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Contrast-Enhanced Ultrasound (CEUS) in Non-Traumatic Abdominal Emergencies. 对比增强超声(CEUS)在非创伤性腹部急诊中的应用。
IF 3.2
Ultrasound International Open Pub Date : 2020-12-01 Epub Date: 2021-03-12 DOI: 10.1055/a-1347-5875
Diletta Cozzi, Simone Agostini, Elena Bertelli, Michele Galluzzo, Emanuela Papa, Germano Scevola, Margherita Trinci, Vittorio Miele
{"title":"Contrast-Enhanced Ultrasound (CEUS) in Non-Traumatic Abdominal Emergencies.","authors":"Diletta Cozzi,&nbsp;Simone Agostini,&nbsp;Elena Bertelli,&nbsp;Michele Galluzzo,&nbsp;Emanuela Papa,&nbsp;Germano Scevola,&nbsp;Margherita Trinci,&nbsp;Vittorio Miele","doi":"10.1055/a-1347-5875","DOIUrl":"https://doi.org/10.1055/a-1347-5875","url":null,"abstract":"<p><p>Conventional ultrasound imaging (US) is the first-line investigation in acute non-traumatic abdominal emergencies, but sometimes it needs further examinations, such as computed tomography (CT), to reach a certain diagnosis. Contrast-enhanced ultrasound (CEUS), through injection of contrast medium, may provide the radiologist with additional information that could not be investigated with baseline US. It could help reach a diagnosis and rapidly determine the proper therapy in an emergency setting. The purpose of this review is to explain and illustrate the various possibilities and limitations of CEUS in acute non-traumatic abdominal diseases, in particular acute inflammation, parenchymal infarcts, and hemorrhages.</p>","PeriodicalId":44852,"journal":{"name":"Ultrasound International Open","volume":"6 3","pages":"E76-E86"},"PeriodicalIF":3.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/a-1347-5875","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25495722","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: 5
Focal Autoimmune Pancreatitis: A Simple Flow Chart for a Challenging Diagnosis. 局灶性自身免疫性胰腺炎:具有挑战性诊断的简单流程图
IF 3.2
Ultrasound International Open Pub Date : 2020-12-01 Epub Date: 2021-01-19 DOI: 10.1055/a-1323-4906
Clara Benedetta Conti, Fabrizio Cereatti, Andrea Drago, Roberto Grassia
{"title":"Focal Autoimmune Pancreatitis: A Simple Flow Chart for a Challenging Diagnosis.","authors":"Clara Benedetta Conti,&nbsp;Fabrizio Cereatti,&nbsp;Andrea Drago,&nbsp;Roberto Grassia","doi":"10.1055/a-1323-4906","DOIUrl":"https://doi.org/10.1055/a-1323-4906","url":null,"abstract":"<p><p>Autoimmune pancreatitis is a chronic fibroinflammatory autoimmune mediated disease of the pancreas. Clinically, obstructive painless jaundice and upper abdominal pain are the main symptoms. Focal AIP is characterized by segmental involvement of pancreatic parenchyma and it is often radiologically represented by a pancreatic mass. In these cases, the diagnosis can be very challenging, since it may be easily confused with pancreatic cancer. Therefore, we suggest a combined approach of imaging tests as the diagnostic workup. EUS study combined with CEUS and elastography, if available, increases the accuracy of the method to rule out cancer. Moreover, the lesion should always be sampled under EUS guidance to obtain a cyto/histological diagnosis. The diagnostic workup should also include the use of diagnostic clinical criteria (extrapancreatic lesions, steroid response) and laboratory findings (CA 19.9 and IgG4 evaluations).</p>","PeriodicalId":44852,"journal":{"name":"Ultrasound International Open","volume":"6 3","pages":"E67-E75"},"PeriodicalIF":3.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/a-1323-4906","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38855751","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: 3
Point Shear Wave Elastography and the Effect of Physical Exercise, Alcohol Consumption, and Respiration in Healthy Adults. 健康成人的点横波弹性成像及体育锻炼、饮酒和呼吸的影响。
IF 3.2
Ultrasound International Open Pub Date : 2020-12-01 Epub Date: 2020-12-08 DOI: 10.1055/a-1298-9642
Victoria Taraldsen, Sunneva Tomasgard, MargretheThune Rudlang, OddHelge Gilja, Mette Vesterhus, AndersBatman Mjelle
{"title":"Point Shear Wave Elastography and the Effect of Physical Exercise, Alcohol Consumption, and Respiration in Healthy Adults.","authors":"Victoria Taraldsen,&nbsp;Sunneva Tomasgard,&nbsp;MargretheThune Rudlang,&nbsp;OddHelge Gilja,&nbsp;Mette Vesterhus,&nbsp;AndersBatman Mjelle","doi":"10.1055/a-1298-9642","DOIUrl":"https://doi.org/10.1055/a-1298-9642","url":null,"abstract":"<p><p><b>Purpose</b> Ultrasound elastography is a noninvasive method for liver stiffness measurement (LSM) with the aim of reflecting approximate liver fibrosis load. Despite minimal evidence, current guidelines recommend 10 min of rest and breath hold prior to measurements and offer no advice concerning recent alcohol consumption, leading to challenges in clinical practice. We aimed to investigate how LSM in healthy adults is influenced by physical exercise, recent alcohol consumption, and respiration. <b>Materials and Methods</b> 42 healthy subjects aged 21-36 years were included. LSM using point shear wave elastography (pSWE) was performed in five stages: baseline, after physical activity, after registration of alcohol consumption, and during breath hold compared to free breathing. <b>Results</b> LSM values were significantly increased following physical exercise compared to baseline values (4.1±0.8 vs. 3.8±0.8 kPa, p=0.01). Alcohol consumption during the last 72 h (0-27 alcohol units) did not significantly affect LSM. There was no significant difference between LSM during breath hold and free breathing. <b>Conclusion</b> In healthy subjects, LSM increased after recent physical exercise, while alcohol consumption 24-72 h prior to examination did not have a significant impact. There was no clinically significant effect of breath hold on LSM. Our study supports present guidelines recommending rest prior to LSM, while indicating that breath hold may not be mandatory. Recent moderate alcohol exposure may affect LSM to a lesser extent than commonly believed.</p>","PeriodicalId":44852,"journal":{"name":"Ultrasound International Open","volume":"6 3","pages":"E54-E61"},"PeriodicalIF":3.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/a-1298-9642","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38710808","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
Editorial. 社论。
IF 3.2
Ultrasound International Open Pub Date : 2020-12-01 Epub Date: 2021-04-15 DOI: 10.1055/a-1304-4111
Adrian Lim
{"title":"Editorial.","authors":"Adrian Lim","doi":"10.1055/a-1304-4111","DOIUrl":"https://doi.org/10.1055/a-1304-4111","url":null,"abstract":"<p><p>During these difficult and unprecedented times, I am proud to introduce this quarters issue of Ultrasound International Open which is packed with high quality articles.</p>","PeriodicalId":44852,"journal":{"name":"Ultrasound International Open","volume":"6 3","pages":"E53"},"PeriodicalIF":3.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/a-1304-4111","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38894292","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
Unclear Cystic Lesion of the Thumb: A Rare Case of a Mainly Cystic Digital Papillary Adenocarcinoma. 不清楚的拇指囊性病变:1例罕见的以囊性为主的指乳头状腺癌。
IF 3.2
Ultrasound International Open Pub Date : 2020-09-01 Epub Date: 2020-11-03 DOI: 10.1055/a-1270-7851
Johannes Deeg, Alexander Loizides, Murat Okcu, Hannes Gruber
{"title":"Unclear Cystic Lesion of the Thumb: A Rare Case of a Mainly Cystic Digital Papillary Adenocarcinoma.","authors":"Johannes Deeg,&nbsp;Alexander Loizides,&nbsp;Murat Okcu,&nbsp;Hannes Gruber","doi":"10.1055/a-1270-7851","DOIUrl":"https://doi.org/10.1055/a-1270-7851","url":null,"abstract":"Digital papillary adenocarcinoma (DPA) is a malignant neoplasia of the eccrine glands primarily found at the fingers (A. ArsalanWerner et al. Handchirurgie, Mikrochirurgie, plastische Chirurgie 2013; 45: 287–292). It was first described by Helwig 1984 (E. B. Helwig. Journal of Cutaneous Pathology 1984: 11: 415-420). These tumors have metastatic potential (W. H. Duke et al. The American journal of surgical pathology 2000; 24: 775–784) and a high tendency to recur if not fully resected (T. Kobayashi et al. The American Journal of dermatopathology 2016; 38: 910–914). Clinically, these tumors normally present as a painless mass with no signs of inflammation and slow growth over months to years before patients seek medical attention. Imaging diagnosis of digital papillary adenocarcinomas is challenging because there are no specific imaging criteria. We present the case of a 68-year-old male with a local digital papillary adenocarcinoma of the right thumb with cystic appearance. Case Report","PeriodicalId":44852,"journal":{"name":"Ultrasound International Open","volume":"6 2","pages":"E48-E49"},"PeriodicalIF":3.2,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/a-1270-7851","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38583039","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
Prenatal Diagnosis of FATCO Syndrome (Fibular Aplasia, Tibial Campomelia, and Oligosyndactyly) with 2D/3D Ultrasonography. 产前2D/3D超声诊断FATCO综合征(腓骨发育不全、胫骨扁平、并指少)
IF 3.2
Ultrasound International Open Pub Date : 2020-09-01 Epub Date: 2020-10-15 DOI: 10.1055/a-1225-4388
Meisam Izadi, Nasim Salehnia
{"title":"Prenatal Diagnosis of FATCO Syndrome (Fibular Aplasia, Tibial Campomelia, and Oligosyndactyly) with 2D/3D Ultrasonography.","authors":"Meisam Izadi,&nbsp;Nasim Salehnia","doi":"10.1055/a-1225-4388","DOIUrl":"https://doi.org/10.1055/a-1225-4388","url":null,"abstract":"Introduction Fibular hemimelia is a congenital lower limb anomaly characterized by the partial or complete absence of the fibula. It includes a spectrum ranging from mild fibular hypoplasia to complete fibular aplasia. Although rare in occurrence, it is the most common congenital absence of long bone of the extremities 1.","PeriodicalId":44852,"journal":{"name":"Ultrasound International Open","volume":"6 2","pages":"E44-E47"},"PeriodicalIF":3.2,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/a-1225-4388","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38508339","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: 3
Collateral Activation of the Early Temporal Branch - A Neurosonological Sign of Distal M1 Middle Cerebral Artery Occlusion. 早期颞支侧支激活——大脑中动脉远端M1闭塞的神经音像学征象。
IF 3.2
Ultrasound International Open Pub Date : 2020-09-01 Epub Date: 2020-10-07 DOI: 10.1055/a-1225-4357
Christoph Walter, Gebhard Schmid, Dan Meila, Jan Sobesky
{"title":"Collateral Activation of the Early Temporal Branch - A Neurosonological Sign of Distal M1 Middle Cerebral Artery Occlusion.","authors":"Christoph Walter,&nbsp;Gebhard Schmid,&nbsp;Dan Meila,&nbsp;Jan Sobesky","doi":"10.1055/a-1225-4357","DOIUrl":"https://doi.org/10.1055/a-1225-4357","url":null,"abstract":"In most cases large vessel occlusion (LVO) in the anterior circulation causes a severe stroke syndrome with a high National Institutes of Health Stroke Scale score (NIHSS). However, there is also a smaller group of patients (up to 10 % of all LVO) presenting with a minor stroke syndrome, transient or even absent neurological symptoms, who may develop early clinical deterioration. They may be candidates for thrombolysis and mechanical thrombectomy (MT). Due to low clinical suspicion, many of these patients are not included in the diagnostic fast track of a comprehensive stroke center with immediate vessel imaging by means of CTor MR-angiography. In this scenario neurosonography can be the first vessel imaging performed. We present such a clinical case and its neurosonographic findings of a distal M1 middle cerebral artery occlusion (MCA) with an emphasis on the early temporal branch (ETB) as an important M1-M2 collateral pathway (aside from established neurosonological signs).","PeriodicalId":44852,"journal":{"name":"Ultrasound International Open","volume":"6 2","pages":"E41-E43"},"PeriodicalIF":3.2,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/a-1225-4357","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38481836","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 Chest Ultrasound and Standard X-Ray Imaging in COVID-19 Patients. COVID-19 患者胸部超声与标准 X 射线成像的比较。
IF 3.2
Ultrasound International Open Pub Date : 2020-09-01 Epub Date: 2020-09-02 DOI: 10.1055/a-1217-1603
Evgenii Shumilov, Ali Seif Amir Hosseini, Golo Petzold, Hannes Treiber, Joachim Lotz, Volker Ellenrieder, Steffen Kunsch, Albrecht Neesse
{"title":"Comparison of Chest Ultrasound and Standard X-Ray Imaging in COVID-19 Patients.","authors":"Evgenii Shumilov, Ali Seif Amir Hosseini, Golo Petzold, Hannes Treiber, Joachim Lotz, Volker Ellenrieder, Steffen Kunsch, Albrecht Neesse","doi":"10.1055/a-1217-1603","DOIUrl":"10.1055/a-1217-1603","url":null,"abstract":"<p><strong>Purpose: </strong>The COVID-19 pandemic poses new challenges for the medical community due to its large number of patients presenting with varying symptoms. Chest ultrasound (ChUS) may be particularly useful in the early clinical management in suspected COVID-19 patients due to its broad availability and rapid application. We aimed to investigate patterns of ChUS in COVID-19 patients and compare the findings with results from chest X-ray (CRX).</p><p><strong>Materials and methods: </strong>24 patients (18 symptomatic, 6 asymptomatic) with confirmed SARS-CoV-2 by polymerase chain reaction underwent bedside ChUS in addition to CRX following admission. Subsequently, the results of ChUS and CRX were compared.</p><p><strong>Results: </strong>94% (n=17/18) of patients with respiratory symptoms demonstrated lung abnormalities on ChUS. ChUS was especially useful to detect interstitial syndrome compared to CXR in COVID-19 patients (17/18 vs. 11/18; p<0.02). Of note, ChUS also detected lung consolidations very effectively (14/18 for ChUS vs. 7/18 cases for CXR; p<0.02). Besides pathological B-lines and subpleural consolidations, pleural line abnormality (89%; n=16/18) was the third most common feature in patients with respiratory manifestations of COVID-19 detected by ChUS.</p><p><strong>Conclusion: </strong>Our findings support the high value of ChUS in the management of COVID-19 patients.</p>","PeriodicalId":44852,"journal":{"name":"Ultrasound International Open","volume":"6 2","pages":"E36-E40"},"PeriodicalIF":3.2,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0c/a8/10-1055-a-1217-1603.PMC7467801.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38360659","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
Editorial. 社论。
IF 3.2
Ultrasound International Open Pub Date : 2020-09-01 Epub Date: 2020-12-10 DOI: 10.1055/a-1245-6348
Kai-Sven Heling
{"title":"Editorial.","authors":"Kai-Sven Heling","doi":"10.1055/a-1245-6348","DOIUrl":"https://doi.org/10.1055/a-1245-6348","url":null,"abstract":"<p><p>Dear Colleagues, Now you get a new Issue of Ultrasound International Open. As always you can find a mixture of different articles dealing with the main topic ultrasound.</p>","PeriodicalId":44852,"journal":{"name":"Ultrasound International Open","volume":"6 2","pages":"E35"},"PeriodicalIF":3.2,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/a-1245-6348","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38724999","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
Segmental Testicular Infarction - Is Conservative Management Feasible? 节段性睾丸梗死-保守治疗可行吗?
IF 3.2
Ultrasound International Open Pub Date : 2020-09-01 Epub Date: 2020-11-10 DOI: 10.1055/a-1270-7795
Camilla Brinkmann Bak-Ipsen, Stine Degn, Linea Sandfeld Blichert-Refsgaard, Tommy Kjærgaard Nielsen, Henriette List, Ole Graumann
{"title":"Segmental Testicular Infarction - Is Conservative Management Feasible?","authors":"Camilla Brinkmann Bak-Ipsen,&nbsp;Stine Degn,&nbsp;Linea Sandfeld Blichert-Refsgaard,&nbsp;Tommy Kjærgaard Nielsen,&nbsp;Henriette List,&nbsp;Ole Graumann","doi":"10.1055/a-1270-7795","DOIUrl":"https://doi.org/10.1055/a-1270-7795","url":null,"abstract":"Segmental testicular infarction is a relatively uncommon and benign finding. It occurs predominantly in the second and third decade of life. The main symptoms are unilateral and scrotal as seen in more common conditions such as testicular torsion, epididymitis, orchitis, or blunt trauma. The primary testis investigation method is ultrasonography (US) with color Doppler. Normally segmental testicular infarction is seen as a round or wedge-shaped hypoechoic lesion within the testicle in combination with absent or low blood flow. In contrast, vascular testicular lesions are often malignant. However, US alone cannot rule out testicular neoplasms, since hypovascularity of testicular tumors has been described.","PeriodicalId":44852,"journal":{"name":"Ultrasound International Open","volume":"6 2","pages":"E50-E52"},"PeriodicalIF":3.2,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/a-1270-7795","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38607718","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: 5
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