Journal of Medical Ultrasound最新文献_第9页

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

A 29-year-old Female with Nonpuerperal Vaginal Bleeding - Complete Uterine Inversion. 一例29岁女性非产褥期阴道出血，完全性子宫内翻。

IF 1.1

Journal of Medical Ultrasound Pub Date : 2023-01-01 DOI: 10.4103/JMU.JMU_16_21

Sonal Saran, Ravikant Kaushik

引用次数: 0

A 58-year-old female patient with severe right shoulder pain 58岁女性患者，右肩严重疼痛

Journal of Medical Ultrasound Pub Date : 2023-01-01 DOI: 10.4103/jmu.jmu_171_21

StevenB Soliman

{"title":"A 58-year-old female patient with severe right shoulder pain","authors":"StevenB Soliman","doi":"10.4103/jmu.jmu_171_21","DOIUrl":"https://doi.org/10.4103/jmu.jmu_171_21","url":null,"abstract":"SECTION 1 – QUIZ Case description A 58-year-old woman presented to her primary care physician complaining of severe right shoulder pain. The pain had been ongoing for several months but had become severe over the past 2 weeks. She described the pain as “a stabbing pain,” which was mostly present on the lateral aspect of the shoulder and aggravated by lifting and overhead activities. The patient denied any history of trauma, fever, or chills. She is a homemaker and remains active but has not engaged in recent activities. She also stated that over-the-counter topical analgesics and oral nonsteroidal anti-inflammatory medications only partially relieved the pain. She had no pertinent medical or surgical history. On physical examination, there were limited abduction and internal rotation of the shoulder. There was no significant joint swelling or any discoloration of the over skin. There was no palpable mass, and the physical examination was otherwise unremarkable. The patient was referred to radiology for musculoskeletal ultrasound and radiographs of the shoulder to further evaluate. A radiograph of the right shoulder was obtained [Figure 1]. Sonographic imaging of the right shoulder demonstrated heterogeneity and enlargement of the supraspinatus tendon with an ill-defined bursal surface [Figure 2].Figure 1: Anteroposterior (Grashey) radiograph of the right shoulderFigure 2: Ultrasound images of the right shoulder. (a) Long-axis (LAX) and (b) short-axis (SAX) sonographic images of the same right shoulder, demonstrating heterogeneity and enlargement of the supraspinatus (SUPRA) tendon (open stars) with an ill-defined bursal surface (open arrows). The arrowhead points to the greater tuberosity of the proximal humerus, and MOD indicates modified (Crass position)WHAT IS THE DIAGNOSIS? Ethical statement Informed consent and protocol review were exempt per our Institutional Review Board policies for this type of study and since these examinations were clinically indicated. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.","PeriodicalId":45466,"journal":{"name":"Journal of Medical Ultrasound","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135750149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0