Journal of Medical Ultrasound最新文献

Too Much of a Good Thing: Updated Current Management and Perinatal Outcomes of Polyhydramnios. 过多是件好事：羊水过多的最新管理和围产期结局。

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Journal of Medical Ultrasound Pub Date : 2024-11-30 eCollection Date: 2024-10-01 DOI: 10.4103/jmu.jmu_83_24

Fang-Tzu Wu, Chih-Ping Chen

{"title":"Too Much of a Good Thing: Updated Current Management and Perinatal Outcomes of Polyhydramnios.","authors":"Fang-Tzu Wu, Chih-Ping Chen","doi":"10.4103/jmu.jmu_83_24","DOIUrl":"10.4103/jmu.jmu_83_24","url":null,"abstract":"Amniotic fluid assessment is crucial in prenatal ultrasound to monitor fetal conditions, with polyhydramnios, characterized by excessive amniotic fluid, affecting 1%-2% of pregnancies. Polyhydramnios is linked to complications such as placental abruption, preterm labor, congenital anomalies, and postpartum hemorrhage, emphasizing the need for early detection and management. While idiopathic causes account for 60%-70% of cases, other causes include impaired fetal swallowing and increased urine production due to maternal, fetal, and placental conditions. Accurate amniotic fluid volume (AFV) assessment and surveying the underlying cause are important, with ultrasound methods such as deep vertical pocket (DVP) and amniotic fluid index (AFI) preferred. Polyhydramnios is defined by an AFV exceeding 2000 ml, an AFI over 24 cm, or DVP more than 8 cm. Management typically targets underlying causes, with treatments such as amnioreduction and indomethacin for severe cases. Antepartum monitoring includes detailed fetal ultrasound, genomic and genetic examinations, and tests for maternal diabetes and infections. Intrapartum management addresses complications such as malpresentation and shoulder dystocia, whereas postpartum care involves monitoring for uterine atony and hemorrhage. Perinatal outcomes in idiopathic polyhydramnios are generally poorer, with increased risks of fetal demise, preterm delivery, and neonatal complications, but these results may need further stratification and verification.","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"32 4","pages":"285-290"},"PeriodicalIF":0.9,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11717093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972714","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

CME Test. CME 测试。

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Journal of Medical Ultrasound Pub Date : 2024-11-30 eCollection Date: 2024-10-01

引用次数: 0

Sonographic Findings in Two Consecutive Pregnancies Affected with Fetuses of Congenital Nephrotic Syndrome of Finnish Type. 芬兰型先天性肾病综合征胎儿连续两次妊娠的超声表现。

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Journal of Medical Ultrasound Pub Date : 2024-11-30 eCollection Date: 2024-10-01 DOI: 10.4103/jmu.jmu_3_24

Jia-Xue Wei, Dong-Zhi Li

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The Investing Layer of the Deep Cervical Fascia: An Alternative Site for Ultrasound-guided Supraclavicular Nerve Block - A Cadaveric Anatomical Study. 颈深筋膜的投资层：超声引导锁骨上神经阻滞的另一个位置-尸体解剖研究。

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Journal of Medical Ultrasound Pub Date : 2024-11-30 eCollection Date: 2024-10-01 DOI: 10.4103/jmu.jmu_121_23

Sandeep Diwan, S Shivaprakash, Rasika Timane, Pallavi Pai, Zenab Bohra, Abhijit Sukumaran Nair

{"title":"The Investing Layer of the Deep Cervical Fascia: An Alternative Site for Ultrasound-guided Supraclavicular Nerve Block - A Cadaveric Anatomical Study.","authors":"Sandeep Diwan, S Shivaprakash, Rasika Timane, Pallavi Pai, Zenab Bohra, Abhijit Sukumaran Nair","doi":"10.4103/jmu.jmu_121_23","DOIUrl":"10.4103/jmu.jmu_121_23","url":null,"abstract":"Background: It is very well known that the supraclavicular nerve (SCN) which occupies the inferior part of the superficial cervical plexus basically originates from the ventral rami of C2-C4, then travels caudally into the investing layer of the deep cervical fascia (IL-DCF) alternatively termed the \"prevertebral fascia.\"Methods: This cadaveric study (a total of 6 soft-embalmed cadavers and bilateral dissections, i.e. 12 specimens) intended to ascertain the location of SCN within the layers of the IL-DCF. We hypothesized that ultrasonography identification of SCN within the IL-DCF and needle tip positioned between the layers of IL-DCF provide an alternative site for the blockade of the SCN.Results: After dissection, we described a compact double-layered IL-DCF hosting the SCNs and a specific topographic arrangement at the C4 root with SCN lateral and C4 branches of the phrenic nerve medial to the C4.Conclusion: We recommend another alternative site for the SCN block at a site in the compact double layer of IL-DCF. We conclude that a caudal site at the exit of SCN from the IL-DCF would be appropriate to perform the intervention.","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"32 4","pages":"318-322"},"PeriodicalIF":0.9,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11717074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972712","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}

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Erratum: Posterior Tibial Nerve Ultrasound Assessment of Peripheral Neuropathy in Adults with Type 2 Diabetes Mellitus. 成人2型糖尿病周围神经病变的胫后神经超声评估。

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Journal of Medical Ultrasound Pub Date : 2024-11-30 eCollection Date: 2024-10-01 DOI: 10.4103/JMU.JMU_118_24

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Plantar Fascia Thickness Difference Between Pregnant and Nulliparous in Indonesia. 印度尼西亚孕妇和未生育者足底筋膜厚度差异。

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Journal of Medical Ultrasound Pub Date : 2024-11-30 eCollection Date: 2024-10-01 DOI: 10.4103/jmu.jmu_142_23

Jeffry Foraldy, Seilly Jehosua, Ansye Momole, Rizal Tumewah, Theresia Runtuwene, Windy Mariane Virenia Wariki

{"title":"Plantar Fascia Thickness Difference Between Pregnant and Nulliparous in Indonesia.","authors":"Jeffry Foraldy, Seilly Jehosua, Ansye Momole, Rizal Tumewah, Theresia Runtuwene, Windy Mariane Virenia Wariki","doi":"10.4103/jmu.jmu_142_23","DOIUrl":"10.4103/jmu.jmu_142_23","url":null,"abstract":"Background: Pregnancy is associated with distinct risks of fascia thickness compared to nulliparous. Therefore, this study aimed to compare plantar fascia thickness between asymptomatic pregnant women and nulliparous, evaluating the relationship with age, body mass index (BMI), arch height index (AHI), gestational age, and number of pregnancies.Methods: This cross-sectional study was conducted between January and March 2023, and subjects were through a simple random sampling method. The inclusion criteria were subjects aged 18-35 years old, while those with a history of foot pain, trauma, surgery, special orthosis during pregnancy, and other complications were excluded. Fascia thickness was measured at 10 mm distal from the insertion in the calcaneus. Age, BMI, AHI, gestational age, and pregnancy history were recorded. Student's t-tests were used to compare both groups.Results: The average plantar fascia thickness in pregnant women was 2.67 ± 0.44 mm in both feet, while in nulliparous, it was 2.24 ± 0.41 mm and 2.26 ± 0.37 mm in the right and left foot, respectively. A significant difference was observed between the two groups based on BMI category (P < 0.05). Women who had experienced more than one pregnancy showed thicker fascia (P < 0.05). In multivariate analysis, BMI (B coefficient: 0.029-0.031, P < 0.05) and number of pregnancies (0.268-0.267, P < 0.05) had a significant effect on plantar fascia thickness in pregnant women, while age and BMI affected nulliparous.Conclusion: Pregnant women had thicker plantar fascia compared to nulliparous. Consequently, screening and prevention in pregnant women and multiparous was necessary to prevent the occurrence of plantar fasciitis.","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"32 4","pages":"323-328"},"PeriodicalIF":0.9,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11717081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972708","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}

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Contrast-enhanced Ultrasound as a Method of Splenic Injury Assessment. 超声造影评价脾损伤的方法。

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Journal of Medical Ultrasound Pub Date : 2024-09-25 eCollection Date: 2024-10-01 DOI: 10.4103/jmu.jmu_33_24

Ugo Giordano, Jakub Kobialka, Joanna Bystron, Anna Dziekiewicz, Justyna Pilch, Karolina Matuszewska, Adrian Bystroń

{"title":"Contrast-enhanced Ultrasound as a Method of Splenic Injury Assessment.","authors":"Ugo Giordano, Jakub Kobialka, Joanna Bystron, Anna Dziekiewicz, Justyna Pilch, Karolina Matuszewska, Adrian Bystroń","doi":"10.4103/jmu.jmu_33_24","DOIUrl":"10.4103/jmu.jmu_33_24","url":null,"abstract":"Splenic injuries are common in abdominal trauma, as the spleen is one of the most often harmed organs. The treatment of splenic injuries underwent major changes during the past decades, shifting from a surgical approach to nonoperative management. This change of the proceedings results from a constantly growing awareness of the spleen's crucial hematological and immunological function and was possible owing to the advances in radiological techniques. In a setting of high-energy trauma in hemodynamically stable patients, computed tomography (CT) remains the gold standard. Where ultrasonography (US) is of major importance is in cases of unstable patients undergone high-energy trauma or in patients after low-energy trauma. Nevertheless, baseline US's sensitivity is not sufficient to detect splenic traumatic injuries; hence, a new method was developed involving ultrasound contrast agents (UCAs), called contrast-enhanced ultrasound (CEUS). In a low-energy trauma setting, it facilitates the diagnosis of abdominal lesions with a sensitivity close to that of CT, without the disadvantages of the latter. In addition, CEUS can be used in the follow-up of abdominal traumatic injuries. The fact that CEUS preserves CT's sensitivity while not carrying the risk of radiation-induced cancer makes it feasible for children and pregnant women. This review aims to discuss the technical aspects of CEUS, the limitations, and possibilities regarding this modality, present the appearance of both a healthy and injured spleen, and compare CEUS's effectiveness to that of CT through an analysis of retrievable studies.","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"32 4","pages":"291-296"},"PeriodicalIF":0.9,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11717077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972704","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}

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Early Diagnosis of a Rare Genetic Syndrome by the First-trimester Ultrasound Combined with Exome Sequencing. 早期妊娠超声结合外显子组测序对罕见遗传综合征的早期诊断。

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Journal of Medical Ultrasound Pub Date : 2024-09-20 eCollection Date: 2024-10-01 DOI: 10.4103/jmu.jmu_162_23

Li Zhen, Dong-Zhi Li

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Comparison between Handheld Echocardiography and Cardiac Magnetic Resonance for Stroke Volume and Left Ventricular Ejection Fraction Quantification. 手持超声心动图与心脏磁共振在卒中量和左心室射血分数定量方面的比较

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Journal of Medical Ultrasound Pub Date : 2024-08-28 eCollection Date: 2024-07-01 DOI: 10.4103/jmu.jmu_52_23

Frederique Maria de Raat, Sjoerd Bouwmeester, R Arthur Bouwman, Patrick Houthuizen

{"title":"Comparison between Handheld Echocardiography and Cardiac Magnetic Resonance for Stroke Volume and Left Ventricular Ejection Fraction Quantification.","authors":"Frederique Maria de Raat, Sjoerd Bouwmeester, R Arthur Bouwman, Patrick Houthuizen","doi":"10.4103/jmu.jmu_52_23","DOIUrl":"10.4103/jmu.jmu_52_23","url":null,"abstract":"Background: Reliable quantification of stroke volume (SV) and left ventricular ejection fraction (LVEF) is essential for point-of-care assessment in hemodynamically compromised patients. Handheld echocardiography (HHE) equipment has entered the market a few years ago and is now available for clinical use. However, the performance of HHE for SV and LVEF quantification in comparison to cardiac magnetic resonance (CMR) imaging as golden standard is yet unknown.Methods: Twenty volunteers were scanned with HHE, standard echocardiography (SE), and CMR. LVEF and SV were measured with each modality, and their accuracy and precision were evaluated.Results: Bias and limits of agreement (LOA) between HHE and CMR were -0.21% (-2.89: 2.48) and 11.24% (-15.79: 15.59) for LVEF and 29.85 ml (22.13: 37.57) and 32.34 ml (-15.01: 44.86) for SV, respectively. Bias and LOA between SE and CMR were -0.60% (-3.74:2.55) and 13.16% (-18.85:18.26) for LVEF and 32.08 ml (24.61:39.54) and 31.34 ml (-11.29:43.37) for SV, respectively.Conclusion: HHE versus CMR showed comparable accuracy and precision compared to SE versus CMR.","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"32 3","pages":"215-220"},"PeriodicalIF":0.9,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11414958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298156","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}

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Health-care Professionals' Perspectives on Ultrasound Evaluation of Arteriovenous Hemodialysis Fistula: A Narrative Review. 医护人员对动静脉血液透析瘘超声评估的看法：叙述性综述。

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Journal of Medical Ultrasound Pub Date : 2024-08-28 eCollection Date: 2024-07-01 DOI: 10.4103/jmu.jmu_161_23

Chung-Ming Fu, Foong-Fah Leong, Sheng-Ying Chung, Wen-Chin Lee

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