Ultrasound Journal最新文献

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Correlation between right atrial pressure measured via right heart catheterization and venous excess ultrasound, inferior vena cava diameter, and ultrasound-measured jugular venous pressure: a prospective observational study. 右心导管测量右房压与静脉超声过量、下腔静脉直径和超声测量颈静脉压的相关性:一项前瞻性观察研究。
IF 3.4
Ultrasound Journal Pub Date : 2024-11-29 DOI: 10.1186/s13089-024-00397-y
Suppawee Klangthamneam, Krissada Meemook, Tananchai Petnak, Anchana Sonkaew, Taweevat Assavapokee
{"title":"Correlation between right atrial pressure measured via right heart catheterization and venous excess ultrasound, inferior vena cava diameter, and ultrasound-measured jugular venous pressure: a prospective observational study.","authors":"Suppawee Klangthamneam, Krissada Meemook, Tananchai Petnak, Anchana Sonkaew, Taweevat Assavapokee","doi":"10.1186/s13089-024-00397-y","DOIUrl":"10.1186/s13089-024-00397-y","url":null,"abstract":"<p><strong>Background: </strong>Venous congestion is associated with adverse cardiovascular outcomes, necessitating accurate venous pressure assessment. Current methods, such as right heart catheterization (RHC), have limitations. Non-invasive techniques, including venous excess ultrasound (VExUS), inferior vena cava (IVC) assessment, and ultrasound-measured jugular venous pressure (uJVP), show promise but require validation in diverse populations.</p><p><strong>Aims: </strong>We aimed to assess the correlation between right atrial pressure (RAP) via RHC and non-invasive methods, including VExUS, IVC diameter with collapsibility index (CI) by American Society of Echocardiography (ASE) classification, and uJVP.</p><p><strong>Methods: </strong>In a prospective study involving 73 patients undergoing RHC, we evaluated the correlation between RAP and VExUS, IVC CI by ASE classification, and uJVP. We introduced and compared a modified VExUS grading system.</p><p><strong>Results: </strong>VExUS significantly correlated with RAP (p < 0.001), especially between VExUS grade 0 and grade 3. RAP significantly differed across IVC classifications by ASE (P < 0.001). VExUS grade 0 correlated with IVC class 1, and VExUS grade 3 correlated with IVC class 3. The modified VExUS grading system improved low and high RAP differentiation. uJVP exhibited a robust, highly significant positive correlation with invasively measured RAP (ρ = 0.67, P < 0.001).</p><p><strong>Conclusion: </strong>This study establishes a strong correlation between non-invasive ultrasound measurements (VExUS, IVC diameter with CI, and uJVP) and invasively measured RAP. These findings underscore the clinical potential of these non-invasive techniques in venous congestion assessment and patient risk stratification.</p>","PeriodicalId":36911,"journal":{"name":"Ultrasound Journal","volume":"16 1","pages":"50"},"PeriodicalIF":3.4,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607288/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751909","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
VExUS: common misconceptions, clinical use and future directions. VExUS:常见误解、临床应用和未来方向。
IF 3.4
Ultrasound Journal Pub Date : 2024-11-26 DOI: 10.1186/s13089-024-00395-0
Philippe Rola, Korbin Haycock, Rory Spiegel, William Beaubien-Souligny, Andre Denault
{"title":"VExUS: common misconceptions, clinical use and future directions.","authors":"Philippe Rola, Korbin Haycock, Rory Spiegel, William Beaubien-Souligny, Andre Denault","doi":"10.1186/s13089-024-00395-0","DOIUrl":"10.1186/s13089-024-00395-0","url":null,"abstract":"<p><p>There has been a significant interest in venous congestion in recent years, among which the VExUS score has been prominent, both in clinical practice and research efforts. We have noted some recurrent misconceptions among clinicians which are also reflected in certain research efforts. Notably, the misguided attempt to correlate VExUS to volume status, which is only one of the factors influencing it, as well as attempts to re-interpret VExUS in the context of certain pathologies, which reflects a fundamental misunderstanding of its circulatory perspective. In this article we review the physiological basis of the VExUS assessment as a measure and marker of venous congestion from the organs' standpoint and its role as part of the emerging concept of fluid tolerance, in hopes to address these misconceptions for clinicians and for important further studies.</p>","PeriodicalId":36911,"journal":{"name":"Ultrasound Journal","volume":"16 1","pages":"49"},"PeriodicalIF":3.4,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11599660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717265","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
Decoding VExUS: a practical guide for excelling in point-of-care ultrasound assessment of venous congestion. 解码 VExUS:卓越的护理点静脉充血超声评估实用指南。
IF 3.4
Ultrasound Journal Pub Date : 2024-11-19 DOI: 10.1186/s13089-024-00396-z
Taweevat Assavapokee, Philippe Rola, Nicha Assavapokee, Abhilash Koratala
{"title":"Decoding VExUS: a practical guide for excelling in point-of-care ultrasound assessment of venous congestion.","authors":"Taweevat Assavapokee, Philippe Rola, Nicha Assavapokee, Abhilash Koratala","doi":"10.1186/s13089-024-00396-z","DOIUrl":"10.1186/s13089-024-00396-z","url":null,"abstract":"<p><p>Venous congestion, often associated with elevated right atrial pressure presents a clinical challenge due to its varied manifestations and potential organ damage. Recognizing the manifestations of venous congestion through bedside physical examination or laboratory tests can be challenging. Point-of-care ultrasound (POCUS) is emerging as a valuable bedside tool for assessing venous congestion, with the Venous Excess Ultrasound (VExUS) technique gaining prominence. VExUS facilitates non-invasive quantification of venous congestion, relying on measurements of the inferior vena cava (IVC) size and Doppler assessments of the hepatic vein (HV), portal vein (PV), and intrarenal vein, thereby providing real-time insights into hemodynamic status and guiding therapeutic interventions. The grading system outlined in VExUS aids in stratifying the severity of congestion. However, achieving proficiency in VExUS requires a comprehensive understanding of Doppler techniques and their clinical applications. This review article provides practical guidance on performing VExUS, encompassing equipment requirements, preparation, machine settings, and examination techniques for assessing the inferior vena cava (IVC), hepatic vein (HV), portal vein (PV), and intrarenal vein. Potential pitfalls and troubleshooting strategies are discussed to ensure accurate interpretation of Doppler waveforms.</p>","PeriodicalId":36911,"journal":{"name":"Ultrasound Journal","volume":"16 1","pages":"48"},"PeriodicalIF":3.4,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11576717/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669338","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
Tele-education in point-of-care ultrasound training. 护理点超声波培训中的远程教育。
IF 3.4
Ultrasound Journal Pub Date : 2024-10-28 DOI: 10.1186/s13089-024-00394-1
Reina Suzuki, William J Riley, Matthew S Bushman, Yue Dong, Hiroshi Sekiguchi
{"title":"Tele-education in point-of-care ultrasound training.","authors":"Reina Suzuki, William J Riley, Matthew S Bushman, Yue Dong, Hiroshi Sekiguchi","doi":"10.1186/s13089-024-00394-1","DOIUrl":"10.1186/s13089-024-00394-1","url":null,"abstract":"<p><strong>Background: </strong>Traditionally, ultrasound skills have been taught through a one-on-one approach, where instructors physically guide learners' hands at the bedside or in the workshop. However, this method is frequently challenged by scheduling and cost limitations. Our objective was to create a tele-education model for point-of-care ultrasound training and evaluate its effectiveness and its impact on learners' perceived workload compared to conventional education and self-directed learning methods.</p><p><strong>Methods: </strong>We conducted a 3-arm randomized trial, comparing tele-education (TE), conventional education (CE) and self-directed learning (SL) methods. All subjects underwent online didactic lectures prior to a hands-on ultrasound workshop. The TE group utilized an ultrasound machine equipped with a speakerphone, a webcam for direct visualization of learner's hand maneuvers, and an analog-to-video converter for the real-time streaming of ultrasound images. This configuration enabled remote instructors to provide immediate verbal feedback to learners. In contrast, the CE group received in-person coaching, while the SL group had no instructors present. Following the coaching session, subjects completed a scenario-based skill test and a survey on the National Aeronautics and Space Administration task load index (NASA-TLX) to measure their ultrasound competency and perceived workload, respectively.</p><p><strong>Results: </strong>Twenty-seven ultrasound novices were randomly allocated into 3 groups. The median skill test score of TE, CE, and SL was 22 [interquartile range (IQR): 18-28], 24 [IQR: 21-31], and 16 [IQR: 15-18], respectively (p < 0.01). Pairwise comparisons of median test scores of 3 groups demonstrated a statistical significance in comparisons of TE vs. SL (22 vs. 16, p = 0.01) and CE vs. SL (24 vs. 16, p < 0.01), but not in TE vs. CE (22 vs. 24, p = 0.56). There was no statistical significance observed in the median NASA-TLX scores among the 3 groups; 54 [IQR:47-61] in TE, 57 [IQR:22-64] in CE, and 66 [IQR: 66-72] in SL (p = 0.05).</p><p><strong>Conclusions: </strong>Our tele-education model was more effective than self-directed learning. There was no statistically significant difference in effectiveness between the tele-education and the conventional education groups. Importantly, tele-education did not impose a significantly higher workload on learners compared to conventional education or self-directed learning. Tele-education has a substantial potential as an alternative to conventional ultrasound training.</p>","PeriodicalId":36911,"journal":{"name":"Ultrasound Journal","volume":"16 1","pages":"47"},"PeriodicalIF":3.4,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11519237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523274","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
Quantitative lung ultrasound findings correlate with radial alveolar count in experimental bronchopulmonary dysplasia. 肺部定量超声波检查结果与实验性支气管肺发育不良的径向肺泡数相关。
IF 3.4
Ultrasound Journal Pub Date : 2024-10-28 DOI: 10.1186/s13089-024-00389-y
Chiara Catozzi, Angelo Modena, Matteo Storti, Francesca Ricci, Gino Villetti, Daniele De Luca
{"title":"Quantitative lung ultrasound findings correlate with radial alveolar count in experimental bronchopulmonary dysplasia.","authors":"Chiara Catozzi, Angelo Modena, Matteo Storti, Francesca Ricci, Gino Villetti, Daniele De Luca","doi":"10.1186/s13089-024-00389-y","DOIUrl":"10.1186/s13089-024-00389-y","url":null,"abstract":"<p><p>We investigated the relationship between the degree of alveolarization and ultrasound-assessed lung aeration in a validated preterm rabbit model of experimental bronchopulmonary dysplasia (BPD). Lung ultrasound findings were heterogeneously abnormal and consisted of zones with interstitial, interstitial-alveolar or consolidated patterns. The median radial alveolar count was 10.1 [8.4-11.5], 7.8 [6.1-9] and 7.3 [1.8-10.1] in rabbits with interstitial, interstitial-alveolar or consolidated ultrasound pattern, respectively (overall p = 0.036). Alveolar count and lung ultrasound score were significantly correlated (ρ = - 0.044 (95%CI: - 1; - 0.143), p = 0.009; τ<sub>-b</sub> = - 0.362 (95%CI: - 0.6; - 0.1), p = 0.017).</p>","PeriodicalId":36911,"journal":{"name":"Ultrasound Journal","volume":"16 1","pages":"46"},"PeriodicalIF":3.4,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11519268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523273","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
Comparison of 6 handheld ultrasound devices by point-of-care ultrasound experts: a cross-sectional study. 护理点超声专家对 6 种手持式超声设备的比较:一项横断面研究。
IF 3.4
Ultrasound Journal Pub Date : 2024-10-02 DOI: 10.1186/s13089-024-00392-3
Ariadna Perez-Sanchez, Gordon Johnson, Neysan Pucks, Riya N Soni, Terry J S Lund, Anthony J Andrade, Minh-Phuong T Le, Jessica Solis-McCarthy, Tanping Wong, Arsal Ashraf, Andre D Kumar, Gisela I Banauch, James R Verner, Amik Sodhi, Meghan K Thomas, Charles LoPresti, Hannah Schmitz, Abhilash Koratala, John Hunninghake, Erik Manninen, Carolina Candotti, Taro Minami, Benji K Mathews, Ghassan Bandak, Harald Sauthoff, Henry Mayo-Malasky, Joel Cho, Nick Villalobos, Kevin C Proud, Brandon Boesch, Federico Fenton Portillo, Kreegan Reierson, Manpreet Malik, Firas Abbas, Tim Johnson, Elizabeth K Haro, Michael J Mader, Paul Mayo, Ricardo Franco-Sadud, Nilam J Soni
{"title":"Comparison of 6 handheld ultrasound devices by point-of-care ultrasound experts: a cross-sectional study.","authors":"Ariadna Perez-Sanchez, Gordon Johnson, Neysan Pucks, Riya N Soni, Terry J S Lund, Anthony J Andrade, Minh-Phuong T Le, Jessica Solis-McCarthy, Tanping Wong, Arsal Ashraf, Andre D Kumar, Gisela I Banauch, James R Verner, Amik Sodhi, Meghan K Thomas, Charles LoPresti, Hannah Schmitz, Abhilash Koratala, John Hunninghake, Erik Manninen, Carolina Candotti, Taro Minami, Benji K Mathews, Ghassan Bandak, Harald Sauthoff, Henry Mayo-Malasky, Joel Cho, Nick Villalobos, Kevin C Proud, Brandon Boesch, Federico Fenton Portillo, Kreegan Reierson, Manpreet Malik, Firas Abbas, Tim Johnson, Elizabeth K Haro, Michael J Mader, Paul Mayo, Ricardo Franco-Sadud, Nilam J Soni","doi":"10.1186/s13089-024-00392-3","DOIUrl":"10.1186/s13089-024-00392-3","url":null,"abstract":"<p><strong>Background: </strong>Point-of-care ultrasound (POCUS) has emerged as an essential bedside tool for clinicians, but lack of access to ultrasound equipment has been a top barrier to POCUS use. Recently, several handheld ultrasound devices (\"handhelds\") have become available, and clinicians are seeking data to guide purchasing decisions. Few comparative studies of different handhelds have been done. We conducted a cross-sectional study comparing 6 handhelds readily available in the United States (Butterfly iQ + <sup>™</sup> by Butterfly Network Inc.; Clarius<sup>™</sup> by Clarius Mobile Health; Kosmos<sup>™</sup> by EchoNous; TE Air<sup>™</sup> by Mindray; Vscan Air<sup>™</sup> SL and CL by General Electric; and Lumify<sup>™</sup> by Philips Healthcare). A multi-specialty group of physician POCUS experts (n = 35) acquired three standard ultrasound views (abdominal right upper quadrant, cardiac apical 4-chamber, and superficial neck and lung views) in random order on the same standardized patients and rated the image quality. Afterward, a final survey of the overall ease of use, image quality, and satisfaction of each handheld was completed.</p><p><strong>Results: </strong>Thirty-five POCUS experts specializing in internal medicine/hospital medicine, critical care, emergency medicine, and nephrology acquired and rated right upper quadrant, apical 4-chamber, and superficial neck and lung views with 6 different handhelds. For image quality, the highest-rated handhelds were Vscan Air<sup>™</sup> for the right upper quadrant view, Mindray TE Air<sup>™</sup> for the cardiac apical 4-chamber view, and Lumify<sup>™</sup> for superficial views of the neck and lung. Overall satisfaction with image quality was highest with Vscan Air<sup>™</sup>, Lumify<sup>™</sup>, and Mindray, while overall satisfaction with ease of use was highest with Vscan Air<sup>™</sup>. The 5 most desirable characteristics of handhelds were image quality, ease of use, portability, probe size, and battery life. Ultimately, all 6 handhelds had notable advantages and disadvantages, with no single device having all desired qualities or features.</p><p><strong>Conclusions: </strong>The overall satisfaction with image quality was rated highest with Vscan Air<sup>™</sup>, Lumify<sup>™</sup>, and Mindray TE Air<sup>™</sup>when acquiring right upper quadrant, apical 4-chamber, and superficial neck and lung views. No single handheld was perceived to be superior in image quality for all views. Vscan Air<sup>™</sup> was rated highest for overall ease of use and was the most preferred handheld for purchase by POCUS experts.</p>","PeriodicalId":36911,"journal":{"name":"Ultrasound Journal","volume":"16 1","pages":"45"},"PeriodicalIF":3.4,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11447175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142362251","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
Student ultrasound education, current view and controversies. Role of Artificial Intelligence, Virtual Reality and telemedicine. 学生超声波教育、当前观点和争议。人工智能、虚拟现实和远程医疗的作用。
IF 3.4
Ultrasound Journal Pub Date : 2024-09-27 DOI: 10.1186/s13089-024-00382-5
Nils Daum, Michael Blaivas, Adrian Goudie, Beatrice Hoffmann, Christian Jenssen, Ricarda Neubauer, Florian Recker, Tudor Voicu Moga, Constantinos Zervides, Christoph Frank Dietrich
{"title":"Student ultrasound education, current view and controversies. Role of Artificial Intelligence, Virtual Reality and telemedicine.","authors":"Nils Daum, Michael Blaivas, Adrian Goudie, Beatrice Hoffmann, Christian Jenssen, Ricarda Neubauer, Florian Recker, Tudor Voicu Moga, Constantinos Zervides, Christoph Frank Dietrich","doi":"10.1186/s13089-024-00382-5","DOIUrl":"https://doi.org/10.1186/s13089-024-00382-5","url":null,"abstract":"<p><p>The digitization of medicine will play an increasingly significant role in future years. In particular, telemedicine, Virtual Reality (VR) and innovative Artificial Intelligence (AI) systems offer tremendous potential in imaging diagnostics and are expected to shape ultrasound diagnostics and teaching significantly. However, it is crucial to consider the advantages and disadvantages of employing these new technologies and how best to teach and manage their use. This paper provides an overview of telemedicine, VR and AI in student ultrasound education, presenting current perspectives and controversies.</p>","PeriodicalId":36911,"journal":{"name":"Ultrasound Journal","volume":"16 1","pages":"44"},"PeriodicalIF":3.4,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11436506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355711","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
Sonographic findings using the SAFE-A protocol in pre- and post-hemodialysis patients. 使用 SAFE-A 方案对血液透析前后患者进行超声检查的结果。
IF 3.4
Ultrasound Journal Pub Date : 2024-08-27 DOI: 10.1186/s13089-024-00390-5
Matheus Rabahi, Maria Goretti Polito, Larissa Louise Cândida Pereira Takaoka, Marcus Barreto Conte, Philippe Figueiredo Braga Colares
{"title":"Sonographic findings using the SAFE-A protocol in pre- and post-hemodialysis patients.","authors":"Matheus Rabahi, Maria Goretti Polito, Larissa Louise Cândida Pereira Takaoka, Marcus Barreto Conte, Philippe Figueiredo Braga Colares","doi":"10.1186/s13089-024-00390-5","DOIUrl":"10.1186/s13089-024-00390-5","url":null,"abstract":"<p><strong>Background: </strong>Accurate assessment of relative intravascular volume is one of the cornerstones for the proper management of hospitalized patients requiring hemodialysis. Currently, the use of dynamic parameters such as bedside ultrasonography is recommended to support the assessment of the intravascular volume profile. This study aimed to prospectively evaluate findings of sonographic assessment of intravascular volume estimate (SAFE-A) protocol among hemodialysis inpatients with end-stage renal disease, before and after the hemodialysis sessions, and correlate these findings with the net ultrafiltrate (UFNET).</p><p><strong>Results: </strong>A positive correlation was found between the negative variation of 1 point in the score of the SAFE-A protocol with the withdrawal of 426.73 mL of net ultrafiltrate.</p><p><strong>Conclusions: </strong>There was a strong correlation between the score of the SAFE-A protocol and the net ultrafiltrate. Therefore, this study concludes that the application of the SAFE-A protocol in dialysis patients demonstrates a correlation between the suggested score and volume status, consistent with findings from the original study conducted in a distinct population.</p>","PeriodicalId":36911,"journal":{"name":"Ultrasound Journal","volume":"16 1","pages":"41"},"PeriodicalIF":3.4,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11349959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074077","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
Utilizing a balloon sheath and miniprobe for diagnostic endoscopic ultrasound in eosinophilic esophagitis: a case series. 利用球囊鞘和微型探针对嗜酸性粒细胞食管炎进行内窥镜超声诊断:一个病例系列。
IF 3.4
Ultrasound Journal Pub Date : 2024-08-21 DOI: 10.1186/s13089-024-00380-7
Simon S Rabinowitz, Rheu Candava, Blair Kady, Dalia Arostegui, Evan Grossman
{"title":"Utilizing a balloon sheath and miniprobe for diagnostic endoscopic ultrasound in eosinophilic esophagitis: a case series.","authors":"Simon S Rabinowitz, Rheu Candava, Blair Kady, Dalia Arostegui, Evan Grossman","doi":"10.1186/s13089-024-00380-7","DOIUrl":"10.1186/s13089-024-00380-7","url":null,"abstract":"<p><strong>Background: </strong>Endoscopic ultrasound (EUS) is a unique example of POCUS, which allows the gastroenterologist to discuss subepithelial pathology immediately after an endoscopy. The challenges that are encountered to create an acoustic interface by adding free water during the endoscopy may be curtailing the full utilization of EUS during endoscopic procedures. Eosinophilic esophagitis (EoE) is a progressive inflammatory condition whose morbidity is related to esophageal wall remodeling. However, in clinical practice, in clinical guidelines, and in many trials, EoE outcomes are based on esophageal eosinophilia and symptoms. Hence, a method to identify and quantitate the thickening of the esophageal wall, could contribute to the management of this disease.</p><p><strong>Results: </strong>A modification of the approach employed to perform EUS during bronchoscopy was developed. An EUS miniprobe was positioned inside of a water filled balloon sheath. This technique permitted rapid and reproducible images acquisition of the total esophageal wall and its sublayers (mucosa, and submucosa + submucosa, which permitted derivation of the muscle layer). The presented series describes the results from  22 consecutive EoE patients. A full set of measurements from both the mid and distal esophagus were achieved in all EoE patients in an average time of less than 10 minutes.</p><p><strong>Conclusions: </strong>This pilot study supports further investigations evaluating this economical, convenient, and safe technique to follow EoE patients. In addition, this approach could be potentially employed in all patients who are found to have subepithelial gastrointestinal pathology during routine endoscopic procedures.</p>","PeriodicalId":36911,"journal":{"name":"Ultrasound Journal","volume":"16 1","pages":"40"},"PeriodicalIF":3.4,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11339230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019005","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
Transorbital B-mode ultrasound for the assessment of posterior globe flattening in idiopathic intracranial hypertension: a pilot study. 经眶B型超声波评估特发性颅内高压患者球后扁平:一项试验研究。
IF 3.4
Ultrasound Journal Pub Date : 2024-08-19 DOI: 10.1186/s13089-024-00388-z
Theresia Knoche, Charlotte Pietrock, Konrad Neumann, Mirjam Rossel-Zemkouo, Leon Alexander Danyel
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