{"title":"Point Shear Wave Elastography and the Effect of Physical Exercise, Alcohol Consumption, and Respiration in Healthy Adults.","authors":"Victoria Taraldsen, Sunneva Tomasgard, MargretheThune Rudlang, OddHelge Gilja, Mette Vesterhus, 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}
{"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}
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, Alexander Loizides, Murat Okcu, 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}
{"title":"Prenatal Diagnosis of FATCO Syndrome (Fibular Aplasia, Tibial Campomelia, and Oligosyndactyly) with 2D/3D Ultrasonography.","authors":"Meisam Izadi, 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}
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, Gebhard Schmid, Dan Meila, 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}
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}
{"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}
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, Stine Degn, Linea Sandfeld Blichert-Refsgaard, Tommy Kjærgaard Nielsen, Henriette List, 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}
David Zander, Sebastian Hüske, Beatrice Hoffmann, Xin-Wu Cui, Yi Dong, Adrian Lim, Christian Jenssen, Axel Löwe, Jonas B H Koch, Christoph F Dietrich
{"title":"Ultrasound Image Optimization (\"Knobology\"): B-Mode.","authors":"David Zander, Sebastian Hüske, Beatrice Hoffmann, Xin-Wu Cui, Yi Dong, Adrian Lim, Christian Jenssen, Axel Löwe, Jonas B H Koch, Christoph F Dietrich","doi":"10.1055/a-1223-1134","DOIUrl":"https://doi.org/10.1055/a-1223-1134","url":null,"abstract":"<p><p>Ultrasound is a ubiquitous and indispensable diagnostic and therapeutic tool in medicine. Due to modern equipment and automatic image optimization, the introduction of ultrasound imaging currently requires only little technical and physical knowledge. However, in-depth knowledge of the device functions and underlying mechanisms is essential for optimal image adjustment and documentation. From a medical as well as an aesthetic point of view, the goal should always be to achieve the best possible image quality. The first part of this article provides an overview of the handling of ultrasound systems, fundamental adjustments, and their optimization in B-mode ultrasound.</p>","PeriodicalId":44852,"journal":{"name":"Ultrasound International Open","volume":"6 1","pages":"E14-E24"},"PeriodicalIF":3.2,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/a-1223-1134","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38344635","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}
Fauzia Nausheen, Corey Young, John Brazil, Timothy Dunagan, Renu Bhupathy, Sambandam Elango, Jason Crowley
{"title":"Confidence Level and Ability of Medical Students to Identify Abdominal Structures After Integrated Ultrasound Sessions.","authors":"Fauzia Nausheen, Corey Young, John Brazil, Timothy Dunagan, Renu Bhupathy, Sambandam Elango, Jason Crowley","doi":"10.1055/a-1199-1578","DOIUrl":"https://doi.org/10.1055/a-1199-1578","url":null,"abstract":"<p><strong>Purpose: </strong>Determine the confidence level and ability of first year medical students to identify abdominal structures using a wireless portable ultrasound scanner.</p><p><strong>Methods: </strong>The students were assessed for their confidence and ability to perform abdominal ultrasound. The 5-point Likert survey included questions on their perception about ultrasound as a resource for learning anatomy, physical examination skills, and the quality of the pre-session instructions. Data was also recorded by the faculty about the students' ultrasound skills and confidence. Goodman and Kruskal's gamma was used to demonstrate an association between the students' ability to identify the structures and the self-reported student confidence level.</p><p><strong>Results: </strong>Most of the students had confidence and were able to identify the liver, kidney, and urinary bladder, while almost half of them needed faculty help them to identify the inferior vena cava and aorta. The spleen and gall bladder were the most difficult to locate even for the very confident students. The perception of supervising faculty was that the confidence level was low in most of the students and only 13-20% of students felt \"very confident\" about performing ultrasound. Almost 37% needed encouragement and support and almost 10% of the students were not willing to try to locate difficult organs. Some students started locating the ureteric jet and portal vein. Most of the students agreed that ultrasound is an excellent resource for learning anatomy and physical examination skills. All students suggested having more ultrasound sessions.</p><p><strong>Conclusion: </strong>Most of the students feel confident about performing ultrasound and they perceive that ultrasound can enhance their basic sciences and physical examination skills.</p>","PeriodicalId":44852,"journal":{"name":"Ultrasound International Open","volume":"6 1","pages":"E7-E13"},"PeriodicalIF":3.2,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/a-1199-1578","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38215921","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}