Journal of Ultrasound in Medicine最新文献

Embedding Fetal Cardiologists in Maternal-Fetal-Medicine Clinics and Near Universal State-Wide Detection of Critical Cardiovascular Malformations: The Nevada Experience. 将胎儿心脏病专家嵌入母胎医学诊所，并在全州范围内检测严重的心血管畸形：内华达州的经验。

IF 2.4 4区医学

Journal of Ultrasound in Medicine Pub Date : 2026-06-01 Epub Date: 2025-12-15 DOI: 10.1002/jum.70155

William N Evans, Ruben J Acherman, Katrinka T Kip, Carlos F Luna, Joseph M Ludwick, Robert C Rollins, William J Castillo, John A Alexander, Tina W Kwan, Shilpi Garg, Humberto Restrepo

{"title":"Embedding Fetal Cardiologists in Maternal-Fetal-Medicine Clinics and Near Universal State-Wide Detection of Critical Cardiovascular Malformations: The Nevada Experience.","authors":"William N Evans, Ruben J Acherman, Katrinka T Kip, Carlos F Luna, Joseph M Ludwick, Robert C Rollins, William J Castillo, John A Alexander, Tina W Kwan, Shilpi Garg, Humberto Restrepo","doi":"10.1002/jum.70155","DOIUrl":"10.1002/jum.70155","url":null,"abstract":"Objective: To report our experience in the state of Nevada with embedding fetal cardiologists in maternal-fetal-medicine (MFM) clinics and with the current prenatal detection of critical cardiovascular malformations (CCVMs).Methods: We queried our databases for CCVMs, diagnosed pre- or postnatally, and undergoing fetal demise, elective termination, or born between August 2024 and August 2025. We defined CCVMs as those that required or would have required a therapeutic procedure in the first 60 days.Results: We identified 70 cases. Of the 70, 66 (94%) had prenatal care. Of the 66 with prenatal care, 62 (94%) were diagnosed prenatally by embedded fetal cardiologists at MFM clinics. For the 62 pregnant women, the reasons for obstetric referrals to MFM care were: 34 (55%) with maternal comorbidities alone, 16 (25%) with maternal comorbidities and suspected fetal anomalies, 9 (15%) with suspected fetal anomalies alone, and 3 (5%) for initial fetal anatomical surveys without maternal comorbidities. For the 62 pregnant women, the indications for fetal cardiologist-attended fetal echocardiograms were: 53 (86%) with a suspected fetal cardiovascular malformation noted on a previous MFM perinatal sonographer's ultrasound, 4 (6%) with a suspected extracardiac fetal anomaly, 4 (6%) with previous poor visualization, and 1 (2%) with a family history of congenital heart disease.Conclusions: In Nevada, the most recent prenatal detection of CCVMs was 94% statewide. Additionally, 95% of those prenatally diagnosed were products of high-risk pregnancies. Further, embedding fetal cardiologists in all MFM clinics has enhanced the skills of perinatal sonographers and maximized prenatal detection rates statewide.","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":"1201-1208"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145757060","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

Clinical Considerations on the Applicability of Shell-Based Shear Wave Elastography for Differentiating HCC from Liver Metastasis. 壳基剪切波弹性成像鉴别HCC与肝转移的临床探讨。

IF 2.4 4区医学

Journal of Ultrasound in Medicine Pub Date : 2026-06-01 Epub Date: 2025-12-20 DOI: 10.1002/jum.70160

Cheng Liu, Mingmei Liao

引用次数: 0

Ultrasound-Guided Peripheral Nerve Blocks for Percutaneous Treatments of Common Tendinopathies. 超声引导下周围神经阻滞治疗常见肌腱病。

IF 2.4 4区医学

Journal of Ultrasound in Medicine Pub Date : 2026-06-01 Epub Date: 2026-01-02 DOI: 10.1002/jum.70172

Tomás Ribeiro-da-Silva, Robert D Pagan Rosado, Wesley Troyer, Matthew A Cascio, Eva Kubrova, Sebastian Encalada, Nuno Ferreira-Silva, Mark Friedrich B Hurdle

{"title":"Ultrasound-Guided Peripheral Nerve Blocks for Percutaneous Treatments of Common Tendinopathies.","authors":"Tomás Ribeiro-da-Silva, Robert D Pagan Rosado, Wesley Troyer, Matthew A Cascio, Eva Kubrova, Sebastian Encalada, Nuno Ferreira-Silva, Mark Friedrich B Hurdle","doi":"10.1002/jum.70172","DOIUrl":"10.1002/jum.70172","url":null,"abstract":"Objectives: Ultrasound-guided percutaneous needle fenestration (UPNF) and percutaneous needle tenotomy (UPNT) are minimally invasive procedures commonly used to treat chronic tendinopathies. However, these techniques can be painful, potentially limiting patient tolerance, satisfaction, and procedural feasibility. Although local anesthetics (LAs) provide analgesia, their potential inhibitory effects on tenocyte activity and the efficacy of orthobiologics raise concerns regarding their impact on tendon healing. The objectives of this study is to propose a practical, anatomy-based approach for the use of ultrasound-guided peripheral nerve blocks (USG-PNBs) as a strategy to reduce pain and improve patient comfort during UPNF and UPNT, with or without orthobiologic adjuncts.Methods: We reviewed commonly affected anatomical sites in chronic tendinopathies and identified corresponding peripheral nerve targets that can be reliably and safely blocked under ultrasound guidance. For each condition, we outline appropriate nerve block techniques, anatomical landmarks, and recommended patient positioning to optimize procedural analgesia.Results: A set of targeted USG-PNBs was defined for commonly treated tendinopathies, including supraspinatus tendinopathy, lateral and medial epicondylitis, gluteus medius and/or minimus tendinopathy, patellar tendinopathy, Achilles tendinopathy, and plantar fasciopathy.Conclusion: Ultrasound-guided peripheral nerve blocks represent a practical and effective approach to manage pain during percutaneous procedures for chronic tendinopathies. By reducing procedural discomfort and avoiding the potential drawbacks of peritendinous LAs, these techniques may enhance patient tolerance, procedural success, and overall clinical outcomes.","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":"1139-1161"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145889499","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

AIUM Practice Parameter for the Performance of Diagnostic and Screening Ultrasound of the Abdominal Aorta in Adults, 2025 Revision. 美国医学学会成人腹主动脉超声诊断与筛查实践参数，2025年修订。

IF 2.4 4区医学

Journal of Ultrasound in Medicine Pub Date : 2026-06-01 Epub Date: 2026-01-12 DOI: 10.1002/jum.70167

引用次数: 0

Breaking Bad News in Ultrasound: Perspectives From Radiologists and Radiology Residents From a Developing Nation. 超声波的坏消息：来自发展中国家放射科医生和放射科住院医师的观点。

IF 2.4 4区医学

Journal of Ultrasound in Medicine Pub Date : 2026-06-01 Epub Date: 2025-12-25 DOI: 10.1002/jum.70152

Michael Teklehaimanot Abera, Yodit Abraham Yaynishet, Kibruyisfaw Weldeab Abore, Henok Dessalegn Damtew, Natnael Alemu Bezabih, Raja Tamiru Muleta, Bereket Girum Beyene, Tesfaye Kebede Legesse, Moges Zenebe Wegayehu, Daniel Admassie Tadesse, Samuel Sisay Hailu

{"title":"Breaking Bad News in Ultrasound: Perspectives From Radiologists and Radiology Residents From a Developing Nation.","authors":"Michael Teklehaimanot Abera, Yodit Abraham Yaynishet, Kibruyisfaw Weldeab Abore, Henok Dessalegn Damtew, Natnael Alemu Bezabih, Raja Tamiru Muleta, Bereket Girum Beyene, Tesfaye Kebede Legesse, Moges Zenebe Wegayehu, Daniel Admassie Tadesse, Samuel Sisay Hailu","doi":"10.1002/jum.70152","DOIUrl":"10.1002/jum.70152","url":null,"abstract":"Objectives: Delivering bad or unexpected news is a challenging and potentially distressing task for radiologists. In developing nations, growing health literacy will likely drive more patients to be more interested in learning the details of their diagnosis. This study aimed to provide foundational insight into Ethiopian radiologists' and radiology residents' preferences and associated factors for breaking bad news during ultrasound examinations.Methods: We conducted a nationwide online survey study among practicing radiologists and clinical radiology residents across 6 residency programs, with a target study population of approximately 500. We used a pretested, standardized, self-administered questionnaire. Descriptive analysis was performed using SPSS 26.Results: The study achieved a response rate of 36.2% (181 respondents). 92 (50.8%) were radiologists and 89 (49.2%) were clinical radiology residents. Preference for breaking bad news was dependent on the severity of ultrasound findings; 105 respondents (58%) disagreed or strongly disagreed with communicating severe ultrasound findings, while only 18 (9.9%) and 23 (12.7%) would not communicate bad news if the ultrasound showed no or mild abnormalities, respectively.Conclusion: The tendency to communicate bad news during ultrasound examination decreases as the severity of the diagnosis worsens. This points to a gap in handling difficult news in imaging practice. Agreement on communication roles, informed by research with patients and doctors, is needed. Structured training can strengthen trust, visibility, and patient-centered care.","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":"1191-1199"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145827964","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

Obstetric Ultrasound Utilization and Expenditures in a Commercially Insured Population (2016-2022). 2016-2022年商业参保人群产科超声使用与支出

IF 2.4 4区医学

Journal of Ultrasound in Medicine Pub Date : 2026-06-01 Epub Date: 2025-12-27 DOI: 10.1002/jum.70157

Amanda Speller, Joanne Armstrong, Kathe Fox, Anna D Sinaiko

{"title":"Obstetric Ultrasound Utilization and Expenditures in a Commercially Insured Population (2016-2022).","authors":"Amanda Speller, Joanne Armstrong, Kathe Fox, Anna D Sinaiko","doi":"10.1002/jum.70157","DOIUrl":"10.1002/jum.70157","url":null,"abstract":"Objectives: To analyze obstetric ultrasound utilization and expenditures per live birth delivery among the commercially insured from 2016 to 2022 and present updated trends and variation in use by type of ultrasound and across subgroups.Methods: In this retrospective United States-based cohort study, obstetric ultrasound utilization and expenditures during pregnancy were measured for a cohort of all deliveries with at least 28-week gestation that resulted in a live birth between January 1, 2017 and December 31, 2022, using the Health Care Cost Institute commercial claims database. We report utilization trends and the clinical and sociodemographic factors correlated with utilization using descriptive statistics and negative binomial regression.Results: In our sample of 1,731,823 pregnancies, there were an average of 5.3 (SD ± 3.9) claims for obstetric ultrasounds per live birth delivery. After adjusting for covariates, the number of ultrasounds per live birth increased by 8.3% and inflation-adjusted spending for these ultrasounds increased 5.6% over the 7-year study period (p < .001); though utilization decreased during the COVID-19 pandemic in 2020. Follow-up ultrasound (CPT 76816) was the fastest growing procedure.Conclusion: Obstetric ultrasound utilization and expenditures increased from 2016 to 2022. Information on the variation in patterns and trends related to obstetric ultrasound use may assist policy makers in their assessment of resource utilization and approach to reimbursement design, such as obstetric bundled payments.","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":"1223-1234"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145843976","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

Game-Changing Advances in Infant Hip Dysplasia Evaluation With Ultrasound. 婴儿髋关节发育不良超声评估的革命性进展。

IF 2.4 4区医学

Journal of Ultrasound in Medicine Pub Date : 2026-06-01 Epub Date: 2025-12-30 DOI: 10.1002/jum.70161

Michael Fadell, Aryan Azmi, Adam McArthur, Wudbhav Woody N Sankar, Sukhdeep Dulai, Jacob L Jaremko

引用次数: 0

Application of Ultra Micro Angiography in Differential Diagnosis of Renal Tumors. 超微血管造影在肾脏肿瘤鉴别诊断中的应用。

IF 2.4 4区医学

Journal of Ultrasound in Medicine Pub Date : 2026-06-01 Epub Date: 2025-12-24 DOI: 10.1002/jum.70165

Rui Cheng, Yu-Quan Peng, Ying Wang, Si-Si Li, Xiu-Wu Pan, Shao-Jun Chen, Juan Cheng, Yun-Lin Huang, Li Wei, Xin-Gang Cui, Yi Dong

{"title":"Application of Ultra Micro Angiography in Differential Diagnosis of Renal Tumors.","authors":"Rui Cheng, Yu-Quan Peng, Ying Wang, Si-Si Li, Xiu-Wu Pan, Shao-Jun Chen, Juan Cheng, Yun-Lin Huang, Li Wei, Xin-Gang Cui, Yi Dong","doi":"10.1002/jum.70165","DOIUrl":"10.1002/jum.70165","url":null,"abstract":"Objective: To evaluate the clinical application value of ultra micro angiography (UMA) in noninvasively differential diagnosis between benign and malignant renal tumors.Methods: In this retrospective study, 65 patients diagnosed with solid renal tumors and intended for surgical resection in our hospital between December 2023 and March 2025 were enrolled. All patients underwent B mode ultrasound, color Doppler flow imaging (CDFI) and UMA 1 week before surgery resections. Adler semiquantitative analysis (Grades 0-3) and vascular morphology (patterns A-F) were used to assess the blood flow within the renal tumors. Based on histopathological results after surgery, patients were divided into benign and malignant groups. Using high-level blood flow signals (Grades 2 and 3) and hypervascular supply (patterns E and F) as diagnostic criteria for malignant renal tumors, the diagnostic efficiency of CDFI and UMA were analyzed and compared.Results: According to surgical resection and histopathological results, patients were divided into benign group (n = 10) and malignant group (n = 55). On UMA, vascular morphology patterns and Adler grades in malignant group were significantly higher than those in benign group (P < .05). More high-level blood flow signals and more complex vascular morphology patterns were detected by UMA than CDFI for malignant renal tumors (91.3% vs. 54.4%, 64.9% vs. 19.3%), with the area under curve of characteristics of 0.71 vs. 0.59, and 0.73 vs. 0.50, respectively.Conclusions: By sensitively displaying tiny and low-velocity blood flow signals, UMA has potential value in preoperative noninvasively differential diagnosis between benign and malignant renal tumors.","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":"1247-1255"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145819977","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

Re: Timor-Tritsch IE, et al. "Cesarean Scar Pregnancy Spectrum." J Ultrasound Med. 2025. 回复：Timor-Tritsch IE等。“剖宫产疤痕妊娠谱。”J超声医学。2025。

IF 2.4 4区医学

Journal of Ultrasound in Medicine Pub Date : 2026-06-01 Epub Date: 2025-12-24 DOI: 10.1002/jum.70154

Robert De Leeuw, Hans Brolmann, Inge Jordans, Carry Verberkt, Wouter Hehenkamp, Davor Jurkovic, Judith Huirne

引用次数: 0

Interpreting Peritumoral Elastography-Technical and Pathologic Considerations. 解释肿瘤周围弹性成像-技术和病理考虑。

IF 2.4 4区医学

Journal of Ultrasound in Medicine Pub Date : 2026-06-01 Epub Date: 2025-12-20 DOI: 10.1002/jum.70159

Mahsima Gül Gümrükçü, Enes Gürün

引用次数: 0