Australasian Journal of Ultrasound in Medicine最新文献

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Intraneural vascularity of the median, ulnar and common peroneal nerve: Microvascular ultrasound and pathophysiological implications 正中神经、尺神经和腓总神经的神经内血管:微血管超声和病理生理意义
Australasian Journal of Ultrasound in Medicine Pub Date : 2023-02-17 DOI: 10.1002/ajum.12334
Johannes Deeg, Felix Mündel, Alexander Loizides, Leonhard Gruber, Hannes Gruber
{"title":"Intraneural vascularity of the median, ulnar and common peroneal nerve: Microvascular ultrasound and pathophysiological implications","authors":"Johannes Deeg,&nbsp;Felix Mündel,&nbsp;Alexander Loizides,&nbsp;Leonhard Gruber,&nbsp;Hannes Gruber","doi":"10.1002/ajum.12334","DOIUrl":"10.1002/ajum.12334","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Changes in the microvascular environment are considered crucial in the pathogenesis of compression neuropathies. Several studies have demonstrated elevated intraneural vascularity in severe neuropathy compared with healthy subjects, where intraneural vascularity is considered predominantly undetectable. The aim of this study was to assess and quantify intraneural vasculature by superb microvascular imaging (SMI) in healthy volunteers in the median, ulnar and common peroneal nerve.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Intraneural vascularity was quantified in 26 healthy volunteers (312 segments overall) by SMI sonography using a 22-MHz linear transducer. Individual nerve segment vascularity was compared with the mean vascularity using one-way ANOVA and Kruskal–Wallis tests, respectively. Vendor-provided quantification and manual vessel count were compared by linear regression analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Intraneural vascularity was detectable in all nerve segments (100.0%). Vessel density was highest in the median nerve at the wrist (1.54 ± 0.44/mm<sup>2</sup>, P &lt; 0.0001) and lowest in the sulcal ulnar nerve (0.90 ± 0.34/mm<sup>2</sup>, P &lt; 0.0001). Vendor-provided automated quantification severely overestimated vascular content compared with manual quantification.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Superb microvascular imaging can facilitate the visualisation of nerve vascularity and even detect local variations in vessel density. The pathophysiological implications for peripheral neuropathies, especially compression neuropathies, warrant further investigation, but the absence of visible intraneural vasculature as a negative finding in the diagnostic of compression neuropathies should be interpreted with caution, as the intraneural vascularity may lie beyond the 18 MHz resolution power of a transducer.</p>\u0000 </section>\u0000 </div>","PeriodicalId":36517,"journal":{"name":"Australasian Journal of Ultrasound in Medicine","volume":"26 3","pages":"175-183"},"PeriodicalIF":0.0,"publicationDate":"2023-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ajum.12334","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10233838","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: 1
B-mode ultrasound and contrast-enhanced ultrasound for evaluation of pneumonia: A pictorial essay b超和增强超声对肺炎的评价:一篇图片文章
Australasian Journal of Ultrasound in Medicine Pub Date : 2023-02-15 DOI: 10.1002/ajum.12332
Ehsan Safai Zadeh, Amjad Alhyari, Johannes Kroenig, Christian Görg, Corinna Trenker, Christoph F. Dietrich, Hajo Findeisen
{"title":"B-mode ultrasound and contrast-enhanced ultrasound for evaluation of pneumonia: A pictorial essay","authors":"Ehsan Safai Zadeh,&nbsp;Amjad Alhyari,&nbsp;Johannes Kroenig,&nbsp;Christian Görg,&nbsp;Corinna Trenker,&nbsp;Christoph F. Dietrich,&nbsp;Hajo Findeisen","doi":"10.1002/ajum.12332","DOIUrl":"10.1002/ajum.12332","url":null,"abstract":"<p>Due to their often peripheral pleural-based location, pneumonias can be visualised by B-mode ultrasound. Therefore, sonography can be used as an alternative imaging modality to chest X-ray in suspected cases of pneumonia. Depending on the clinical background of the patient, and various underlying pathological mechanisms, a heterogeneous pattern of pneumonia is seen in both B-mode lung ultrasound and contrast-enhanced ultrasound. Here, we describe the spectrum of sonographic manifestations of pneumonic/inflammatory consolidation on B-mode lung ultrasound and contrast-enhanced ultrasound.</p>","PeriodicalId":36517,"journal":{"name":"Australasian Journal of Ultrasound in Medicine","volume":"26 2","pages":"100-114"},"PeriodicalIF":0.0,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ajum.12332","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9540226","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: 2
Anatomical distribution of endometriosis: A cross-sectional analysis of transvaginal ultrasound in symptomatic patients 子宫内膜异位症的解剖分布:经阴道超声在有症状患者中的横断面分析
Australasian Journal of Ultrasound in Medicine Pub Date : 2023-01-19 DOI: 10.1002/ajum.12327
Rodrigo Manieri Rocha, Mathew Leonardi, Allie Eathorne, Mike Armour, George Condous
{"title":"Anatomical distribution of endometriosis: A cross-sectional analysis of transvaginal ultrasound in symptomatic patients","authors":"Rodrigo Manieri Rocha,&nbsp;Mathew Leonardi,&nbsp;Allie Eathorne,&nbsp;Mike Armour,&nbsp;George Condous","doi":"10.1002/ajum.12327","DOIUrl":"10.1002/ajum.12327","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The anatomical distribution of deep endometriosis (DE) is essential in treating patients with symptoms associated with the disease. There is an evidence gap in correlating clinical features and symptoms with disease patterns. The study aimed at determining DE anatomic distribution based on advanced transvaginal ultrasound and describe the relationship with symptoms obtained with the World Endometriosis Foundation Questionnaire.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study included 549 ultrasound results and 370 questionnaire responses between July 2018 and January 2021. Descriptive statistics are presented. Continuous variables were compared by a simple <i>t</i>-test and ANOVA and categorical variables by the chi-squared test. Logistic regression and R<sup>2</sup> values summarised the relationship between positive ultrasound and possible predictor variables (software SAS version 9.4).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The anatomical locations with signs of endometriosis on ultrasound were the right uterosacral ligament (USL) 23.3% (n = 128), left USL 21.3% (n = 117) and bowel 19.1% (n = 105). Endometriomas in the right and left ovaries (14%, n = 77, and 14.7%, n = 81 respectively), superficial endometriosis in 15.5% (n = 85), torus uterinus in 11.7% (n = 64), Pouch of Douglas (POD) in 9.7% (n = 53), rectovaginal septum in 4.2% (n = 23), vaginal fornix in 3.5% (n = 19). A negative ‘sliding-sign’ was noted in 25.3% (n = 139), and ovarian medial immobility was noted frequently (left 20.2%, n = 111 and right 16.9%, n = 93). Dyspareunia, dysmenorrhoea, infertility and family history were associated with endometriosis lesions (P &lt; 0.05). Prediction models based on symptomatology presented low discriminatory power.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This large real-life cohort associating the description of the anatomical distribution of endometriosis as seen on advanced TVS in symptomatic patients confirmed that uterosacral ligaments, torus uterinus, ovaries and bowel represent the most common anatomical sites of endometriosis. Also, the dynamic abnormalities elicited via ultrasound, such as the uterus ‘sliding-sign’ and ovarian mobility, remain common. The knowledge of the general locations of identifiable endometriosis on ultrasound and the dynamic abnormalities is essential to sonologists and sonographers in implementing advanced TVS protocols to detect endometriosis. In addition, the different presentations of dyspareunia can be associated with USL and bowel endometriosis. Subfertility might also be associated with USL, ovarian and bowel endo","PeriodicalId":36517,"journal":{"name":"Australasian Journal of Ultrasound in Medicine","volume":"26 3","pages":"131-141"},"PeriodicalIF":0.0,"publicationDate":"2023-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ajum.12327","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10578778","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: 2
Australasian sonographers' knowledge, awareness, and attitudes towards the international evidence-based guidelines for the diagnosis of polycystic ovarian syndrome 澳大利亚超声医师对国际多囊卵巢综合征循证诊断指南的知识、意识和态度
Australasian Journal of Ultrasound in Medicine Pub Date : 2023-01-18 DOI: 10.1002/ajum.12331
Alexandra Guscott, Alison Deslandes, Nayana Parange, Jessie Childs
{"title":"Australasian sonographers' knowledge, awareness, and attitudes towards the international evidence-based guidelines for the diagnosis of polycystic ovarian syndrome","authors":"Alexandra Guscott,&nbsp;Alison Deslandes,&nbsp;Nayana Parange,&nbsp;Jessie Childs","doi":"10.1002/ajum.12331","DOIUrl":"10.1002/ajum.12331","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction/Purpose</h3>\u0000 \u0000 <p>Many guidelines have been utilised to diagnose polycystic ovarian syndrome (PCOS). The most recent are the International Evidence Based Guideline for the Assessment and Management of Polycystic Ovary Syndrome 2018 (2018 IEBG). This study aimed to assess the awareness, knowledge, and attitudes of Australasian sonographers' regarding these guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An online cross-sectional survey was disseminated to sonographers. Qualitative and quantitative questions were asked around awareness, knowledge, and attitudes towards the 2018 IEBG. Statistical and thematic analyses of the results were performed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Ninety responses were included in the final analysis. Fifty-two percent (52.2%) of participants were aware of the 2018 IEBG but only 31.1% used it in their workplaces. Fifty-eight percent (57.9%) of participants correctly identified the sonographic features that suggest PCOS, and 3.5% correctly identified all minimum recommended inclusions for reporting a gynaecological ultrasound for PCOS. Prior to being supplied the 2018 IEBG, 15.8% of participants correctly answered clinical scenario-based knowledge questions, which increased to 29.4% correctly after being supplied the guideline; however, this difference was not statistically significant. There were no statistically significant associations between demographics and knowledge of the 2018 IEBG.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Several areas of confusion surrounding wording and interpretation of the 2018 IEBG were highlighted. Consideration should be given to barriers of implementation and strategies to overcome these.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>More education surrounding the sonographic diagnosis of PCOS and the 2018 IEBG is needed. Scanning protocols used amongst sonographers varied, suggesting that inconsistency in sonographic diagnosis may exist. Future reviews of the 2018 IEBG should focus on reducing ambiguity in wording, which may be responsible for some of the varied interpretation of these guidelines.</p>\u0000 </section>\u0000 </div>","PeriodicalId":36517,"journal":{"name":"Australasian Journal of Ultrasound in Medicine","volume":"26 1","pages":"34-45"},"PeriodicalIF":0.0,"publicationDate":"2023-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ajum.12331","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9178910","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: 1
Clinical outcomes of posterior tibial tendon sheath ultrasound-guided corticosteroid injections 超声引导下胫后肌腱鞘皮质类固醇注射的临床效果
Australasian Journal of Ultrasound in Medicine Pub Date : 2023-01-17 DOI: 10.1002/ajum.12330
Mark Spencer, Matthew Hall, Allison Schafer, Lauren E. Geaney
{"title":"Clinical outcomes of posterior tibial tendon sheath ultrasound-guided corticosteroid injections","authors":"Mark Spencer,&nbsp;Matthew Hall,&nbsp;Allison Schafer,&nbsp;Lauren E. Geaney","doi":"10.1002/ajum.12330","DOIUrl":"10.1002/ajum.12330","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The purpose of this study was to assess the safety of ultrasound-guided corticosteroid injections into the posterior tibial tendon sheath for posterior tibialis tendinopathy. Secondary outcomes include duration of pain relief, amount of pain relief, need for repeat injections and progression to surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We retrospectively reviewed all patients in our electronic medical record who underwent a posterior tibial tendon sheath (PTTS) steroid injection between 2015 and 2020 for the diagnosis of posterior tibial tendon dysfunction and/or posterior tibialis tendon insufficiency, and/or ankle pain. Demographic information was obtained from the patient record in addition to MRI data, clinical response to injection based on follow-up visits, number of total injections and progression to surgery. Thirty-eight posterior tibial tendon sheath ultrasound-guided injections were administered in 33 patients who met inclusion criteria during the 5-year study period.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty-three patients were included in the study with a total of 38 injections performed. Eighteen of 38 (47%) injections yielded good or better pain relief. Seven of 33 patients (21%) progressed to surgery. There were no reported complications with the 38 performed injections.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Ultrasound-guided corticosteroid injection into the posterior tibial tendon sheath is a safe nonoperative treatment modality for progressive collapsing foot deformity. The efficacy of the injection appears highly variable with 47% of injections yielding ‘good’ or better clinical results. When evaluating body mass index (BMI), obese patients (BMI ≥30.0) were found to have a more sustained response to injection (P = 0.029) and more pain relief (P = 0.049) than non-obese patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":36517,"journal":{"name":"Australasian Journal of Ultrasound in Medicine","volume":"26 3","pages":"169-174"},"PeriodicalIF":0.0,"publicationDate":"2023-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ajum.12330","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10228393","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
Reproducibility and feasibility of a handheld ultrasound device compared to a standard ultrasound machine in muscle thickness measurements 手持式超声设备与标准超声设备在肌肉厚度测量中的重复性和可行性比较
Australasian Journal of Ultrasound in Medicine Pub Date : 2023-01-17 DOI: 10.1002/ajum.12333
Abdulrahman M. Alfuraih, Mohammed A. Alqarni, Hamad S. Alhuthaili, Meshal Y. Mubaraki, Nader N. Alotaibi, Fahad M. Almusalim
{"title":"Reproducibility and feasibility of a handheld ultrasound device compared to a standard ultrasound machine in muscle thickness measurements","authors":"Abdulrahman M. Alfuraih,&nbsp;Mohammed A. Alqarni,&nbsp;Hamad S. Alhuthaili,&nbsp;Meshal Y. Mubaraki,&nbsp;Nader N. Alotaibi,&nbsp;Fahad M. Almusalim","doi":"10.1002/ajum.12333","DOIUrl":"10.1002/ajum.12333","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To test the feasibility and reproducibility of a handheld ultrasound device (HUD) compared to a standard ultrasound machine for muscle thickness measurements in healthy participants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A prospective cross-sectional study was designed where two novice operators tested the thickness of the vastus lateralis, rectus femoris, and vastus intermedius muscles on recruited asymptomatic participants with no history of muscle diseases. The anterior–posterior thickness of each muscle was measured three times per operator to evaluate intra-operator reproducibility and using two machines to evaluate inter-system reproducibility. Scanning started using the HUD followed by the standard system. Intraclass correlation coefficients (ICC) and simple linear regression were used to test for reproducibility and proportional bias respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 33 male participants volunteered to take part in this study with a mean age of 22.7 years (6.8). Intra-operator reproducibility was almost perfect for both operators on both machines (ICC &gt; 0.80). The measurements difference percentage between the machines ranged from 1.8% to 6.6% and inter-system reproducibility ICC ranged from 0.815 to 0.927 showing excellent reproducibility. Inter-operator reproducibility was poor to moderate on both machines (ICC: 0.522–0.849). Regression analysis showed no proportional bias in the measurements. All measurements were completed successfully using the HUD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The HUD demonstrated excellent accuracy compared to the standard ultrasound machine for measuring thigh muscle thickness.</p>\u0000 </section>\u0000 </div>","PeriodicalId":36517,"journal":{"name":"Australasian Journal of Ultrasound in Medicine","volume":"26 1","pages":"13-20"},"PeriodicalIF":0.0,"publicationDate":"2023-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ajum.12333","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9171991","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: 1
Corrigendum to “anomalous vasculature in the neck diagnosed by ultrasound” “用超声诊断颈部血管异常”的勘误表
Australasian Journal of Ultrasound in Medicine Pub Date : 2022-12-13 DOI: 10.1002/ajum.12328
{"title":"Corrigendum to “anomalous vasculature in the neck diagnosed by ultrasound”","authors":"","doi":"10.1002/ajum.12328","DOIUrl":"10.1002/ajum.12328","url":null,"abstract":"<p>Sarah Constantine, Denise Roach. Anomalous vasculature in the neck diagnosed by ultrasound. Austr J Ultr Med 2020;23(4):264–268.</p><p>In this article, the following Ethical Approval statement was omitted and has been added now.</p><p>“This case study arises from a larger research study for which the patient provided written informed consent. This study has been approved by the Human Research Ethics Committee.”</p><p>We apologise for this error.</p>","PeriodicalId":36517,"journal":{"name":"Australasian Journal of Ultrasound in Medicine","volume":"26 1","pages":"67"},"PeriodicalIF":0.0,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10030085/pdf/AJUM-26-67.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9520140","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
Corrigendum to ‘How bad can life be? A case of concurrent cardiac tamponade and pulmonary embolus’ “生活能有多糟糕?”心包填塞并发肺栓塞1例
Australasian Journal of Ultrasound in Medicine Pub Date : 2022-12-12 DOI: 10.1002/ajum.12329
{"title":"Corrigendum to ‘How bad can life be? A case of concurrent cardiac tamponade and pulmonary embolus’","authors":"","doi":"10.1002/ajum.12329","DOIUrl":"10.1002/ajum.12329","url":null,"abstract":"<p>Anis Ta′eed, Ai-Ming Wong, John Mulder, Yang Yang. How bad can life be? A case of concurrent cardiac tamponade and pulmonary embolus. Austr J Ultr Med 2020;23(2):140–143.</p><p>In this article, the following Written Consent statement was missed and has been added now.</p><p>‘Written consent has been obtained for this case to be published’.</p><p>We apologise for this error.</p>","PeriodicalId":36517,"journal":{"name":"Australasian Journal of Ultrasound in Medicine","volume":"26 1","pages":"68"},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10030084/pdf/AJUM-26-68.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9536112","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
Evolution in training in ultrasound 超声训练的演变
Australasian Journal of Ultrasound in Medicine Pub Date : 2022-11-09 DOI: 10.1002/ajum.12326
Gillian Whalley
{"title":"Evolution in training in ultrasound","authors":"Gillian Whalley","doi":"10.1002/ajum.12326","DOIUrl":"10.1002/ajum.12326","url":null,"abstract":"<p>When I started to learn sonography, I remember my training was informal, largely on patients, and very specific to the supervisor's skills and approaches. There was little standardisation and protocols, and much was ‘borrowed’ from overseas departments where our first leaders and mentors had trained themselves. We learnt on the job, and, on real patients. The pathology was opportunistic and dependent on the nature of the hospital. The caseloads were also much lower as clinical efficacy data were only emerging. These days, it seems every patient gets an ultrasound, and every doctor is learning to use ultrasound. This changes both the way we teach sonography and how ultrasound is used to diagnose cases.</p><p>Today, many ultrasound diagnoses are first made in the emergency room, and in this issue of the AJUM, Elsayed <i>et al</i>.<span><sup>1</sup></span> present compelling data showing that advanced trainees in Emergency Medicine highly value ultrasound in their clinical management and training, yet significant barriers to both training and credentialling exist, that are both perceived and real. They propose structured internal training systems are needed to overcome these hurdles, including time restrictions, access to training and technical challenges. It is no longer good enough to learn opportunistically from supportive colleagues.</p><p>In the face of similar staff resource limitations, Peters <i>et al</i>.<span><sup>2</sup></span> investigated the role of remote supervision for ultrasound-guided peripheral intravenous cannulation by new users (in this case junior medical staff). By reducing the need for direct supervision, they found that remote supervision increased the number of available supervisors yet had no significant impact on success rates.</p><p>Of course, training in ultrasound is one aspect, but exposure to pathology is yet another essential step in a sonographer's training journey: one needs to see and recognise pathology. In this issue of AJUM, Rathbun <i>et al</i>.<span><sup>3</sup></span> present another simulated training opportunity: describe how to make a ‘homemade’ aortic aneurysm and dissection phantom. It provides an inexpensive solution that any department could manufacture in order to teach the appearance of aortic pathology. It facilitates familiarisation with the ultrasound appearances before scanning suspected rare, yet potentially life-threatening, clinical cases.</p><p>Ultrasound has an important, and often primary, role to play in diagnosing rare pathology, but rarely do any of us see enough cases. That is why it is essential that we share our experience such as this 10-year retrospective review of nontubal ectopic pregnancies by Loh <i>et al</i>.<span><sup>4</sup></span> Ectopic pregnancies (1% of all pregnancies) are commonly diagnosed by ultrasound, and since most are tubal, an understanding of the appearances and outcome of nontubal pregnancies is of course outside of the everyday practice of many operato","PeriodicalId":36517,"journal":{"name":"Australasian Journal of Ultrasound in Medicine","volume":"25 4","pages":"159"},"PeriodicalIF":0.0,"publicationDate":"2022-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9644441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40715555","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: 1
Issue Information 问题信息
Australasian Journal of Ultrasound in Medicine Pub Date : 2022-11-01 DOI: 10.1111/scs.13004
{"title":"Issue Information","authors":"","doi":"10.1111/scs.13004","DOIUrl":"https://doi.org/10.1111/scs.13004","url":null,"abstract":"","PeriodicalId":36517,"journal":{"name":"Australasian Journal of Ultrasound in Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42959161","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}
引用次数: 0
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