Ultrasound最新文献

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The Radial Arc technique: A systematic ultrasound method to imaging the distal biceps brachii tendon from a medial approach with anatomical insights. 桡骨弧技术:一种系统的超声方法,从内侧入路对肱二头肌远端肌腱进行成像,并具有解剖学上的见解。
IF 0.8
Ultrasound Pub Date : 2025-05-13 DOI: 10.1177/1742271X251337389
Stavros Daoukas, Dimitrios Galanis
{"title":"The Radial Arc technique: A systematic ultrasound method to imaging the distal biceps brachii tendon from a medial approach with anatomical insights.","authors":"Stavros Daoukas, Dimitrios Galanis","doi":"10.1177/1742271X251337389","DOIUrl":"https://doi.org/10.1177/1742271X251337389","url":null,"abstract":"<p><strong>Introduction: </strong>Distal biceps brachii tendon disorders predominantly result from repetitive use and eccentric loading. High-resolution ultrasound has emerged as a preferred diagnostic tool due to its dynamic imaging capabilities, accessibility, and cost-effectiveness.</p><p><strong>Topic description: </strong>This paper introduces the Radial arc technique, a didactic and systematic ultrasound scanning method from a medial approach designed to facilitate the identification of the distal biceps brachii tendon insertion in the long-axis view. The technique is a five-step sonographic approach navigating sonographers and clinicians through a series of landmarks to address the often-complex sonographic examination of the distal biceps brachii tendon insertion. The paper also provides detailed anatomical insights into the biceps brachii muscle and the distal tendinous complex, highlighting key morphological features critical for accurate ultrasound interpretation.</p><p><strong>Discussion: </strong>The proposed approach is tailored to support the educational development of undergraduate and postgraduate students specialising in musculoskeletal sonography and enhance the practical skills of early-career and experienced sonographers and clinicians utilising point-of-care ultrasound. The anatomical framework provided offers a deeper understanding of the distal biceps brachii tendinous complex, supporting diagnostic accuracy for distal biceps brachii tendon-related conditions that are critical for guiding patient management.</p><p><strong>Conclusion: </strong>The systematic nature of the Radial arc technique aims to standardise practices not only in clinical settings but also in the design and execution of research studies involving the assessment of the distal biceps brachii tendon integrity with ultrasound. Future research should focus on assessing the reproducibility of the Radial arc technique in diverse clinical settings and among different practitioners and operators, crucial for its adoption in sonographic diagnostics.</p>","PeriodicalId":23440,"journal":{"name":"Ultrasound","volume":" ","pages":"1742271X251337389"},"PeriodicalIF":0.8,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12075161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diagnosing adenomyosis using transvaginal ultrasound in current practice: A scoping review and service evaluation. 目前应用阴道超声诊断子宫腺肌症:范围回顾和服务评价。
IF 0.8
Ultrasound Pub Date : 2025-05-10 DOI: 10.1177/1742271X251338147
Dawn Smith, Gareth Bolton
{"title":"Diagnosing adenomyosis using transvaginal ultrasound in current practice: A scoping review and service evaluation.","authors":"Dawn Smith, Gareth Bolton","doi":"10.1177/1742271X251338147","DOIUrl":"https://doi.org/10.1177/1742271X251338147","url":null,"abstract":"<p><strong>Background: </strong>A departmental audit identified a case of adenomyosis which had not been reported, highlighting the need to assess whether the current service provision is adequate in identifying patients with (possible) adenomyosis and how improvements in this part of the service could be made.</p><p><strong>Aim: </strong>To assess whether sonographers are effectively identifying and reporting adenomyosis on transvaginal ultrasound.</p><p><strong>Methodology: </strong>A scoping review and retrospective service evaluation was undertaken which included (<i>n</i> = 79) adult female premenopausal patients with symptoms of adenomyosis who had undergone a transvaginal ultrasound scan during the first quarter of 2023. Patients were identified using the CRIS statistic module according to pre-defined inclusion and exclusion criteria. All data were anonymised and collated to include the patient age, referral information (symptoms), scan report and sonographer. The scan report and archived images were evaluated using the sonographic signs identified by the Morphological Uterus Sonographic Assessment group (Harmsen et al., 2022) and then compared to the original report.</p><p><strong>Results: </strong>In total, 21.5% (<i>n</i> = 17) of patients had signs of adenomyosis on image review, but only 23.5% (<i>n</i> = 4) of these were reported as such. The majority (<i>n</i> = 8) of unidentified cases were reported as having a 'heterogeneous myometrium'. Inter-rater agreement ranged from 50% to 100%.</p><p><strong>Conclusion: </strong>Most ultrasonic diagnoses of adenomyosis were not identified in our service which is likely due to a lack of internationally agreed criteria for ultrasound diagnosis of adenomyosis preventing adequate reporting.</p>","PeriodicalId":23440,"journal":{"name":"Ultrasound","volume":" ","pages":"1742271X251338147"},"PeriodicalIF":0.8,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12065711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An ultrasound-based simulation to improve clinical competency in evaluation of first-trimester bleeding in undergraduate medical education. 基于超声模拟提高本科医学教育中早期妊娠出血评估的临床能力。
IF 0.8
Ultrasound Pub Date : 2025-05-10 DOI: 10.1177/1742271X251337377
Anna Marie Pacheco Young, Ismely Minaya, Russell Horowitz, Weronika Armstrong
{"title":"An ultrasound-based simulation to improve clinical competency in evaluation of first-trimester bleeding in undergraduate medical education.","authors":"Anna Marie Pacheco Young, Ismely Minaya, Russell Horowitz, Weronika Armstrong","doi":"10.1177/1742271X251337377","DOIUrl":"https://doi.org/10.1177/1742271X251337377","url":null,"abstract":"<p><strong>Objectives: </strong>To implement a transvaginal ultrasound (TVUS) simulation to improve comfort with obstetric and gynaecologic ultrasound and increase knowledge in diagnosis and management of early pregnancy-related complications.</p><p><strong>Methods: </strong>Third-year medical students enrolled in the Obstetrics and Gynaecology (OBGYN) clerkship between 2023 and 2024 participated in a didactic session and ultrasound simulation about aetiologies for vaginal bleeding in early pregnancy. They were guided through four different clinical scenarios of pelvic pathology including a non-pregnant uterine model representing a pregnancy of unknown location (PUL), ectopic pregnancy and normal first-trimester intrauterine pregnancy. Pre- and post-assessments were completed focused on knowledge and self-perceived confidence in evaluation and management of early pregnancy bleeding using TVUS.</p><p><strong>Results: </strong>A total of 109 students completed the pre-assessment, and 104 completed the post-assessment. The mean pre-simulation knowledge score was 58%, and mean post-test knowledge score was 69%. We compared pre- and post-simulation percent correct which showed approximately a 11% increase in percent correct in the assessment after the didactic and ultrasound simulation (<i>p</i>-value < 0.05). Overall comfort in diagnosis of early pregnancy complications and TVUS skills significantly increased from an average Likert-type scale of 2 to 5 (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>TVUS simulation can be a helpful adjunct to learning important women's health topics and should be considered an important skill in training future physicians.</p>","PeriodicalId":23440,"journal":{"name":"Ultrasound","volume":" ","pages":"1742271X251337377"},"PeriodicalIF":0.8,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12065712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Can the organic coating of breast tissue markers be sampled by an ultrasound-guided core cut biopsy without removing the clip marker? A proof-of-concept evaluation of two coated clip marker types in turkey breast tissue to improve representativity of ultrasound-guided core cut biopsies. 乳腺组织标记物的有机涂层能否通过超声引导的核心切片活检取样而不移除夹子标记物?火鸡乳房组织中两种涂覆夹标记物类型的概念验证评估,以提高超声引导核心切片活检的代表性。
IF 0.8
Ultrasound Pub Date : 2025-05-09 DOI: 10.1177/1742271X251337701
Benedikt Schaefgen, Sabrina Steudt, Thomas Albrecht, Riku Togawa, Juliane Nees, Fabian Riedel, Michael Golatta, Jörg Heil
{"title":"Can the organic coating of breast tissue markers be sampled by an ultrasound-guided core cut biopsy without removing the clip marker? A proof-of-concept evaluation of two coated clip marker types in turkey breast tissue to improve representativity of ultrasound-guided core cut biopsies.","authors":"Benedikt Schaefgen, Sabrina Steudt, Thomas Albrecht, Riku Togawa, Juliane Nees, Fabian Riedel, Michael Golatta, Jörg Heil","doi":"10.1177/1742271X251337701","DOIUrl":"https://doi.org/10.1177/1742271X251337701","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this preclinical study was to test if the organic coating of two breast tissue clip markers (HydroMARK and UltraClip) can be sampled selectively by an ultrasound-guided core cut biopsy.</p><p><strong>Methods: </strong>Ten clip markers of each type were inserted in four turkey breasts. Sonographic visibility was graded by the performing physicians. Core cut biopsy was performed, aiming to sample only the organic coating while leaving the clip marker in situ. Mammography, specimen radiography and gross inspection of the biopsy samples were conducted to evaluate dislocation or removal of the clips. The specimens were examined histopathologically to detect fragments of the coating material.</p><p><strong>Results: </strong>HydroMARK was superior regarding biopsy feasibility and detectability of the coating. The organic coating of HydroMARK could be sampled selectively without dislocating the clip marker. Fragments of the coating material were visible macroscopically in 7 out of 10 biopsy specimens and could be detected in the histopathologic workup in 5 out of 10 specimens. The coating material of the UltraClip was not visible in any sample.</p><p><strong>Conclusion: </strong>This study showed that the organic coating could be identified in core cut biopsy samples, both on a macroscopic and microscopic level. This could potentially be used to verify representativity of minimal invasive biopsies.</p>","PeriodicalId":23440,"journal":{"name":"Ultrasound","volume":" ","pages":"1742271X251337701"},"PeriodicalIF":0.8,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12064566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Liquefaction of renal allograft: An unprecedented complication in transplantation medicine. 同种异体肾移植液化:移植医学中前所未有的并发症。
IF 0.8
Ultrasound Pub Date : 2025-05-06 DOI: 10.1177/1742271X251337256
Salman J Arain, Adam H Morrell
{"title":"Liquefaction of renal allograft: An unprecedented complication in transplantation medicine.","authors":"Salman J Arain, Adam H Morrell","doi":"10.1177/1742271X251337256","DOIUrl":"https://doi.org/10.1177/1742271X251337256","url":null,"abstract":"<p><strong>Background: </strong>Renal transplantation stands as the gold standard treatment for end-stage renal disease, offering improved quality of life and increased survival compared to dialysis. However, despite its advantages, renal allograft failure can occur, necessitating careful management to mitigate associated complications. Instances of liquefaction of the transplanted kidney are exceedingly rare, posing unique challenges to clinicians in the management of allograft failure. Existing literature highlights the complexities surrounding decisions regarding dialysis reinitiation, immunosuppression management, and the potential need for transplant nephrectomy in patients with failed renal allografts.</p><p><strong>Case presentation: </strong>A 52-year-old Caucasian female with a complex medical history including stage 5 chronic kidney disease, non-ST-segment elevation myocardial infarction, hypertrophic cardiomyopathy with mild left ventricular systolic dysfunction, atrial fibrillation, and a history of cardiac arrest resulting in hypoxic brain injury, presented with a unique complication following renal transplantation. Imaging studies revealed complete breakdown and liquefaction of the transplanted kidney in the right iliac fossa. Despite interventions such as ultrasound-guided aspiration and drainage, the patient's condition continued to deteriorate.</p><p><strong>Conclusion: </strong>This case highlights a rare occurrence of allograft liquefaction following renal transplantation, emphasising the need for vigilance in monitoring transplant recipients for uncommon complications. The management of such cases requires a multidisciplinary approach, considering factors such as dialysis reinitiation timing, immunosuppression management, and the potential need for transplant nephrectomy. Further research is warranted to elucidate the pathophysiology and optimal management strategies for unique complications such as allograft liquefaction, underscoring the importance of individualised treatment approaches in complex clinical scenarios.</p>","PeriodicalId":23440,"journal":{"name":"Ultrasound","volume":" ","pages":"1742271X251337256"},"PeriodicalIF":0.8,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Editorial. 社论。
IF 0.8
Ultrasound Pub Date : 2025-05-01 Epub Date: 2025-05-05 DOI: 10.1177/1742271X251331308
Colin P Griffin
{"title":"Editorial.","authors":"Colin P Griffin","doi":"10.1177/1742271X251331308","DOIUrl":"https://doi.org/10.1177/1742271X251331308","url":null,"abstract":"","PeriodicalId":23440,"journal":{"name":"Ultrasound","volume":"33 2","pages":"87"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12053060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ultrasound assessment of the effect of patient position and body shape on peri-operative renal transplant cortical resistive indices and perfusion. 超声评价患者体位和体型对肾移植围术期皮质阻力指数和灌注的影响。
IF 0.8
Ultrasound Pub Date : 2025-03-12 DOI: 10.1177/1742271X251320546
Linda Thebridge, Charles Fisher, Vikram Puttaswamy, Carol Pollock, Jillian Clarke
{"title":"Ultrasound assessment of the effect of patient position and body shape on peri-operative renal transplant cortical resistive indices and perfusion.","authors":"Linda Thebridge, Charles Fisher, Vikram Puttaswamy, Carol Pollock, Jillian Clarke","doi":"10.1177/1742271X251320546","DOIUrl":"https://doi.org/10.1177/1742271X251320546","url":null,"abstract":"<p><strong>Background: </strong>Multiple factors impact kidney perfusion peri-operatively. The aim of this study was to evaluate the effect of patient position and size on renal transplant perfusion.</p><p><strong>Methods: </strong>Consecutive adult recipients of 123 single renal grafts were studied. Renal artery velocity, renal vein velocity and cortical resistive indices were measured in supine, oblique and decubitus positions on post-operative days 1, 3, 7 and 30, and standing on days 7 and 30.</p><p><strong>Results: </strong>Positional resistive indices were significantly lower than the supine resistive indices except in the day 1 oblique scan. Greater reductions in resistive indices occurred in grafts with higher supine cortical resistive indices, higher renal vein velocities and greater change in renal vein velocities. Renal artery velocities, renal vein velocities and resistive indices progressively decreased with greater positional change. Although renal vein velocities correlated poorly with resistive indices in individual patients, mean resistive indices correlated well (<i>r</i> <sup>2</sup> = 0.73) with mean renal vein velocities for scans in different positions and on different days, and less so with mean renal artery velocities (<i>r</i> <sup>2</sup> = 0.37). Supine abdominal girth and change in girth with position were more strongly associated with larger changes in supine resistive indices than recipient weight, body mass index or peri-operative weight gain.</p><p><strong>Conclusions: </strong>Peri-operative renal transplant resistive indices, renal artery velocities and renal vein velocities improve with patient positional change due to reduced compression of the graft and renal vein, with implications for post-operative ultrasound scanning protocols, documentation and reporting. Peri-operative patient position, especially for at-risk grafts, is a modifiable risk factor for poorer graft outcomes. Patients should be nursed in the decubitus position rather than supine. Abdominal girth is more relevant to pre-operative patient assessment than weight or body mass index.</p>","PeriodicalId":23440,"journal":{"name":"Ultrasound","volume":" ","pages":"1742271X251320546"},"PeriodicalIF":0.8,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating the use of BodyWorks Eve® high-fidelity ultrasound simulation equipment in formative clinical assessments. 评估BodyWorks Eve®高保真超声模拟设备在形成性临床评估中的使用。
IF 0.8
Ultrasound Pub Date : 2025-03-12 DOI: 10.1177/1742271X251320549
Jane Arezina, Sandra Morrissey, Wendy Harrison
{"title":"Evaluating the use of BodyWorks Eve® high-fidelity ultrasound simulation equipment in formative clinical assessments.","authors":"Jane Arezina, Sandra Morrissey, Wendy Harrison","doi":"10.1177/1742271X251320549","DOIUrl":"https://doi.org/10.1177/1742271X251320549","url":null,"abstract":"<p><strong>Introduction: </strong>Increasing demand for ultrasound services is reducing learners' access to medical ultrasound clinical experience. High-fidelity simulation equipment, such as the BodyWorks Eve®, enhances the learners' experience and scanning ability. This has the potential to improve patient safety as the learners' ability to detect, identify and accurately report a known pathology can be assessed, which is not possible in clinical practice.</p><p><strong>Methods: </strong>Participants performed one pathological ultrasound examination on the BodyWorks Eve® and the participants' performance level was assessed by the primary investigator using a formative clinical assessment form already used by the Diagnostic Imaging programme at the University of Leeds. The outcome was analysed using narrative statistics, and participants' feedback was evaluated using thematic analysis.</p><p><strong>Results: </strong>A total of 16 participants were recruited. Eight (50%) reached the required level, but eight (50%) failed to reach the required level in at least one of the seven criteria that indicate professionally incompetent or dangerous practice. Thematic analysis of all the participants' comments identified four main themes and two sub-themes which highlighted the benefits of the simulated assessment for prompting reflection, replicating clinical practice and gaining confidence in the assessment process, while also identifying negative aspects such as technical limitations when using the BodyWorks Eve®.</p><p><strong>Conclusion: </strong>Most participants evaluated the BodyWorks Eve® favourably. Using BodyWorks Eve® for formative clinical assessments is feasible and acceptable to participants. Further correlation to outcomes in clinical practice would be useful.</p>","PeriodicalId":23440,"journal":{"name":"Ultrasound","volume":" ","pages":"1742271X251320549"},"PeriodicalIF":0.8,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907560/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ultrasound-guided seven-gauge vacuum-assisted excision for benign breast lesions: A single expert surgeon experience. 超声引导下七号真空辅助乳腺良性病变切除术:一位专家外科医生的经验。
IF 0.8
Ultrasound Pub Date : 2025-02-28 DOI: 10.1177/1742271X241305025
Parisa Aziminezhadan, Alireza Pouramini, Hesam Ghassemof, Fereshteh Hosseinzadeh, Fatemeh Hosseinzadeh, Sina Seyedipour, Danial Abbasi, Erfan Sheikhbahaei
{"title":"Ultrasound-guided seven-gauge vacuum-assisted excision for benign breast lesions: A single expert surgeon experience.","authors":"Parisa Aziminezhadan, Alireza Pouramini, Hesam Ghassemof, Fereshteh Hosseinzadeh, Fatemeh Hosseinzadeh, Sina Seyedipour, Danial Abbasi, Erfan Sheikhbahaei","doi":"10.1177/1742271X241305025","DOIUrl":"https://doi.org/10.1177/1742271X241305025","url":null,"abstract":"<p><strong>Background: </strong>A large percentage of women fear benign breast lesion surgery, and it is a burden to the healthcare system. Ultrasound-guided vacuum-assisted excision (VAE) is as effective as surgery but does not require general anaesthesia, leaves no scars, and improves patient satisfaction.</p><p><strong>Methods: </strong>A retrospective analysis of a prospective cohort research carried out on recorded data of a single breast surgeon. VAE was performed on 611 patients with ACR BIRADS 3 or 4a lesions utilising EnCor Enspire equipment and a 7G probe. The average follow-up time was 30.25 ± 9.12 months.</p><p><strong>Results: </strong>A total of 772 VAEs were performed on lesions with an average diameter of 18.81 ± 8.63 mm. Pathology results revealed fibroadenoma in 70.85% of cases and papilloma in 19.43%. The overall removal rate was 99.2%, and the upgrade rate was <1%. Fibroadenoma was significantly more common in younger people, had a larger width, and was located farther away from the nipple than papilloma. Individuals with a lesion size of 13.5 mm or less and an age of 36.5 years or older were more likely to have papilloma than fibroadenoma. The reported issues consisted of temporary localised discomfort and haematoma. There were no serious complications, no hospitalisation or operation as a result of a complication, and no infection or antibiotic use was reported.</p><p><strong>Conclusion: </strong>VAE is a safe and effective alternative to open surgery for those with benign breast lesions. VAE can be utilised for both diagnostic and therapeutic purposes, making it a more cost-effective choice while also increasing patient satisfaction.</p>","PeriodicalId":23440,"journal":{"name":"Ultrasound","volume":" ","pages":"1742271X241305025"},"PeriodicalIF":0.8,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11871581/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Establishing the role of shear wave elastography in differentiating corporal rigidity between vasculogenic versus non-vasculogenic erectile dysfunction patients. 建立横波弹性成像在区分血管源性与非血管源性勃起功能障碍患者体刚性中的作用。
IF 0.8
Ultrasound Pub Date : 2025-02-24 DOI: 10.1177/1742271X241275207
Pushpendra Singh, Aditya Prakash Sharma, Prabhjyot Singh Chowhan, Ujjwal Gorsi, Ravimohan S Mavuduru, Simarjit Singh Rehsi, Anupam Lal, Uttam K Mete
{"title":"Establishing the role of shear wave elastography in differentiating corporal rigidity between vasculogenic versus non-vasculogenic erectile dysfunction patients.","authors":"Pushpendra Singh, Aditya Prakash Sharma, Prabhjyot Singh Chowhan, Ujjwal Gorsi, Ravimohan S Mavuduru, Simarjit Singh Rehsi, Anupam Lal, Uttam K Mete","doi":"10.1177/1742271X241275207","DOIUrl":"10.1177/1742271X241275207","url":null,"abstract":"<p><strong>Introduction: </strong>Shear wave elastography is a new modality for the evaluation of erectile dysfunction by assessing the stiffness of corpora cavernosal tissue. We evaluated the shear wave elastography values in erectile dysfunction participants and compared shear wave elastography values between vasculogenic and non-vasculogenic erectile dysfunction participants.</p><p><strong>Methods: </strong>Overall, 40 participants with clinically diagnosed erectile dysfunction filled out an abridged five-item version of the international index of erectile dysfunction-5 questionnaire and underwent shear wave elastography as well as pharmacologically induced penile erection test after intracavernosal papaverine injection. Shear wave elastography values were obtained serially at 5-minute interval at two locations: Central (cavernosal artery centered circular region) and Peripheral (near the tunica albuginea). Shear wave elastography values were compared with the erectile dysfunction subtypes.</p><p><strong>Results: </strong>Median international index of erectile dysfunction-5 score was 11 (interquartile range: 9-14). Median central shear wave elastography values were significantly lower in the erectile state as compared to flaccid state in both vasculogenic (8.27 kPa (interquartile range: 6.3-12.5) vs 23.27 kPa (interquartile range: 15.9-28.6) <i>p</i> = 0.000) and non-vasculogenic (5.50 kPa (interquartile range: 4.4-6.7) vs 23.85 kPa (interquartile range: 17.8-33.6) <i>p</i> = 0.000) erectile dysfunction participants. Vasculogenic erectile dysfunction participants had significantly higher central shear wave elastography value in erectile state than non-vasculogenic erectile dysfunction participants (8.27 kPa (interquartile range: 6.3-12.5) vs 5.50 kPa (interquartile range: 4.4-6.7) <i>p</i> = 0.001). Receiver operating characteristics curve analysis revealed that the cut-off value for central shear wave elastography was 5.65 kPa in erectile state with the sensitivity, and specificity for predicting vasculogenic erectile dysfunction being 90.9% and 61.1%, respectively (area under the curve -0.816; standard error of 0.071 (<i>p</i> = 0.001)).</p><p><strong>Conclusion: </strong>Central cavernosal shear wave elastography is a good modality to objectively quantify the penile rigidity and can be used to distinguish the subtype of ED.</p>","PeriodicalId":23440,"journal":{"name":"Ultrasound","volume":" ","pages":"1742271X241275207"},"PeriodicalIF":0.8,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11851578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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