SonographyPub Date : 2025-07-16DOI: 10.1002/sono.12541
Andrew G. Letizia, Elizabeth Cooper, Charmagne Beckett, Chad K. Porter, Carl Goforth, Randolph P. Martin, David B. Adams, Andrew Marra, Michele Temple‐Wong, Dylan Wessman, M. Alaric Franzos
{"title":"Artificial Intelligence Guided Nonexpert Echocardiogram in the <scp>COVID</scp> ‐19 Health Action Response in Marines 2.0 Study","authors":"Andrew G. Letizia, Elizabeth Cooper, Charmagne Beckett, Chad K. Porter, Carl Goforth, Randolph P. Martin, David B. Adams, Andrew Marra, Michele Temple‐Wong, Dylan Wessman, M. Alaric Franzos","doi":"10.1002/sono.12541","DOIUrl":"https://doi.org/10.1002/sono.12541","url":null,"abstract":"ABSTRACT Purpose Echocardiography is a widely utilized cardiac imaging modality, but accessibility can be limited by cost and lack of skilled sonographers. We demonstrate the use of point‐of‐care ultrasound (POCUS) with an embedded deep learning algorithm to guide novice users in obtaining diagnostic‐quality echocardiographic images and ejection fraction (EF) estimates. Methods Utilizing an AI‐assisted echocardiography technology among a cohort of young healthy adults, we evaluated 10 examiners on their ability to capture four POCUS cardiac views per participant and calculate a real‐time AutoCapture ejection fraction. We assessed the number of studies completed, image quality as defined by quality meter score (QMS), and the acquisition time required per study. Results Examiners obtained 887 echocardiograms from 789 participants, most of whom were healthy, white (70.3%) males (92.1%) with a median age of 18 years (range 18–34), and an EF of 55%–70% (range 21%–70%). Examiners, categorized as “Beginner,” “Intermediate,” and “Advanced” proficiency, obtained an AutoCapture EF in 69.6%, 70.6%, and 79.1% of studies, and a mean QMS of 71.0, 72.2, and 73.8, respectively, regardless of the view type examined. The mean QMS was highest for parasternal long axis (77.1) compared to the other three views, with no significant difference between the number of studies performed and the QMS for each view ( p > 0.050). Conclusions We demonstrate that novice examiners can utilize this technology to obtain interpretable cardiac images in a timely fashion, and POCUS could be used to identify cardiac conditions in resource‐limited settings.","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"12 4","pages":"461-471"},"PeriodicalIF":0.0,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/sono.12541","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147894310","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}
SonographyPub Date : 2025-01-21DOI: 10.1002/sono.12493
Dannielle Macklin, Michelle Fenech, Thomas H. Burke
{"title":"Advanced Sonographic Imaging of the Foot and Ankle for Diagnosis of Inferior Calcaneal Nerve Entrapment","authors":"Dannielle Macklin, Michelle Fenech, Thomas H. Burke","doi":"10.1002/sono.12493","DOIUrl":"https://doi.org/10.1002/sono.12493","url":null,"abstract":"ABSTRACT Non‐traumatic heel pain is common. Entrapment of the inferior calcaneal nerve (ICN) is an underappreciated cause of plantar heel pain and can occur independently or concurrently with plantar fasciitis. Ultrasound imaging can directly assess the ICN, its path and the structures it innervates; however, is generally not well understood. The anatomy of the ICN, the sonographic technique to assess this nerve, its surroundings, the muscles it innervates, and the normal and abnormal sonographic appearances must be appreciated. Additionally, knowledge of the plantar hindfoot muscles is crucial as they are landmarks that assist sonographic identification of the ICN. A timely diagnosis of ICN entrapment is required to inform appropriate patient management and facilitate pain relief.","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"12 2","pages":"205-214"},"PeriodicalIF":0.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/sono.12493","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147891201","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}
SonographyPub Date : 2023-12-29DOI: 10.1002/sono.12397
Issac Cheong, Lucila Avanzato, Raúl Alejandro Gómez, Federico Matías Álvarez Vilariño, María Virginia Mazzola, Gastón Adrián Baiona, M. S. Santagiuliana, M. Furche, F. Tamagnone, P. M. Merlo
{"title":"Diagnosis of fat embolism syndrome using point‐of‐care ultrasound","authors":"Issac Cheong, Lucila Avanzato, Raúl Alejandro Gómez, Federico Matías Álvarez Vilariño, María Virginia Mazzola, Gastón Adrián Baiona, M. S. Santagiuliana, M. Furche, F. Tamagnone, P. M. Merlo","doi":"10.1002/sono.12397","DOIUrl":"https://doi.org/10.1002/sono.12397","url":null,"abstract":"Fat embolism (FES) is a condition that can lead to severe organ effects and death in patients with long bone fractures. Diagnosis is challenging due to multiple criteria. This case report presents the use of point‐of‐care ultrasound (POCUS) in diagnosing right ventricular dysfunction associated with fat embolism syndrome. A 36‐year‐old patient with a history of obesity presented with multiple fractures and respiratory failure after a road accident. Bedside echocardiography showed evidence of dilated right chambers, right ventricular outflow tract shortened acceleration time, and mild tricuspid insufficiency. Venous ultrasonography showed microembolic signals (MES) interpreted as fat embolism. The patient was treated with fracture reduction and osteosynthesis, which showed improvement in right ventricular dysfunction and the disappearance of MES. FES is a clinical syndrome that occurs after an identifiable bone injury. This case highlights the utility of POCUS in the diagnosis of FES.","PeriodicalId":29898,"journal":{"name":"Sonography","volume":" 11","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139143595","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}
SonographyPub Date : 2023-12-29DOI: 10.1002/sono.12396
Meng Dai, Jiaying Chen, Xuejie Li
{"title":"Disappeared left atrial “myxoma”: Left atrial thrombus was misdiagnosed as myxoma","authors":"Meng Dai, Jiaying Chen, Xuejie Li","doi":"10.1002/sono.12396","DOIUrl":"https://doi.org/10.1002/sono.12396","url":null,"abstract":"","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"73 s327","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139146585","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}
SonographyPub Date : 2023-12-25DOI: 10.1002/sono.12395
Emma Manunui, M. Necas
{"title":"Hypoechoic liver in a fetus with trisomy 21 but without transient abnormal myelopoiesis at birth","authors":"Emma Manunui, M. Necas","doi":"10.1002/sono.12395","DOIUrl":"https://doi.org/10.1002/sono.12395","url":null,"abstract":"","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"8 10","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139158347","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}
SonographyPub Date : 2023-12-23DOI: 10.1002/sono.12393
Issac Cheong, Lucila Avanzato, Milton Bermeo, Patricio José Duarte, Javier Arrinda, P. M. Merlo
{"title":"Cardiac involvement in a case of severe eosinophilic syndrome characterized by echocardiography","authors":"Issac Cheong, Lucila Avanzato, Milton Bermeo, Patricio José Duarte, Javier Arrinda, P. M. Merlo","doi":"10.1002/sono.12393","DOIUrl":"https://doi.org/10.1002/sono.12393","url":null,"abstract":"","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"33 11","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139161517","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}
SonographyPub Date : 2023-12-19DOI: 10.1002/sono.12385
J. Spurway, Georgina Luscombe, Melanie Laird, Conan Chan
{"title":"Heating the scanning environment during ultrasound upper limb mapping: Impact on arteriovenous fistula creation outcomes and sonographer's perceptions of heating method useability","authors":"J. Spurway, Georgina Luscombe, Melanie Laird, Conan Chan","doi":"10.1002/sono.12385","DOIUrl":"https://doi.org/10.1002/sono.12385","url":null,"abstract":"This study explores the impact on arteriovenous fistula (AVF) creation and maturation of four methods of heating the scanning environment during ultrasound upper limb mapping, and sonographer perceived useability of the environments.A retrospective audit at Orange and Bathurst hospitals involving patients who underwent ultrasound upper limb mapping (2016–2022). Patients were scanned using warm gel and three additional methods of warming. Two sonographers provided their preference and opinions on each environment. Data on AVF type, brachial artery blood flow (QBRA), AVF maturity status at 3 and 6 months and intervention within this timeframe was retrieved. Data from the three additional heated environments was combined for analysis (heated environments) against the heated gel only environment (gel environment).Eighty‐five patients met selection criteria. There was no significant difference in the proportion of successfully created AVFs between the heated and the gel environments (90% vs. 94%). A greater percentage of AVFs mapped in the heated environments reached maturity without intervention compared to the gel environment (70% vs. 48%, respectively). There was a statistically significant higher QBRA in the AVFs mapped in the heated environments (1.25 L/min) that reached maturity by 3 months without intervention compared to the gel environment (0.95 L/m; p = .008). Sonographers found a warm blanket/electric throw the easiest methods of heating the scanning environment.Using an electric throw and/or a warm blanket during ultrasound upper limb mapping is practical and optimises the scan environment, which provides surgeons with quality information that ultimately improves AVF creation outcomes.","PeriodicalId":29898,"journal":{"name":"Sonography","volume":" 4","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138962979","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}
SonographyPub Date : 2023-12-03DOI: 10.1002/sono.12391
Tracy Truong, N. Kennedy, Vasundhara Kaushik, Jennifer Alphonse, A. Quinton
{"title":"Patient experience when self‐introducing gel into the vagina for assessment of deep endometriosis: A pilot study","authors":"Tracy Truong, N. Kennedy, Vasundhara Kaushik, Jennifer Alphonse, A. Quinton","doi":"10.1002/sono.12391","DOIUrl":"https://doi.org/10.1002/sono.12391","url":null,"abstract":"When scanning for deep endometriosis a 20 mL syringe is used to insert gel into the vagina for a gel sonovaginography (SVG) examination. This is invasive and can cause discomfort. The aim of this study is to compare participant experience with the self‐administration of 20 mL of gel total using a 10 mL syringe versus 20 mL syringe for participants undergoing a gel SVG ultrasound to assess for any participant discomfort.This study was a quantitative pilot study with 31 participants. Consenting participants were instructed to insert a total of 20 mL of gel divided equally into one 20 mL and one 10 mL syringe, into their own vagina prior to SVG. After the SVG, a questionnaire was provided to determine the level of discomfort experienced.Overall participants found the instructions clear and the insertion of either syringe tolerable. The results demonstrated that 22/31 (71%) of participants had no discomfort inserting the 10 mL syringe. In comparison, 17/31 (55%) reported slight or mild discomfort inserting the 20 mL syringe. The majority of participants preferred inserting one 20 mL syringe rather than two 10 mL syringes.Participants found the gel insertion using either syringe tolerable with most participants finding the 10 mL syringe more comfortable but would overall prefer inserting one 20 mL syringe instead of two 10 mL syringes. Future studies on larger numbers of multicultural participants using variable syringe sizes with varying amounts of gel should be considered.","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"32 3","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138605552","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}