Ultrasound & Functional Diagnostics最新文献

{"title":"Diagnosis of cardiac amyloidosis with the use of modern ultrasound techniques","authors":"E. V. Trubina, M. S. Surgutskaya","doi":"10.24835/1607-0771-2023-3-24-36","DOIUrl":"https://doi.org/10.24835/1607-0771-2023-3-24-36","url":null,"abstract":"Amyloidosis is a systemic disease caused by accumulation of insoluble amyloid proteins in the tissues. Cardiac amyloidosis (CA) lead to a severe heart failure, which is often therapy resistant. The severity of heart failure does not correspond to the degree of decrease in systolic function of the left ventricle, since diastolic function is more impairing. Early diagnosis of cardiac amyloidosis is important due to the presence of treatment regimens for this disease nowadays. The “gold standard” for cardiac amyloidosis diagnosis is myocardial biopsy, but non-invasive diagnostic methods are also of great importance. The aim of the article is a review of the ultrasound signs of cardiac amyloidosis, including the use of modern technologies, which helps to suspect CA to provide a further examination.","PeriodicalId":291055,"journal":{"name":"Ultrasound & Functional Diagnostics","volume":"11 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139964607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recommendations for prostate ultrasound in adults. Part II. Transrectal prostate ultrasound. An expert consensus statement from the Russian Association of Specialists in Ultrasound Diagnostics in Medicine (RASUDM)","authors":"A. Kadrev, M. D. Mitkova, A. V. Amosov, M. N. Bulanov, N. N. Vetsheva, A. I. Gromov, N. S. Ignashin, G. Krupinov, L. A. Mitina, N. I. Sorokin, L. A. Strokova, A. N. Khitrova, S. L. Shvyrev, V. Mitkov","doi":"10.24835/1607-0771-2023-3-9-23","DOIUrl":"https://doi.org/10.24835/1607-0771-2023-3-9-23","url":null,"abstract":"The article presents standards for performing and reporting of transrectal prostate ultrasound in adults. The document consists of ultrasound protocol, which describes the methodology of ultrasound examination performing, and ultrasound report, describing the examination results with final conclusion. The ultrasound protocol and ultrasound report comply with current national and international guidelines.","PeriodicalId":291055,"journal":{"name":"Ultrasound & Functional Diagnostics","volume":"23 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139964484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shear wave elastography assessment of buccinator stiffness in patients of different age groups","authors":"Yu. A. Stepanova, D. Kiseleva, N. Sultanova, A. I. Kurochkina","doi":"10.24835/1607-0771-2023-1-88-94","DOIUrl":"https://doi.org/10.24835/1607-0771-2023-1-88-94","url":null,"abstract":"Objective: to assess the capabilities of lower face muscles stiffness measurement with shear wave elastography in female patients of various age groups.Material and methods. Ultrasound examination with buccinator muscle stiffness measurement in shear wave elastography was performed in 45 healthy female patients divided into three equal groups by the age (20–30, 31–40 and 41–50 years old) with the use of Epiq 5 (Phillips, the Netherlands) with a linear probe (4–18 MHz). Exclusion criteria were: a history of facial soft tissue pathology, neuromuscular disorders, invasive or minimally invasive facial cosmetology, long-term activity with an active use of facial muscles and articulation. The values of Young's modulus (kPa) were measured in the central and lateral parts of the buccinator muscle in the standing and supine positions of the patients.Results. There was no significant differences of Young's modulus in the central and lateral parts measured standing compared to supine position in all age groups (except the lateral part in group 1). A signifi cant progressive decrease of the buccinator muscle stiffness obtained in three age groups with minimal values of Young’s modulus in the age group of 41–50 years: median – from 5.8 to 9.1 kPa (minimum–maximum values – from 4.1 to 11.3 kPa ) depending on the area of measurements and the position of the patient. In patients of the age group 20–30 years – 8.6–13.8 kPa (7.6–16.5 kPa), 31–40 years – 8.0–11.8 kPa (6.0–13.7 kPa ), respectively.Conclusion. Shear wave elastography allows the assessment of age-related changes in soft tissue, as demonstrated by the decrease of buccinator muscle stiffness","PeriodicalId":291055,"journal":{"name":"Ultrasound & Functional Diagnostics","volume":"85 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138976867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spontaneous hematomas in COVID-19 patients. Literature review","authors":"A. A. Riazantsev, G. P. Grishin, O. P. Litvina, A. I. Profutkin","doi":"10.24835/1607-0771-2023-1-71-87","DOIUrl":"https://doi.org/10.24835/1607-0771-2023-1-71-87","url":null,"abstract":"A brief literature review presents the main classifications, clinical manifestations and methods of diagnosis of spontaneous retroperitoneal and rectus sheath hematomas in patients with COVID-19. The direct and indirect ultrasound criteria, stages of resolution and treatment strategy of the spontaneous hematomas are discussed","PeriodicalId":291055,"journal":{"name":"Ultrasound & Functional Diagnostics","volume":"40 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139005120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Categorization of fibroepithelial breast tumors according to ultrasound BI-RADS classification","authors":"E. P. Fisenko, A. G. Ivanova","doi":"10.24835/1607-0771-2023-1-10-22","DOIUrl":"https://doi.org/10.24835/1607-0771-2023-1-10-22","url":null,"abstract":"Among breast masses, the most common are fibroadenomas (FA), which belongs to the group of a fibroepithelial tumors. Simple pericanalicular FA ordinarily shows the ultrasound signs of a benign mass. Long-standing pericanalicular FA and intracanalicular FA as they grow acquire some ultrasound features uncommon for benign lesions, which requires differential diagnosis with malignant breast masses. The group of fibroepithelial breast tumors also includes phyllodes tumors with frequency of malignant variants of 20–30%. Differential diagnosis of phyllodes tumor and fibroadenomas is difficult, due to the lack of the clear radiologic diagnostic criteria (incl. ultrasound). All breast masses that shows suspicious or atypical features should be selected for biopsy, with the use of BI-RADS classification for the biopsy need indication.Objective: to reveal the rules for fibroepithelial breast tumors categorization according to BI-RADS depending on the ultrasound features.Material and methods. A total of 86 breast masses in 79 women were assessed by ultrasound in B-mode and Color Doppler (CDI). Of these, 22 masses in 15 women showed the typical ultrasound pattern of FA up to 2.0 cm in size with no necessary of morphological evaluation (the average age of the patients was 24.2 ± 5.1 years). Surgery performed for 64 lesions ≥2.0 cm in size, postsurgery morphological examination revealed pericanalicular FA – 38, intracanalicular FA –19 and phyllodes tumors (benign) – 7.Results. The majority of atypical pericanalicular FA (84.2%) were categorized as BI-RADS 4а (a low risk of cancer), 94.7% of intracanalicular fibroadenomas and all phyllodes tumors – as BI-RADS 4b and BI-RADS 4c (а high risk of cancer). The identification of suspicious ultrasound signs led to an increase in the BI-RADS category with indications to the morphological evaluation of the mass.Conclusion. As the suspicious ultrasound signs in B-mode should be considered the irregular shape and borders, vertical orientation and inhomogeneous acoustic shadowing in the absence of macrocalcifications, in Color Doppler – diffuse or focal mass hypervascularity or abnormal vascular pattern. The atypical ultrasound pattern commonly presents in large breast fibroadenomas (>3.0 cm in size), requires differential diagnosis with phyllodes tumors and breast cancer and indicates the need of morphological evaluation and categorizing them as not lower than BI-RADS4.","PeriodicalId":291055,"journal":{"name":"Ultrasound & Functional Diagnostics","volume":"184 S493","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139006446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultrasound diagnosis of the carotid webs. Literature review and a clinical case using modern vector analysis technology","authors":"A. Chechetkin, M. Dreval’","doi":"10.24835/1607-0771-2023-1-56-70","DOIUrl":"https://doi.org/10.24835/1607-0771-2023-1-56-70","url":null,"abstract":"Carotid wed (CW) is a rare pathology representing intimal protrusion in the bifurcation of the common carotid or sinus of internal carotid arteries, associated with embolic cryptogenic stroke and high risk of its recurrence despite ongoing antiplatelet therapy. Therefore, accurate and timely diagnosis of this pathology is of utmost importance. Ultrasound is a first-line method, but currently only a few reports are devoted to the ultrasound description of CW, which often leads to missed or misdiagnosis of the disease. This paper describes a case of clinically asymptomatic CW and summarizes the literature data on the ultrasound characteristics of this pathology.","PeriodicalId":291055,"journal":{"name":"Ultrasound & Functional Diagnostics","volume":"31 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139003570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prospective use of O-RADS and ADNEX ultrasound systems for risk stratification of ovarian malignancies","authors":"M. N. Bulanov","doi":"10.24835/1607-0771-2023-1-23-55","DOIUrl":"https://doi.org/10.24835/1607-0771-2023-1-23-55","url":null,"abstract":"Objectives. A prospective study of the diagnostic value of ultrasound ovarian cancer risk stratification systems ADNEX and O-RADS in the differential diagnosis of benign and malignant ovarian tumors.Material and methods. 59 patients with 43 benign and 25 with malignant ovarian tumors were prospectively examined. The ultrasound diagnostic systems IOTA ADNEX (installed on the device) and O-RADS (ACR Guidance smartphone application) were used to assess the risk of ovarian cancer. An ultrasound report on the presence of a malignant tumor with appropriate routing of the patient was given when the risk of malignancy according to ADNEX was ≥10%, as well as when the risk of malignancy was ≥4 points according to O-RADS. All patients underwent surgical treatment at the Regional Clinical Hospital (Vladimir) and the Regional Clinical Oncology Hospital (Vladimir).Results. Sensitivity, specificity, positive predictive value, negative predictive value, accuracy, and area under the curve (AUC) were respectively for ADNEX: 96, 81, 75, 97 and 87%, AUC 0.933; for O-RADS: 100, 74, 69, 10% and 90%, AUC 0.926.Conclusion. Both ultrasound diagnostic systems demonstrated very high sensitivity in the prospective differential diagnosis of benign and malignant ovarian tumors. At the same time, O-RADS made it possible to make the correct diagnosis in all 25 cases of malignant tumors. At the same time, both systems showed low specificity, with ADNEX having a slightly higher specificity (p > 0.05). AUC values were high for both diagnostic systems. In connection with the results of the study, we currently consider it advisable to simultaneously use the ADNEX and O-RADS systems for ultrasound examination in gynecology, reflecting the results of calculating the risk of malignant neoplasms of the adnexal mass in the ultrasound examination protocol","PeriodicalId":291055,"journal":{"name":"Ultrasound & Functional Diagnostics","volume":"78 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139004455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Вихревые турбулентные потоки и скручивание левого желудочка у детей в возрасте от одного года до пяти лет, рожденных недоношенными с низкой, очень низкой и экстремально низкой массой тела","authors":"Р. И. Шалина, Ю В Выхристюк, Е.Я. Караганова, Е.Р. Плеханова, Е. В. Лебедев, Д С Спиридонов","doi":"10.24835/1607-0771-2021-4-38-56","DOIUrl":"https://doi.org/10.24835/1607-0771-2021-4-38-56","url":null,"abstract":"Цель: изучение характера вихревых потоков при различных типах скручивания левого желудочка в систолу у детей в возрасте от одного года до пяти лет, рожденных недоношенными с низкой, очень низкой и экстремально низкой массой тела. Материал и методы: обследовано 25 детей в возрасте от 1 года до 5 лет, рожденных недоношенными с низкой, очень низкой и экстремально низкой массой тела. Ультразвуковое исследование сердца выполнено на системе Vivid Е95 (GE Healthcare, США) с использованием ма тричного датчика M5S (1,5-4,6 МГц) по стандартной методике. Кроме того, с по мощью двухмерной спекл-трекинг эхокардиографии оценены типы скручивания левого желудочка, а с помощью технологии blood speckle imaging - потокогенная составляющая (характер вихревых потоков в конце диастолы и в фазу изометрического сокращения). Результаты: первый тип скручивания (взрослый) отмечался у 11 из 25 (44%) детей, второй (детский) - у 4 (16%), третий (вариант детского) - у 4 (16%), четвертый (реверсивный) - у 6 (24%). Для первого (взрослого) типа скручивания левого желудочка (n = 11) в конце диастолы характерен доминирующий поток по направлению к верхушке вдоль задней стенки левого желудочка, далее поток крови движется по межжелудочковой перегородке в сторону аорты. В фазу изометрического сокращения кровоток состоит из двух вихревых потоков, один из которых на верхушке, другой - на уровне папиллярных мышц. При втором и третьем (детских) типах скручивания левого желудочка (n = 8) в конце диастолы вихревой поток направлен в сторону верхушечного сегмента межжелудочковой перегородки, где делает поворот по направлению к задней стенке левого желудочка до уровня задне медиальной папиллярной мышцы, а затем движется по направлению к аорте. При втором типе скручивания левого желудочка (n = 4) в фазу изометрического сокращения вихревой поток направлен от задней стенки в сторону межжелудочковой перегородки, второй поток на уровне папиллярных мышц отсутствует. При третьем типе скручивания левого желудочка (n = 4) в фазу изометрического сокращения доминирующий вихрь формируется на уровне папиллярных мышц по направлению к межжелудочковой перегородке, затем перемещается к верхушке, где образовывает завиток на стороне задней стенки левого желудочка на уровне верхушечных сегментов. При четвертом (реверсивном) типе скручивания левого желудочка (n = 6) в конце диастолы наблюдался рассыпной вихревой поток (по типу салюта) без выделения доминирующего вихря. В фазу изометрического сокращения регистрировался один вихревой поток, захватывающий уровни верхушки, папиллярных мышц и частично базальных сегментов. Выводы: развитие различных вариантов вихревых потоков у детей в возрасте от одного года до пяти лет, рожденных недоношенными с низкой, очень низкой и экстремально низкой массой тела, является неотъемлемой частью процесса постнатального онтогенеза детского сердца при условии наличия фактора преждевременных родов в анамнезе.\u0000\u0000Ключевые слова:\u0000двухмерная спеклтрекинг эхокардиография, ротация левого желудоч","PeriodicalId":291055,"journal":{"name":"Ultrasound & Functional Diagnostics","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121238117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Факторы, оказывающие влияние на результаты ультразвуковой эластометрии печени","authors":"Л. А. Эфрос, И. В. Самородская","doi":"10.24835/1607-0771-2021-4-9-29","DOIUrl":"https://doi.org/10.24835/1607-0771-2021-4-9-29","url":null,"abstract":"Факторы, которые оказывают влияние на результаты ультразвуковой эластометрии, имеют большое значение при интерпретации данных в рамках диагностики фиброза печени. При использовании ультразвуковой эластометрии в других целях (например, при прогнозировании сердечных событий у пациентов с правосторонней сердечной недостаточностью, мониторинге пациентов с синдромом синусоидальной обструкции печени, мониторинге краткосрочных и долгосрочных результатов ангиопластики у пациентов с синдромом Бадда-Киари) учет факторов, искажающих результаты эластометрии, также необходим. Факторы, искажающие результаты эластометрии, связаны с методикой исследования, оборудованием, артефактами, особенностями состояния организма и внешними воздействиями. Многие из них носят универсальный характер независимо от используемого вида количественной ультразвуковой эластографии. Наличие факторов, искажающих результаты эластометрии, следует отражать в протоколе эластографического исследования печени и оценивать при написании заключения, вплоть до указания о невозможности интерпретации полученных результатов.\u0000\u0000Ключевые слова:\u0000ультразвуковая эластография сдвиговой волной, жесткость, модуль Юнга, скорость сдвиговой волны, фиброз печени, ultrasound shear wave elastography, stiffness, Young’s modulus, shear wave velocity, liver fibrosis","PeriodicalId":291055,"journal":{"name":"Ultrasound & Functional Diagnostics","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128276336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ультразвуковая диагностика синовиальной кисты подколенной области (кисты Бейкера)","authors":"","doi":"10.24835/1607-0771-2021-4-57-78","DOIUrl":"https://doi.org/10.24835/1607-0771-2021-4-57-78","url":null,"abstract":"Кисты Бейкера являются наиболее частой патологической находкой, выявляемой при ультразвуковом исследовании подколенной ямки. В обзоре литературы обсуждаются вопросы этиологии, эпидемиологии, патогенеза, клинической картины, лечения кисты Бейкера. Особое внимание уделяется вопросам диагностики заболевания. Киста Бейкера имеет широкий спектр эхографических проявлений. При исследовании кисты Бейкера в продольной и поперечной плоскостях сканирования необходимо оценивать контуры стенок кисты (ровность, непрерывность, расслоение, разрыв), структуру стенок (наличие гипертрофии синовиальной оболочки в виде ворсин или пристеночных разрастаний синовиальных ворсин, перегородок, септ), внутриполостных образований (хрящевых, костно-хрящевых тел, кальцификатов). При необходимости для оценки васкуляризации используют цветокодированную допплерографию. При длительно существующей кисте Бейкера возможны осложнения, которые включают: диссекцию - расслоение нижнего отдела капсулы кисты, без полного разрыва; разрыв - повреждение нижнего отдела капсулы кисты и вытекание (распространение) жидкостного содержимого из кистозной полости в межфасциальное (межмышечное) пространство задней поверхности голени и подкожно-жировую клетчатку голени.\u0000\u0000Ключевые слова:\u0000ультразвуковая диагностика, коленный сустав, киста Бейкера, синовиальная киста подколенной области, musculoskeletal ultrasound, knee joint, Baker cyst, synovial cyst of popliteal space","PeriodicalId":291055,"journal":{"name":"Ultrasound & Functional Diagnostics","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127842346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}