Journal of Clinical Ultrasound最新文献_第9页

Prenatal and postnatal imaging for early detection of sirenomelia: A case study. 产前和产后成像用于早期发现脐带异常：病例研究。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2024-09-20 DOI: 10.1002/jcu.23849

Mengxia Yao, Yin Wang, Yanying Liu

引用次数: 0

Clinical analysis of 145 cases of pediatric pulmonary artery sling diagnosed by echocardiography. 通过超声心动图诊断的 145 例小儿肺动脉吊带的临床分析。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2024-09-20 DOI: 10.1002/jcu.23837

Xiaofang Liu, Qinghua Liu

引用次数: 0

Evaluation of liver parenchyma with shear wave elastography in patients with rheumatoid arthritis receiving disease-modifying antirheumatic drug therapy. 用剪切波弹性成像技术评估接受改变病情抗风湿药物治疗的类风湿关节炎患者的肝实质。

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2024-09-20 DOI: 10.1002/jcu.23847

Dilek Tezcan, Halil Özer, Ömer Faruk Topaloğlu, Selda Hakbilen, Mehmet Sedat Durmaz, Sema Yılmaz, Mehmet Öztürk

{"title":"Evaluation of liver parenchyma with shear wave elastography in patients with rheumatoid arthritis receiving disease-modifying antirheumatic drug therapy.","authors":"Dilek Tezcan, Halil Özer, Ömer Faruk Topaloğlu, Selda Hakbilen, Mehmet Sedat Durmaz, Sema Yılmaz, Mehmet Öztürk","doi":"10.1002/jcu.23847","DOIUrl":"https://doi.org/10.1002/jcu.23847","url":null,"abstract":"Background: Methotrexate (MTX) and leflunomide (LEF) play fundamental roles in rheumatoid arthritis (RA) treatment and require proper monitoring of side effects. Concerns about MTX/LEF-related liver fibrosis (LF) in patients with RA remain unclear. This study investigated liver stiffness using two-dimensional shear wave elastography (2D-SWE) in RA patients undergoing disease-modifying antirheumatic drug (DMARD) therapy. Moreover, 2D-SWE was employed to evaluate the correlations between liver stiffness, cumulative MTX and LEF doses and risk factors for substantial LF.Methods: We recruited 222 participants from the Department of Rheumatology. The participants were divided into healthy controls (n = 78) and patients with RA (n = 144). Pearson's correlation analysis was performed to assess the correlations between liver stiffness and the cumulative dose of MTX/LEF and other clinical and laboratory variables.Results: The mean elasticity modulus was 4.79 ± 0.92 kPa, excluding the presence of significant fibrosis. Mean 2D-SWE values were significantly lower in healthy controls than in RA treated with MTX and LEF. The cut-off ≥3.8 kPa 2D-SWE values with the sensitivity of 86.1%, specifity of 83.3%. 2D-SWE values were not significantly different across the strata of the cumulative MTX subgroups.Conclusions: MTX and LEF increase liver stiffness but may be considered low risk for the development of LF.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142288243","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

Can cavum septum pellucidum width and length measurements also be reliable indicators of corpus callosum measurements in normal fetuses? 透明隔腔的宽度和长度测量值也能作为正常胎儿胼胝体测量值的可靠指标吗？

IF 1.2 4区医学

Journal of Clinical Ultrasound Pub Date : 2024-09-20 DOI: 10.1002/jcu.23839

Sevim Tuncer Can, Hakan Golbasi, Burak Bayraktar, Ceren Saglam, Ibrahim Omeroglu, Raziye Torun, Ilayda Gercik, Hale Ankara Aktas, Atalay Ekin

{"title":"Can cavum septum pellucidum width and length measurements also be reliable indicators of corpus callosum measurements in normal fetuses?","authors":"Sevim Tuncer Can, Hakan Golbasi, Burak Bayraktar, Ceren Saglam, Ibrahim Omeroglu, Raziye Torun, Ilayda Gercik, Hale Ankara Aktas, Atalay Ekin","doi":"10.1002/jcu.23839","DOIUrl":"https://doi.org/10.1002/jcu.23839","url":null,"abstract":"Objective: To examine the association between cavum septum pellucidum (CSP) and corpus callosum (CC) length and width measurements in mid-trimester sonographic screening in normal fetuses.Methods: This prospective cohort study examined 152 pregnant women who underwent mid-trimester sonographic fetal anomaly screening. CSP and CC lengths and their anterior, middle, and posterior width measurements were examined sonographically. The association between length and width measurements of both structures, gestational week and CSP ratio (length/width) were evaluated.Results: The mean CSP length was 7.96 ± 1.09 mm, and the mean middle width was 3.43 ± 0.82 mm. The mean CC length was 20 ± 3.76 mm, and the mean middle width was 3.43 ± 0.82 mm. There was a positive correlation between CSP and CC lengths (r = 0.691, p < 0.001). There was also a significant correlation between CSP and CC anterior, middle and posterior widths (anterior (r = 0.366, p < 0.001), middle (r = 0.305, p < 0.001), and posterior (r = 0.233, p = 0.004)). All CSP and CC measurements were correlated with gestational age, biparietal diameter (BPD), and head circumference (HC) (p < 0.001, for all). The CSP ratio was not related to CC dimensions (p > 0.05, for all) and also decreased with the increase in BPD and HC dimensions (r = -0.186, p = 0.022, and r = -0.174, p = 0.032; respectively).Conclusion: In normal fetuses, the length and width of the CC and CSP structures developed in relation to each other, as well as to the gestational week, BPD, and HC dimensions. In addition, while the CSP ratio was not found to be associated with CC dimensions, it decreased due to the increase in BPD and HC sizes.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142288241","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 application value of prenatal ultrasound in conjoined twins. 产前超声波在连体婴儿中的应用价值。

IF 0.9 4区医学

Journal of Clinical Ultrasound Pub Date : 2024-09-19 DOI: 10.1002/jcu.23851

Juhua Xiao,Kun Liao,Zhiwen Tan,Jiping Xie,Hua Lai,Shouhua Zhang,Ye Luo

{"title":"The application value of prenatal ultrasound in conjoined twins.","authors":"Juhua Xiao,Kun Liao,Zhiwen Tan,Jiping Xie,Hua Lai,Shouhua Zhang,Ye Luo","doi":"10.1002/jcu.23851","DOIUrl":"https://doi.org/10.1002/jcu.23851","url":null,"abstract":"OBJECTIVETo evaluate the application and effectiveness of prenatal ultrasound in diagnosing and managing conjoined twins.METHODSA retrospective analysis was conducted on 20 cases of conjoined twins diagnosed at our hospital between January 2016 and December 2022. The types of conjoined twins, ultrasonographic characteristics, and associated anomalies were assessed.RESULTSThe gestational age at diagnosis ranged from 10 to 35 weeks, with an average of 14.21 ± 5.69 weeks. Thirteen cases were detected in the first trimester, five in the early second trimester, one at 23 + 2 weeks, and one at 35 weeks. Thoracopagus was the most common type (11 cases, 55%), followed by omphalopagus (4 cases, 20%), cephalopagus (4 cases, 20%), and parapagus dicephalus (1 case, 5%). In the first trimester, the most common abnormalities observed included increased nuchal translucency (NT), cystic hygroma, hydrops fetalis, and generalized edema. Major birth defects identified in conjoined twins were omphalocele (3 cases), congenital heart malformations (3 cases), neural tube defects (2 cases), urachal cyst (1 case), and umbilical cyst (1 case). Pregnancy was terminated in 18 cases, one case resulted in spontaneous abortion during the second trimester, and one case was delivered by cesarean section at 37 weeks, with successful separation and recovery.CONCLUSIONPrenatal ultrasound is the primary diagnostic tool for conjoined twins. It effectively assesses the extent of twin fusion, provides critical information for clinical decision-making, and aids in the management of obstetric care.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142252906","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

Ultrasonic features of hidradenoma papilliferum: An unexpected mass in the vulvar. 乳头状扁平湿疣的超声波特征：意想不到的外阴肿块

IF 0.9 4区医学

Journal of Clinical Ultrasound Pub Date : 2024-09-19 DOI: 10.1002/jcu.23820

Yue Wang,Jia-Hui Chen,Jian-Bo Zhu,Zhen-Zhen Jiang,Xia-Tian Liu

引用次数: 0

The development of point-of-care ultrasound (POCUS): Worldwide contributions and publication trends. 护理点超声（POCUS）的发展：全球贡献与出版趋势。

IF 0.9 4区医学

Journal of Clinical Ultrasound Pub Date : 2024-09-19 DOI: 10.1002/jcu.23846

Mümin Murat Yazici,Özcan Yavaşi

{"title":"The development of point-of-care ultrasound (POCUS): Worldwide contributions and publication trends.","authors":"Mümin Murat Yazici,Özcan Yavaşi","doi":"10.1002/jcu.23846","DOIUrl":"https://doi.org/10.1002/jcu.23846","url":null,"abstract":"PURPOSEPoint-of-care ultrasound (POCUS) concept is widely used in both emergency medicine (EM) and intensive care medicine (ICM). This study aimed to analyze the scientific articles on POCUS published by statistical methods and to evaluate the subject holistically.METHODSThis study is bibliographical, descriptive, and analytical in nature. POCUS-related publications published were downloaded from the Web of Science (WoS) database and analyzed using statistical methods. Network visualization maps were used to identify trending topics.RESULTSThe literature search revealed 5714 publications on POCUS in the WoS database. According to the WoS categorization of publications, the most common categories were emergency medicine (1751; 30.6%). The topics studied in recent years were deep learning, artificial intelligence, COVID-19, acute kidney injury, heart failure, and telemedicine.CONCLUSIONThis study on POCUS, we summarized 5714 publications published. According to our results, the trending topics in POCUS research in recent years include deep learning, artificial intelligence, COVID-19, acute kidney injury, heart failure and telemedicine. Our study can be a valuable resource for clinicians and scientists who are working on POCUS or will be working on POCUS in the future.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142252910","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‐guided percutaneous thrombin injection for the management of upper extremity pseudoaneurysms: 20 years of tertiary care center experience 超声引导下经皮凝血酶注射治疗上肢假性动脉瘤：三级医疗中心的 20 年经验

IF 0.9 4区医学

Journal of Clinical Ultrasound Pub Date : 2024-09-18 DOI: 10.1002/jcu.23829

Colin J. McCarthy, Jeffrey L. Weinstein, Julie C. Bulman, Sarah E. Schroeppel DeBacker, Seth J. Berkowitz, Arriyan S. Dowlatshahi, Muneeb Ahmed, Salomao Faintuch

{"title":"Ultrasound‐guided percutaneous thrombin injection for the management of upper extremity pseudoaneurysms: 20 years of tertiary care center experience","authors":"Colin J. McCarthy, Jeffrey L. Weinstein, Julie C. Bulman, Sarah E. Schroeppel DeBacker, Seth J. Berkowitz, Arriyan S. Dowlatshahi, Muneeb Ahmed, Salomao Faintuch","doi":"10.1002/jcu.23829","DOIUrl":"https://doi.org/10.1002/jcu.23829","url":null,"abstract":"PurposeTo evaluate the safety and efficacy of ultrasound‐guided percutaneous thrombin injection for the treatment of upper extremity pseudoaneurysms.MethodsAn institutional database containing 8,316,467 radiology reports was searched for suitable cases over a 241‐month period. Fourteen female and 10 male patients, average age of 69.7 years (range 29–93) underwent a total of 26 procedures for the management of upper extremity pseudoaneurysms, involving the radial (n = 9), brachial (n = 9) or other upper extremity arteries (n = 6). Baseline demographic and pseudoaneurysm characteristics were documented, together with primary and secondary success, failures, and complications. All procedures were performed with real‐time ultrasound guidance.ResultsThe mean pseudoaneurysm volume was 9.93 cm3 (range 0.06–111.62 cm3). Twelve cases were related to central line placement or arterial access. Primary success was obtained in 50% (n = 12) after a single ultrasound‐guided thrombin injection, and secondary success was achieved in an additional six (for a total success of 75%). Success was highest for the treatment of brachial artery pseudoaneurysms (87.5%), and in those who were diagnosed within 7 days of the inciting event, findings that were statistically significant (p‐value 0.046 and 0.002, respectively).ConclusionsUltrasound‐guided percutaneous thrombin injection is safe and effective for managing upper extremity pseudoaneurysms.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142268572","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

Accuracy of supervised measurement of fetal weight in a residency program 在住院医师培训项目中监督测量胎儿体重的准确性

IF 0.9 4区医学

Journal of Clinical Ultrasound Pub Date : 2024-09-18 DOI: 10.1002/jcu.23842

Ana Fabianne Brambila‐Rodríguez, Guillermo De La Cruz Villalobos, Juan Joel Domínguez‐Rodríguez, Héctor Oviedo‐Cruz

{"title":"Accuracy of supervised measurement of fetal weight in a residency program","authors":"Ana Fabianne Brambila‐Rodríguez, Guillermo De La Cruz Villalobos, Juan Joel Domínguez‐Rodríguez, Héctor Oviedo‐Cruz","doi":"10.1002/jcu.23842","DOIUrl":"https://doi.org/10.1002/jcu.23842","url":null,"abstract":"ObjectivesTo evaluate the accuracy of ultrasound estimates of fetal weight made by residents.MethodsA cross‐sectional study was conducted on consecutive pregnancies attended in an obstetric ward. All participants provided their consent to participate. Inclusion criteria were singleton pregnancies with ultrasound evaluation and delivery within 14 days. Congenital abnormalities and stillbirths were excluded. Ultrasound scans were performed by two residents, one observer per subject, following standardized methodology and supervised by senior staff. Fetal weight was calculated using the four‐parameter Hadlock 1985 formula. Birth weight was measured using a standard clinical scale. Bland–Altman and mixed‐effects analyses were performed.ResultsIn a 6‐month period, 95 gestations were recruited at 30–41 weeks, and birth weights ranged from 1200 to 4080 g. The bias between methods was −28 g (CI95%, −74 to 18) with 95% limits of agreement of ±440 g. The 95% deviation between methods was of ±16%. Parity had the most significant effect on the bias between methods; operator and maternal weight had no significant effect.ConclusionsSupervised measurement of fetal weight by residents demonstrated high accuracy. Parity bias may be associated with visceral fat deposition independent of maternal weight gain. A methodology for medical evaluation is presented.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142268793","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

Correlation between corrected carotid flow time and left ventricular outflow tract velocity‐time integral using a novel technique 利用新技术实现颈动脉血流校正时间与左心室流出道速度-时间积分之间的相关性

IF 0.9 4区医学

Journal of Clinical Ultrasound Pub Date : 2024-09-18 DOI: 10.1002/jcu.23838

Issac Cheong, Pablo Martín Merlo, Francisco Marcelo Tamagnone

{"title":"Correlation between corrected carotid flow time and left ventricular outflow tract velocity‐time integral using a novel technique","authors":"Issac Cheong, Pablo Martín Merlo, Francisco Marcelo Tamagnone","doi":"10.1002/jcu.23838","DOIUrl":"https://doi.org/10.1002/jcu.23838","url":null,"abstract":"BackgroundTransthoracic echocardiography (TTE) is widely used for assessing patients in the intensive care unit, with cardiac output measurement being crucial for hemodynamic monitoring. This is achieved by measuring the velocity‐time integral (VTI) of the left ventricular outflow tract (LVOT), which serves as a surrogate of stroke volume. However, conducting TTE in the critical care setting presents several challenges. Our primary objective was to investigate the relationship between carotid corrected flow time (cCFT) and LVOT VTI. Additionally, we aimed to determine the threshold cCFT value that reliably predicts a normal LVOT VTI.Materials and MethodsThis proof‐of‐concept study involves a post‐hoc analysis from a diagnostic accuracy investigation conducted in a medical‐surgical intensive care unit. We included patients admitted to the ICU from December 2021 to January 2022. We used a phased array transducer to measure the cCFT at the left supraclavicular fossa and the LVOT VTI in an apical 5‐chamber view.ResultsWe included 22 patients. The Spearman coefficient between LVOT VTI and cCFT was 0.82 (p < 0.0001). The area under the ROC curve for cCFT to predict LVOT VTI equal to or greater than 17 cm was 0.871 (95% CI 0.660–0.974). A cCFT exceeding 283 ms predicted LVOT VTI equal to or greater than 17 cm with a sensitivity of 93.3% (95% CI 68.1% to 99.8%) and specificity of 85.7% (95% CI 42.1% to 99.6%).ConclusionThe cCFT, measured using a novel technique with a phased array transducer, shows a strong correlation with LVOT VTI. Additionally, cCFT predicts a normal LVOT VTI with good sensitivity and specificity in critically ill patients. Larger studies are warranted to validate these findings.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142252911","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