Journal of Ultrasonography最新文献

{"title":"Towards Refining Breast Cancer Diagnosis on Ultrasound.","authors":"Marcin Śniadecki","doi":"10.15557/JoU.2023.0009","DOIUrl":"https://doi.org/10.15557/JoU.2023.0009","url":null,"abstract":"Breast cancer (BC) is the most common malignant neoplasm in the world regardless of gender (with 2,261,419 cases registered in 2020, representing 11.7% of all cases) and it is characterized by a high mortality rate (6.9% – 684,996 cases)(1). Therefore, any action aimed at improving the effectiveness of screening and diagnosis of this cancer, especially with the application of minimally invasive, safe, and accessible methods such as ultrasonography (US), contributes to the reduction of both statistics. The use of US for screening and diagnosis can take place in a variety of situations, from strategic application in specialized breast centers to remote medicine settings(2,3).","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":"23 92","pages":"43-44"},"PeriodicalIF":1.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/eb/c1/jou-23-043.PMC9985182.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10850005","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":"Diagnostic Efficacy of Ultrasonography, Doppler Ultrasonography and Elastography in the Evaluation of Suspected Malignant Lymph Nodes.","authors":"Hülya Çetin Tunçez,&nbsp;Ali Murat Koç,&nbsp;Zehra Hilal Adıbelli,&nbsp;Fatma Zeynep Arslan,&nbsp;Asuman Argon,&nbsp;Gülşen Yücel Oğuzdoğan","doi":"10.15557/JoU.2023.0001","DOIUrl":"https://doi.org/10.15557/JoU.2023.0001","url":null,"abstract":"<p><strong>Aim: </strong>In this prospective study, the efficiency of imaging findings was investigated by comparing the histopathological results of lymph nodes with Doppler and ultrasound features and elasticity scores.</p><p><strong>Material and method: </strong>A total of 100 cervical or axillary lymph nodes with a suspected malignancy or whose size did not decrease after treatment were examined. In addition to the demographic data of the patients, B-mode ultrasound, Doppler ultrasound, and elastography features of the lymph nodes were evaluated prospectively. The irregular shape, increased size, pronounced hypoechogenicity, presence of micro/macro calcification, short axis/long axis ratio >2, increased size of the short axis, increased cortex thickness, obliterated hilus or increased cortex thickness >3.5 mm were evaluated on ultrasound. Resistivity index, pulsatility index, acceleration rate and time were evaluated for intranodal arterial structures on color. Doppler ultrasound, strain ratio value and elasticity score were recorded on ultrasound elastography. After sonographic examination, patients underwent ultrasound-guided fine needle aspiration cytology or tru-cutting needle biopsy. Histopathological examination results of the patients were compared with the B-mode ultrasound, Doppler ultrasound, and ultrasound elastography.</p><p><strong>Results: </strong>When the individual and combined effects of the ultrasound, Doppler ultrasound, and ultrasound elastography were evaluated, the combination of all three imaging methods was found to have the highest sensitivity and the highest overall accuracy (90.4% and 73.9%). As an individual method Doppler ultrasound had the highest specificity (77.8%). B-mode ultrasound was found to have the lowest accuracy (56.7%) both in individual and combined evaluations.</p><p><strong>Conclusion: </strong>Addition of ultrasound elastography to the combination of B-mode and Doppler ultrasound findings increases diagnostic sensitivity and accuracy in the differentiation of benign and malignant lymph nodes.</p>","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":"23 92","pages":"1-9"},"PeriodicalIF":1.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a3/3f/jou-23-001.PMC9985183.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10849537","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":"Radial Ray Anomaly with Associated Ventricular Septal Defect - Case Report with Review of Literature.","authors":"Amandeep Singh,&nbsp;Mehak Arora","doi":"10.15557/JoU.2023.0007","DOIUrl":"https://doi.org/10.15557/JoU.2023.0007","url":null,"abstract":"<p><p>Ultrasound examination is used for the assessment of abnormal findings on prenatal screening. Radial ray defect can be screened by using ultrasonography. Abnormal findings can be detected quickly by having the understanding of the etiology, pathophysiology and embryology. It is a rare congenital defect that may be isolated or associated with other anomalies including Fanconi's syndrome and Holt-Oram syndrome. We report the case of a 28-year-old woman (G2P1L1) who presented for routine antenatal ultrasound at 25 weeks 0 days according to the last menstrual period. The patient did not have any level-II antenatal anomaly scan done. An ultrasound was performed, and the gestational age according to the ultrasound scan was 24 weeks and 3 days. In this paper, we present a brief review of embryology and critical practical points, and report a rare case of radial ray syndrome with associated ventricular septal defect.</p>","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":"23 92","pages":"35-38"},"PeriodicalIF":1.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/10/a6/jou-23-035.PMC9985181.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10850002","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":"Inflammatory Pseudotumor of the Omentum in Contrast-enhanced Ultrasound.","authors":"Hajo Findeisen,&nbsp;Christina Westhoff,&nbsp;Christoph Friedrich Dietrich,&nbsp;Corinna Trenker,&nbsp;Amjad Alhyari,&nbsp;Ehsan Safai Zadeh,&nbsp;Christian Görg","doi":"10.15557/JoU.2023.0006","DOIUrl":"https://doi.org/10.15557/JoU.2023.0006","url":null,"abstract":"<p><strong>Aim of the study: </strong>Inflammatory pseudotumor is a rare benign tumor that can occur at various body sites. Due to its rare occurrence and histological variety radiological data is heterogeneous and limited.</p><p><strong>Case description: </strong>We present a case of a 71-year-old man with inflammatory pseudotumor of the omentum. Contrast-enhanced ultrasound perfusion pattern showed homogeneous, isoechoic enhancement in the arterial phase with a washout phenomenon in the parenchymal phase, mimicking a peritoneal carcinomatosis.</p><p><strong>Conclusions: </strong>Inflammatory pseudotumor represents a rare, but important benign differential diagnostic option when considering a malignant disorder. Contrast-enhanced ultrasound is helpful in identifying vital tissue for a targeted biopsy for subsequent histological examination that is essential for the exclusion of malignancy.</p>","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":"23 92","pages":"32-34"},"PeriodicalIF":1.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c2/aa/jou-23-032.PMC9985187.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10850003","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":"Calcific Enthesopathy of the Superior Extensor Retinaculum - An Unusual Cause of Medial Ankle Pain.","authors":"Ali Shah,&nbsp;Karthikeyan P Iyengar,&nbsp;Ganesh Hegde,&nbsp;James Ramos,&nbsp;Rajesh Botchu","doi":"10.15557/jou.2022.0038","DOIUrl":"https://doi.org/10.15557/jou.2022.0038","url":null,"abstract":"<p><strong>Aim of the study: </strong>Ankle pain can present a clinical dilemma to the foot and ankle surgeons, with a multitude of entities to which the symptoms could potentially be attributed. Enthesopathy around the ankle joint could be due to overuse, injury, inflammation or infection. Calcific ligamentous enthesopathy around the ankle is a well-recognised condition with a spectrum of causes.</p><p><strong>Case description: </strong>To our knowledge, a clinically symptomatic presentation of calcific enthesopathy specifically affecting the entheses of the superior extensor retinaculum has not been described in the literature. We report the first case of symptomatic calcific enthesopathy of the superior extensor retinaculum in a healthy young female, and highlight the role of radiological interventions in its diagnosis. The condition was managed successfully by ultrasound-guided barbotage.</p><p><strong>Conclusions: </strong>Calcific enthesopathy of the attachment of the superior extensor retinaculum is a rare condition that should be considered in the differential diagnosis of patients with medial ankle pain.</p>","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":"22 91","pages":"e236-e239"},"PeriodicalIF":1.1,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a5/70/jou-22-e236.PMC9714275.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10723111","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":"Common Carotid Artery Hematoma Following Parathyroid Adenoma FNA.","authors":"Antonios Tsakountakis,&nbsp;Anna Detoraki,&nbsp;Alexandros Karatzanis,&nbsp;Christos V Ioannou,&nbsp;Eleni E Drakonaki","doi":"10.15557/jou.2022.0040","DOIUrl":"https://doi.org/10.15557/jou.2022.0040","url":null,"abstract":"<p><p>We present a rare case of a common carotid artery wall hematoma after ultrasound-guided parathyroid fine-needle aspiration. The hematoma was detected within seconds from needle insertion, extending along the common carotid artery wall from the lower neck to the common carotid artery bifurcation, and it was quickly restricted with firm pressure. The patient only reported mild discomfort. A follow-up assessment by a vascular surgeon two hours later showed no signs of ischemic events and complete absorption of the hematoma without further clinical consequences. Physicians performing parathyroid fine-needle aspiration must be aware of this rare complication, which may be easily overlooked. Continuous meticulous sonographic surveillance during the fine needle aspiration procedure is the only way to directly diagnose this complication and apply immediate pressure to restrict it.</p>","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":"22 91","pages":"e245-e248"},"PeriodicalIF":1.1,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4f/ce/jou-22-e245.PMC9714277.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10741657","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":"Seroma as a Rare Complication of Autologous Arteriovenous Fistula Creation in the Forearm of a Hemodialysis Patient: A Case Report.","authors":"Tomoki Taniguchi, Kojiro Yamamoto, Mayumi Tomita, Noriyuki Iehara","doi":"10.15557/jou.2022.0039","DOIUrl":"10.15557/jou.2022.0039","url":null,"abstract":"<p><strong>Aim of the study: </strong>Seromas are rarely reported as complications of autologous arteriovenous fistula creation.</p><p><strong>Case description: </strong>An 89-year-old woman was hospitalized for hemodialysis and underwent an autologous arteriovenous fistula creation in the forearm. During cephalic vein expansion using a heparinized saline solution, leakage occurred. A suture was placed to control the leakage, and a Penrose drain was inserted. Serosanguineous drainage ceased on postoperative day two; however, a seroma occurred approximately two weeks after the surgery. Follow-up ultrasonography revealed no growth tendency; therefore, excision and aspiration were unnecessary.</p><p><strong>Conclusion: </strong>This seroma was associated with postoperative dead space, surgical technique, and patient clinical status. Sufficient preoperative ultrasonographic vascular mapping is required to avoid inappropriate handling of veins and prevent seroma formation. Postoperative ultrasonographic follow-up is recommended due to the future risk of fistula dysfunction and infection associated with seroma enlargement, which may necessitate surgical seroma excision.</p>","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":"22 91","pages":"e240-e244"},"PeriodicalIF":1.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/19/ff/jou-22-e240.PMC9714280.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10741654","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":"Automated Breast Ultrasound (ABUS): A Pictorial Essay of Common Artifacts and Benign and Malignant Pathology.","authors":"Dima Al Jahed,&nbsp;Sofie Dekeyzer,&nbsp;Katrien Vanwambeke,&nbsp;Marijana Antic,&nbsp;Charlotte Vanhoenacker,&nbsp;Filip Vanhoenacker","doi":"10.15557/jou.2022.0037","DOIUrl":"https://doi.org/10.15557/jou.2022.0037","url":null,"abstract":"<p><p>Automated breast ultrasound is a three-dimensional ultrasonographic technique allowing the evaluation of women with dense glandular breast tissue. In this group of patients, mammography has a low sensitivity because dense breasts can obscure breast cancer on mammogram. On the other hand, women with dense breast tissue, types C and D on the BI-RADS scale, are at an increased risk of developing breast cancer compared to women with fatty breast tissue. Automated breast ultrasound is a standardized and reproducible ultrasound technique which improves breast cancer detection and is promising in the screening and diagnostic settings: it increases the detection of breast cancer, and helps to differentiate benign and malignant lesions. Unfortunately, automated breast ultrasound also has its limitations and disadvantages due to artifacts caused by poor positioning, and lesion and patient characteristics. Many artifacts can be avoided by training and experience of the performing technician. Furthermore, familiarity of the interpreting breast radiologist with these artifacts and pitfalls will decrease false negative diagnosis of true lesions.</p>","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":"22 91","pages":"e222-e235"},"PeriodicalIF":1.1,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ea/a4/jou-22-e222.PMC9714281.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10741660","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 High-resolution Ultrasonography in the Evaluation of the Tibial and Median Nerves in Diabetic Peripheral Neuropathy.","authors":"Tanu Ranjan,&nbsp;Shruti Chandak,&nbsp;Ankur Malhotra,&nbsp;Arjit Aggarwal,&nbsp;Jigar Haria,&nbsp;Deepak Singla","doi":"10.15557/jou.2022.0035","DOIUrl":"https://doi.org/10.15557/jou.2022.0035","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate and measure the mean cross-sectional area of the tibial and median nerves in patients with diabetic peripheral neuropathy, and to study the association between high-resolution ultrasonographic findings in diabetic peripheral neuropathy with the duration of illness, glycosylated haemoglobin values, random blood sugar levels, and aesthesiometry (using monofilament examination).</p><p><strong>Material and methods: </strong>A prospective observational study was conducted among 63 patients who were diagnosed with type 2 diabetes mellitus and underwent ultrasound and monofilament examinations. The cross-sectional area of the median nerve of the dominant hand and the tibial nerves was calculated on ultrasound examination.</p><p><strong>Results: </strong>The mean cross-sectional area of the median and tibial nerves was higher in patients with poor glycaemic control, with the mean cross-sectional area of the median nerve being 10.9, 12.8, 13.0, and 12.9 mm² at various points in the leg in cases where the monofilament examination was negative, as compared to 7.30, 7.78, 7.91, 7.87 mm² in patients with positive monofilament examination results. There was a significant positive correlation between the cross-sectional area of the tibial and median nerves and HbA_1c, duration of diabetes, aesthesiometry, and random blood sugar levels. With an increase in HbA_1c, duration of diabetes, and random blood sugar levels, there was a corresponding increase in the cross-sectional area of the nerves. These findings helped us to identify diabetic peripheral neuropathy.</p><p><strong>Conclusions: </strong>High-resolution ultrasonography along with aesthesiometry and HbA_1c values can be an effective and easily available tool for detecting changes secondary to diabetic peripheral neuropathy. The method has a potential to replace or substitute nerve conduction tests in the near future.</p>","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":"22 91","pages":"e209-e215"},"PeriodicalIF":1.1,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f5/39/jou-22-e209.PMC9714279.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10373399","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":"Correlation of Sonographic Parameters with Renal Function in Patients with Newly Diagnosed Chronic Kidney Disease.","authors":"Aborishi Garg,&nbsp;Anupam Jhobta,&nbsp;Sumala Kapila,&nbsp;Devesha Rathour","doi":"10.15557/jou.2022.0036","DOIUrl":"https://doi.org/10.15557/jou.2022.0036","url":null,"abstract":"<p><strong>Aims: </strong>To correlate sonographic renal parameters (mean renal cortical thickness, length and volume) with renal functions in patients with newly diagnosed chronic kidney disease. To predict the best renal parameter correlating with renal functions in patients with newly diagnosed chronic kidney disease.</p><p><strong>Material and methods: </strong>A hospital-based prospective cross-sectional study was conducted in the Department of Radiodiagnosis, Indira Gandhi Medical College and Hospital, Shimla, in 78 adults with newly diagnosed chronic kidney disease visiting the hospital from December 2019 to November 2020.</p><p><strong>Results: </strong>A statistically significant positive correlation was found between eGFR and mean renal length, mean renal cortical thickness, and mean renal volume (<i>p</i> <0.001).The strongest correlation was shown between mean renal volume and eGFR (r = 0.90, r² = 0.82; <i>p</i>-value <0.001).</p><p><strong>Conclusions: </strong>Renal volume and cortical thickness should be considered along with traditional renal parameters.</p>","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":"22 91","pages":"e216-e221"},"PeriodicalIF":1.1,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/14/21/jou-22-e216.PMC9714278.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10373401","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}