Victoria Taraldsen, Sunneva Tomasgard, Margrethe Thune Rudlang, Odd Helge Gilja, Mette Vesterhus, Anders Batman Mjelle
{"title":"Correction: Point Shear Wave Elastography and the Effect of Physical Exercise, Alcohol Consumption, and Respiration in Healthy Adults.","authors":"Victoria Taraldsen, Sunneva Tomasgard, Margrethe Thune Rudlang, Odd Helge Gilja, Mette Vesterhus, Anders Batman Mjelle","doi":"10.1055/a-1340-1260","DOIUrl":"https://doi.org/10.1055/a-1340-1260","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1055/a-1298-9642.].</p>","PeriodicalId":44852,"journal":{"name":"Ultrasound International Open","volume":"6 3","pages":"E66"},"PeriodicalIF":3.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/a-1340-1260","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38806649","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}
Ehsan Safai Zadeh, Julia Kindermann, Christoph F Dietrich, Christian Görg, Tobias Bleyl, Amjad Alhyari, Corinna Trenker
{"title":"Correction: Clinical Awareness and Acceptance of Sonographically Diagnosed Epiploic Appendagitis (EA): A Retrospective Analysis of EA in a Single Tertiary Academic Referral Center.","authors":"Ehsan Safai Zadeh, Julia Kindermann, Christoph F Dietrich, Christian Görg, Tobias Bleyl, Amjad Alhyari, Corinna Trenker","doi":"10.1055/a-1469-3613","DOIUrl":"https://doi.org/10.1055/a-1469-3613","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1055/a-1371-9359.].</p>","PeriodicalId":44852,"journal":{"name":"Ultrasound International Open","volume":"6 3","pages":"E94"},"PeriodicalIF":3.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/a-1469-3613","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38834425","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}
Ehsan Safai Zadeh, Julia Kindermann, Christoph F Dietrich, Christian Görg, Tobias Bleyl, Amjad Alhyari, Corinna Trenker
{"title":"Clinical Awareness and Acceptance of Sonographically Diagnosed Epiploic Appendagitis (EA): A Retrospective Analysis of EA in a Single Tertiary Academic Referral Center.","authors":"Ehsan Safai Zadeh, Julia Kindermann, Christoph F Dietrich, Christian Görg, Tobias Bleyl, Amjad Alhyari, Corinna Trenker","doi":"10.1055/a-1371-9359","DOIUrl":"https://doi.org/10.1055/a-1371-9359","url":null,"abstract":"<p><p><b>Purpose</b> To describe the clinical awareness and acceptance of ultrasound-diagnosed acute epiploic appendagitis (EA) and their importance to avoid unnecessary therapeutic and imaging measures. <b>Patients and Methods</b> The data were obtained of n=54 patients with acute, localized, peritonitic pain and EA diagnosed by B-mode ultrasound and contrast-enhanced ultrasound examination from November 2003 to September 2020. All examinations were performed by a German Society for Ultrasound in Medicine (DEGUM) Level III qualified examiner. Based on documentation by the treating physicians, the clinical awareness and acceptance of EA diagnosis was determined in all patients and compared between subgroups diagnosed before 2013 and from 2013 onwards. In 2013, a local educational training program regarding the diagnosis of and therapy for EA was initiated for physicians. <b>Results</b> In all patients, EA was sonographically diagnosed by a DEGUM level III qualified examiner. At enrollment, EA was mentioned as a suspected clinical diagnosis in n=1/54 (1.9%) patient. Furthermore, in n=39/54 (72.2%) cases, the EA was documented and accepted by the treating physicians at the time of patient discharge as the final clinical diagnosis. The clinical acceptance was significantly higher from 2013 onwards compared with before 2013 (p<0.05). Moreover, in n=26/54 (48.1%) patients, unnecessary therapeutic measures were initiated, with no significant difference between pre-2013 and post-2013 numbers (p>0.05). <b>Conclusion</b> In our retrospective study, we showed that awareness and acceptance of the disease EA are low. Low diagnostic acceptance of EA by the clinician leads to unnecessary therapeutic and imaging measures and is a general problem related to rare diseases in the healthcare system.</p>","PeriodicalId":44852,"journal":{"name":"Ultrasound International Open","volume":"6 3","pages":"E87-E93"},"PeriodicalIF":3.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/a-1371-9359","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25495723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Contrast-Enhanced Ultrasound (CEUS) in Non-Traumatic Abdominal Emergencies.","authors":"Diletta Cozzi, Simone Agostini, Elena Bertelli, Michele Galluzzo, Emanuela Papa, Germano Scevola, Margherita Trinci, 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}
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, Fabrizio Cereatti, Andrea Drago, 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}
{"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}