Journal of Clinical Ultrasound最新文献_第7页

Ultrasound-Guided Nasojejunal Tube Placement: A Simplified Approach for Improved Clinical Efficiency. 超声引导下鼻空肠管放置：一种提高临床效率的简化方法。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-04-28 DOI: 10.1002/jcu.24051

Shufei Jiang, Mengyao Liu, Yulong Yao, Huijun Wang, Sufang Zhang, Jianxiao Chen, Yiwen Zheng, Hongxia Gong, Renying Xu, Lixin Jiang, Chunhua Wu

{"title":"Ultrasound-Guided Nasojejunal Tube Placement: A Simplified Approach for Improved Clinical Efficiency.","authors":"Shufei Jiang, Mengyao Liu, Yulong Yao, Huijun Wang, Sufang Zhang, Jianxiao Chen, Yiwen Zheng, Hongxia Gong, Renying Xu, Lixin Jiang, Chunhua Wu","doi":"10.1002/jcu.24051","DOIUrl":"https://doi.org/10.1002/jcu.24051","url":null,"abstract":"Purpose: To investigate the clinical effects of ultrasound-guided precise nasojejunal catheterization in critically ill patients receiving enteral nutrition.Materials and methods: A total of 120 patients were randomly divided into control and experimental groups in a 1:1 ratio. The control group underwent blind transnasal jejunal catheterization, and the experimental group underwent ultrasound-guided transnasal jejunal catheterization. Indices related to catheterization, complications of catheterization, and nutritional status before and after catheterization were used as observation indices.Results: The average catheterization time of the experimental group was shorter (21.28 ± 8.96 min), the success rate of one-time catheterization was significantly greater than that in the control group (93.3% vs. 80.0%), and the probability of catheter displacement/detachment was significantly lower in the experimental group than in the control group (p < 0.05). Prealbumin level, total serum protein level, and absolute number of lymphocytes were significantly greater than those in the control group and before catheterization (p < 0.05).Conclusions: In enteral nutrition intervention for critical patients, accurate ultrasound-guided nasojejunal tube placement has the advantages of short operation time, high success rate, safety, and good nutritional support and is expected to be an ideal method for successful nasojejunal tube placement.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017443","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

Factors Associated With Initial Failure in Ultrasound-Guided Percutaneous Thrombin Injection for Iatrogenic Femoral Pseudoaneurysms. 超声引导下经皮注射凝血酶治疗医源性股假性动脉瘤初始失败的相关因素。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-04-25 DOI: 10.1002/jcu.24036

Yong Zou, Yan-Duan Lin, Qiao-Min Fu, Kun-Jian Li

{"title":"Factors Associated With Initial Failure in Ultrasound-Guided Percutaneous Thrombin Injection for Iatrogenic Femoral Pseudoaneurysms.","authors":"Yong Zou, Yan-Duan Lin, Qiao-Min Fu, Kun-Jian Li","doi":"10.1002/jcu.24036","DOIUrl":"https://doi.org/10.1002/jcu.24036","url":null,"abstract":"Objective: This study aimed to evaluate factors associated with the initial failure of ultrasound-guided percutaneous thrombin injection in the treatment of iatrogenic femoral pseudoaneurysms (FPA).Methods: A retrospective analysis was performed on 60 patients who developed iatrogenic FPA following transfemoral procedures at Zhongshan Hospital Xiamen University between January 2015 and December 2023. All patients received ultrasound-guided percutaneous thrombin injection. Fifty patients were successfully treated with a single injection (control group), while 10 patients required additional injections (experimental group). Baseline patient and pseudoaneurysm characteristics were compared between the two groups.Results: Ultrasound-guided percutaneous thrombin injection successfully treated all pseudoaneurysms. No statistically significant differences were observed between the experimental and control groups in terms of sex, age, hypertension, diabetes mellitus, use of antiplatelet agents, parent artery involvement, maximum pseudoaneurysm diameter, ostium, or blood flow velocity at the ostium (p > 0.05). However, statistically significant differences were noted in aneurysm neck length and anticoagulant use (p < 0.05).Conclusion: Aneurysm neck length and anticoagulant use were identified as factors influencing the effectiveness of initial ultrasound-guided percutaneous thrombin injection for iatrogenic FPA. For patients experiencing treatment failure, additional thrombin injections yielded satisfactory outcomes; surgical repair can even be avoided. Ultrasound-guided percutaneous thrombin injection is proposed as a safe, minimally invasive, and effective treatment option for iatrogenic pseudoaneurysm, valued for its simplicity and repeatability.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026562","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

Establish a Nomogram Based on Ultrasound Novel Vascularity Characteristics to Differentiate Follicular Thyroid Carcinoma From Follicular Benign Neoplasms. 基于超声新血管特征建立甲状腺滤泡性癌与滤泡性良性肿瘤的分型图。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-04-25 DOI: 10.1002/jcu.24033

Aonan Pan, Luying Gao, Yu Xia, Liyuan Ma, Jiang Ji, Yu' Ang An, Nengwen Luo, Jionghui Gu, Yang Cao, Surong Hua, Ya Hu, Xiaoyi Li, Yuxin Jiang

{"title":"Establish a Nomogram Based on Ultrasound Novel Vascularity Characteristics to Differentiate Follicular Thyroid Carcinoma From Follicular Benign Neoplasms.","authors":"Aonan Pan, Luying Gao, Yu Xia, Liyuan Ma, Jiang Ji, Yu' Ang An, Nengwen Luo, Jionghui Gu, Yang Cao, Surong Hua, Ya Hu, Xiaoyi Li, Yuxin Jiang","doi":"10.1002/jcu.24033","DOIUrl":"https://doi.org/10.1002/jcu.24033","url":null,"abstract":"Purpose: This study aimed to construct a nomogram based on novel ultrasound vascularity features to differentiate follicular thyroid carcinoma (FTC) from follicular benign neoplasms (FBN).Methods: A total of 153 patients were included. We evaluated various sonographic features of all nodules and analyzed the diagnostic efficiency of different vascularity patterns for FTC. Furthermore, independent predictors for FTC were screened using multivariable logistic regression. A nomogram was established to predict FTC, and various methods were used to evaluate the performance of the nomogram.Results: The firework-like pattern and central-grasp pattern were more likely to appear in the FTC (p < 0.001, p = 0.007), while the ring-like pattern was more likely to appear in the FBN (p < 0.001). The firework-like pattern showed the best performance in accuracy (71.2%) and NPV (73.4%) among other vascularity patterns. Besides, thick hypo-halo, ring-like pattern, central-grasp pattern, and firework-like pattern were four predictors used to construct the nomogram. The bootstrap AUC was 0.814 (95% CI: 0.743-0.884) which revealed the nomogram had accurate prediction accuracy.Conclusion: The firework-like pattern and central-grasp pattern were vascularity characteristics for FTC, while the ring-like pattern was for FBN. Besides, our nomogram based on novel vascularity characteristics can help distinguish FTC and FBN before operation.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020589","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

Prenatal Ultrasound Diagnosis of Congenital Granular Cell Epulis: A Rare Case Description. 产前超声诊断先天性颗粒细胞囊肿：罕见病例描述。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-04-25 DOI: 10.1002/jcu.24045

Feng Liu, Tiangang Li, Yanzhao Wang, Peilong Li, Bin Ma

引用次数: 0

Application of Two-Dimensional Shear Wave Elastography in Evaluating Liver Reserve Function in Patients With Liver Cancer. 二维横波弹性成像在评价肝癌患者肝脏储备功能中的应用。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-04-25 DOI: 10.1002/jcu.24015

Bijuan Hu, Zhiping Huang, Liyin Huang

{"title":"Application of Two-Dimensional Shear Wave Elastography in Evaluating Liver Reserve Function in Patients With Liver Cancer.","authors":"Bijuan Hu, Zhiping Huang, Liyin Huang","doi":"10.1002/jcu.24015","DOIUrl":"https://doi.org/10.1002/jcu.24015","url":null,"abstract":"Background: Shear wave elastography (SWE) is an emerging noninvasive imaging technique for assessing liver fibrosis. This meta-analysis aimed to evaluate the diagnostic accuracy of SWE compared to conventional imaging techniques.Methods: A systematic search was conducted in PubMed, Embase, Cochrane Library, and Web of Science databases. Nine studies were included, and diagnostic performance metrics, including sensitivity, specificity, diagnostic odds ratio (DOR), and area under the receiver operating characteristic curve (AUC), were pooled using meta-analysis. Publication bias was assessed using Deeks' funnel plot asymmetry test.Results: The pooled sensitivity and specificity of SWE were 0.88 (95% CI: 0.83-0.92) and 0.88 (95% CI: 0.83-0.91), respectively. The positive likelihood ratio (PLR) was 7.07 (95% CI: 5.26-9.50), and the negative likelihood ratio (NLR) was 0.14 (95% CI: 0.09-0.20). The DOR was 51.85 (95% CI: 29.80-90.19), and the area under the SROC curve (AUC) was 0.94 (95% CI: 0.91-0.96), indicating excellent diagnostic accuracy. Fagan nomogram analysis further confirmed SWE's clinical utility by significantly improving post-test probability. No significant publication bias was detected (p = 0.26).Conclusion: SWE is a highly accurate and reliable tool for diagnosing liver fibrosis, demonstrating superior diagnostic performance compared to conventional imaging techniques. SWE has significant potential to serve as a noninvasive alternative to liver biopsy in the clinical assessment of liver fibrosis.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143966076","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

Artificial Intelligence to Determine Correct Midsagittal Plane in Dynamic Transperineal Ultrasound. 人工智能在动态会阴超声中正确确定正中矢状面。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-04-25 DOI: 10.1002/jcu.24050

José Antonio García-Mejido, Juan Galán-Paez, David Solis-Martín, Marina Martín-Morán, Carlota Borrero-Gonzalez, Alfonso Fernández-Gomez, Fernando Fernández-Palacín, José Antonio Sainz-Bueno

{"title":"Artificial Intelligence to Determine Correct Midsagittal Plane in Dynamic Transperineal Ultrasound.","authors":"José Antonio García-Mejido, Juan Galán-Paez, David Solis-Martín, Marina Martín-Morán, Carlota Borrero-Gonzalez, Alfonso Fernández-Gomez, Fernando Fernández-Palacín, José Antonio Sainz-Bueno","doi":"10.1002/jcu.24050","DOIUrl":"https://doi.org/10.1002/jcu.24050","url":null,"abstract":"Purpose: To create and validate a machine learning(ML) model that allows for identifying the correct capture of the midsagittal plane in a dynamic ultrasound study, as well as establishing its concordance with a senior explorer and a junior explorer.Methods: Observational and prospective study with 90 patients without pelvic floor pathology. Each patient was given an ultrasound video where the midsagittal plane of the pelvic floor was recorded at rest and during the Valsalva maneuver. A segmentation model was used that was trained on a previously published article, generating the segmentations of the 90 new videos to create the model. The algorithm selected to build the model in this project was XGBoost(Gradient Boosting). To obtain a tabular dataset on which to train the model, feature engineering was carried out on the raw segmentation data. The concordance of the model, of a junior examiner and a senior examiner, with the expert examiner was studied using the kappa index.Results: The first 60 videos were used to train the model and the last 30 videos were reserved for the test set. The model presented a kappa index 0.930(p < 0.001) with very good agreement for detection of the correct midsagittal plane. The junior explorer presented a very good agreement (kappa index = 0.930(p < 0.001)). The senior explorer presented a kappa index 0.789(p < 0.001) (good agreement) for detection of the correct midsagittal plane.Conclusion: We have developed a model that allows determining the correct midsagittal plane captured through dynamic transperineal ultrasound with a level of agreement comparable to or greater than that of a junior or senior examiner, using expert examiner assessment as the gold standard.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143998046","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

Prenatal Ultrasonic Features of Median Cleft of the Lower Lip and Mandible With Ankyloglossia: A Rare Case Report and Literature Review. 下唇、下颌骨中位裂伴强直性咬合的产前超声特征：罕见病例报告及文献复习。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-04-24 DOI: 10.1002/jcu.24042

Guo Ai, Baohuan Cai, Leilei Zhou, Da Zhu, Xizi Wu

引用次数: 0

Eight Years Experience of a Tertiary Center on Fetal Lymphangiomas. 三级中心治疗胎儿淋巴管瘤的八年经验。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-04-23 DOI: 10.1002/jcu.24041

Ümit Taşdemir, Ömer Gökhan Eyisoy, Murad Gezer, Ayşenur Celayir, Mucize Eriç Özdemir, Oya Demirci

{"title":"Eight Years Experience of a Tertiary Center on Fetal Lymphangiomas.","authors":"Ümit Taşdemir, Ömer Gökhan Eyisoy, Murad Gezer, Ayşenur Celayir, Mucize Eriç Özdemir, Oya Demirci","doi":"10.1002/jcu.24041","DOIUrl":"https://doi.org/10.1002/jcu.24041","url":null,"abstract":"Objective: Lymphangioma is a vascular malformation that develops during the second and third trimesters of pregnancy. While often asymptomatic, it may cause pressure adjacent to vital organs and vascular structures. Therefore, comprehensive prenatal monitoring is essential to anticipate complications and plan appropriate postdelivery interventions.Study design: A retrospective case series was conducted at a tertiary referral center from January 1, 2016, to January 1, 2024, on confirmed cases of fetal lymphangioma. In all cases, the pediatric surgery team verified the definitive diagnosis of lymphangioma during the postnatal period. Information regarding intraoperative observations was obtained from the surgical records and the surgical team.Results: From 2016 to 2024, a total of nine cases of fetal lymphangioma were identified. As eight cases were referred due to fetal skin mass, one case was referred due to intestinal dilatation. The axillary fossa was the most affected site, with five cases (55.5%). One case (11.1%) underwent complete resection, while cyst puncture was used in the other eight (88.9%). All cases, except one with mesenteric lymphangioma, received bleomycin sclerotherapy alongside surgical intervention. In four (44.4%) cases, there was visible asymmetry in their bodies after treatment.Conclusions: Lymphangiomas are mainly distinguished by their multiloculated and septated structures, but they can present in various forms. Despite the use of the most effective treatment method, the lesion may not completely regress, and undesirable outcomes may be experienced. Further studies focusing on molecular targeted diagnosis and treatment technologies are needed.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007373","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

The Effect of Gestational Diabetes Mellitus on the Pelvic Floor-A Two-Dimensional Gray-Scale Histogram Study. 妊娠期糖尿病对盆底的影响——二维灰度直方图研究。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-04-23 DOI: 10.1002/jcu.24038

Gul Nihal Buyuk, Mahmut Kuntay Kokanali, Eda Ureyen Ozdemir, Banu Seven, Melike Doğanay

{"title":"The Effect of Gestational Diabetes Mellitus on the Pelvic Floor-A Two-Dimensional Gray-Scale Histogram Study.","authors":"Gul Nihal Buyuk, Mahmut Kuntay Kokanali, Eda Ureyen Ozdemir, Banu Seven, Melike Doğanay","doi":"10.1002/jcu.24038","DOIUrl":"https://doi.org/10.1002/jcu.24038","url":null,"abstract":"Purpose: This study aimed to analyze the effect of gestational diabetes mellitus (GDM) on the mean echogenicity of the puborectalis muscle (MEP).Methods: This prospective case-control study included pregnant women who applied to the antenatal clinic between February 2023 and April 2024. Pregnant women complicated by gestational diabetes constituted the GDM group. Patients not diagnosed with gestational diabetes were included in the Control group. MEP assessment and progress from 24th to 36th weeks of gestation were analyzed by the two-dimensional volumetric gray-scale histograms.Results: A total of 130 pregnant women, 30 in the Insulin-use group, 49 in the Diet-regulated group, and 51 in the Control group. MEP values in the GDM group were significantly higher at the third trimester at rest and on maximum pelvic floor muscle contraction than those in the Control group. Twenty-fourth to 36th weeks MEP rest difference and 24th-36th weeks MEP contraction difference were significantly higher in the GDM group than those in the Control group.Conclusions: Measuring echogenicity may help us understand what happens in the pelvic floor muscles after pregnancy complicated by GDM. We need to evaluate the pelvic floor more rationally using ultrasound in patients with gestational diabetes and be alert to possible pelvic floor damage.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994256","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

Coronary Sinus Ostial Atresia With Small Cardiac Vein Drainage Into Right Atrium: A Rare Case With an Unusual Drainage Pathway. 冠状窦口闭锁合并心小静脉引流至右心房：罕见的异常引流路径病例。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-04-23 DOI: 10.1002/jcu.23993

Ruirui Lu, Yipeng Gao, Yuwei Bao, Hongyun Liu

引用次数: 0