{"title":"Ultrasound-guided Finger Compression with Breast Stabilization for Postbiopsy Breast Pseudoaneurysm.","authors":"Yu-Hsin Weng, Pi-Yi Huang, Chia-Hsien Chien","doi":"10.4103/jmu.JMU-D-26-00007","DOIUrl":"10.4103/jmu.JMU-D-26-00007","url":null,"abstract":"<p><p>Breast pseudoaneurysm is an uncommon vascular complication after vacuum-assisted breast biopsy. Ultrasound-guided probe compression is typically recommended as first-line conservative management; however, technical failure may occur when probe slippage and breast parenchymal mobility prevent sustained focal occlusion of the feeding artery at the pseudoaneurysm neck. This Technical Note describes a modified ultrasound-guided compression technique that combines targeted finger compression of the pseudoaneurysm neck with concurrent breast stabilization by a second operator. A 63-year-old woman developed a postbiopsy breast pseudoaneurysm that persisted despite conventional probe compression. Using the dual-operator technique, complete thrombosis was achieved within 20 min under continuous Doppler monitoring. Follow-up ultrasound confirmed durable occlusion with interval resolution, and the technique did not affect subsequent breast-conserving surgery. This modified compression approach provides a practical, noninvasive option for managing postbiopsy breast pseudoaneurysms before escalation to invasive treatment.</p>","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"34 3","pages":"383-386"},"PeriodicalIF":1.3,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216897","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":"A Finger Proximal Interphalangeal Joint Swelling Mimicking Inflammatory Arthritis: What Is the Diagnosis?","authors":"Wan-Hao Tsai","doi":"10.4103/jmu.JMU-D-26-00001","DOIUrl":"https://doi.org/10.4103/jmu.JMU-D-26-00001","url":null,"abstract":"","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"34 3","pages":"437-438"},"PeriodicalIF":1.3,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216692","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":"Reply to Comment on Diagnostic Accuracy of a Sonographic Scoring System in Predicting the Malignant Potential of a Soft-tissue Swelling.","authors":"Anmol Mishra, Sohini Sengupta, Ankita Mishra","doi":"10.4103/jmu.JMU-D-26-00079","DOIUrl":"10.4103/jmu.JMU-D-26-00079","url":null,"abstract":"","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"34 3","pages":"431-432"},"PeriodicalIF":1.3,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216947","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":"Prehospital Extended Focused Assessment with Sonography in Trauma with 5G-enabled Real-time Telesupervision for the Early Detection of Intra-abdominal Hemorrhage and Trauma Team Activation: A Case Report and Feasibility Insight.","authors":"Yi-Hsiang Wang, Chien-Hsun Tseng, Yung-Hua Chou, Tai-An Lee, Chia-Ching Chen","doi":"10.4103/jmu.JMU-D-25-00046","DOIUrl":"10.4103/jmu.JMU-D-25-00046","url":null,"abstract":"<p><p>Prehospital ultrasound, particularly the Extended Focused Assessment with Sonography in Trauma (EFAST), has emerged as a valuable tool in the early identification of life-threatening conditions, including hemoperitoneum and pneumothorax. Current evidence supports the role of prehospital ultrasound in improving diagnostic accuracy, facilitating triage decisions, and enhancing communication with receiving trauma centers. However, its application in detecting intra-abdominal hemorrhage and expediting trauma team activation (TTA) remains underutilized in many emergency medical systems. This case highlights the critical importance of prehospital TTA in a patient with hemorrhagic shock secondary to blunt abdominal trauma. Rapid identification of hemoperitoneum via EFAST and immediate transmission of ultrasound findings enabled the timely mobilization of the trauma surgeon, interventional radiologist, and operating suite. Such integrated communication can significantly improve outcomes in patients with devastating hemorrhage by minimizing the time to definitive intervention.</p>","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"34 3","pages":"416-420"},"PeriodicalIF":1.3,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216949","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}
Manohar Baburao Kachare, Zaid Peerpasha Inamdar, Sanjay B Kulkarni, Shabbirahmed Y Shaikh
{"title":"Reply to the Comment on \"Role of Ultrasonography in the Diagnosis of Chronic Appendicitis: An Observational Study of 400 Cases\".","authors":"Manohar Baburao Kachare, Zaid Peerpasha Inamdar, Sanjay B Kulkarni, Shabbirahmed Y Shaikh","doi":"10.4103/jmu.JMU-D-26-00081","DOIUrl":"10.4103/jmu.JMU-D-26-00081","url":null,"abstract":"","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"34 3","pages":"427-428"},"PeriodicalIF":1.3,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216915","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":"Comment on Role of Ultrasonography in the Diagnosis of Chronic Appendicitis: An Observational Study of 400 Cases.","authors":"Chao-Ming Hung, Hui-Ming Lee, Chong-Chi Chiu","doi":"10.4103/jmu.JMU-D-26-00051","DOIUrl":"10.4103/jmu.JMU-D-26-00051","url":null,"abstract":"","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"34 3","pages":"425-426"},"PeriodicalIF":1.3,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216940","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":"Comment on Diagnostic Accuracy of a Sonographic Scoring System in Predicting the Malignant Potential of a Soft-tissue Swelling.","authors":"Meng-Che Hsieh, Po-Huang Lee, Chong-Chi Chiu","doi":"10.4103/jmu.JMU-D-26-00049","DOIUrl":"10.4103/jmu.JMU-D-26-00049","url":null,"abstract":"","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"34 3","pages":"429-430"},"PeriodicalIF":1.3,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216934","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}
Bo-Yan Chen, Hsin-Yi Chen, Sien-Sing Yang, Jui-Ting Hu
{"title":"Ultrasonographic Features and Diagnostic Challenges of Hepatic Tuberculosis: Insights from Taiwan and Southeast Asia.","authors":"Bo-Yan Chen, Hsin-Yi Chen, Sien-Sing Yang, Jui-Ting Hu","doi":"10.4103/jmu.JMU-D-25-00194","DOIUrl":"10.4103/jmu.JMU-D-25-00194","url":null,"abstract":"<p><p>Hepatic tuberculosis (HTB) is a rare manifestation of extrapulmonary tuberculosis (TB) and represents fewer than 1% of all tuberculosis cases. From an imaging perspective, HTB poses a significant diagnostic challenge because its ultrasonographic appearances are highly variable and frequently mimic hepatic malignancy or pyogenic abscess, often resulting in delayed or incorrect diagnosis. This review focuses on the ultrasonographic features of hepatic and hepatobiliary TB, with reference to the epidemiologic data from Southeast Asia and Taiwan. Ultrasonography remains the most commonly used first-line imaging modality and typically demonstrates five morphologic patterns: nodular, abscess-like, infiltrative or diffuse, biliary, and miliary. However, none of these patterns are specific and substantial overlap exists with malignant and inflammatory hepatic conditions. Awareness of these sonographic patterns, in conjunction with clinical context and risk factors, is therefore essential for raising the suspicion of HTB. Given the limitations of imaging alone, definitive diagnosis requires histopathologic confirmation and microbiologic or molecular testing. For ultrasound practitioners, early recognition of atypical or malignancy-like hepatic lesions and timely recommendation for liver biopsy play a pivotal role in reducing diagnostic delay. Improved awareness of HTB among clinicians and radiologists, particularly in regions affected by population mobility from TB-endemic areas, may facilitate earlier diagnosis and more appropriate management.</p>","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"34 3","pages":"293-298"},"PeriodicalIF":1.3,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216904","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-of-care Ultrasound: Past, Present, and Future.","authors":"Chien-Tai Huang, Wan-Ching Lien, Cheng-Yi Wu","doi":"10.4103/jmu.JMU-D-26-00046","DOIUrl":"10.4103/jmu.JMU-D-26-00046","url":null,"abstract":"<p><p>Point-of-care ultrasound (PoCUS) has fundamentally transformed clinical practice from comprehensive, organ-based imaging into a rapid, goal-directed bedside tool. The development of standardized protocols - such as focused assessment with sonography for trauma, rapid ultrasound for shock and hypotension, and bedside lung ultrasound in emergency - along with real-time procedural guidance, has established PoCUS as an essential competency in critical care and emergency medicine. Currently, technological advancements have miniaturized ultrasound devices, dismantling geographical barriers and facilitating decentralized healthcare models. In the emergency department (ED), the early integration of PoCUS significantly reduces the ED length of stay and optimizes resource utilization, whereas its application continues to expand into general inpatient and community care. Looking forward, the democratization of medical education and the convergence of wireless technology with artificial intelligence will further minimize operator dependence. As its diagnostic value is firmly established, future research must pivot toward quantifying patient-centered outcomes, such as mortality and hospital readmission rates, solidifying PoCUS as an indispensable pillar of modern medicine.</p>","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"34 3","pages":"304-308"},"PeriodicalIF":1.3,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216873","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":"Utility of Point-of-care Ultrasound in Clinical Care: A Narrative Review.","authors":"Chi-Hsin Chen, Wan-Ching Lien","doi":"10.4103/jmu.JMU-D-26-00043","DOIUrl":"10.4103/jmu.JMU-D-26-00043","url":null,"abstract":"<p><p>Point-of-care ultrasound (POCUS) has emerged as an essential bedside diagnostic tool in modern clinical practice. By enabling real-time visualization of anatomical structures and physiological processes, POCUS allows clinicians to rapidly evaluate patients and integrate imaging findings directly into clinical decision-making. This narrative review summarizes current evidence regarding the clinical utility of POCUS across both critical and noncritical care settings. Key applications include the use of structured ultrasound protocols during cardiac arrest, such as the US-CAB framework, and lung ultrasound approaches like the bedside lung ultrasound in emergency protocol for evaluating acute respiratory failure. In addition, growing evidence supports the use of POCUS in common emergency department presentations, including acute flank pain, nontraumatic abdominal pain, and undifferentiated chest pain or dyspnea. Across these clinical scenarios, POCUS has been shown to facilitate rapid diagnosis, reduce reliance on radiation-based imaging, and improve operational efficiency by shortening emergency department length of stay and expediting clinical decision-making. Despite its clinical advantages, the effective implementation of POCUS requires appropriate operator training and standardized protocols to ensure diagnostic reliability. Ongoing advances in portable ultrasound technology and image-analysis tools may further enhance the accessibility and clinical integration of POCUS in diverse healthcare environments. Overall, POCUS represents a valuable extension of bedside clinical assessment and continues to play an expanding role in modern patient-centered care.</p>","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"34 3","pages":"299-303"},"PeriodicalIF":1.3,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13674897/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216959","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}