Journal of Ultrasound in Medicine最新文献

{"title":"Multi-Society Guideline for Coding, Billing, and Clinician Training for Detailed Fetal Anatomy Ultrasound in the First Trimester.","authors":"","doi":"10.1002/jum.16587","DOIUrl":"https://doi.org/10.1002/jum.16587","url":null,"abstract":"","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302400","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}

{"title":"A Simple Method to Compute the Standard Deviation from Tabular Data Containing the 5th, 50th, and 95th Percentiles to be Used for Creating a Z-Score Calculator.","authors":"Greggory R DeVore","doi":"10.1002/jum.16743","DOIUrl":"https://doi.org/10.1002/jum.16743","url":null,"abstract":"","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144293886","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}

{"title":"Ultrasonographic Anatomy and Examination of the Subcutaneous Tissue (in Lymphedema).","authors":"Carmelo Pirri, Nina Pirri, Chiara Ferraretto, Lucia Petrelli, Veronica Macchi, Andrea Porzionato, Raffaele De Caro, Levent Özçakar, Carla Stecco","doi":"10.1002/jum.16742","DOIUrl":"https://doi.org/10.1002/jum.16742","url":null,"abstract":"<p><p>Lymphedema is the excessive accumulation of protein-rich lymphatic fluid within the (sub)cutaneous compartments. In recent years, ultrasound examination has emerged as an indispensable tool for its prompt diagnosis and management. This pictorial essay offers a focused review of the anatomical and histological features of the subcutaneous tissue, to provide better insight into understanding the sono-anatomy in lymphedema. By delineating distinct sono-histological patterns within the subcutaneous tissue (fluid, cobblestone, snowfall, lymphatic lakes and sclerotic), a streamlined and reproducible method is illustrated for optimal evaluation of lymphedema-related conditions that are often/otherwise subject to diagnostic inaccuracy in clinical practice.</p>","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144285123","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}

{"title":"Muscle Ultrasound: A Novel Noninvasive Tool for Early Detection of Developing Insulin Resistance and Lower Muscle Mass in Obesity.","authors":"Steven B Soliman, Olivia K Chugh, Jacob E Leuteneker, Becca Tuska, Wen Ye, Tao Zhang, Thomas Rode, Suzette M Howton, Eric D Buras, Jeffrey F Horowitz","doi":"10.1002/jum.16741","DOIUrl":"https://doi.org/10.1002/jum.16741","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to investigate the potential use of noninvasive muscle ultrasound (US) for detecting early-developing insulin resistance and lower muscle mass in adults with obesity.</p><p><strong>Methods: </strong>Twenty subjects with obesity, without type 2 diabetes mellitus or prediabetes (mean body mass index [BMI] 34.1 ± 3.1 kg/m², mean age 33 years, 65% male), and 5 healthy lean controls (mean BMI 21.7 ± 1.1 kg/m², mean age 27 years, 40% male) underwent US examinations of their deltoid and vastus lateralis muscles. Two trained research assistants each independently analyzed the 300 US images, blinded to subject demographics and study cohorts, measuring muscle echo intensity (MEI). In the obese cohort, peripheral insulin sensitivity was evaluated using hyperinsulinemic-euglycemic clamps, and dual-energy x-ray absorptiometry was performed to assess body composition and calculate sarcopenia indices. Statistical significance was defined as P < .05.</p><p><strong>Results: </strong>The obese cohort demonstrated significantly higher vastus lateralis and deltoid MEI (P < .001), with increased MEI effectively identifying insulin resistance and impaired insulin sensitivity. There was excellent interobserver agreement in MEI assessments for both the deltoid (95% confidence interval [CI] of intraclass correlation coefficient [ICC]: 0.96-0.997) and vastus lateralis muscles (95% CI of ICC: 0.986-0.999). Furthermore, MEI negatively correlated with muscle mass, as indicated by sarcopenia indices (r = -.76, P < .001), and did not positively correlate with BMI or body weight.</p><p><strong>Conclusions: </strong>Muscle US has the potential to be a simple, accurate, noninvasive, inexpensive, and radiation-free tool for detecting developing insulin resistance and lower muscle mass in at-risk individuals. This tool could have tremendous clinical impact by enabling earlier and more aggressive targeted interventions in metabolic and muscle dysfunction.</p>","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144285122","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}

{"title":"Unveiling the Potential and Pitfalls of Postnatal Ultrasound in Detecting Presacral Masses in Pediatric Anorectal Malformations.","authors":"Jingdan Cheng, Chengqiang Jin, Guodong Luo","doi":"10.1002/jum.16739","DOIUrl":"https://doi.org/10.1002/jum.16739","url":null,"abstract":"","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266526","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}

{"title":"\"Target Sign\" of Schwannoma on Contrast Enhanced Ultrasound.","authors":"Lu Yang, Li-Gang Cui","doi":"10.1002/jum.16737","DOIUrl":"https://doi.org/10.1002/jum.16737","url":null,"abstract":"<p><p>This case series investigates the \"Target sign\" in contrast-enhanced ultrasound (CEUS) of 11 pathologically confirmed schwannomas, characterized by early central hyperenhancement (mean TTP: 15.7 ± 3.2 s) surpassing peripheral regions (19.1 ± 2.8 s). CEUS demonstrated 100% detection of this sign, outperforming grayscale ultrasound (45%), correlating with histologic Antoni A (cellular) and B (myxoid) areas. Findings suggest CEUS improves diagnostic specificity for schwannomas, offering non-invasive microvascular mapping. Limitations include small sample size and retrospective design.</p>","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144248524","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}

{"title":"Prenatal Evaluation of the Fetal Tympanic Ring Using Transverse Transoccipital Ultrasonographic Sections: A Diagnostic Study.","authors":"Shanshan Wang, Mingli Wang, Ting Huang, Xiaoying Liu, Yuting Wan, Chenyang Zhao, Meng Zhou, Xu Li, Xuelei Li","doi":"10.1002/jum.16736","DOIUrl":"https://doi.org/10.1002/jum.16736","url":null,"abstract":"<p><strong>Objective: </strong>To establish normal fetal tympanic ring anterior-posterior diameter (TRAPD) references (12-31 + 6 weeks), analyze correlations with growth parameters, and validate TR's diagnostic utility for external auditory meatus (EAM) abnormalities.</p><p><strong>Methods: </strong>This retrospective study analyzed 722 fetuses (704 normal, 18 abnormal) undergoing prenatal ultrasound (July 2020-August 2024). TRAPD was measured via transverse transoccipital plane imaging. Normal group data were stratified by gestational age (GA) to develop TRAPD references. TRAPD trends and correlations with GA, biparietal diameter (BPD), head circumference (HC), and auricular dimensions (ear length [EL] and ear width [EW]) were analyzed. A predictive model for EAM abnormalities was constructed.</p><p><strong>Results: </strong>TRAPD increased nonlinearly with GA, stabilizing at 30 + 5 weeks. TRAPD correlated strongly with GA (r = 0.914), BPD (r = 0.893), EL (r = 0.904), and EW (r = 0.914; all P < .001). AUCs for TRAPD, EL, EW, and the combined model in predicting EAM anomalies were 1.000, 0.867, 0.922, and 1.000, respectively (99.78% accuracy). A bilateral TRAPD mean of <5.6 mm achieved 100% sensitivity and 99.8% specificity in diagnosing EAM anomalies at GA ≥22 weeks. All 15 EAM atresia cases lacked annular TR structure prenatally; three stenosis cases had TRAPD below the 1st percentile for GA-matched fetuses.</p><p><strong>Conclusions: </strong>TRAPD references and morphology enable reliable prenatal screening for EAM abnormalities, offering actionable clinical thresholds.</p>","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144248525","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}

{"title":"Visualization of the Fetal Corpus Callosum in Routine Second Trimester Screening Ultrasound Examinations.","authors":"Shehani Fernando, Ilona Lavender, Peter Coombs, Keith Van Haltren, Paul Lombardo, Melinda Goodyear, Daniel L Rolnik","doi":"10.1002/jum.16732","DOIUrl":"https://doi.org/10.1002/jum.16732","url":null,"abstract":"<p><strong>Objectives: </strong>The primary aim of this study was to determine the visualization rate of the corpus callosum (CC) in the mid-sagittal plane of ultrasound examinations performed between 18 and 22 weeks' gestation. The secondary aims were to compare this rate to that achieved 5 years earlier at the same center; assess the need for transvaginal ultrasound; identify fetal head positions most favorable for sagittal CC assessment; and evaluate the impact of maternal body mass index (BMI) and gestational age on CC visualization.</p><p><strong>Methods: </strong>A retrospective analysis of images from second trimester screening examinations of singleton pregnancies performed between January 2019 and June 2019 was undertaken. The mid-sagittal image of the CC was scored on a scale from 0 to 4, with one point assigned for the visualization of each anatomical part. A score of 4 indicated complete visualization, a score of 1 to 3 was considered partial visualization, and a score of 0 represented nonvisualization. The chi-squared test was used to compare the visualization rates to those achieved 5 years earlier and previously reported by our group.</p><p><strong>Results: </strong>A total of 999 second trimester screening examinations were included in the study. Complete CC visualization significantly improved from 71.3% at initial protocol implementation and training to 92.1% in the current study (P < .001). A transvaginal approach was required in 4.4% of cases. The craniocaudal fetal head position had the highest success rate (98.2%) for CC visualization. The odds of nonvisualization of the CC were 2.6 times higher before 20 weeks (7.4%) than at or after 20 weeks (3.0%) (odds ratio = 2.63, 95% confidence interval [1.20-5.76], P = .012). Higher maternal BMI (≥30.0 kg/m²) was associated with increased rates of nonvisualization in obesity classes I-III.</p><p><strong>Conclusion: </strong>Complete visualization of the CC in the mid-sagittal plane is achievable in routine second trimester morphology ultrasound examinations. Improvement in the quality of imaging is possible with a standardized protocol and training.</p>","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144248526","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}

{"title":"Letter to the Editor on \"Variability in Liver Size Measurements Using Different View Angles in Ultrasound Imaging\".","authors":"Hideaki Ishida, Hiroko Naganuma","doi":"10.1002/jum.16738","DOIUrl":"https://doi.org/10.1002/jum.16738","url":null,"abstract":"","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225794","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}

{"title":"Maternal Adiposity in the First Trimester Pregnancy as a Predictor of Gestational Diabetes Mellitus: A Prospective Cohort Study.","authors":"Nattraporn Srisovanna, Noppasin Khwankaew, Ninlapa Pruksanusak, Natthicha Chainarong, Thitima Suntharasaj, Chitkasaem Suwanrath, Savitree Pranpanus, Chusana Petpichetchian, Manaphat Suksai","doi":"10.1002/jum.16735","DOIUrl":"https://doi.org/10.1002/jum.16735","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the predictive ability of first-trimester ultrasound measurements of maternal adiposity for predicting gestational diabetes mellitus (GDM).</p><p><strong>Methods: </strong>Abdominal adiposity measurements by transabdominal ultrasound were performed, including subcutaneous fat thickness (SFT), visceral fat thickness (VFT), and preperitoneal fat thickness (PFT), measured at 3 specific regions: the umbilicus, suprapubic area, and anterior surface of the liver. Two additional values were calculated based on these measurements: total abdominal fat thickness (TAT), which was determined as the sum of SFT1 and VFT, and body fat index (BFI), which was calculated using the formula: BFI = PFT (mm) × SFT3 (mm)/maternal height (cm). Multiple logistic regression and receiver operating characteristic (ROC) analysis were used to evaluate the predictive ability.</p><p><strong>Results: </strong>A total of 330 pregnant women were enrolled with a prevalence of GDM of 23.0%. Multivariate logistic regression analysis showed that none of the fat parameters were significantly associated with GDM. However, for body mass index (BMI) ≥25 kg/m², only the BFI showed a statistically significant association with GDM (odds ratio [OR] 2.75 [1.54-4.92]), with an area under the ROC curve (AUC) of 0.677. In the subgroup with BMI < 23 kg/m², only SFT at the umbilicus was significantly associated with GDM (OR 3.21 [1.08-9.53]) using a cut-off value of ≥15.4 mm, with a sensitivity of 73.7%, a negative predictive value of 93.8%, and an AUC of 0.668.</p><p><strong>Conclusions: </strong>Both BFI and SFT at the umbilical region demonstrate moderate discriminatory predictive performance for this condition across BMI-stratified subgroups.</p>","PeriodicalId":17563,"journal":{"name":"Journal of Ultrasound in Medicine","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225795","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}