Journal of Medical Ultrasound最新文献

{"title":"Echocardiographic Evaluation in Kawasaki Disease.","authors":"Betau Hwang","doi":"10.4103/jmu.JMU-D-25-00029","DOIUrl":"10.4103/jmu.JMU-D-25-00029","url":null,"abstract":"<p><p>Kawasaki disease (KD) is an etiology-unknown but with a generalized inflammatory disorder of multiple organs and systems in childhood. The basic pathologic changes are panvasculitis of the small and medium-sized arteries, mainly the coronary arteries. It is now the leading cause of acquired heart disease during childhood in developed countries and has led to the early development of angina pectoris, myocardial ischemia/infarction, and even sudden cardiac death in early adulthood. Although there is no definitive diagnostic test for KD, the accurate diagnosis is dependent on the clinical presentations to meet the diagnostic criteria. Echocardiography is a well-known noninvasive tool to detect structural abnormalities and evaluation of cardiovascular function. It has been reported to detect accurately the early and late cardiovascular abnormalities, including perivascular brightness, lack of tapering, dilatation, and aneurysmal formation of coronary arteries as well as the mitral/aortic regurgitation, pericardial effusion, and myocardial functional changes in KD. In cases of incomplete form of KD and patients whose clinical manifestations did not meet the diagnostic criteria, abnormal echocardiographic findings of coronary artery may provide the assistance for early diagnosis of KD. Long-term periodic echocardiographic follow-up is the basic and essential study for patients of KD with initial coronary arterial abnormalities. Ninety nine articles that studied echocardiographic findings of KD had been reviewed and will be discussed.</p>","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"33 3","pages":"206-215"},"PeriodicalIF":0.8,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12463369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187158","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":"Potentially Dangerous Incidental Finding in Obstetric Ultrasound.","authors":"Venkatraman Indiran","doi":"10.4103/jmu.JMU-D-25-00020","DOIUrl":"https://doi.org/10.4103/jmu.JMU-D-25-00020","url":null,"abstract":"","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"33 3","pages":"294"},"PeriodicalIF":0.8,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12463359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186948","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":"Role of Diagnostic Laparoscopy and Hysteroscopy in Predicting Genital Tuberculosis - A Systematic Review.","authors":"Vijay Pratap, Astha Lalwani, Ankur Malhotra","doi":"10.4103/jmu.JMU-D-24-00022","DOIUrl":"10.4103/jmu.JMU-D-24-00022","url":null,"abstract":"<p><p>Genital tuberculosis (female genital tuberculosis [FGTB]) continues to be an essential underdiagnosed cause of infertility and reproductive morbidity, most significantly in resource-limited settings. Diagnostic laparoscopy and hysteroscopy have become crucial for assessing suspected FGTB cases, mainly when supported by molecular and histopathological tests. This systematic review has evaluated these modalities' diagnostic utility, sensitivity, specificity, and clinical outcomes for predicting FGTB. A comprehensive systematic review was performed with the help of the PECOS framework and PRISMA guidelines. Studies were identified by running Boolean operators and MeSH terms on seven databases: PubMed, Embase, Scopus, Web of Science, Cochrane Library, CINAHL, and Google Scholar. Cohort and cross-sectional designs were considered, focusing on clinically relevant outcomes such as sensitivity, specificity, prevalence, and procedural findings obtained from diagnostic laparoscopy and hysteroscopy. Data extraction was done using a standardized template, and bias was assessed using ROBINS-I and AXIS tools. The certainty of evidence was evaluated using the GRADE framework, and sensitivity analyses were performed to assess the robustness of the findings. Thirteen studies involving 2201 participants were included in the review. Tubal beading, adhesions, and hydrosalpinx were the constant findings of diagnostic laparoscopy, with sensitivities and specificities varying between 33% and 85.71% and 22.8% and 100%, respectively. Hysteroscopy revealed intrauterine fibrosis in up to 48.48% of cases. Adhesions and synechiae were seen in 46% and 18%, respectively. Molecular diagnostics GeneXpert and tuberculosis-polymerase chain reaction (TB-PCR) showed high sensitivity (up to 100%) and varied specificity (33% to 100%). The prevalence of FGTB ranged from 6.73% to 45%, with conception rates improved by 39% postantitubercular therapy. Sensitivity analyses revealed lower heterogeneity (<i>I</i>² <40%) in studies applying combined diagnostic modalities compared to single-method approaches. This systematic review showed that integrating diagnostic laparoscopy and hysteroscopy with molecular tools such as GeneXpert and TB-PCR improves the predictive and therapeutic approach to FGTB. These modalities effectively identify structural abnormalities and correlate the findings with molecular and histopathological results. Standardized protocols and more extensive multicenter studies will be required to reduce heterogeneity and further refine diagnostic accuracy.</p>","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"33 3","pages":"195-205"},"PeriodicalIF":0.8,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12463376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187006","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":"CME Test.","authors":"","doi":"10.4103/jmu.jmu_3_25","DOIUrl":"https://doi.org/10.4103/jmu.jmu_3_25","url":null,"abstract":"","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"33 3","pages":"296"},"PeriodicalIF":0.8,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12463378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187155","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":"Comparison of Color Doppler Ultrasound Characteristics between Parotid Mucoepidermoid Carcinoma and Basal Cell Adenoma.","authors":"Shubao Chen, Size Wu","doi":"10.4103/jmu.JMU-D-24-00020","DOIUrl":"10.4103/jmu.JMU-D-24-00020","url":null,"abstract":"<p><p>Knowledge of the color Doppler ultrasound (US) characteristics of parotid malignant mucoepidermoid carcinoma and benign basal cell adenoma remains limited. To enhance understanding of these two diseases, we retrospectively analyzed 9 cases of surgically and histopathologically confirmed mucoepidermoid carcinomas and 18 cases of basal cell adenomas. The results revealed that mucoepidermoid carcinomas exhibited irregular and deeply lobulated shapes in 55.5% of cases, ambiguous margins in 88.8%, and punctuate calcifications in 66.7%. In contrast, basal cell adenomas demonstrated regular and shallowly lobulated shapes in 72.2% of cases, clear margins in 100%, and calcifications in only 5.6%. Significant differences were observed in these characteristics between the two tumor types. Therefore, we conclude that the color Doppler US features closely associated with mucoepidermoid carcinoma include deeply lobulated or irregular shapes, ambiguous margins, and punctate calcifications. Recognizing these characteristics can facilitate the differential diagnosis of the two kinds of tumors.</p>","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"33 3","pages":"260-265"},"PeriodicalIF":0.8,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12463361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187148","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":"Echo-guided Local Ablation for Liver Metastasis (Taiwan Academy of Tumor Ablation Guideline).","authors":"Chia-Chi Wang","doi":"10.4103/jmu.JMU-D-25-00078","DOIUrl":"10.4103/jmu.JMU-D-25-00078","url":null,"abstract":"","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"33 3","pages":"189-191"},"PeriodicalIF":0.8,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12463363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187172","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":"Fetal Therapy and the Application of Ultrasound.","authors":"Steven W Shaw","doi":"10.4103/jmu.JMU-D-25-00074","DOIUrl":"10.4103/jmu.JMU-D-25-00074","url":null,"abstract":"<p><p>With the rapid advancement and increasing resolution of ultrasound technology, ultrasound has become an indispensable tool in fetal diagnosis and therapy. The concept of \"Treating the Fetus as a Patient,\" first proposed in 2008, has gained increasing attention and has been actively practiced in Europe and the United States since the 1990s. Traditionally, fetal anomalies led to pregnancy termination or postnatal treatment, but recent advancements have made <i>in utero</i> interventions a viable option. As the transparency and accessibility of medical knowledge improve, more families are seeking fetal therapy or surgery as a means of intervention. The development of a comprehensive fetal therapy center at Taipei Chang Gung Memorial Hospital represents a major step forward in Taiwan's capabilities. This paper reviews current techniques, outcomes, and future directions of fetal therapy using ultrasound guidance.</p>","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"33 3","pages":"192-194"},"PeriodicalIF":0.8,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12463364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186805","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":"Corrigendum: The Pediatric Tri-POCUS Approach: Conceptual Review and Case Series.","authors":"","doi":"10.4103/jmu.corrigendum_JMU-D-24-00002","DOIUrl":"10.4103/jmu.corrigendum_JMU-D-24-00002","url":null,"abstract":"<p><p>[This corrects the article on p. 154 in vol. 33, PMID: 40521309.].</p>","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"33 3","pages":"295"},"PeriodicalIF":0.8,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12463356/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187169","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 Pattern of Malformations in the First Trimester Ultrasound.","authors":"Sara Sereno, Sofia Pedrosa de Moura, Matilde Martins, Inês Falcão Reis, Rosete Nogueira, Célia Araújo","doi":"10.4103/jmu.JMU-D-24-00030","DOIUrl":"https://doi.org/10.4103/jmu.JMU-D-24-00030","url":null,"abstract":"","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"33 3","pages":"293"},"PeriodicalIF":0.8,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12463370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187176","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":"First Trimester Identification of a Recurrent Case of Short-rib Thoracic Dysplasia due to Novel <i>NEK1</i> Variations with Small Thorax and Polydactyly.","authors":"Yong-Shan Chen, Dong-Zhi Li","doi":"10.4103/jmu.jmu_88_24","DOIUrl":"10.4103/jmu.jmu_88_24","url":null,"abstract":"","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"33 3","pages":"287-288"},"PeriodicalIF":0.8,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12463362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186744","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}