter and preserving low flow signals. Most studies used SMI to help diagnose malignant thyroid nodules and concluded that SMI performed better than color Doppler imaging and power Doppler imaging. At present, there is no consensus when depicting the morphology of vascularity of thyroid nodules (TNs). This problem may be solved by quantitative SMI which makes it possible to quantitatively evaluate the vascularity of TNs. SMI is also applied to evaluate cervical lymph node or thyroid inflammatory diseases. Although, SMI has some limitations, such as no standard for the normal perfusion patterns, and it has a broad application prospect in the diagnosis and management of thyroid related diseases.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142400351","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":"In Comment to: \"Fetal Echogenic Bowel May Be Related to Intestinal Microbiota: A Prospective Cohort Study\".","authors":"Assaad Kesrouani, Alain Daher, Elie Choueiry","doi":"10.1002/jcu.23867","DOIUrl":"https://doi.org/10.1002/jcu.23867","url":null,"abstract":"","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142466573","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":"Diagnosis of Lung Abscess and Pancreatic Collection Using Transesophageal and Transgastric Point-of-Care Ultrasound in a Critically Ill Patient.","authors":"Issac Cheong","doi":"10.1002/jcu.23856","DOIUrl":"https://doi.org/10.1002/jcu.23856","url":null,"abstract":"<p><p>Effectively managing critically ill septic patients requires careful utilization of imaging techniques. While point-of-care ultrasound (POCUS) is invaluable in the ICU, it faces challenges with conventional transcutaneous ultrasound, especially in obese patients. A 22-year-old obese female presented with abdominal pain and renal dysfunction. Abdominal CT confirmed acute biliary pancreatitis, progressing to respiratory failure. Transesophageal and transgastric ultrasound revealed a pulmonary abscess and peripancreatic collection. Expectant management of the lung abscess and percutaneous drainage of the pancreatic collection led to successful recovery. This case highlights POCUS's pivotal role in timely diagnosis, particularly in severe pancreatitis, showcasing its versatility in critical care.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142466571","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}
Hai-Qiong Tang, Jing-Fang Cao, Ran Chen, Ding-Hu Fu
{"title":"Imaging Manifestations of Cervical Internal Jugular Pseudoaneurysm: A Case Report.","authors":"Hai-Qiong Tang, Jing-Fang Cao, Ran Chen, Ding-Hu Fu","doi":"10.1002/jcu.23855","DOIUrl":"https://doi.org/10.1002/jcu.23855","url":null,"abstract":"<p><p>Pseudoaneurysm is a relatively rare venous disease characterized by increased intravascular pressure leading to the rupture of the venous wall. Blood flows through the rupture into the surrounding loose connective tissue, where it is encapsulated by fibrous tissue, forming a localized hematoma with a communication channel to the venous vessel, thus forming a pseudoaneurysm. Currently, there are few reports on its imaging manifestations both domestically and internationally. This article reports a case of imaging manifestations of pseudoaneurysm of the right internal jugular vein and analyzes its characteristics.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390918","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}
Can Ozan Ulusoy, Recep Taha Ağaoğlu, Serap Topkapi Sucu, Dilara Sarikaya Kurt, Mevlüt Bucak, Zeynep Şeyhanli, Kadriye Yakut Yücel
{"title":"Evaluation of Anterior and Middle Brain Structures With Cerebrovascular Flow in Fetuses With Fetal Growth Restriction: A Prospective Study.","authors":"Can Ozan Ulusoy, Recep Taha Ağaoğlu, Serap Topkapi Sucu, Dilara Sarikaya Kurt, Mevlüt Bucak, Zeynep Şeyhanli, Kadriye Yakut Yücel","doi":"10.1002/jcu.23857","DOIUrl":"https://doi.org/10.1002/jcu.23857","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the adaptation of the anterior cerebral artery (ACA) in fetuses with fetal growth restriction (FGR) and assess if forebrain and midbrain structures are affected by vascular adaptations.</p><p><strong>Methods: </strong>A prospective case-control study involving normally developed fetuses and those with late-onset FGR (estimated fetal weight < 3rd percentile and/or abdominal circumference < 3rd percentile). Doppler indices of the middle cerebral artery (MCA), ACA and umbilical artery (UA) were determined between 32 + 0 and 37 + 0 weeks. Neurosonography assessed the depth of the insula, the sylvian fissure, and the antero-posterior diameter of the frontal lobes (FAPD).</p><p><strong>Results: </strong>The cerebral-placental ratio (CPR) and cerebro-placental-uterine ratio (CPUR) were lower in FGR cases. ACA PI percentile values were significantly lower in the FGR group (p = 0.020). Sylvian fissure depth was significantly lower in FGR fetuses.</p><p><strong>Conclusion: </strong>The ACA may be the first cranial vascular structure affected in fetuses with FGR. This may be related to the impact on postnatal cognitive functions in FGR patients.</p><p><strong>Trial registration: </strong>NCT06215690.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390917","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":"Spontaneous Complete Chorioamniotic Membrane Separation in a Fetus With Ileal Atresia and Umbilical Cord Ulcer: A Case Report.","authors":"Hiroyuki Goto, Hitoshi Isohata, Yu Yamazaki, Kanako Sakai, Yoshihiro Yoshimura, Kyoko Hattori, Takao Shimaoka, Kazuki Sekiguchi, Yoko Onishi, Daigo Ochiai","doi":"10.1002/jcu.23865","DOIUrl":"https://doi.org/10.1002/jcu.23865","url":null,"abstract":"<p><p>Spontaneous complete chorioamniotic membrane separation (cCMS) is rare and associated with adverse perinatal outcomes, such as intrauterine fetal death. Herein, we present a case of spontaneous cCMS in a fetus with ileal atresia and umbilical cord ulcers. In our case, we detected spontaneous cCMS on ultrasonography at 35 weeks of gestation. On the same day, a female infant weighing 2134 g was delivered via cesarean section. Pathological examination of the placenta confirmed cCMS and umbilical cord ulcers. When cCMS is evident in late preterm infants, the fetus should be carefully monitored and considered for delivery.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142380956","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}
Saulo Molina-Giraldo, Christian Camilo Galindez-Guerrero, Wilber Estupiñan-Rincon, Diana Sterling-Castaño, Edgar Mariano Acuña-Osorio, Gustavo Salazar, José Luis Rojas-Arias
{"title":"Fetal Diagnosis of a Ductus Arteriosus Aneurysm: A Case Report.","authors":"Saulo Molina-Giraldo, Christian Camilo Galindez-Guerrero, Wilber Estupiñan-Rincon, Diana Sterling-Castaño, Edgar Mariano Acuña-Osorio, Gustavo Salazar, José Luis Rojas-Arias","doi":"10.1002/jcu.23854","DOIUrl":"https://doi.org/10.1002/jcu.23854","url":null,"abstract":"<p><p>The ductus arteriosus aneurysm (DAA) is considered a rare anatomical alteration that consists of a dilation of this vascular structure. It has been reported that the DAA can resolve in the immediate postnatal stage and do not generate any consequences for the neonate. However, have been described some cases in which the DAA is complicated due to thromboembolic events, rupture of the lesion, respiratory symptoms, and even death. We present a case report of aneurysm of the ductus arteriosus diagnosed at 24 weeks of gestation with detailed imaging study. Also, we highlight the importance of the use of fundamental tools in the diagnosis: 3D ultrasound, multiplanar reconstruction, spatio-temporal image correlation (STIC), and omniview.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142380955","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}
Felicia V LeMoine, Hannah Hill, Marisa R Imbroane, Aishwarya A Gautam, Chloe H Van Dorn, Angela C Ranzini
{"title":"Neonatal birthweight prediction using two- and three-dimensional estimated fetal weight among borderline small fetuses.","authors":"Felicia V LeMoine, Hannah Hill, Marisa R Imbroane, Aishwarya A Gautam, Chloe H Van Dorn, Angela C Ranzini","doi":"10.1002/jcu.23844","DOIUrl":"10.1002/jcu.23844","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed (1) to determine the degree of correlation between 2D and 3D estimated fetal weight (EFW) and neonatal birth weight (BW) among borderline small fetuses and (2) to compare the accuracy and precision of 2D and 3D EFW in BW prediction.</p><p><strong>Methods: </strong>A retrospective cohort study evaluated fetuses who had an ultrasound performed between January 2017 and September 2021 at a tertiary maternal center. All singleton pregnancies with 3D EFW within 4 weeks of delivery were included. Fetuses with known structural or genetic abnormalities were excluded. Pearson's correlation coefficients were determined for both 2D and 3D EFW to BW then compared using Williams' test and Fisher r to z transformation, where applicable. Mean percent difference and standard deviation were used to assess the accuracy and precision, respectively, of 2D and 3D EFWs in BW prediction.</p><p><strong>Results: </strong>Two hundred forty-eight pregnancies were included. Ultrasound studies were performed with a median interval of 2 weeks (IQR 1, 3) between ultrasound and delivery. Both 2D and 3D estimated fetal weights showed a significant correlation with birth weight (r = 0.74 and r = 0.73, respectively), indicating similar accuracy between the two techniques.</p><p><strong>Conclusion: </strong>Two-dimensional and three-dimensional EFWs performed similarly in the prediction of BW in borderline small fetuses.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142377855","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}