Journal of Ultrasonography最新文献_第5页

Musculoskeletal ultrasound: a technical and historical perspective 肌肉骨骼超声:技术和历史的观点

Journal of Ultrasonography Pub Date : 2023-10-30 DOI: 10.15557/jou.2023.0027

Ronald Steven Adler

{"title":"Musculoskeletal ultrasound: a technical and historical perspective","authors":"Ronald Steven Adler","doi":"10.15557/jou.2023.0027","DOIUrl":"https://doi.org/10.15557/jou.2023.0027","url":null,"abstract":"During the past four decades, musculoskeletal ultrasound has become popular as an imaging modality due to its low cost, accessibility, and lack of ionizing radiation. The development of ultrasound technology was possible in large part due to concomitant advances in both solid-state electronics and signal processing. The invention of the transistor and digital computer in the late 1940s was integral in its development. Moore’s prediction that the number of microprocessors on a chip would grow exponentially, resulting in progressive miniaturization in chip design and therefore increased computational power, added to these capabilities. The development of musculoskeletal ultrasound has paralleled technical advances in diagnostic ultrasound. The appearance of a large variety of transducer capabilities and rapid image processing along with the abil- ity to assess vascularity and tissue properties has expanded and continues to expand the role of musculo- skeletal ultrasound. It should also be noted that these developments have in large part been due to a number of individuals who had the insight to see the potential applications of this developing technology to a host of relevant clinical musculoskeletal problems. Exquisite high-resolution images of both deep and small super- ficial musculoskeletal anatomy, assessment of vascularity on a capillary level and tissue mechanical proper- ties can be obtained. Ultrasound has also been recognized as the method of choice to perform a large variety of interventional procedures. A brief review of these technical developments, the timeline over which these improvements occurred, and the impact on musculoskeletal ultrasound is presented below.","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136132561","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

Added value of ultrasound-guided percutaneous needle tenotomy over hydrodissection and physiotherapy in chronic lateral elbow tendinopathy: a pilot randomized controlled trial 超声引导下经皮针肌腱切开术对慢性肘关节外侧病变的附加价值:一项随机对照试验

Journal of Ultrasonography Pub Date : 2023-10-30 DOI: 10.15557/jou.2023.0040

Laurens Koonen, Martin van Amerongen, Katrijn Smulders, Stephanie Mangesius, Gabriella Cerna, Andrea Klauser, Erich Mur, Marina Obradov

{"title":"Added value of ultrasound-guided percutaneous needle tenotomy over hydrodissection and physiotherapy in chronic lateral elbow tendinopathy: a pilot randomized controlled trial","authors":"Laurens Koonen, Martin van Amerongen, Katrijn Smulders, Stephanie Mangesius, Gabriella Cerna, Andrea Klauser, Erich Mur, Marina Obradov","doi":"10.15557/jou.2023.0040","DOIUrl":"https://doi.org/10.15557/jou.2023.0040","url":null,"abstract":"Aim of the study: There is no consensus on the most suitable non-surgical treatment of chronic lateral elbow tendinopathy. The aim of this pilot randomized controlled trial was to evaluate the size of effect of ultrasound-guided percutaneous needle tenotomy. Material and methods: Three intervention arms were formed: 1) percutaneous needle tenotomy, hydrodissection, and physiotherapy; 2) hydrodissection and physiotherapy; and 3) physiotherapy alone. Patients with chronic lateral elbow tendinopathy were randomized. Clinical endpoints included multiple questionnaires after three months: Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH), Numeric Rating Scale (NRS) pain at rest and during activity, and EuroQol 5D-5L (EQ-5D-5L). Results: Thirty patients were included of 128 screened. The QuickDASH score improved in the percutaneous needle tenotomy and physiotherapy group, but not in the hydrodissection group. The NRS pain at rest and during activity improved more in the percutaneous needle tenotomy (resp. –2 and –2) and hydrodissection (resp. –3 and –3) groups than in the physiotherapy (resp. +1 and –1) group. The EQ-5D-5L improved similarly in all groups. Conclusions: Patients receiv- ing percutaneous needle tenotomy and/or hydrodissection may show better results in terms of pain but not in their functional outcomes compared to those who received physiotherapy alone. The size of effect, however, is small, so a large sample size is needed for a future randomized controlled trial to further in- vestigate these results.","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":"35 35","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136132774","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

High-resolution ultrasound in the evaluation of musculoskeletal infections 高分辨率超声在肌肉骨骼感染评估中的应用

Journal of Ultrasonography Pub Date : 2023-10-30 DOI: 10.15557/jou.2023.0034

Jennifer S. Weaver, Imran Omar, Katherine Epstein, Alana Brown, Nicholson Chadwick, Mihra S. Taljanovic

{"title":"High-resolution ultrasound in the evaluation of musculoskeletal infections","authors":"Jennifer S. Weaver, Imran Omar, Katherine Epstein, Alana Brown, Nicholson Chadwick, Mihra S. Taljanovic","doi":"10.15557/jou.2023.0034","DOIUrl":"https://doi.org/10.15557/jou.2023.0034","url":null,"abstract":"Soft tissue and osseous musculoskeletal infections are common but can be difficult to diagnose clinically. Signs, symptoms, and physical examination findings may be nonspecific, and laboratory values can be in- conclusive. The extent of disease may also be underestimated on physical examination. Soft tissue infections most commonly occur secondary to direct inoculation from broken skin and less frequently due to the seed- ing of the soft tissues from hematogenous spread, while osseous infections are more commonly due to he- matogenous seeding. Infections may also be iatrogenic, following surgery or other procedural interventions. High-resolution ultrasound is an extremely useful imaging modality in the evaluation of musculoskeletal soft tissue and joint infections, and can occasionally be used to evaluate osseous infections as well. Ultrasound can aid in the early diagnosis of musculoskeletal infections, allowing for prompt treatment, decreased risk of complications, and treatment optimization. Ultrasound is sensitive and specific in evaluating soft tissue edema and hyperemia; soft tissue abscesses; joint, bursal and tendon sheath effusions/synovitis; and subperi- osteal abscesses. This article describes the typical high-resolution grayscale as well as color and power Dop- pler ultrasound imaging findings of soft tissue infections including cellulitis, fasciitis, necrotizing deep soft tissue infection, pyomyositis, soft tissue abscess, infectious bursitis, and infectious tenosynovitis. Ultrasound findings of septic arthritis as well as osteomyelitis, such as subperiosteal spread of infection (subperiosteal abscess). are also reviewed. In addition, the use of ultrasound to guide fluid and tissue sampling is discussed.","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":"35 26","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136132564","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

Added value of high-resolution ultrasound and MRI in the evaluation of rheumatologic diseases 高分辨率超声和MRI在风湿病评价中的附加价值

Journal of Ultrasonography Pub Date : 2023-10-30 DOI: 10.15557/jou.2023.0035

Amit Kumar Sahu, Shweta Kataria, Girish Gandikota

{"title":"Added value of high-resolution ultrasound and MRI in the evaluation of rheumatologic diseases","authors":"Amit Kumar Sahu, Shweta Kataria, Girish Gandikota","doi":"10.15557/jou.2023.0035","DOIUrl":"https://doi.org/10.15557/jou.2023.0035","url":null,"abstract":"Rheumatologic diseases are a widespread group of disorders affecting the joints, bones, and connective tissue, and leading to significant disability. Imaging is an indispensable component in diagnosing, assess- ing, monitoring, and managing these disorders, providing information about the structural and functional alterations occurring within the affected joints and tissues. This review article aims to compare the utility, specific clinical applications, advantages, and limitations of high-resolution ultrasound and magnetic reso- nance imaging in the context of rheumatologic diseases. It also provides insights into the imaging features of various types of inflammatory arthritis with clinical relevance and a focus on high-resolution ultrasound and magnetic resonance imaging. By understanding the comparative aspects of high-resolution ultrasound and magnetic resonance imaging, it is easier for the treating physicians to make informed decisions when selecting the optimal imaging modality for specific diagnostic purposes, effective treatment planning, and improve patient outcomes. The patterns of soft tissue and joint involvement; bony erosion and synovitis help in differentiating between various type of arthritis. Involvement of various small joints of the hands also gives an insight into the type of arthritis. We also briefly discuss the potential applications of emerging techniques, such as ultrasound elastography, contrast-enhanced ultrasound, and dual-energy CT, in the field of rheumatology.","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":"35 37","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136132772","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

Role of ultrasound and MRI in the evaluation of postoperative rotator cuff 超声和MRI在术后肩袖评价中的作用

Journal of Ultrasonography Pub Date : 2023-10-30 DOI: 10.15557/jou.2023.0028

Amit Kumar Sahu, Erin Kathleen Moran, Girish Gandikota

{"title":"Role of ultrasound and MRI in the evaluation of postoperative rotator cuff","authors":"Amit Kumar Sahu, Erin Kathleen Moran, Girish Gandikota","doi":"10.15557/jou.2023.0028","DOIUrl":"https://doi.org/10.15557/jou.2023.0028","url":null,"abstract":"Rotator cuff tears are common shoulder injuries in patients above 40 years of age, causing pain, disability, and reduced quality of life. Most recurrent rotator cuff tears happen within three months. Surgical repair is often necessary in patients with large or symptomatic tears to restore shoulder function and relieve symptoms. However, 25% of patients experience pain and dysfunction even after successful surgery. Imaging plays an essential role in evaluating patients with postoperative rotator cuff pain. The ultrasound and magnetic resonance imaging are the most commonly used imaging modalities for evaluating rotator cuff. The ultrasound is sometimes the preferred first-line imaging modality, given its easy availability, lower cost, ability to perform dynamic tendon evaluation, and reduced post-surgical artifacts compared to magnetic resonance imaging. It may also be superior in terms of earlier diagnosis of smaller re-tears. Magnetic resonance imaging is better for assessing the extent of larger tears and for detecting other complications of rotator cuff surgery, such as hardware failure and infection. However, postoperative imaging of the rotator cuff can be challenging due to the presence of hardware and variable appearance of the repaired tendon, which can be confused with a re-tear. This review aims to provide an overview of the current practice and findings of postoperative imaging of the rotator cuff using magnetic resonance imaging and ultrasound. We discuss the advantages and limitations of each modality and the normal and abnormal imaging appearance of repaired rotator cuff tendon.","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":"35 33","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136132776","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

Ultrasound versus MRI in the evaluation of the thumb metacarpophalangeal joint 超声与MRI对拇指掌指关节的评价

Journal of Ultrasonography Pub Date : 2023-10-30 DOI: 10.15557/jou.2023.0030

Beatrice Knisely, Shelley S. Noland, David M. Melville

引用次数: 0

High-resolution ultrasound and MRI in the evaluation of pectoralis major injuries 高分辨率超声和MRI对胸大肌损伤的评价

Journal of Ultrasonography Pub Date : 2023-10-30 DOI: 10.15557/jou.2023.0029

Nicholson Chadwick, Jennifer S. Weaver, Christopher Shultz, Yoav Morag, Arjun Patel, Mihra S. Taljanovic

{"title":"High-resolution ultrasound and MRI in the evaluation of pectoralis major injuries","authors":"Nicholson Chadwick, Jennifer S. Weaver, Christopher Shultz, Yoav Morag, Arjun Patel, Mihra S. Taljanovic","doi":"10.15557/jou.2023.0029","DOIUrl":"https://doi.org/10.15557/jou.2023.0029","url":null,"abstract":"The pectoralis major muscle is the largest muscle of the anterior chest wall. The primary function of the muscle is to adduct and internally rotate the arm at the shoulder. The pectoralis major muscle is broken down into two main components or “heads” based upon muscle fiber origin: clavicular and sternal. Pectoralis major muscle injury results from direct trauma or indirect force overload. The inferior sternal head fibers are the most com- monly torn. The pectoralis major tendon most commonly is torn at the humeral insertion. Magnetic reso- nance imaging and high-resolution ultrasound have value in diagnosing pectoralis major muscle injury and help guide clinical and surgical management. Non-operative versus operative management of pectoralis major tears is dependent upon accurate diagnosis of tear location and severity on imaging. Operative management is recommended for tears at the humeral insertion and for musculotendinous junction tears with severe cos- metic/functional deformity. The indications for surgical intervention have been further expanded to complete intra-tendinous tears, defined as the mid-tendon substance between the myotendinous junction and humeral insertion, and those located at the sternal head/posterior lamina. This paper reviews normal pectoralis major anatomy and the spectrum of injury on magnetic resonance imaging and ultrasound. The importance of re- gional anatomical landmarks in assessing for pectoralis major muscle injury will be described. Other patholo- gies, such as tumor and infection, can also affect the pectoralis major muscle and key imaging features will be discussed to help differentiate these entities. Operative and non-operative management of pectoralis major muscle injury is described with examples of pectoralis major repair on post-operative imaging.","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":"35 30","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136132779","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

Tips and tricks in ultrasound-guided musculoskeletal interventional procedures 超声引导下肌肉骨骼介入手术的提示和技巧

Journal of Ultrasonography Pub Date : 2023-10-30 DOI: 10.15557/jou.2023.0039

William R. Walter, Christopher J. Burke, Ronald S. Adler

{"title":"Tips and tricks in ultrasound-guided musculoskeletal interventional procedures","authors":"William R. Walter, Christopher J. Burke, Ronald S. Adler","doi":"10.15557/jou.2023.0039","DOIUrl":"https://doi.org/10.15557/jou.2023.0039","url":null,"abstract":"Ultrasound visualization affords proceduralists versatile and accurate guidance for a variety of percutaneous, minimally invasive procedures in the musculoskeletal system including joint (intra-articular) injections or aspirations, intra-bursal injections, peritendinous, and perineural injections. A variety of percutaneous procedures are traditionally performed blindly, but may be more easily or more accurately performed with the real-time assistance of ultrasound guidance. Other procedures are only possible utilizing image-guidance, due to the required precision of the injection because of delicate local anatomy or depth of the injection; ultrasound is a safe, portable, and widespread modality that can be used to assist the proceduralist in localizing the needle tip in such cases, to ensure safe and accurate delivery of the medication, most frequently a solution of steroid and anesthetic. This review aims to provide a foundational approach to ultrasound-guided procedures in the musculoskeletal system, offering tips and tricks that can be employed in many different procedures including intra-articular, juxta-articular, and perineural injections for a multitude of clinical scenarios. Technical considerations regarding ultrasound transducer selection, sonographic technique, as well as common indications, contraindications, and complications of these procedures, are presented. Additionally, a variety of pharmacologic considerations for proceduralists contemplating ultrasound-guided injections are discussed.","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":"35 28","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136132562","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

Practical approach to ultrasound of soft tissue tumors and the added value of MRI: how I do it 软组织肿瘤超声的实用方法及MRI的附加价值:我是怎么做的

Journal of Ultrasonography Pub Date : 2023-10-30 DOI: 10.15557/jou.2023.0036

James Francis Griffith

{"title":"Practical approach to ultrasound of soft tissue tumors and the added value of MRI: how I do it","authors":"James Francis Griffith","doi":"10.15557/jou.2023.0036","DOIUrl":"https://doi.org/10.15557/jou.2023.0036","url":null,"abstract":"This review outlines a practical approach to the everyday assessment of both non-neoplastic and neoplastic soft tissue tumors, focusing on ultrasound examination, though emphasizing the added benefit of magnetic resonance imaging in certain instances. Ultrasound approach and assessment, practical scenarios, report- ing, biopsy, and follow-up are covered, as well as the criteria used to distinguish benign from malignant tumors. The potential benefits and current limitations of elastography and contrast-enhanced ultrasound in assessment are also addressed. Examples of commonly encountered soft tissue tumors are shown. Ul- trasound can characterize most soft tissue masses based on their ultrasound appearance alone. Following ultrasound examination, three potential scenarios usually exist in clinical practice: (a) confident regarding diagnosis, (b) indeterminate mass with no evidence of malignancy, and (c) indeterminate mass with pos- sibility of malignancy. A diagnostic pathway for each of these scenarios is provided. Magnetic resonance imaging is generally not helpful in further characterizing masses which are indeterminate on ultrasound assessment, though it is helpful in addressing other issues such as exact tumor location and neurovascular bundle involvement that may not be fully resolved on ultrasound examination. In these situations, mag- netic resonance imaging examination can be tailored to address those specific questions that have not been adequately addressed on ultrasound examination. In this sense, both examinations are highly complemen- tary. Tips for undertaking magnetic resonance imaging examinations are provided.","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":"35 25","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136132565","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

Role of high-resolution ultrasound and magnetic resonance neurography in the evaluation of peripheral nerves in the upper extremity 高分辨率超声和磁共振神经造影在评价上肢周围神经中的作用

Journal of Ultrasonography Pub Date : 2023-10-30 DOI: 10.15557/jou.2023.0037

Ali Serhal, Steven Kyungho Lee, Julia Michalek, Muhamad Serhal, Imran Muhammad Omar

{"title":"Role of high-resolution ultrasound and magnetic resonance neurography in the evaluation of peripheral nerves in the upper extremity","authors":"Ali Serhal, Steven Kyungho Lee, Julia Michalek, Muhamad Serhal, Imran Muhammad Omar","doi":"10.15557/jou.2023.0037","DOIUrl":"https://doi.org/10.15557/jou.2023.0037","url":null,"abstract":"Upper extremity entrapment neuropathies are common conditions in which peripheral nerves are prone to injury at specific anatomical locations, particularly superficial regions or within fibro-osseous tunnels, resulting in pain and potential disability. Although neuropathy is primarily diagnosed clinically by physical examination and electrophysiology, imaging evaluation with ultrasound and magnetic resonance neurogra- phy are valuable complementary non-invasive and accurate tools for evaluation and can help define the site and cause of nerve dysfunction which ultimately leads to precise and timely treatment. Ultrasound, which has higher spatial resolution, can quickly and comfortably characterize the peripheral nerves in real time and can evaluate for denervation related muscle atrophy. Magnetic resonance imaging on the other hand provides excellent contrast resolution between the nerves and adjacent tissues, also between pathologic and normal segments of peripheral nerves. It can also assess the degree of muscle denervation and atrophy. As a prerequisite for nerve imaging, radiologists and sonographers should have a thorough knowledge of anat- omy of the peripheral nerves and their superficial and deep branches, including variant anatomy, and the motor and sensory territories innervated by each nerve. The purpose of this illustrative article is to review the common neuropathy and nerve entrapment syndromes in the upper extremities focusing on ultrasound and magnetic resonance neurography imaging.","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":"35 32","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136132777","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