Journal of Clinical Ultrasound最新文献_第8页

Intramural Ectopic Pregnancy Diagnosed by Transvaginal Three-Dimensional Ultrasound: A Case Report and Literature Review. 经阴道三维超声诊断子宫内异位妊娠1例并文献复习。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-04-23 DOI: 10.1002/jcu.24047

Hua Yang, Chenye Zhu, Caiyun Lin

引用次数: 0

Evaluation of Tissue Annular Motion Displacement in Patients With Severe Aortic Stenosis With Normal Ejection Fraction. 射血分数正常的严重主动脉瓣狭窄患者组织环运动位移的评价。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-04-23 DOI: 10.1002/jcu.24032

Jie Feng, Yao Li, Shiyuan Zhang, Haixia Wei, Hangyu Liu, Yanqing Wu

{"title":"Evaluation of Tissue Annular Motion Displacement in Patients With Severe Aortic Stenosis With Normal Ejection Fraction.","authors":"Jie Feng, Yao Li, Shiyuan Zhang, Haixia Wei, Hangyu Liu, Yanqing Wu","doi":"10.1002/jcu.24032","DOIUrl":"https://doi.org/10.1002/jcu.24032","url":null,"abstract":"Aim: The purpose of this study was to investigate the value of the tissue annular motion displacement (TMAD) parameter in assessing left ventricular systolic function in patients with severe aortic stenosis (AS) and to investigate the risk factors for major adverse cardiovascular events (MACEs) in patients with severe AS with a biplane Simpson's method ejection fraction (LVEF-Simpson) ≥ 50%.Methods: We enrolled 81 patients diagnosed with severe AS and 22 controls. Comparative analyses were performed between the groups, and longitudinal follow-up assessments tracked the incidence of MACEs. Survival analysis, utilizing Kaplan-Meier curves, was employed to determine the prognostic significance of TMAD parameters.Results: TMAD parameters showed negative linear correlations with left ventricle global longitudinal strain (LVGLS). Overall, 69 patients (85.2%) underwent successful transcatheter aortic valve replacement (TAVR), which significantly improves myocardial longitudinal systolic function. MACE occurred in 12 (14.8%) AS patients during the follow-up period.Conclusion: TMAD parameters allowed early detection of left ventricle systolic dysfunction (LVSF) in severe AS patients with normal ejection fraction and correlated well with LVGLS, and TMADmid-A4C was a strong predictor of MACE in severe AS patients with preserved LVEF.","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":"144002481","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 Diagnostic Value of Artificial Intelligence in C-TIRADS 4-5 Nodules, Real-Time Dynamic Ultrasound and Contrast-Enhanced Ultrasound to Enhance the Difference Between Papillary Thyroid Carcinoma and Nodular Goiter. 人工智能对C-TIRADS 4-5结节、实时动态超声及增强超声鉴别甲状腺乳头状癌与结节性甲状腺肿的诊断价值

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-04-22 DOI: 10.1002/jcu.23991

Shuo You, Hui-Ling Wang, Qian Fang, An Wei, Mi-Xia Bao, Chao-Jie Zhang

{"title":"The Diagnostic Value of Artificial Intelligence in C-TIRADS 4-5 Nodules, Real-Time Dynamic Ultrasound and Contrast-Enhanced Ultrasound to Enhance the Difference Between Papillary Thyroid Carcinoma and Nodular Goiter.","authors":"Shuo You, Hui-Ling Wang, Qian Fang, An Wei, Mi-Xia Bao, Chao-Jie Zhang","doi":"10.1002/jcu.23991","DOIUrl":"https://doi.org/10.1002/jcu.23991","url":null,"abstract":"Background: Differentiating papillary thyroid carcinoma (PTC) from nodular goiter (NG) in thyroid nodules is challenging. Advanced tools such as contrast-enhanced ultrasound (CEUS) and artificial intelligence (AI)-assisted diagnostics may improve diagnostic accuracy for Chinese Thyroid Imaging Reporting and Data System (C-TIRADS) 4-5 nodules.Objective: To evaluate the diagnostic performance of conventional ultrasound (CUS), CEUS, and AI dynamic ultrasound in distinguishing PTC from NG in C-TIRADS 4-5 nodules.Methods: This retrospective, single-center study included 180 PTC and 158 NG patients. Diagnostic performance was assessed using the area under the receiver operating characteristic curve (AUC), with statistical comparisons conducted via bootstrapping methods (1000 iterations) implemented in Python 3.12.6.Results: The individual models demonstrated strong diagnostic performance, with AUCs of 0.85 (C-TIRADS), 0.86 (CEUS), and 0.86 (dynamic AI). Combining models enhanced sensitivity but reduced specificity. The majority voting system, incorporating all three models, achieved the highest diagnostic performance (AUC 0.93, sensitivity 97%, specificity 89%, accuracy 93%). No significant differences were observed between AUCs due to the strong discriminatory ability of each method.Conclusion: All models, including C-TIRADS, CEUS, and dynamic AI, performed well in differentiating PTC from NG. Combining these methods, particularly with majority voting, improved diagnostic performance without compromising specificity.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143985378","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

Vascular Retained Products of Conception Following Delivery: Efficacy of Estrogen-Progestogen Therapy. 妊娠后血管保留产物：雌激素-孕激素治疗的疗效。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-04-22 DOI: 10.1002/jcu.24031

Munekage Yamaguchi, Takeshi Motohara, Takashi Ohba, Eiji Kondoh

{"title":"Vascular Retained Products of Conception Following Delivery: Efficacy of Estrogen-Progestogen Therapy.","authors":"Munekage Yamaguchi, Takeshi Motohara, Takashi Ohba, Eiji Kondoh","doi":"10.1002/jcu.24031","DOIUrl":"https://doi.org/10.1002/jcu.24031","url":null,"abstract":"Objective: To evaluate the clinical features of women with vascular retained products of conception (RPOC) following delivery and to assess the efficacy of estrogen-progestogen therapy (EPT) as an initial intervention for this group.Methods: A retrospective study was conducted of women with vascular RPOC after delivery at ≥ 20 weeks gestation who received EPT (combination of conjugated estrogen and norethisterone) between 2017 and 2023. Clinical characteristics, hormonal levels, ultrasonographic assessments, and treatment outcomes were analyzed.Results: A cohort of 21 women with vascular RPOC following delivery was identified. The median interval from delivery to initial hospital consultation was 48 days (IQR: 33-50), with five patients requiring inpatient care due to substantial bleeding. Among the 21 patients, 18 received EPT. Following the first course of EPT and subsequent withdrawal bleeding, 17 (94%) showed resolution of vascularity on color Doppler, and 11 (61%) exhibited a linear endometrial pattern. All patients completed treatment within two EPT courses, with no need for further intervention. The median time to human chorionic gonadotropin normalization from EPT initiation was 14 days (IQR: 3-25).Conclusion: EPT incorporating norethisterone appears effective in attenuating and eliminating endometrial blood flow in women with vascular RPOC after delivery, facilitating intrauterine tissue expulsion without additional treatments.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143968318","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

Long-Term Prognosis of Postinfarction Ventricular Septal Rupture: A Single-Center Experience. 梗死后室间隔破裂的长期预后：单中心经验。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-04-22 DOI: 10.1002/jcu.24006

Jiaoyang Xie, Lixin Zhang, Yanping Ruan, Xiaoyan Hao, Hairui Wang, Ye Zhang, Jiancheng Han, Tingting Liu, Yihua He, Xiaoyan Gu

{"title":"Long-Term Prognosis of Postinfarction Ventricular Septal Rupture: A Single-Center Experience.","authors":"Jiaoyang Xie, Lixin Zhang, Yanping Ruan, Xiaoyan Hao, Hairui Wang, Ye Zhang, Jiancheng Han, Tingting Liu, Yihua He, Xiaoyan Gu","doi":"10.1002/jcu.24006","DOIUrl":"https://doi.org/10.1002/jcu.24006","url":null,"abstract":"Objective: This seven-year study investigates risk factors for long-term mortality in AMI patients with ventricular septal rupture (VSR) to enhance clinical management and outcomes.Methods: We conducted a retrospective cohort study of 180 AMI patients with VSR from January 2016 to October 2023. We collected data on demographics, clinical features, treatments, and outcomes. Patients were divided into survival and death groups and further classified by treatment (surgical repair vs. medical management). Cox proportional hazards regression identified predictors of long-term mortality.Results: Median follow-up was 1028 days, with an overall mortality rate of 65.6%. The death group had a higher rate of medical management (83.1% vs. 35.5% in survivors). Long-term mortality rates were 33.3% for surgical repair and 81.7% for medical management. Independent predictors of poor outcomes included Killip Class 3-4, female gender, and advanced age. Surgical repair was a protective factor against mortality (HR 0.232). Killip Class 3-4 (HR 5.154) was a significant independent risk factor for long-term mortality among surgical patients. Killip Class 3-4 (HR, 3.268) and female gender (HR 2.548) were significant independent risk factors for long-term mortality among medical management patients.Conclusion: Surgical repair significantly reduces long-term mortality compared to medical management in AMI patients with VSR. Killip Class 3-4 affects prognosis, emphasizing the need for tailored management strategies.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143987447","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

Ultrasound Findings in a Case of Early-Stage Endometrial Cancer With Atypical Lung Metastasis. 早期子宫内膜癌合并不典型肺转移的超声表现1例。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-04-22 DOI: 10.1002/jcu.24040

Wen-Chen Huang, Jenn-Ming Yang

引用次数: 0

Exploring the Effect of Pre-Connected Pressure Sensor on Ultrasound-Guided Radial Artery Puncture in Patients With Gastrointestinal Tumors: A Randomized Controlled Trial. 探讨预连接压力传感器对超声引导下胃肠道肿瘤患者桡动脉穿刺的影响：一项随机对照试验。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-04-21 DOI: 10.1002/jcu.23990

Qiao Yang, Qiaoling Weng, Tingyu He, Xianwei Jin, Weibo Zhong

{"title":"Exploring the Effect of Pre-Connected Pressure Sensor on Ultrasound-Guided Radial Artery Puncture in Patients With Gastrointestinal Tumors: A Randomized Controlled Trial.","authors":"Qiao Yang, Qiaoling Weng, Tingyu He, Xianwei Jin, Weibo Zhong","doi":"10.1002/jcu.23990","DOIUrl":"https://doi.org/10.1002/jcu.23990","url":null,"abstract":"Background: This study aims to investigate the impact of pre-connecting pressure transducers on the efficacy of ultrasound-guided radial artery puncture and catheterization in patients with gastrointestinal tumors.Methods: Seventy-five eligible patients undergoing elective gastrointestinal tumor surgery were randomly divided into two groups: the pre-connected pressure sensor puncture group (group p = 38) and the conventional puncture group (group C = 37). The patients' vital signs were monitored upon entering the room, and a senior anesthesiologist performed the radial artery puncture and catheterization for both groups. The radial artery puncture catheterization was guided by ultrasound in both groups. Prior to the puncture, patients in group P were pre-connected to the pressure sensor, and the system was primed with heparinized saline solution to expel air from the system. After zeroing, the radial artery puncture catheter was performed under ultrasound guidance, with group C undergoing direct ultrasound-guided puncture catheterization. The success rate of first puncture catheterization, puncture time, puncture times, and puncture failure rate were recorded.Results: The success rate of radial artery catheterization on the first attempt was significantly higher in group P compared to group C (p = 0.046). In comparison to patients in group C, those in group P exhibited a reduction in arterial puncture failure rates (p = 0.04) and a lower incidence of subcutaneous hematoma (p = 0.02).Conclusions: Pre-connecting a pressure sensor when performing radial artery puncture and catheterization in patients with gastrointestinal tumors can enhance the success rate of radial artery puncture and catheterization under ultrasound guidance.Trial registration: ChiCTR.org.cn (ChiCTR2200064863). Date of registration: 4/5/2024.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967784","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

Multimodal Imaging Diagnosis of Apical Ventricular Aneurysm With Thrombosis Resulting From Blunt Myocardial Injury: A Case Report. 钝性心肌损伤致顶端室壁瘤合并血栓形成的多模态影像学诊断1例。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-04-20 DOI: 10.1002/jcu.24026

Qihang Fu, Lin Tong, Hezhan Zhang, Hui Xu

引用次数: 0

Transcatheter Embolization of Pulmonary Artery Aneurysm With Vascular Plug in Behcet's Disease: A Case Report. 经导管栓塞治疗白塞病肺动脉动脉瘤一例。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-04-20 DOI: 10.1002/jcu.24013

Sinan Karatoprak, Oğuz Aslan, Mustafa Bilgili, Gamze Türk, Hüseyin Murat Demirbaş, Saliha Sunkak

引用次数: 0

Effectiveness of Risk Stratification for Fetal Growth Restriction at Routine Antenatal Ultrasound Assessment at 11-14 Gestation Weeks in a Rural Population of Western India. 印度西部农村11-14孕周常规产前超声评估胎儿生长受限风险分层的有效性

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2025-04-17 DOI: 10.1002/jcu.23989

Shilpa R Satarkar, Lalit Kishore Sharma, Rijo Mathew Choorakuttil, Praveen K Nirmalan

{"title":"Effectiveness of Risk Stratification for Fetal Growth Restriction at Routine Antenatal Ultrasound Assessment at 11-14 Gestation Weeks in a Rural Population of Western India.","authors":"Shilpa R Satarkar, Lalit Kishore Sharma, Rijo Mathew Choorakuttil, Praveen K Nirmalan","doi":"10.1002/jcu.23989","DOIUrl":"https://doi.org/10.1002/jcu.23989","url":null,"abstract":"Aim: To determine the effectiveness of risk stratification at the 11-14 weeks ultrasound assessment in identifying women at high risk for fetal growth restriction (FGR) in rural Western India.Methods: Consecutively selected pregnant women were screened using ultrasound and fetal Doppler at 11-14 gestational weeks, and the risk for FGR was ascertained using the Fetal Medicine Foundation algorithm and a 1 in 150 cutoff. In the third trimester, FGR was defined as an estimated fetal weight (EFW) < 3rd percentile irrespective of fetal Doppler status or EFW 3rd to 10th percentile with abnormal fetal Doppler. Sensitivity, specificity, predictive values, odds ratio (OR) and area under receiver operator characteristic curve (AUC) were estimated for the risk stratification model.Results: First-trimester screening identified 302 (48.78%) of 619 women at high risk for FGR. The incidence of FGR in the third trimester was 13.2% (n = 82) including 69 (22.8%) of 302 women at high risk and 13 (4.1%) of the 317 low-risk screened women. The first-trimester risk stratification had a sensitivity of 84.3%, a negative predictive value of 95.9%, an AUC of 0.71, and an OR of 7.06 for FGR in the third trimester.Conclusion: First-trimester risk stratification of pregnant women using fetal ultrasound and Doppler was useful in predicting FGR in the third trimester.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143985190","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