Australasian Journal of Ultrasound in Medicine最新文献

{"title":"Antenatal Point-Of-Care Ultrasound Programmes Should Include Perinatal Mental Health Safeguards","authors":"Li-Fen Chen, Lien-Chung Wei","doi":"10.1002/ajum.70056","DOIUrl":"10.1002/ajum.70056","url":null,"abstract":"","PeriodicalId":36517,"journal":{"name":"Australasian Journal of Ultrasound in Medicine","volume":"29 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593747","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":"Beyond Reprocessing Compliance: Implementing Ultrasound Transducer Hygiene Guidelines Through Audit, Adaptation and Patient Safety","authors":"Rajesh Prasad Jayaswal, Maajid Mohi Ud Din Malik, Kanchan Kholiya, Rama Kumari Badyal","doi":"10.1002/ajum.70046","DOIUrl":"10.1002/ajum.70046","url":null,"abstract":"","PeriodicalId":36517,"journal":{"name":"Australasian Journal of Ultrasound in Medicine","volume":"29 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593769","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":"McConnell's Sign in an RV Infarct: A Case Report","authors":"Ethan Fernandes,&nbsp;Wai Chung Tse,&nbsp;Manuja Premaratne,&nbsp;Jonathan Henry","doi":"10.1002/ajum.70057","DOIUrl":"10.1002/ajum.70057","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>McConnell's sign on point-of-care ultrasound (POCUS) has traditionally been associated with acute pulmonary embolism (PE). However, current evidence suggests that McConnell's sign may not be as specific as commonly thought.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Key Findings</h3>\u0000 \u0000 <p>We present the case of an 85-year-old gentleman presenting to the emergency department (ED) with clinical features and ECG findings consistent with acute right ventricular myocardial infarction (RVMI). POCUS in the ED revealed McConnell's sign. Nevertheless, the patient was appropriately referred for percutaneous coronary intervention (PCI) to treat RVMI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Had the treating team assumed that McConnell's sign was specific for PE, the patient might have been managed inappropriately, critically delaying coronary reperfusion through PCI. We argue that clinical teaching and guidelines should have greater emphasis on contextualising McConnell's sign with the clinical presentation in order to improve patient outcomes when making time-sensitive decisions. Additionally, the relationship between RV NSTEMI and McConnell's sign is yet to be explored in the available literature, and further research into this area could greatly improve diagnostic differentiation in the absence of regional ischaemia on ECG.</p>\u0000 </section>\u0000 </div>","PeriodicalId":36517,"journal":{"name":"Australasian Journal of Ultrasound in Medicine","volume":"29 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593836","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":"Point-Of-Care Ultrasound Pronator Quadratus Haematoma Sign Visualised in Adult Distal Radius Fractures: A Case Series","authors":"Peter James Snelling,&nbsp;Saransh Kumar Saini,&nbsp;Gerben Keijzers","doi":"10.1002/ajum.70052","DOIUrl":"10.1002/ajum.70052","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Subtle fractures of the distal forearm in adults are not always readily apparent on radiography. Point-of-care ultrasound (POCUS) offers a potentially valuable adjunct to conventional radiography in fracture diagnosis. The main advantage of POCUS over radiography is its ability to delineate soft tissue structures, which can provide additional diagnostic information.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Key Findings</h3>\u0000 \u0000 <p>Two adult patients who presented with isolated distal forearm injuries. They were chosen based on a high clinical suspicion for fracture but equivocal radiography findings. The pronator quadratus haematoma (PQH) sign was detected with sonography in both patients, with increased echogenicity and thickening of the muscle, caused by bleeding and swelling within the pronator quadratus muscle compartment, indicative of a distal radial fracture.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This case series illustrates how the sonographic PQH sign can be used as an adjunct to radiography for the diagnosis of adult distal radius fractures. However, prospective studies with more extensive cohorts are essential to validate the reliability of the PQH sign and to refine its use in clinical practice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":36517,"journal":{"name":"Australasian Journal of Ultrasound in Medicine","volume":"29 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13401132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593907","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}

{"title":"Contrast-Induced Non-Cardiogenic Pulmonary Oedema Detected by Lung Ultrasound: A Case Report","authors":"Ali Aldawood,&nbsp;Kaltham Al Doaibel","doi":"10.1002/ajum.70053","DOIUrl":"10.1002/ajum.70053","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Pulmonary oedema is characterised by fluid accumulation within the alveoli, impairing gas exchange and causing respiratory distress. While cardiogenic pulmonary oedema is common, non-cardiogenic causes are less frequent and typically result from increased capillary permeability. Contrast-induced non-cardiogenic pulmonary oedema (NCPE) is rare but clinically significant.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Key Findings</h3>\u0000 \u0000 <p>We report a case of NCPE following iodinated contrast administration during breast imaging. Point-of-Care Lung ultrasound (LUS) detected early interstitial fluid through diffuse bilateral B-lines, which were not evident on chest radiography. This facilitated prompt diagnosis and guided timely treatment with non-invasive ventilation and intravenous furosemide.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This case highlights contrast-induced NCPE as a rare adverse event and demonstrates the role of bedside LUS as a rapid, non-invasive diagnostic modality. Early detection supported timely intervention and contributed to rapid clinical improvement. Wider integration of LUS in an acute care setting may enhance diagnostic accuracy and improve patient outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":36517,"journal":{"name":"Australasian Journal of Ultrasound in Medicine","volume":"29 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148449696","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":"Transvaginal Ultrasonography for Detection of PID-Related Adhesions: A Case Report","authors":"Anisha Dubey,&nbsp;Ido Mick,&nbsp;Melissa Marien,&nbsp;Mathew Leonardi","doi":"10.1002/ajum.70050","DOIUrl":"10.1002/ajum.70050","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Diagnosis of acute and chronic pelvic inflammatory disease continues to be a challenge despite advances in investigative procedures. Complications of PID include infertility, chronic pelvic pain and ectopic pregnancy. Currently, transvaginal ultrasonography is primarily used to detect tubo-ovarian abscesses (TOA) or pyosalpinx. We present a case where dynamic transvaginal ultrasound can detect filmy adhesions in the posterior the cul-de-sac corresponding to surgically confirmed PID.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Key Findings</h3>\u0000 \u0000 <p>A 19-year-old nulliparous female with chronic pelvic pain and presumed endometriosis underwent an advanced pelvic ultrasound demonstrating an anteverted uterus, a normal right ovary with mild thickening and erythema of the right fallopian tube, and a normal left ovary and fallopian tube. There were no signs of adhesions within the anterior compartment. A positive sliding sign was noted, suggesting a non-obliterated cul-de-sac. However, multiple filmy adhesions were detected along the right rectouterine pouch, aided by the presence of pelvic-free fluid. There were no findings of hydro/pyosalpinx or TOA. Using ultrasound, deep and ovarian endometriosis were also ruled out. During surgical evaluation, there were clear findings of PID, including filmy adhesions within the rectouterine pouch and Fitz–Hugh–Curtis adhesions in the right upper quadrant.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Given this unique finding, we propose using transvaginal ultrasonography to enhance the diagnosis of chronic PID for patients suffering from pelvic pain. While superficial endometriosis can also present with similar findings, we believe there is a quantification difference whereby PID presents with more diffuse adhesions in the absence of other features of endometriosis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":36517,"journal":{"name":"Australasian Journal of Ultrasound in Medicine","volume":"29 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13272881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279091","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}

{"title":"Narrative Review on History of Point-of-Care Ultrasound Training in Critical Care","authors":"Arvind Rajamani,&nbsp;Pranav Arun Bharadwaj,&nbsp;Sriram Hariharan,&nbsp;Amritha Varshini Ragavan,&nbsp;Anwar Hassan,&nbsp;Hemamalini Arvind,&nbsp;Stephen Huang,&nbsp;the SPARTAN Collaborative (Small Projects, Audits and Research Trials – Australia, New Zealand)","doi":"10.1002/ajum.70043","DOIUrl":"https://doi.org/10.1002/ajum.70043","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction/Purpose</h3>\u0000 \u0000 <p>Point-of-care ultrasound (PoCUS) has evolved from bulky radiology-based machines to a core bedside tool in critical care. Training processes have shifted from informal apprenticeship to structured curricula, yet challenges in standardisation, competence assessment and accreditation persist. This review traces the historical development of PoCUS training and highlights contributions from pioneering educators.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A narrative review of published literature, professional society guidelines and historical accounts was undertaken. Key milestones in PoCUS training, innovations in pedagogy and the perspectives of leading educators were synthesised to provide a comprehensive overview.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Early PoCUS training relied on apprenticeship and short workshops, which improved knowledge but failed to ensure sustained competence. Longitudinal programmes and fellowships offered more robust outcomes but were resource-intensive and inconsistently implemented. Professional societies issued guidelines, though most were consensus-based rather than evidence-driven, leading to variability in curricula and accreditation standards. Recent innovations include Free Open-Access Medical Education, simulation and artificial intelligence-assisted training. Despite these advances, surveys reveal persistent barriers such as lack of trained faculty, inconsistent assessment tools and medicolegal concerns.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The historical trajectory of PoCUS training underscores the tension between rapid clinical adoption and the slower development of robust educational frameworks. While innovations have expanded access, the absence of standardised, validated assessment and accreditation continues to limit training quality and patient safety.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>PoCUS training has advanced considerably but remains fragmented. Sustainable progress requires longitudinal, evidence-based curricula, validated assessment tools and global collaboration to ensure safe, high-quality training for future clinicians.</p>\u0000 </section>\u0000 </div>","PeriodicalId":36517,"journal":{"name":"Australasian Journal of Ultrasound in Medicine","volume":"29 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ajum.70043","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148147150","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}

{"title":"Proposing the Learning Ultrasound in Critical Care Framework for a Longitudinal Competence Program for Point-of-Care Ultrasound in Critical Care-A Modified Delphi Survey.","authors":"Arvind Rajamani, Pranav Arun Bharadwaj, Sriram Hariharan, Anwar Hassan, Hemamalini Arvind, Stephen Huang","doi":"10.1002/ajum.70045","DOIUrl":"https://doi.org/10.1002/ajum.70045","url":null,"abstract":"<p><strong>Introduction: </strong>Point-of-care ultrasound (PoCUS) is a critical diagnostic tool in intensive care, yet training pathways remain fragmented and inconsistently implemented. This study aimed to achieve expert consensus on the design and delivery of a longitudinal PoCUS-competence program for critical care trainees, focusing on the 'basic' level defined by existing guidelines.</p><p><strong>Methods: </strong>A modified Delphi process was conducted from April to October 2025, involving critical care stakeholders from India, Sri Lanka, Vietnam and Australia. Participants included trainees, educators, and institutional leaders with PoCUS experience. The web-based questionnaire was developed using Miller's pyramid, Competency-Based Medical Education, and Experiential Learning frameworks. Consensus was defined a priori as ≥ 80% agreement. Items were refined across three rounds, incorporating thematic feedback and controlled response summaries.</p><p><strong>Results: </strong>Of 215 invited participants, 59 (27%) completed Round 1, 34 (16%) completed Round 2, and 29 (13%) completed Round 3. Consensus was achieved for 14 of 17 items in Round 1, with the remaining items and new feedback explored in subsequent rounds. Round 2 resolved all outstanding items. Round 3 explored additional themes from Round 2 regarding trainer qualifications and 'train-the-trainer' components. All items reached consensus or were deemed sufficiently addressed.</p><p><strong>Discussion: </strong>The final Learning Ultrasound in Critical Care (LUCC) framework integrates modular design, structured mentorship, protected scanning time, and standardised assessments. It reflects broad stakeholder endorsement and aligns with contemporary educational principles.</p><p><strong>Conclusion: </strong>The LUCC framework offers a scalable, consensus-based model for longitudinal PoCUS training in critical care. It is adaptable across diverse settings and ready for pilot implementation and validation.</p>","PeriodicalId":36517,"journal":{"name":"Australasian Journal of Ultrasound in Medicine","volume":"29 2","pages":"e70045"},"PeriodicalIF":0.0,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13238654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200048","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}

{"title":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":36517,"journal":{"name":"Australasian Journal of Ultrasound in Medicine","volume":"29 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148092799","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":"Homemade Ultrasound Stand-Off Gel Pads: A Multi-Parameter Performance Study.","authors":"Muhammad Fiqqrie De Gracious Bin Mohd Firdaus William, Nur Arisha Binti Jamil, Sook Sam Leong, Rafidah Supar, Nazimah Ab Mumin, Ahmad Razali Ishak, Nurul Syafiqah Binti Noor Idzam, Mohd Nazzihan Md Ajis, Anushya Vijayananthan","doi":"10.1002/ajum.70044","DOIUrl":"https://doi.org/10.1002/ajum.70044","url":null,"abstract":"<p><strong>Aim: </strong>Stand-off gel pads made of natural ingredients may provide a low-cost option in clinical ultrasound imaging. This study investigated the performance and safety of homemade pads.</p><p><strong>Methods: </strong>Thirty stand-off gel pads were made of aloe vera, xanthan gum and cucumber. Testing of each was performed to assess mechanical failure, moisture loss, contamination rate and image quality. Mechanical strength was measured using a tensile testing machine; drying rate was calculated using the moisture loss formula; contamination was evaluated through colony counting; and image quality was assessed using a chicken breast phantom.</p><p><strong>Results: </strong>There was a significant difference in compressive force resistance between the stand-off gel pads (<i>p</i> = 0.044). The force required was higher for those made of xanthan gum compared with cucumber (<i>p</i> = 0.047). There was a significant difference in moisture loss (<i>p</i> < 0.001). <i>Aloe vera</i> gel exhibited a higher moisture loss (9.65% ± 0.15%) compared with xanthan gum (5.94% ± 0.11%) and cucumber (5.81% ± 0.11%) (<i>p</i> < 0.001). There was a significant difference in axial resolution (<i>p</i> = 0.037), lateral resolution (<i>p</i> = 0.029) and striations in the chicken breast parenchyma (<i>p</i> = 0.037). Speckle artefacts are presented in xanthan-gum-based stand-off gel pad. There was a borderline significant difference of artefact presence in images produced using all pads (<i>p</i> = 0.050). Microbial counts were too low to be quantified.</p><p><strong>Conclusion: </strong>A cucumber stand-off gel pad is a practical alternative for clinical use owing to its structural integrity, retained moisture and low microbial contamination. The image quality produced using the pad was comparable with the conventional glove-filled-with-water stand-off method.</p>","PeriodicalId":36517,"journal":{"name":"Australasian Journal of Ultrasound in Medicine","volume":"29 2","pages":"e70044"},"PeriodicalIF":0.0,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13238730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148199993","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}