Journal of Ultrasound in Medicine最新文献

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Wavelet-Based Frequency Replacement and Edge Enhancement for Semi-Supervised Fetal Ultrasound Image Segmentation. 基于小波变换和边缘增强的半监督胎儿超声图像分割。
IF 2.4 4区 医学
Journal of Ultrasound in Medicine Pub Date : 2026-06-01 Epub Date: 2026-01-08 DOI: 10.1002/jum.70171
Wenbo Yue, Xiaming Wu, Qing Huang, Xinglong Wu, Chang Li, Yajun Yu, Jun Lyu, Guoping Xu
{"title":"Wavelet-Based Frequency Replacement and Edge Enhancement for Semi-Supervised Fetal Ultrasound Image Segmentation.","authors":"Wenbo Yue, Xiaming Wu, Qing Huang, Xinglong Wu, Chang Li, Yajun Yu, Jun Lyu, Guoping Xu","doi":"10.1002/jum.70171","DOIUrl":"10.1002/jum.70171","url":null,"abstract":"<p><strong>Objectives: </strong>Ultrasound image segmentation remains a significant challenge due to inherent low contrast and blurred anatomical boundaries. Fully supervised deep learning approaches require extensive annotated datasets, which are costly and labor-intensive to acquire. This study aims to develop an effective semi-supervised segmentation framework for ultrasound images with limited annotations.</p><p><strong>Methods: </strong>We propose a novel semi-supervised segmentation framework tailored for ultrasound images, leveraging frequency component augmentation and edge mask enhancement to promote structural consistency between weakly and strongly augmented inputs. Specifically, discrete wavelet transform (DWT) is used to decompose ultrasound images into low-frequency and high-frequency sub-bands. A high-frequency component replacement strategy is introduced for strongly augmented images, and an edge mask enhancement module is designed to further emphasize anatomical boundaries.</p><p><strong>Results: </strong>Experiments conducted on 3 public fetal ultrasound imaging segmentation datasets-PSFHS, HC18, and CCAUI-demonstrate that our method achieves average Dice similarity coefficients (DSC) of 0.81 and 0.91, respectively, using only 10 annotated images. This represents a 2-3% DSC improvement over existing semi-supervised methods such as FixMatch. Ablation studies confirm the effectiveness of both the high-frequency augmentation and edge enhancement components.</p><p><strong>Conclusion: </strong>The proposed framework offers a promising direction for ultrasound image segmentation in settings with limited annotations, effectively improving segmentation accuracy by combining frequency-domain augmentation and edge-aware enhancement. Code will be available at https://github.com/apple1986/WTEM-SemiSeg.</p>","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":"1163-1179"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145933891","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
Noninvasive Assessment of Hepatic Steatosis in Metabolic Dysfunction-Associated Steatotic Liver Disease Patients by Using Ultrasound Attenuation Imaging. 超声衰减成像对代谢功能障碍相关脂肪肝患者肝脂肪变性的无创评估
IF 2.4 4区 医学
Journal of Ultrasound in Medicine Pub Date : 2026-06-01 Epub Date: 2025-12-18 DOI: 10.1002/jum.70156
Kun Wang, Qun Liu, Jing Wang, Minghui Wang, Jinqiao Zhang, Yanjie Yu, Ling Liu, Hairong Liu
{"title":"Noninvasive Assessment of Hepatic Steatosis in Metabolic Dysfunction-Associated Steatotic Liver Disease Patients by Using Ultrasound Attenuation Imaging.","authors":"Kun Wang, Qun Liu, Jing Wang, Minghui Wang, Jinqiao Zhang, Yanjie Yu, Ling Liu, Hairong Liu","doi":"10.1002/jum.70156","DOIUrl":"10.1002/jum.70156","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the diagnostic performance of ultrasound attenuation analysis (USAT) in evaluating hepatic steatosis in patients with metabolic dysfunction-associated steatotic liver disease (MASLD), with magnetic resonance imaging proton density fat fraction (MRI-PDFF) as the reference.</p><p><strong>Methods: </strong>Participants were recruited. Each participant underwent both USAT and MRI-PDFF examinations on the same day. We employed MRI-PDFF thresholds to classify the stages of hepatic steatosis. Univariable and multivariable linear regression analyses were conducted to identify significant factors influencing USAT. Receiver operating characteristic (ROC) curve analysis was utilized to evaluate the diagnostic performance of USAT in predicting the grade of liver steatosis and compared with visual hepatic steatosis grade (VHSG) and clinical prediction models.</p><p><strong>Results: </strong>A total of 145 patients took part in this study. The correlation coefficient between USAT and MRI-PDFF was 0.805 (p < .050). USAT varied significantly across different hepatic steatosis grade. Triglyceride (TG) and steatosis grade were significant determinant factors for USAT. The areas under the ROC curve of USAT for predicting steatosis ≥ S1, ≥ S2, and =S3 were 0.90 (cut-off value of 0.61 dB/cm/MHz), 0.92 (cut-off value of 0.71 dB/cm/MHz), and 0.92 (cut-off value of 0.82 dB/cm/MHz), respectively. The diagnostic performance of USAT was statistically better than that of VHSG, Hepatic steatosis index (HSI), and Framingham steatosis index (FSI).</p><p><strong>Conclusion: </strong>USAT is a promising quantitative tool for the quantitative assessment of hepatic steatosis in patients with MASLD, demonstrating a stronger correlation with MRI-PDFF.</p>","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":"1209-1222"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145774958","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
A Novel Semi-Quantified Method for Grading Sonographic Severity of Adenomyosis and its Relation With Clinical Symptoms: An Observational Study. 一种新的半量化子宫腺肌症超声严重程度分级方法及其与临床症状的关系:一项观察性研究。
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.70166
Lisa M Trommelen, Cilla Verbeek, Thierry van den Bosch, Karin P M van Galen, Judith A F Huirne, Robert A de Leeuw
{"title":"A Novel Semi-Quantified Method for Grading Sonographic Severity of Adenomyosis and its Relation With Clinical Symptoms: An Observational Study.","authors":"Lisa M Trommelen, Cilla Verbeek, Thierry van den Bosch, Karin P M van Galen, Judith A F Huirne, Robert A de Leeuw","doi":"10.1002/jum.70166","DOIUrl":"10.1002/jum.70166","url":null,"abstract":"<p><strong>Objective: </strong>To correlate the sonographic severity of adenomyosis, assessed with real-time ultrasound and a novel semi-quantified method (XI-VOCAL counting and categories) with adenomyosis-associated symptoms.</p><p><strong>Methods: </strong>This observational study was conducted in a tertiary referral outpatient clinic. We consecutively included 115 participants with ≥1 direct ultrasonographic adenomyosis feature; those with dominant myoma, malignancy, pelvic infection, pregnancy, breastfeeding, inadequate imaging, postmenopause, or hormonal medication use were excluded. A routine clinical protocol was followed for anamnestic and ultrasound data. Menstrual bleeding was assessed subjectively (three-point scale) and with a pictorial blood loss analysis chart (PBAC). Dysmenorrhea, dyspareunia, and chronic pelvic pain were evaluated using a numeric rating scale (NRS). A retrospective questionnaire was sent for missing items. Real-time severity was scored by experienced gynecologists. XI-VOCAL-based severity was assessed independently and blinded to clinical data, providing two severity scores: XI-VOCAL counting and XI-VOCAL categories. Correlations with symptoms were analyzed using Jonckheere-Terpstra, linear and logistic regression.</p><p><strong>Results: </strong>The real-time severity (severe vs mild) showed a strong correlation with adjusted PBAC (β 590.01, 95% CI 207.16-972.86, P < .01) and subjective blood loss assessment (OR 5.48, 95% CI 1.14-26.28, P < .05). Additionally, a strong correlation was found between XI-VOCAL counting and XI-VOCAL categories with adjusted PBAC score (XI-VOCAL counting: β 53.15, 95% CI 12.06-94.24, P < .05; XI-VOCAL categories (severe vs mild): β 627.36, 95% CI 165.92-1088.81, P < .05). No correlations were found with adjusted dysmenorrhea, chronic abdominal/pelvic pain, or dyspareunia.</p><p><strong>Conclusion: </strong>Both real-time severity and XI-VOCAL-assessed severity correlate with adjusted PBAC scores and subjective blood assessment. XI-VOCAL appears more standardized, while real-time assessment may be influenced by symptom severity. Larger studies correcting for pain-related confounders are needed.</p>","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":"1259-1274"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13148879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145827875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical and Imaging Features of Gastric-Type Endocervical Adenocarcinoma: A Report of 9 Cases with Literature Review. 胃型宫颈内膜腺癌9例临床及影像学特征分析并文献复习。
IF 2.4 4区 医学
Journal of Ultrasound in Medicine Pub Date : 2026-06-01 Epub Date: 2026-01-03 DOI: 10.1002/jum.70173
Jiao Chen, Yuanyuan Guo, Ying Tang, Ruhui Xiao
{"title":"Clinical and Imaging Features of Gastric-Type Endocervical Adenocarcinoma: A Report of 9 Cases with Literature Review.","authors":"Jiao Chen, Yuanyuan Guo, Ying Tang, Ruhui Xiao","doi":"10.1002/jum.70173","DOIUrl":"10.1002/jum.70173","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;To analyze the clinical and imaging characteristics of gastric-type endocervical adenocarcinoma (GEA) with the aim of enhancing sonographers' awareness and early diagnostic proficiency regarding this disease.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A retrospective analysis was conducted on 9 patients with pathologically confirmed GEA treated at our institution between 2021 and 2024. The study involved a systematic evaluation of clinical manifestations along with transvaginal ultrasonography and magnetic resonance imaging (MRI) characteristics, aiming to analyze the relationship between clinical features and imaging findings in this disease.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Clinical characteristics: Nine patients were included. The patients' ages ranged from 28 to 52 years (mean 45.7 ± 8.5). Chief complaints were isolated watery vaginal discharge (4 cases), watery discharge with pelvic pain (1 case), watery discharge with post-coital bleeding (2 cases), and lower-abdominal pain alone (2 cases). HPV screening results were negative in 8 cases, with 1 case positive for HPV type 56. Thin-prep cytology test (TCT) results were negative in 7 cases; 1 case showed atypical glandular cells (suspected cervical origin), and 1 case indicated a few high-grade squamous intraepithelial lesions (HSIL). Gynecological examination revealed cervical hypertrophy with erosion (5 cases), hypertrophy with induration (2 cases), a smooth cervix with mild erosion (1 case), and a normal-size, smooth cervix (1 case). Colposcopy and cervical biopsy indicated: adenocarcinoma (3 cases), suspicious abnormalities (2 cases), CIN I (2 cases), and chronic cervicitis (2 cases). Pre-operative tumor markers: isolated elevation of CA 19-9 (2 cases), concomitant elevation of CA 19-9 and CA 125 (4 cases), and normal values for both markers (3 cases). The duration from symptom onset to diagnosis was ≥1 year in 5 cases.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Imaging findings: &lt;/strong&gt;All patients underwent preoperative transvaginal ultrasound examination. The findings were as follows: abnormal cervical echogenicity (3 cases), cervical cancer involving the parametrium (2 cases), a cervical polyp (1 case), a cervical cyst (1 case), and no abnormality was detected in 1 case. Eight patients subsequently underwent pelvic MRI. Among these, 5 examinations were reported as malignant cervical neoplasm, 1 as endometrial carcinoma, 1 as suspicious thickening of the endocervical mucosa, and no appreciable mass was found in 1 case.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;GEA is characterized by an occult location, low rate of early detection, aggressive behavior, and poor prognosis. Nevertheless, its clinical presentation and imaging findings remain recognizable. In patients who present with persistent, profuse, watery vaginal discharge, careful evaluation of the upper and middle segments of the endocervical canal during gynecological examination and transvaginal ultrasonography is essential to improve early d","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":"1289-1296"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145896668","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
Exploring the Application of Dual-Gate Doppler Technology in Evaluating the Fetal Cardiac Global Function of Gestational Diabetes Mellitus. 双门多普勒技术在评估妊娠期糖尿病胎儿心脏整体功能中的应用探讨。
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.70151
Qingsha Hou, Shixiang Luo, Fugang Mao, Xudong Dong, Xiuling Li, Xiang Yang, Fang Yan
{"title":"Exploring the Application of Dual-Gate Doppler Technology in Evaluating the Fetal Cardiac Global Function of Gestational Diabetes Mellitus.","authors":"Qingsha Hou, Shixiang Luo, Fugang Mao, Xudong Dong, Xiuling Li, Xiang Yang, Fang Yan","doi":"10.1002/jum.70151","DOIUrl":"10.1002/jum.70151","url":null,"abstract":"<p><strong>Background: </strong>Gestational diabetes mellitus (GDM) is a common complication observed during pregnancy, with its global prevalence increasing in recent years. GDM has been linked to adverse myocardial remodeling in the fetus and impaired fetal cardiac function. This study seeks to evaluate the impact of GDM on fetal global cardiac function using dual-gate Doppler ultrasound (DD) technology, and to investigate the potential benefits and advantages of DD technology in assessing fetal cardiac function.</p><p><strong>Methods: </strong>A cohort consisting of 56 pregnant women diagnosed with gestational diabetes mellitus between 24 and 28 weeks of gestation (GDM group) was selected, alongside a control group of 55 pregnant women with normal glucose levels at the same gestational age. Both the conventional pulsed combined method and the dual-gate (DD) method were utilized to evaluate the ultrasound parameters of fetal global cardiac function in both groups. These parameters included isovolumic contraction time (ICT), isovolumic relaxation time (IRT), and ejection time (ET), from which the Tei index was subsequently calculated.</p><p><strong>Results: </strong>The ICT, IRT, and Tei index of the left heart in the GDM group were significantly elevated compared to the control group (P < .05). Although ET in the GDM group, as assessed by the combined method, demonstrated a decreasing trend, this difference did not achieve statistical significance (P > .05). Conversely, the ET determined by the DD method in the GDM group was significantly reduced compared to the control group (P < .05). Right ventricular Tei index measurements showed poor consistency, with intraobserver ICCs of 0.56 for the separated measurement and 0.58 for the DD method, and interobserver ICCs of 0.50 and 0.53. As a result, right ventricular Tei indices were excluded from the final analysis.</p><p><strong>Conclusion: </strong>Pregnant women with GDM will cause an increase in the Tei index of the fetal left global cardiac function, indicating that the intrauterine hyperglycemic environment can cause damage to the global fetal cardiac function. The global fetal cardiac function was impaired in both the well-controlled and poorly controlled GDM groups, suggesting that early detection of GDM and the fetal cardiac dysfunction caused by GDM are necessary. The measurement of the Tei index of the left heart in the fetus using dual-gate Doppler technology can help detect the fetal cardiac dysfunction caused by GDM at an early stage, while the application of dual-gate Doppler technology in the overall cardiac function of the right heart still faces significant challenges.</p>","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":"1181-1190"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145863361","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
A Study on the Characteristics of Sonazoid Contrast-Enhanced Ultrasound in the Transitional Phase for Common Focal Liver Lesions and Its Value in Differential Diagnosis. 常见局灶性肝脏病变过渡期超声造影特征及其鉴别诊断价值的研究。
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.70162
Yunhao Luo, Danlin Wen, Jing Zhang, Zhengrong Song, Yang Liu, Yan Liu, Qiang Mao, Yunquan Zhou, Liwen Ma, Congcong Yu, Lang Qiao
{"title":"A Study on the Characteristics of Sonazoid Contrast-Enhanced Ultrasound in the Transitional Phase for Common Focal Liver Lesions and Its Value in Differential Diagnosis.","authors":"Yunhao Luo, Danlin Wen, Jing Zhang, Zhengrong Song, Yang Liu, Yan Liu, Qiang Mao, Yunquan Zhou, Liwen Ma, Congcong Yu, Lang Qiao","doi":"10.1002/jum.70162","DOIUrl":"10.1002/jum.70162","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the value of transitional phase characteristics on Sonazoid contrast-enhanced ultrasound (S-CEUS) in the differential diagnosis of common focal liver lesions (FLLs).</p><p><strong>Materials and methods: </strong>This prospective multicenter study enrolled 122 participants with FLLs from 8 medical centers between December 2023 and March 2025. The study comprised 43 cases of hepatic hemangioma (HH), 35 cases of hepatocellular carcinoma (HCC), and 44 cases of liver metastases (LM). All participants underwent standardized S-CEUS examinations. The enhancement characteristics and washout patterns during the transitional phase were analyzed for all participants.</p><p><strong>Results: </strong>Significant differences were observed among the three types of lesions in terms of early arterial enhancement patterns, time to start of washout, and the degree of enhancement during the transitional phase (P < .01). The optimal diagnostic efficacy was achieved with the following criteria: washout start at 3.5 min for diagnosing HH (AUC = 0.974); mild hypoenhancement observed in 3 and 4 min for diagnosing HCC (AUC = 0.880 and 0.879); and marked hypoenhancement observed between 4 and 6 min for diagnosing LM (AUC = 0.911-0.916).</p><p><strong>Conclusion: </strong>The dynamic characteristics of the transitional phase in S-CEUS can effectively differentiate common FLLs, providing a valuable basis for precise clinical diagnosis.</p>","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":"1235-1245"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13148878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145819897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Decoding the Echoes: Advancing Ultrasound Habitat Radiomics for Precision Nodal Staging in Breast Cancer. 解码回声:推进超声栖息地放射组学对乳腺癌淋巴结的精确分期。
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.70169
Weiqi Feng, Zhibin Cong
{"title":"Decoding the Echoes: Advancing Ultrasound Habitat Radiomics for Precision Nodal Staging in Breast Cancer.","authors":"Weiqi Feng, Zhibin Cong","doi":"10.1002/jum.70169","DOIUrl":"10.1002/jum.70169","url":null,"abstract":"","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":"1325-1326"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145827937","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
Construction and Evaluation of a Ballistic Gelatin-Based Simulator for Transcervical Chorionic Villus Sampling. 基于弹道明胶的经宫颈绒毛膜绒毛采样模拟器的构建与评价。
IF 2.4 4区 医学
Journal of Ultrasound in Medicine Pub Date : 2026-06-01 Epub Date: 2025-12-23 DOI: 10.1002/jum.70153
Joshua F Nitsche, S Delaney, Peter Napolitano, Brian C Brost
{"title":"Construction and Evaluation of a Ballistic Gelatin-Based Simulator for Transcervical Chorionic Villus Sampling.","authors":"Joshua F Nitsche, S Delaney, Peter Napolitano, Brian C Brost","doi":"10.1002/jum.70153","DOIUrl":"10.1002/jum.70153","url":null,"abstract":"<p><p>Chorionic villus sampling (CVS) is a crucial prenatal diagnostic tool, but a declining number of procedures makes training a challenge. Here we describe a transcervical CVS simulator made from ballistic gelatin. Ninety-three Maternal-Fetal Medicine providers used the simulators during hands-on workshops and completed surveys regarding their fidelity and usefulness in training. Surveys showed median scores of 5 (interquartile range: 4-5) for the fidelity of the ultrasound images, fidelity of the haptic feel, and its usefulness in training. This suggests the simulator will be an effective training tool and provide needed alternative training opportunities for MFM fellows.</p>","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":"1297-1306"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145810380","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 Is Valuable in Assessing Treatment Response, Guiding Treatment Strategy, and Predicting Outcomes in Small Bowel Stricturing Crohn's Disease. 超声在评估小肠狭窄性克罗恩病的治疗反应、指导治疗策略和预测预后方面有价值。
IF 2.4 4区 医学
Journal of Ultrasound in Medicine Pub Date : 2026-06-01 Epub Date: 2025-12-29 DOI: 10.1002/jum.70170
Ze-Min Han, Welera Haissou Elodie, Wen-Juan Zhang, Pei-Chun Xu, Li-Hua Yan, Fa-Chao Zhi, Xin-Mei Zhao
{"title":"Ultrasound Is Valuable in Assessing Treatment Response, Guiding Treatment Strategy, and Predicting Outcomes in Small Bowel Stricturing Crohn's Disease.","authors":"Ze-Min Han, Welera Haissou Elodie, Wen-Juan Zhang, Pei-Chun Xu, Li-Hua Yan, Fa-Chao Zhi, Xin-Mei Zhao","doi":"10.1002/jum.70170","DOIUrl":"10.1002/jum.70170","url":null,"abstract":"<p><strong>Objectives: </strong>The role of ultrasound in small bowel stricturing Crohn's disease (CD) is unclear. We aimed to investigate whether intestinal ultrasound can be used to monitor treatment response, guide treatment strategy, and predict outcomes in small bowel stricturing CD.</p><p><strong>Methods: </strong>We performed a multicenter retrospective study of 121 consecutive patients with small bowel stricturing CD who received biological therapy for at least 3 months. Two kinds of ultrasonographic response were evaluated: inflammation response (improvement in bowel wall thickness and vascular intensity) and stricture response (inflammation response with no luminal narrowing). Treatment was optimized when no inflammation response or loss of inflammation response was detected. Cox regression analysis was performed to investigate the predictors of CD-related hospitalization.</p><p><strong>Results: </strong>The rate of inflammation response increased from 57.0% at the end of induction therapy (date 1) to 67.8% 1 year later (date 2) (p = .031). No significant difference was observed for the rate of stricture response between date 1 and date 2 (28.1% versus 27.3%, p = 1.000). Ultrasound led to 91 treatment optimizations, after which 29 patients achieved inflammation response and 9 achieved stricture response. Multivariate analysis showed that stricture response at the end of induction therapy was independently associated with a decreased risk for CD-related hospitalization (hazard ratio 0.29, 95% CI 0.09-0.96; p = .043).</p><p><strong>Conclusion: </strong>Intestinal ultrasound can be used to monitor treatment response and guide treatment strategy in small bowel stricturing CD. Early stricture response on intestinal ultrasound is associated with improved outcomes.</p>","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":"1277-1288"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145856279","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
High Prevalence of Heterotopic Ossification in Mild Hemophilia: A Biological Inevitability or a Prophylactic Blind Spot? 轻度血友病异位骨化高发:生物学必然性还是预防盲点?
IF 2.4 4区 医学
Journal of Ultrasound in Medicine Pub Date : 2026-06-01 Epub Date: 2025-12-23 DOI: 10.1002/jum.70164
Haixin Wang, Zhibin Cong
{"title":"High Prevalence of Heterotopic Ossification in Mild Hemophilia: A Biological Inevitability or a Prophylactic Blind Spot?","authors":"Haixin Wang, Zhibin Cong","doi":"10.1002/jum.70164","DOIUrl":"10.1002/jum.70164","url":null,"abstract":"","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":"1323-1324"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145810364","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
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