Journal of Medical Ultrasound最新文献_第10页

Diagnostic Accuracy of Ultrasonography in Axillary Staging in Breast Cancer Patients. 超声波检查对乳腺癌患者腋窝分期的诊断准确性

IF 0.9

Journal of Medical Ultrasound Pub Date : 2023-02-14 eCollection Date: 2023-10-01 DOI: 10.4103/jmu.jmu_99_22

Emad Mofid Nassif Rezkallah, Andrew Elsaify, Su Min Min Tin, Wael Elsaify

{"title":"Diagnostic Accuracy of Ultrasonography in Axillary Staging in Breast Cancer Patients.","authors":"Emad Mofid Nassif Rezkallah, Andrew Elsaify, Su Min Min Tin, Wael Elsaify","doi":"10.4103/jmu.jmu_99_22","DOIUrl":"10.4103/jmu.jmu_99_22","url":null,"abstract":"Background: Breast cancer is the most common malignancy affecting women all over the world and represents 7% of all cancer-related deaths in the UK. One of the most crucial elements in assessing a patient's prognosis and chance of survival with breast cancer is the condition of their axillary lymph nodes. Ultrasonography (US) is now used as a routine preoperative diagnostic tool for pretherapeutic axillary evaluation. The aim of the current study is to investigate the diagnostic accuracy of US in axillary staging in breast cancer patients.Methods: We carried out this retrospective study for all invasive breast cancer patients who had surgery in addition to preoperative axillary staging using US during the period from January 2020 to February 2021. The final histology results were compared with the preoperative US findings to ascertain the sensitivity, specificity, positive predictive value, and negative predictive value of AUS in axillary staging.Results: One hundred and twenty-eight patients were included in our study. The average age of diagnosis was 63.9 ± 12.3 years of age. We calculated sensitivity rate of 59.6%, specificity rate of 95.1%, positive predictive value of 87.5%, and negative predictive value of 80.2% with overall diagnostic accuracy of 82.2%.Conclusion: Despite the important role of preoperative US in axillary staging in breast cancer patients; it failed to detect metastatic diseases in 14.8% of our patients. These findings necessitate the routine histological evaluation of the axilla for more accurate staging of the disease.","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"31 4","pages":"293-297"},"PeriodicalIF":0.9,"publicationDate":"2023-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10802873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139543194","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

Nora Lesion (Bizarre Parosteal Osteochondromatous Proliferation): An Ultrasound Diagnosis with Magnetic Resonance Imaging Correlation. 诺拉病变（奇异的骨膜旁骨软骨瘤增生）：超声诊断与磁共振成像相关性。

IF 0.9

Journal of Medical Ultrasound Pub Date : 2023-02-13 eCollection Date: 2023-10-01 DOI: 10.4103/jmu.jmu_53_22

Daphne J Theodorou, Stavroula J Theodorou, Yousuke Kakitsubata

{"title":"Nora Lesion (Bizarre Parosteal Osteochondromatous Proliferation): An Ultrasound Diagnosis with Magnetic Resonance Imaging Correlation.","authors":"Daphne J Theodorou, Stavroula J Theodorou, Yousuke Kakitsubata","doi":"10.4103/jmu.jmu_53_22","DOIUrl":"10.4103/jmu.jmu_53_22","url":null,"abstract":"Advanced cross-sectional imaging techniques are firmly established as a means of evaluating musculoskeletal disease, and ultrasound (US) is increasingly being used for the assessment of a diversity of tendon, joint, and soft-tissue abnormalities. A benign condition - bizarre parosteal osteochondromatous proliferation (BPOP) - arises from the periosteum, typically in the small bones of the hands and feet, and grows as a surface bone lesion in the surrounding soft tissue. Proliferations can become symptomatic, exercising mass effect on adjacent structures that may require operative management. As a bone-forming process, BPOP may occasionally assume worrisome histologic features that mimic sarcoma, and a pronounced tendency to recur after primary excision. A solitary mass was growing in the middle finger of a young woman that curtailed proper hand function. With US, a partially ossified formation was revealed in the proximal phalanx situated on the outer surface of the bone. There was faint acoustic shadowing distal to the lesion, and a hypoechoic halo was seen covering part of the abnormal tissue growth. Importantly, the lesion caused significant limitation of motion of the finger, on the dynamic flexion US images with the displacement of the flexor tendon and compression of a digital nerve. To restore the range of motion in the finger, surgical excision of the juxtacortical mass was performed and histology yielded a diagnosis of BPOP. We describe the US features of digital BPOP, which were found to correspond closely to those of computed tomography and magnetic resonance imaging.","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"31 4","pages":"327-330"},"PeriodicalIF":0.9,"publicationDate":"2023-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10802862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139543276","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

Alcohol Septal Ablation for Hypertrophic Cardiomyopathy Guided by Intracoronary Myocardial Contrast Echocardiography to Reduce Myocardial Damage. 在冠状动脉内心肌对比超声心动图引导下进行肥厚型心肌病的酒精间隔消融术以减少心肌损伤

IF 1.1

Journal of Medical Ultrasound Pub Date : 2023-02-13 eCollection Date: 2024-04-01 DOI: 10.4103/jmu.jmu_101_22

Shao-Fu Chien, Chih-Hui Chin

{"title":"Alcohol Septal Ablation for Hypertrophic Cardiomyopathy Guided by Intracoronary Myocardial Contrast Echocardiography to Reduce Myocardial Damage.","authors":"Shao-Fu Chien, Chih-Hui Chin","doi":"10.4103/jmu.jmu_101_22","DOIUrl":"10.4103/jmu.jmu_101_22","url":null,"abstract":"Septal reduction therapy (SRT) is indicated for drug-refractory hypertrophic obstructive cardiomyopathy (HOCM). SRT includes surgical myectomy and alcohol septal ablation (ASA). The outcome between SRTs are similar except complete atrioventricular (AV) block. Intracoronary myocardial contrast echocardiography is used to minimize myocardial damage by ASA. We report a case of 40-year-old male who was diagnosed of HOCM with progressed symptoms under optimal medication. Echocardiography revealed peak velocity cross left ventricular outflow tract (LVOT) 5.3 m/s, systolic anterior motion (SAM) of mitral valve with eccentric mitral regurgitation (MR) and interventricular septal thickness 16 mm. Alcohol (99.5%) 1.5 mL was injected into the first small branch of the first septal artery, under precise localization by intracoronary myocardial contrast echocardiography. The pressure gradient of apex-LVOT-aorta reduced from 90 to 20 mmHg after ASA. No AV block was noted after the procedure and echocardiography revealed improved peak velocity cross LVOT and interventricular septal thickness. No more SAM or eccentric MR was observed. Previous studies recommended ASA reserved for patients with higher surgical risk and severe comorbidities. However, a recent study showed that young adults had better long-term survival and only one-half pacemaker implantation rate than older group following ASA. Under the guidance of intracoronary myocardial contrast, target vessel could be precisely localized to small branch from a septal artery to decrease myocardial damage. Therefore, ASA may be considered as the first-line SRT for symptomatic HOCM due to minimal invasiveness and effective outcome.","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"32 2","pages":"170-172"},"PeriodicalIF":1.1,"publicationDate":"2023-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11175383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332172","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

Ultrasonographic Evaluation of Thickness and Stiffness of Achilles Tendon and Plantar Fascia in Type 2 Diabetics Patients: A Cross-sectional Observation Study. 2 型糖尿病患者跟腱和足底筋膜厚度和硬度的超声评估：横断面观察研究

IF 0.9

Journal of Medical Ultrasound Pub Date : 2023-02-13 eCollection Date: 2023-10-01 DOI: 10.4103/jmu.jmu_109_22

Amit Saroha, Sonal Saran, Sudhir Saxena, Ravi Kant, Ajeet Singh Bhadoria

{"title":"Ultrasonographic Evaluation of Thickness and Stiffness of Achilles Tendon and Plantar Fascia in Type 2 Diabetics Patients: A Cross-sectional Observation Study.","authors":"Amit Saroha, Sonal Saran, Sudhir Saxena, Ravi Kant, Ajeet Singh Bhadoria","doi":"10.4103/jmu.jmu_109_22","DOIUrl":"10.4103/jmu.jmu_109_22","url":null,"abstract":"Background: Diabetes mellitus (DM) can contribute to the development of foot ulcers, a known complication of DM with a high financial and social burden. Achilles tendon (AT) and plantar fascia (PF) are well known to play an important role in foot biomechanics. The present study focuses on the alteration in thickness and stiffness of the AT and PF in Type 2 DM patients compared with the normal controls.Methods: A cross-sectional observational study was conducted with 55 DM patients and 55 healthy volunteers as controls. The thickness of the AT and PF were measured using B-mode ultrasound and stiffness was measured using shear wave elastography. Both the thickness and stiffness in the patient group and controls were compared. The values were also compared with the clinical and demographic profiles of the patients.Results: DM patients had considerably thicker AT and PF than controls (P < 0.05); mean values of AT thickness for DM patients and controls were 5.66 ± 0.54 mm and 4.61 ± 0.39 mm, respectively, and for PF were 2.53 ± 0.51 mm and 1.97 ± 0.19 mm, respectively. Furthermore, the stiffness of AT and PF was significantly (P < 0.05) lower in DM patients compared to controls, suggestive of softening of AT and PF in Type 2 DM patients. Mean values of shear wave velocity for DM patients and controls in AT were 5.53 ± 0.54 m/s and 7.25 ± 0.61 m/s, respectively, and for PF, 4.53 ± 0.89 m/s and 6.28 ± 0.88 m/s, respectively.Conclusion: We conclude that there is softening and thickening of the AT and PF in Type 2 DM patients, which can impair foot biomechanics.","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"31 4","pages":"282-286"},"PeriodicalIF":0.9,"publicationDate":"2023-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10802861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139543290","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

Dynamic Air Bronchogram Ultrasound Sign in a Noninvasive Ventilated Patient. 无创通气患者的动态空气支气管造影超声信号。

IF 1.1

Journal of Medical Ultrasound Pub Date : 2023-02-03 eCollection Date: 2024-04-01 DOI: 10.4103/jmu.jmu_114_22

Telmo Borges Coelho, José António Mariz

引用次数: 0

Ultrasound-guided Parasagittal Infraclavicular Block for Patients without Neurostimulation Endpoints: A Case Report in Crush Injuries of the Upper Limb. 超声引导下副锁骨下阻滞治疗无神经刺激终点的患者：上肢挤压伤病例报告。

IF 1.1

Journal of Medical Ultrasound Pub Date : 2023-01-24 eCollection Date: 2024-04-01 DOI: 10.4103/jmu.jmu_92_22

Sandeep Madhusudan Diwan, Himaunshu Vijaykumar Dongre, Ganesh Bhong, Parag Sancheti

引用次数: 0

Lemmel's Syndrome: Lesson Based on a Case Report. 莱姆梅尔综合征：基于病例报告的教训。

IF 1.1

Journal of Medical Ultrasound Pub Date : 2023-01-19 eCollection Date: 2024-01-01 DOI: 10.4103/jmu.jmu_39_22

Renato Farina, Pietro Valerio Foti, Adriana Ilardi, Antonio Basile

{"title":"Lemmel's Syndrome: Lesson Based on a Case Report.","authors":"Renato Farina, Pietro Valerio Foti, Adriana Ilardi, Antonio Basile","doi":"10.4103/jmu.jmu_39_22","DOIUrl":"https://doi.org/10.4103/jmu.jmu_39_22","url":null,"abstract":"Lemmel's syndrome is a bile duct disease caused by periampullary duodenal diverticula that develop within 2-3 cm of the Vater papilla. This disease manifests itself as nonobstructive jaundice. In most cases, duodenal diverticula do not cause disease, and only in a small percentage of patients, diverticula cause biliary tract obstruction by extrinsic compression. If the compression is severe, in the long term, it can become complicated with lithiasis and cholangitis. Diagnosis is very difficult, and recurrent biliary symptoms must be directly related to the compression of the duodenal diverticula. Imaging is essential for differential diagnosis and includes conventional contrast radiographs, endoscopic retrograde cholangiopancreatography, computed tomography, and magnetic resonance imaging. The investigations show the dilation of the intra- and extra-hepatic bile ducts in the absence of lithiasis or main pancreatic duct dilatation, compressed by the diverticula, which most frequently originate from the medial wall of the second duodenal tract. The treatment of choice is surgical with removal of the diverticula. Failure to diagnose can cause serious health complications for the patient.","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"32 1","pages":"79-82"},"PeriodicalIF":1.1,"publicationDate":"2023-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11040479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140858601","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

Congenital Bilateral Ectopic Parotid Glands: Case Report with Literature Review. 先天性双侧异位腮腺：病例报告与文献综述

IF 1.1

Journal of Medical Ultrasound Pub Date : 2023-01-19 eCollection Date: 2024-04-01 DOI: 10.4103/jmu.jmu_85_22

Siddhi Chawla, Mohnish Bothra

引用次数: 0

Benign Phyllodes Tumor of Axillary Tail USG and Elastography Evaluation with Histopathological Correlation. 腋尾良性蝶形瘤 USG 和弹性成像评估与组织病理学相关性研究

IF 1.1

Journal of Medical Ultrasound Pub Date : 2023-01-17 eCollection Date: 2024-01-01 DOI: 10.4103/jmu.jmu_58_22

Gopidi Sai Nidhi Reddy, Suresh Vasant Phatak, Prashanthi Ganta, Nagendra Vadlamudi

引用次数: 0

A Pediatric Right Lower Quadrant Pain Case. 小儿右下腹疼痛1例。

IF 1.1

Journal of Medical Ultrasound Pub Date : 2023-01-01 DOI: 10.4103/JMU.JMU_41_21

Çiğdem Üner, Oğuzhan Tokur, Sonay Aydın, Fatma Dilek Gökharman

引用次数: 0