Journal of Clinical Ultrasound最新文献

{"title":"Acute Pulmonary Interstitial Fibrosis Caused by Anti-GBM Disease Combined With ANCA-Associated Vasculitis-The Role of Combined Cardiopulmonary Ultrasound in Early Differential Diagnosis and Evaluation: A Case Report.","authors":"Haotian Zhao, Ling Long, Yaru Yan, Zekai Wang, Heling Zhao, Li Li","doi":"10.1002/jcu.24072","DOIUrl":"https://doi.org/10.1002/jcu.24072","url":null,"abstract":"<p><p>Combined cardiopulmonary ultrasound (CCPUS) can be applied to bedside differential diagnosis of acute dyspnea. Pulmonary interstitial fibrosis is usually a chronic lung disease. However, some special diseases can cause pulmonary interstitial fibrosis with rapid progression. This study included a patient with unexplained dyspnea. We excluded cardiogenic pulmonary edema (CPE) by CCPUS and refused hemodialysis. The characteristics of lung ultrasound of the patient were similar to pulmonary interstitial fibrosis. Finally, the patient was diagnosed with antiglomerular basement membrane (anti-GBM) disease combined with antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis, causing acute progressive pulmonary interstitial fibrosis in lung tissue as a target organ.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012962","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":"Comparison of Microwave Ablation and Lobectomy in the Treatment of Benign Thyroid Nodules.","authors":"Saim Turkoglu, Abdullah Hilmi Yilmaz, Adem Yokus, Mehmet Eşref Ulutaş","doi":"10.1002/jcu.24071","DOIUrl":"https://doi.org/10.1002/jcu.24071","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study is to evaluate the efficacy, safety, and advantages of microwave ablation (MWA) compared to lobectomy in the treatment of benign thyroid nodules.</p><p><strong>Methods: </strong>A total of 105 patients were included in the study, 49 in the MWA group and 56 in the surgical group. The mean age of the patients in the MWA group was 49.5 (±12.8) and 40.2 (±10.1) in the surgical group (p < 0.001). 81.6% of the patients in the MWA group were female and 18.4% were male. 83.9% of the patients in the surgical group were male and 16.1% were female (p = 0.75). Patients were followed for at least 12 months. The study was completed by comparing the two groups in terms of surgery-procedure times, complications, nodule sizes, thyroid function tests, symptoms, volume reduction rates (VRR), and cosmetic improvement scores.</p><p><strong>Results: </strong>The mean maximum nodule diameter in the patient group who underwent MWA was 3.5 (±1) cm at the beginning and 2.3 (±0.9) cm at the end of the 12th month (p < 0.001). VRR was 73.4% (±14.8) at the end of the 12th month (p < 0.001). Cosmetic score was 2.5 (±1) at the first month, 1.7 (±1.1) at the third month, 1 (±1) at the sixth month, and 0.6 (±0.7) at the 12th month (p < 0.001). The procedure time was 15.4 (±4.4) minutes in the patients in the MWA group, while it was 70.7 (±17.2) minutes in the surgical group (p < 0.001). No complications developed in 48 patients (98%) in the MWA group and 38 patients (67.9%) in the surgical group (p = 0.005). Voice change occurred in three patients (5.4%) in the surgical group, hematoma in two (3.6%) patients and voice change in one (1.8%) patient in the MWA group. Hypothyroidism developed in eight patients in the surgical group, while hypothyroidism did not develop in the MWA group (p = 0.007).</p><p><strong>Conclusion: </strong>MWA is a safe and effective treatment method for benign thyroid nodules. It has many advantages over thyroidectomy, such as fewer complications, shorter procedure time, no need for hospitalization and general anesthesia, and good cosmetic results.</p><p><strong>Clinical significance: </strong>Compared with surgery, MWA is a safe, effective, and cost-effective treatment for benign thyroid nodules.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026118","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":"Efficacy of Cerebroplacental Doppler Ratio in Predicting Adverse Fetal Outcomes in Cases of Fetal Growth Restriction Multicenter Study.","authors":"Mohamed S Hemeda, Heba Youssef Sayed, Wael M Hamed, Medhat Kamel, Mohamed Saleh, Sileem Ahmed Sileem, Ahmed Abd Elhamid, Ibrahim Arafa Reyad Arafa, Emad Ahmed Abdelmooty","doi":"10.1002/jcu.24076","DOIUrl":"https://doi.org/10.1002/jcu.24076","url":null,"abstract":"<p><strong>Introduction: </strong>Fetal growth restriction (FGR) is a significant cause of perinatal morbidity and mortality. Differentiating FGR from small-for-gestational-age fetuses is critical for risk assessment. This study investigates the cerebroplacental ratio (CPR) as a noninvasive predictor of adverse fetal outcomes, particularly neonatal intensive care unit (NICU) admissions, intrauterine fetal death (IUFD), and birth weight variability.</p><p><strong>Methods: </strong>This prospective, multicentre study included 60 pregnant women (gestational age 28-34 weeks) divided into normal and abnormal CPR groups. Doppler ultrasonography assessed umbilical artery (UA) and middle cerebral artery (MCA) pulsatility indices. Statistical analysis included receiver operating characteristic (ROC) curves for CPR, UA, and MCA indices to predict adverse outcomes.</p><p><strong>Results: </strong>Abnormal CPR correlated with increased NICU admissions (46.7%), IUFD (10%), and lower birth weight (mean: 2138 g). Elevated UA PI and reduced MCA PI were observed in the abnormal CPR group. Sensitivity and specificity analyses identified CPR (cutoff: 1.1) as a modestly accurate predictor of adverse outcomes.</p><p><strong>Discussion: </strong>CPR effectively stratifies risk in high-risk pregnancies but requires further validation. Abnormal Doppler findings highlight placental insufficiency and compromised cerebral perfusion. These findings could refine FGR management strategies.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144011245","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":"Morphological and Functional Changes of Core Muscles in Postpartum Women With Low Back Pain Based on Musculoskeletal Ultrasound.","authors":"Yue Long, QiuHuan Qiu, XiaoPing Zhao","doi":"10.1002/jcu.24063","DOIUrl":"https://doi.org/10.1002/jcu.24063","url":null,"abstract":"<p><strong>Introduction: </strong>Postpartum low back pain (PLBP) is a prevalent condition linked to core muscle dysfunction. This study aimed to evaluate morphological and functional changes in core muscles using musculoskeletal ultrasound and explore their association with PLBP in postpartum women.</p><p><strong>Materials and methods: </strong>A retrospective cross-sectional study included 105 women (35 PLBP group, 35 postpartum non-PLBP group, and 35 non-pregnant without LBP group). We assessed pain intensity and functional impairment, measured multifidus and abdominal muscle thickness by ultrasound, and assessed core stability using a unilateral hip bridge test.</p><p><strong>Results: </strong>The PLBP group showed significantly reduced multifidus muscle thickness (resting and maximum contraction) versus both control groups (p < 0.05), though contraction capacity only differed from non-pregnant controls (p < 0.05). Abdominal muscles (internal oblique, upper rectus abdominis, transversus abdominis) exhibited significantly decreased thickness and relaxation capacity compared to non-pregnant controls (p < 0.05), but not versus postpartum non-PLBP group (p > 0.05). Core stability was significantly lower in the PLBP group than in both controls (p < 0.05), while waist circumference was larger than in non-pregnant controls only (p < 0.05). Logistic regression confirmed reduced core stability (p < 0.05) and increased waist circumference as independent PLBP risk factors.</p><p><strong>Discussion: </strong>Core muscle atrophy and functional impairment are critical pathological mechanisms underlying PLBP, necessitating targeted interventions.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012969","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 Imaging Features of Accessory Cavitated Uterine Malformations and Application to Diagnosis.","authors":"Ruijie Sun, Xinting Liu, Niya Wei, Xiaokun Li, Ying Zou, Yue Wang","doi":"10.1002/jcu.24043","DOIUrl":"https://doi.org/10.1002/jcu.24043","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the ultrasonographic imaging features of accessory cavitated uterine malformations (ACUM) and discuss the practical value of ultrasonography in diagnosing this disease.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on nine cases of ACUM diagnosed by ultrasound and confirmed by surgery and pathology at Peking University Shenzhen Hospital from October 2020 to August 2024. The ultrasonic imaging features of ACUM were summarized.</p><p><strong>Results: </strong>The average age of the nine patients with ACUM was 28.3 years (range: 18-39 years). Only one patient exhibited mild dysmenorrhea, while the remaining eight patients experienced severe and progressive dysmenorrhea. Among those with severe dysmenorrhea, the average age was 19.9 years (range: 13-38 years), and the mean time of onset after menarche was 6.5 years (range: 0-25 years). The results of preoperative ultrasonography were consistent with the surgical results, and the diagnostic coincidence rate was 100%. Preoperative ultrasound showed eight cases (88.9%) appeared as solitary lesions, and one case (11.1%) exhibited two cystic cavities on the same side of the uterus. Lesions were located on the anterior lateral wall of the uterus, below the uterine horn, with a median maximum diameter of (24.4 ± 3.6) mm. Lesions were round or oval and not connected to the uterine cavity, with clear boundaries, presenting as regular thick-walled cystic structures. Cystic areas were observed within the mass with a ground-glass-like appearance (88.9%) or hyperechoic (11.1%). The surrounding area of the mass showed resemblance to the muscular layer, and circular or semicircular vascularity was detected around the mass. No adenomyosis or other uterine lesions were found.</p><p><strong>Conclusions: </strong>ACUM is a rare obstructive reproductive tract malformation that affects young women. Progressive aggravation of dysmenorrhea serves as its main clinical manifestation. ACUM exhibits distinct ultrasound characteristics; preoperative ultrasonography can be used to accurately diagnose ACUM through identification of typical manifestations, providing a reliable imaging basis for diagnosis and treatment management.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144010023","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":"Ultrasonic Manifestation of Intramural Pregnancy With Uterine Rupture in the First Trimester: A Case Report.","authors":"Shaofu Hong, Wenjing Gao, Weiyue Li","doi":"10.1002/jcu.24067","DOIUrl":"https://doi.org/10.1002/jcu.24067","url":null,"abstract":"<p><p>Intermural pregnancy is a relatively uncommon variant of ectopic pregnancy. To augment the understanding of this condition, this report presents a case of intermural pregnancy with early rupture, detailing its ultrasound characteristics, and offers a comprehensive review of the pertinent literature.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993117","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":"Relationship Between TGF-β1 and Left Ventricular Geometry and Function in Patients With Essential Hypertension.","authors":"Ran Hou, Wen Shui, Xueqing Xing, Yaodong Chen, Wenqian Shen, Qingfei Song, Jian Wang","doi":"10.1002/jcu.24055","DOIUrl":"https://doi.org/10.1002/jcu.24055","url":null,"abstract":"<p><strong>Objective: </strong>To explore the association of transforming growth factor β1 (TGF-β1) with left ventricular geometry (LVG) and left ventricular function (LVF) in cases having essential hypertension.</p><p><strong>Methods: </strong>This retrospective study of 213 cases of essential hypertension, according to echocardiogram measurements, were split into normal geometry (NG), concentric remodeling (CR), eccentric hypertrophy (EH), and concentric hypertrophy (CH) groups. General clinical data of each patient was analyzed and office blood pressure measurements were performed. Detection of blood biochemistry and serum TGF-β1 content was conducted. The association of TGF-β1 with LVG and LVF parameters was assessed.</p><p><strong>Results: </strong>In contrast to the NG and CR groups, the TGF-β1 concentration was higher in the EH and CH groups, and it was most pronounced in the CH group. The TGF-β1 was positively linked to E/e' (r = 0.506, p < 0.001), whereas left ventricular global longitudinal strain (GLS) (r = -0.447, p < 0.001) was negatively correlated. Moreover, serum TGF-β1 levels were independently linked to EH and CH.</p><p><strong>Conclusion: </strong>TGF-β1 was associated with abnormal LVG and LVF in cases of essential hypertension, indicating that it may induce LVG and LVF abnormalities.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026684","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":"Dynamic AI Ultrasound-Assisted Diagnosis System to Reduce Unnecessary Fine Needle Aspiration of Thyroid Nodules.","authors":"Fang Li, Shuang Tao, Ma Ji, Long Liu, Ziwei Qin, Xueting Yang, Rong Wu, Jia Zhan","doi":"10.1002/jcu.24035","DOIUrl":"https://doi.org/10.1002/jcu.24035","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to compare the diagnostic efficiency of the American College of Radiology-Thyroid Imaging, Reporting, and Data System (ACR-TIRADS), fine-needle aspiration (FNA) cytopathology alone, and the dynamic artificial intelligence (AI) diagnostic system.</p><p><strong>Materials and methods: </strong>A total of 1035 patients from three hospitals were included in the study. Of these, 590 were from the retrospective dataset and 445 cases were from the prospective dataset. The diagnostic accuracy of the dynamic AI system in the thyroid nodules was evaluated in comparison to the gold standard of postoperative pathology. The sensitivity, specificity, ROC, and diagnostic differences in the κ-factor relative to the gold standard were analyzed for the AI system and the FNA.</p><p><strong>Results: </strong>The dynamic AI diagnostic system showed good diagnostic stability in different ages and sexes and nodules of different sizes. The diagnostic AUC of the dynamic AI system showed a significant improvement from 0.89 to 0.93 compared to ACR TI-RADS. Compared to that of FNA cytopathology, the diagnostic efficacy of the dynamic AI system was found to be no statistical difference in both the retrospective cohort and the prospective cohort.</p><p><strong>Conclusion: </strong>The dynamic AI diagnostic system enhances the accuracy of ACR TI-RADS-based diagnoses and has the potential to replace biopsies, thus reducing the necessity for invasive procedures in patients.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994245","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 Relationship Between Anxiety and Masseter Muscle in Temporomandibular Disorders: An Ultrasonographic Assessment.","authors":"Mustafa Çağdaş Öçal, Sümeyye Coşgun Baybars, Merve Hacer Talu","doi":"10.1002/jcu.24021","DOIUrl":"https://doi.org/10.1002/jcu.24021","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the effects of temporomandibular disorders and anxiety on masseter muscle morphology using ultrasonography, considering gender and chewing side preference.</p><p><strong>Methods: </strong>A total of 93 participants, including 67 patients with unilateral disc displacement and 27 healthy controls, were evaluated. Anxiety levels were assessed using the Beck Anxiety Inventory, while temporomandibular disorder severity was determined by the Fonseca Anamnestic Index. Masseter muscle thickness, length, and cross-sectional area were measured bilaterally at rest and during intercuspation using a high-frequency linear probe. Statistical analyses were conducted based on temporomandibular disorder severity, anxiety, gender, and chewing side preference.</p><p><strong>Results: </strong>Participants with disc displacement exhibited significantly increased masseter thickness on the affected side at both rest and intercuspation (p < 0.05), whereas muscle length and cross-sectional area remained unchanged. Individuals with severe anxiety had a significantly greater cross-sectional area compared to those with normal anxiety (p < 0.05), while thickness and length showed no significant differences. Males had significantly greater masseter thickness, length, and cross-sectional area than females (p < 0.05). No significant differences were found concerning chewing side preference (p > 0.05).</p><p><strong>Conclusion: </strong>Temporomandibular disorders and anxiety influence masseter morphology, with variations based on severity and duration. Gender differences were evident, whereas chewing side preference had no significant effect. Ultrasonography proves to be a reliable tool for masseter evaluation, though future studies should incorporate advanced imaging and functional assessments.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002908","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":"Pseudomonas Aeruginosa-Induced Septic Arthritis of the Shoulder Following an Arthroscopic Bankart Repair.","authors":"Ahmet Furkan Çolak, Berkay Yalçınkaya, Alp Çetin","doi":"10.1002/jcu.24061","DOIUrl":"https://doi.org/10.1002/jcu.24061","url":null,"abstract":"","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143968761","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}