Journal of Ultrasound in Medicine最新文献_第2页

Effect of Ovarian Endometriotic Cyst on the Efficacy of High Intensity Focused Ultrasound for Adenomyosis. 卵巢子宫内膜异位囊肿对高强度聚焦超声诊断子宫腺肌症疗效的影响。

IF 2.1 4区医学

Journal of Ultrasound in Medicine Pub Date : 2025-04-29 DOI: 10.1002/jum.16714

Jinfeng Lin, Zhiyun Yang, Tao Tan, Lu Wang, Zhibo Xiao, Jinyun Chen

{"title":"Effect of Ovarian Endometriotic Cyst on the Efficacy of High Intensity Focused Ultrasound for Adenomyosis.","authors":"Jinfeng Lin, Zhiyun Yang, Tao Tan, Lu Wang, Zhibo Xiao, Jinyun Chen","doi":"10.1002/jum.16714","DOIUrl":"https://doi.org/10.1002/jum.16714","url":null,"abstract":"Objective: To assess the effect of ovarian endometriotic cysts on the efficacy of high intensity focused ultrasound (HIFU) in patients with adenomyosis.Methods: Based on magnetic resonance imaging (MRI) findings, patients were categorized into three groups according to the presence and type of adnexal cyst signal: group A (with endometriotic cyst signal), group B (with simple cyst signal), and group C (without cyst signal). The non-perfused volume ratio (NPVR), postoperative dysmenorrhea scores, and long-term recurrence of HIFU were compared among groups.Results: A total of 396 patients were enrolled, comprising group A (77 cases), group B (134 cases), and group C (185 cases), and the NPVR were 41.83, 44.99, and 50.79%, respectively (P = .021). The postoperative dysmenorrhea scores were 3 (2, 5), 2 (1, 4), and 2 (1, 4) (P = .012), while the pregnancy rates were 20.00%, 27.27%, and 43.59%, respectively (P = .072). Cumulative recurrence rates for patients with endometriotic cysts at 1, 2, 3, 5, and 10 years were 45.60, 56.10, 57.90, 61.90, and 67.30%, respectively (log-rank P < .001). Endometriotic cysts were significantly associated with higher dysmenorrhea scores and represented an independent risk factor for postoperative pregnancy (OR = 0.338, 95% CI: 0.129-0.886, P = .027) and long-term recurrence (HR = 1.865, 95% CI: 1.275-2.728, P = .001).Conclusions: The signal of endometriotic cyst on MRI exhibits a negative correlation with the efficacy of HIFU in patients with adenomyosis. Preoperative MRI assessment of adnexal cyst signal in patients facilitates the development of a more tailored and comprehensive treatment plan for individuals suffering from adenomyosis.","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017390","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

Associations Between Quantitative Lung Ultrasound and Successful Extubation in Infants. 定量肺超声与婴儿成功拔管的关系。

IF 2.1 4区医学

Journal of Ultrasound in Medicine Pub Date : 2025-04-26 DOI: 10.1002/jum.16715

Yan-Mei Xie, Cai-Man Yan, Xiang Zhao, Yuan-Yuan Zhao, Jian-Ru Peng, Xiao-Mei Liu, Li Huang, Hai-Ran Ma

{"title":"Associations Between Quantitative Lung Ultrasound and Successful Extubation in Infants.","authors":"Yan-Mei Xie, Cai-Man Yan, Xiang Zhao, Yuan-Yuan Zhao, Jian-Ru Peng, Xiao-Mei Liu, Li Huang, Hai-Ran Ma","doi":"10.1002/jum.16715","DOIUrl":"https://doi.org/10.1002/jum.16715","url":null,"abstract":"Objectives: The aim is to evaluate the value of lung ultrasound (LUS) in the weaning of neonates from ventilators.Methods: This prospective observational study included hospitalized neonates who underwent invasive ventilation (excluding neonates ineligible for enrollment, eg, neonates with nonrespiratory conditions requiring mechanical ventilation). All the included neonates underwent LUS using a palm-sized ultrasound machine. After extubation, the neonates were divided into success and failure groups. Additionally, the neonates were divided into 2 groups according to gestational age (GA, <28 weeks and ≥28 weeks). Data on the main LUS signs and scores half an hour before and 2 hours after extubation were collected, and ultrasound scores were compared.Results: When LUS scores before and after extubation were used to predict weaning failure, the sensitivities were 83.3 and 94.6% (95% CI, 0.823-0.986; P < .05), and the specificities were 83.3 and 97.3% (95% CI, 0.819-0.995; P < .05), respectively. After grouping, for the <28-week group, the sensitivity was 84.6% both before and after extubation, and the specificities were 77.8 and 88.9%, respectively (before extubation: 95% CI, 0.653-1.013; P < .001; after extubation: 95% CI, 0.652-1.023; P < .001). In the ≥28-week group, the sensitivity was 80.0% both before and after extubation, and the specificities were 96.9 and 98.5%, respectively (before extubation: 95% CI, 0.724-1.051; P < .001; after extubation: 95% CI, 0.777-1.051; P < .001).Conclusions: LUS can predict weaning failure in neonates with different respiratory diseases on the basis of LUS scores, with or without differences in GA. The use of palm-sized handheld portable ultrasound machines for LUS is feasible.","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017146","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

Sonography of the Thenar Motor Branch of the Median Nerve: A Pictorial Review. 正中神经大鱼际运动支的超声检查：图片回顾。

IF 2.1 4区医学

Journal of Ultrasound in Medicine Pub Date : 2025-04-24 DOI: 10.1002/jum.16705

Márcio Luís Duarte, Ocacir de Souza Reis Soares, Jean-Louis Brasseur

{"title":"Sonography of the Thenar Motor Branch of the Median Nerve: A Pictorial Review.","authors":"Márcio Luís Duarte, Ocacir de Souza Reis Soares, Jean-Louis Brasseur","doi":"10.1002/jum.16705","DOIUrl":"https://doi.org/10.1002/jum.16705","url":null,"abstract":"The thenar motor branch (TMB) of the median nerve exhibits significant anatomical variability, making it particularly vulnerable to iatrogenic injury during procedures such as carpal tunnel surgery. Understanding the diverse courses and origins of the TMB is critical for minimizing surgical complications. Such knowledge not only aids in preoperative planning but also enhances the accuracy of nerve conduction tests, contributing to improved postoperative outcomes. The ability to visualize and assess the TMB using imaging modalities like ultrasound represents a significant advancement in diagnostic and surgical preparation. Ultrasound is an accessible, cost-effective, and dynamic imaging technique that allows for real-time evaluation of neural structures. It provides detailed visualization of the TMB and its anatomical variations, offering valuable information that can guide surgical approaches and reduce the risk of injury to this vital branch. This article aims to provide a comprehensive overview of the anatomy, anatomical variants, and clinical significance of the TMB, with a particular focus on its assessment via ultrasound. Using high-resolution imaging, we demonstrate the application of ultrasound to identify the TMB in various configurations. Notably, the Lanz classification of the TMB is illustrated with ultrasound images, some of which, to our knowledge, are being presented for the first time. By integrating anatomical knowledge with advanced imaging techniques, this work emphasizes the importance of precise TMB evaluation, paving the way for safer surgical practices and enhanced patient outcomes.","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027071","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 State of the Journal of Ultrasound in Medicine in 2024. 2024年医学超声杂志的现状。

IF 2.1 4区医学

Journal of Ultrasound in Medicine Pub Date : 2025-04-22 DOI: 10.1002/jum.16707

Richard G Barr

引用次数: 0

Changes in Contrast-Enhanced Ultrasonography Results, Vascular Endothelial Cell Damage, and Oxidative Stress Indicators in Rabbit Models With Varying Degrees of Testicular Injury. 不同程度睾丸损伤兔模型超声造影结果、血管内皮细胞损伤及氧化应激指标的变化

IF 2.1 4区医学

Journal of Ultrasound in Medicine Pub Date : 2025-04-17 DOI: 10.1002/jum.16704

Yaxi Zhao, Haifei Wang, Gaofeng Su, Yanbin Zhu

{"title":"Changes in Contrast-Enhanced Ultrasonography Results, Vascular Endothelial Cell Damage, and Oxidative Stress Indicators in Rabbit Models With Varying Degrees of Testicular Injury.","authors":"Yaxi Zhao, Haifei Wang, Gaofeng Su, Yanbin Zhu","doi":"10.1002/jum.16704","DOIUrl":"https://doi.org/10.1002/jum.16704","url":null,"abstract":"Objective: It is difficult to quickly assess the degree of testicular injury in patients with blunt testicular trauma, and accurate and rapid assessment of the degree of injury is related to clinical decision-making and treatment outcomes. This study explored the sonographic characteristics of patients with different degrees of blunt testicular trauma via contrast-enhanced ultrasound (CEUS), as well as biomarkers of oxidative stress and vascular endothelial cell injury, to further evaluate the diagnostic value of these parameters in blunt testicular trauma.Method: New Zealand male rabbits were used to establish blunt testicular trauma models of different degrees, including contusion, hematoma, rupture, and control models. Routine ultrasound and CEUS were performed immediately, 2, 4, and 6 h after modeling, and pathological examination was used to confirm the modeling results further. The levels of von Willebrand factor (vWF), endothelin-1 (ET-1), reactive oxygen species (ROS), and nitric oxide (NO) in the serum were analyzed.Results: According to the CEUS results, the arrival time (AT) (F = 35.159, P < .001), time to peak intensity (TTP) (F = 122.434; P < .001), and area under the curve (AUC) (F = 47.444; P < .001) of the time-intensity curves showed significant differences among the groups. There was no significant difference between Hematoma Trauma (HT) (F = 0.178; P = .91) and Peak Intensity (PI) (F = 0.172; P = .92). For biomarkers, there were significant differences in vWF (F = 40.61; P < .001), ROS (F = 106.3; P < .001), NO (F = 79.3; P < .001), and ET-1 (F = 61.94; P < .001) levels among the groups.Conclusions: For blunt testicular trauma, the AT, TTP, and AUC indices of CEUS can more accurately distinguish the degree of testicular injury. Oxidative stress and endothelial cell damage may also be used as biomarkers for evaluating the degree of testicular injury.","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002363","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 Neuromodulation (Low-Intensity Focused Ultrasound) to Treat Knee Osteoarthritis Pain: A Randomized, Observer- and Participant-Masked, Sham-Controlled, Human-Subjects Pilot Study. 超声神经调节（低强度聚焦超声）治疗膝关节骨关节炎疼痛：一项随机、观察者和参与者掩盖、假对照、人类受试者的先导研究。

IF 2.1 4区医学

Journal of Ultrasound in Medicine Pub Date : 2025-04-17 DOI: 10.1002/jum.16706

Brian M Ilfeld, Khoa N Cao, Ruben Branson, Philip Bloom

引用次数: 0

Intraobserver Reliability of Two-Dimensional Ultrasound Measurements of the Linea Alba in Parous Women During Different Abdominopelvic Exercises. 在不同的腹部盆腔运动中，分娩妇女白线二维超声测量的观察者内可靠性。

IF 2.1 4区医学

Journal of Ultrasound in Medicine Pub Date : 2025-04-15 DOI: 10.1002/jum.16697

Claudia Espinoza-Bravo, Montserrat Rejano-Campo, Fernando Domínguez-Navarro, Bernadette de Gasquet, Laura Fuentes-Aparicio

{"title":"Intraobserver Reliability of Two-Dimensional Ultrasound Measurements of the Linea Alba in Parous Women During Different Abdominopelvic Exercises.","authors":"Claudia Espinoza-Bravo, Montserrat Rejano-Campo, Fernando Domínguez-Navarro, Bernadette de Gasquet, Laura Fuentes-Aparicio","doi":"10.1002/jum.16697","DOIUrl":"https://doi.org/10.1002/jum.16697","url":null,"abstract":"Objective: To assess the intraobserver reliability of Diastasis Recti Abdominis (DRA) measurement by ultrasonography during four specific abdominopelvic exercises, evaluating interrecti distance, Linea Alba (LA) thickness, and distortion index in parous women.Methods: Fifty-four parous women were assessed using ultrasound imaging for the LA. Four exercises were evaluated: crunch, abdominal drawing-in maneuver, pelvic floor muscle contraction, and one exercise based on the de Gasquet Method. Each exercise was performed three times. The ultrasound probe was placed 3 cm above and 2 cm below the umbilicus. Interrecti distance (IRD), distortion index, and LA thickness were measured and analyzed using ImageJ software by independent researchers. Intraobserver reliability was evaluated using the intraclass correlation coefficient (ICC) with a 95% confidence interval.Results: ICC values for the IRD ranged from 0.84 to 0.99 for the four exercises. The distortion index showed moderate to high reliability (ICC: 0.77-0.98), while LA thickness also demonstrated moderate to high reliability (ICC: 0.75-0.98).Conclusion: The results demonstrate the reliability of ultrasound in measuring key parameters, including LA thickness, distortion, and IRD in women with DRA during various exercises. As a non-invasive tool, it supports evidence-based interventions in postpartum recovery and clinical practice.","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032852","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

Assessing Fetal Heart Morphology and Function in Fetuses With Right Ventricular Outflow Obstruction by Fetal Heart Quantitative Technique. 用胎心定量技术评价右心室流出梗阻胎儿的胎心形态和功能。

IF 2.1 4区医学

Journal of Ultrasound in Medicine Pub Date : 2025-04-12 DOI: 10.1002/jum.16693

Chenke Pan, Jinjing Li, Lijian Huang, Bin Ying, Xin Wang, Bowen Zhao

{"title":"Assessing Fetal Heart Morphology and Function in Fetuses With Right Ventricular Outflow Obstruction by Fetal Heart Quantitative Technique.","authors":"Chenke Pan, Jinjing Li, Lijian Huang, Bin Ying, Xin Wang, Bowen Zhao","doi":"10.1002/jum.16693","DOIUrl":"https://doi.org/10.1002/jum.16693","url":null,"abstract":"Objectives: To investigate the clinical utility of the fetal heart quantification (Fetal HQ) technique in the assessment of morphological and functional changes in fetuses with right ventricular outflow obstruction (RVOTO).Methods: This study included 53 fetuses with RVOTO and 30 age-matched normal controls. The RVOTO fetuses were divided into 2 groups based on the occurrence of other cardiovascular malformations: the simple pulmonary stenosis (PS group) and the conotruncal defects (CTD group). Size, shape, and contractility parameters of the fetal heart in 4-chamber view (4CV), left ventricle, and right ventricle (LV and RV) detected by fetal HQ.Results: Fetuses with RVOTO exhibited an increased 4CV-width, with normal 4CV-Length. The end-diastolic diameter (ED) of the LV segments 1-22 was significantly greater in RVOTO fetuses. The sphericity index (SI) of the LV 24-segment was significantly smaller in the CTD and PS groups. Global longitudinal strain (GLS) and fractional area change (FAC) of the LV and RV were reduced in RVOTO fetuses.Conclusion: Our results suggested that the characteristic changes in the morphology and function of the RVOTO fetal heart could be detected early by the HQ technique, which has clinical utility in analyzing the morphology of the RVOTO fetal heart in a quantitative manner.","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989327","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

Feasibility Analysis of Ultra-Resolution Microscopy Based on Contrast-Enhanced Ultrasound (CEUS) in Benign and Malignant Breast Lesions. 超声造影超分辨显微检查乳腺良恶性病变的可行性分析。

IF 2.1 4区医学

Journal of Ultrasound in Medicine Pub Date : 2025-04-09 DOI: 10.1002/jum.16699

Peng-Fei Sun, Li-Xue Zhai, Yun-Yun Dong, Xiang-Dong Hu, Min Li, Lin-Xue Qian, Jun-Feng Zhao

{"title":"Feasibility Analysis of Ultra-Resolution Microscopy Based on Contrast-Enhanced Ultrasound (CEUS) in Benign and Malignant Breast Lesions.","authors":"Peng-Fei Sun, Li-Xue Zhai, Yun-Yun Dong, Xiang-Dong Hu, Min Li, Lin-Xue Qian, Jun-Feng Zhao","doi":"10.1002/jum.16699","DOIUrl":"https://doi.org/10.1002/jum.16699","url":null,"abstract":"Objective: To investigate the diagnostic value of quantitative analysis using ultra-resolution microscopy (URM) in differentiating benign from malignant breast lesions.Material and methods: This prospective study enrolled 60 patients with 60 breast lesions who underwent contrast-enhanced ultrasound (CEUS) using SonoVue (Bracco Imaging, Italy) between June 2024 and August 2024. Quantitative parameters of microvascular density and velocity maps were generated for the lesion interior, rim region, and combined interior and rim area using URM software on CEUS images. The parameters were analyzed for differences between benign and malignant breast lesions, and their diagnostic efficacy was evaluated.Results: Multivariate analysis indicated that breast malignancy was associated with microvascular ratio and complexity level. The area under the curve (AUC) for the combined diagnostic method that included microvascular parameters at the lesion margin (Rim group) and BI-RADS classification + Rim was higher than other diagnostic approaches (AUC = 0.92), although there was no significant difference when compared with the combined approach of evaluating parameters within the lesion and at the margin alongside BI-RADS (Mass + Rim + BI-RADS group, P = .293). The BI-RADS group showed high sensitivity (100%) and negative predictive value (100%); the Mass group (parameters within the lesion) demonstrated higher sensitivity (87.0%), and the Rim group (parameters at the lesion margin) exhibited the highest specificity (91.9%).Conclusion: URM shows potential in distinguishing between benign and malignant breast lesions, offering a precise assessment of lesion hemodynamics and providing valuable information for clinical diagnosis and treatment.","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811622","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

Prospective Observational Study of Emergency Department Point-of-Care Ultrasound to Differentiate Between Complicated and Uncomplicated Appendicitis. 急诊科即时超声鉴别复杂与非复杂阑尾炎的前瞻性观察研究。

IF 2.1 4区医学

Journal of Ultrasound in Medicine Pub Date : 2025-04-09 DOI: 10.1002/jum.16702

Almaz S Dessie, Maria Kwok, Lisa Mills, Adam Sivitz, Marsha Elkhunovich, Benjamin Nti, Erika Constantine, Kelly Bergmann, Atim Ekpenyong, Amanda Toney, Xiaoyang Li, Peter S Dayan, David Kessler

{"title":"Prospective Observational Study of Emergency Department Point-of-Care Ultrasound to Differentiate Between Complicated and Uncomplicated Appendicitis.","authors":"Almaz S Dessie, Maria Kwok, Lisa Mills, Adam Sivitz, Marsha Elkhunovich, Benjamin Nti, Erika Constantine, Kelly Bergmann, Atim Ekpenyong, Amanda Toney, Xiaoyang Li, Peter S Dayan, David Kessler","doi":"10.1002/jum.16702","DOIUrl":"https://doi.org/10.1002/jum.16702","url":null,"abstract":"Objectives: Acute appendicitis is a common surgical emergency in children. Prior radiology studies have described Puylaert staging on ultrasound to determine the severity of appendicitis. We investigated the feasibility and utility of assessing Puylaert staging on emergency department (ED) point-of-care ultrasound (POCUS) to differentiate uncomplicated from complicated appendicitis in children.Methods: This was a pilot feasibility study of children ages 5-17 diagnosed with acute appendicitis in nine pediatric EDs. POCUS was performed by trained ED physicians. Puylaert staging of the submucosal layer was used to categorize the severity of appendicitis (stages 1-4) and was compared with surgical pathology reports. Test characteristics were computed to evaluate the accuracy of POCUS in differentiating appendicitis severity. Physicians recorded time to complete POCUS, ease of use, and their perception of acceptability by patients and families.Results: Of 72 patients with complete data, all patients with uncomplicated appendicitis were accurately identified using POCUS (Puylaert stage 1 or 2). The sensitivity for identifying complicated appendicitis (Puylaert Stage 3 or 4) was 100% (95% CI: 77%-100%), and specificity was 65% (95% CI: 52%-78%). Ninety four percent of physicians agreed that the POCUS was easy to perform. One hundred percent agreed that it was well accepted by families. The average time to complete POCUS was 8 min.Conclusions: This study supports the feasibility and utility of assessing Puylaert staging by POCUS for children with appendicitis in the ED. High sensitivity to rule out complicated cases coupled with ease of use and perceived patient acceptance make this a potential adjunct to aid in the management of pediatric appendicitis.","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811623","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