{"title":"Role of High-resolution Ultrasonography in the Evaluation of the Tibial and Median Nerves in Diabetic Peripheral Neuropathy.","authors":"Tanu Ranjan, Shruti Chandak, Ankur Malhotra, Arjit Aggarwal, Jigar Haria, 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 mm<sup>2</sup> 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 mm<sup>2</sup> 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<sub>1c</sub>, duration of diabetes, aesthesiometry, and random blood sugar levels. With an increase in HbA<sub>1c</sub>, 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<sub>1c</sub> 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, Anupam Jhobta, Sumala Kapila, 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, r<sup>2</sup> = 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}
Gaye Keser, Ibrahim Sevki Bayrakdar, Filiz Namdar Pekiner, Özer Çelik, Kaan Orhan
{"title":"A Deep Learning Approach for Masseter Muscle Segmentation on Ultrasonography.","authors":"Gaye Keser, Ibrahim Sevki Bayrakdar, Filiz Namdar Pekiner, Özer Çelik, Kaan Orhan","doi":"10.15557/jou.2022.0034","DOIUrl":"https://doi.org/10.15557/jou.2022.0034","url":null,"abstract":"<p><strong>Aim: </strong>Deep learning algorithms have lately been used for medical image processing, and they have showed promise in a range of applications. The purpose of this study was to develop and test computer-based diagnostic tools for evaluating masseter muscle segmentation on ultrasonography images.</p><p><strong>Materials and methods: </strong>A total of 388 anonymous adult masseter muscle retrospective ultrasonographic images were evaluated. The masseter muscle was labeled on ultrasonography images using the polygonal type labeling method with the CranioCatch labeling program (CranioCatch, Eskişehir, Turkey). All images were re-checked and verified by Oral and Maxillofacial Radiology experts. This data set was divided into training (<i>n</i> = 312), verification (<i>n</i> = 38) and test (<i>n</i> = 38) sets. In the study, an artificial intelligence model was developed using PyTorch U-Net architecture, which is a deep learning approach.</p><p><strong>Results: </strong>In our study, the artificial intelligence deep learning model known as U-net provided the detection and segmentation of all test images, and when the success rate in the estimation of the images was evaluated, the F1, sensitivity and precision results of the model were 1.0, 1.0 and 1.0, respectively.</p><p><strong>Conclusion: </strong>Artificial intelligence shows promise in automatic segmentation of masseter muscle on ultrasonography images. This strategy can aid surgeons, radiologists, and other medical practitioners in reducing diagnostic time.</p>","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":"22 91","pages":"e204-e208"},"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/9a/25/jou-22-e204.PMC9714276.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10373397","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}
Sławomir Witkowski, Agnieszka Żalinska, Maciej Słodki, Maria Respondek-Liberska
{"title":"Normograms in Prenatal Life of Stomach and Urinary Bladder in the Second and Third Trimesters of Pregnancy.","authors":"Sławomir Witkowski, Agnieszka Żalinska, Maciej Słodki, Maria Respondek-Liberska","doi":"10.15557/jou.2022.0026","DOIUrl":"https://doi.org/10.15557/jou.2022.0026","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to prepare normograms for the fetal stomach, urinary bladder, and stomach to urinary bladder index in healthy fetuses.</p><p><strong>Material and methods: </strong>The study was conducted based on the data extracted from the database of our tertiary center in the years 2016-2019. The study group, comprising 867 fetuses, demonstrated normal biometry and normal heart structure, normal heart function, no extracardiac malformations, and no extracardiac anomalies. The stomach to urinary bladder index was analyzed in the study group. The examinations were performed with the use of the following ultrasound machines: Voluson E10, Philips and Voluson Expert, with convex transabdominal transducers. Linear regression analysis based on Microsoft Excel was used for statistical analysis.</p><p><strong>Results: </strong>The average size of the stomach in healthy fetuses between the 14-40<sup>th</sup> week of gestation was 18 mm (8-40 mm), the average urinary bladder measurement was 17 mm (15-42 mm), and the fetal stomach to urinary bladder index was constant: 1.26 (0.09-3.93).</p><p><strong>Conclusions: </strong>The normograms for the stomach, urinary bladder and the stomach to urinary bladder index prepared based on our study group can contribute to an improvement in the accuracy of examination and provide an unified organization of the description of fetuses. These normograms constitute an additional marker for the assessment of fetal condition. A clear disproportion in the size of the urinary bladder and stomach can be helpful in terms of paying more attention to fetuses with untypical features in screening centers.</p>","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":"22 90","pages":"e161-e167"},"PeriodicalIF":1.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/25/47/jou-22-e161.PMC9714285.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10372919","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}
Sjoerd Bouwmeester, Thomas Mast, Frits Prinzen, Lukas Dekker, Patrick Houthuizen
{"title":"Predictive Value of Left Atrial Remodeling for Response to Cardiac Resynchronization Therapy.","authors":"Sjoerd Bouwmeester, Thomas Mast, Frits Prinzen, Lukas Dekker, Patrick Houthuizen","doi":"10.15557/jou.2022.0027","DOIUrl":"10.15557/jou.2022.0027","url":null,"abstract":"<p><strong>Aim: </strong>Response to cardiac resynchronization therapy varies significantly among patients, with one third of them failing to demonstrate left ventricular reverse remodeling after cardiac resynchronization therapy. Left atrial size and function is increasingly recognized as a marker of disease severity in the heart failure population. The aim of this study was to evaluate whether echocardiographic left atrial indices predict left ventricular reverse remodeling after cardiac resynchronization therapy.</p><p><strong>Materials and methods: </strong>Ninety-nine cardiac resynchronization therapy candidates were prospectively included in the study and underwent echocardiography before and 3-months after cardiac resynchronization therapy implantation. Cardiac resynchronization therapy response was defined as a 15% relative reduction in left ventricular end-systolic volume. Indexed left atrial volume, left atrial reservoir strain, left ventricular end-diastolic volume, and left ventricular ejection fraction along with other known predictors of cardiac resynchronization therapy response (gender, etiology of heart failure, presence of typical left bundle branch block pattern, QRS duration >150 ms) were included in a multivariate logistic regression model to identify predictors for cardiac resynchronization therapy response.</p><p><strong>Results: </strong>Cardiac resynchronization therapy response occurred in <i>n</i> = 63 (64%) patients. The presence of a typical left bundle branch block (OR 4.2, 95 CI: 1.4-12.1, <i>p</i> = 0.009), QRS duration >150 ms (OR 4.2, 95 CI: 1.4-11.0, <i>p</i> = 0.029), and left atrial volume index (OR: 0.6, 95 CI: 0.4-0.9, <i>p</i> = 0.012) remained the only significant predictors for cardiac resynchronization therapy response after three months. None of the baseline left ventricular parameters showed an independent predictive value.</p><p><strong>Conclusion: </strong>Left atrial size at baseline is an independent predictor and is inversely proportional to left ventricular volumetric reverse remodeling in cardiac resynchronization therapy candidates.</p>","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":"22 90","pages":"e168-e173"},"PeriodicalIF":1.3,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f3/1d/jou-22-e168.PMC9714286.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10741141","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":"B-mode and Color Doppler Imaging of Different Types of Branchial Cleft Cysts in Children. A Multicenter Study and Review of the Literature.","authors":"Antigone Delantoni, Merve Onder, Kaan Orhan","doi":"10.15557/jou.2022.0028","DOIUrl":"https://doi.org/10.15557/jou.2022.0028","url":null,"abstract":"<p><strong>Aim: </strong>The term \"branchial cleft cyst\" refers to the lesions that can be considered synonymous with cervical lymphoepithelial cysts. Although relatively rare, they constitute the second major cause of head and neck pathologies in childhood. This study aimed to report the clinical presentations, diagnosis, and management of pediatric patients with the pathological diagnosis of branchial cleft cyst.</p><p><strong>Material and methods: </strong>This study was a retrospective analysis of the records of 33 patients with the diagnosis of branchial cyst, in two different university hospitals, in two different populations.</p><p><strong>Results: </strong>Thirty-three cases of branchial cleft cysts were seen in 33 patients: 17 females and 16 males. The majority (16 patients) were 2<sup>nd</sup> branchial cleft cysts. Accurate diagnosis of branchial cleft malformation was made via imaging in 20 of the 21 (95%) patients that underwent preoperative surgical ultrasonographic imaging.</p><p><strong>Conclusion: </strong>Branchial cleft cysts are frequently incorrectly diagnosed and ignored in the differential diagnosis. Thus, the diagnosis is often delayed, resulting in the mismanagement of affected patients. A branchial cyst should be suspected in any patient with a swelling in the lateral aspect of the neck, regardless of whether the swelling is solid or cystic, painful or painless. The use of ultrasonography can dramatically help clinicians with distinguishing branchial cleft cysts from other similar lesions of the head and neck.</p>","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":"22 90","pages":"e174-e178"},"PeriodicalIF":1.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bc/c1/jou-22-e174.PMC9714291.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10364162","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":"Blind-ending Bifid Ureter - A Case Report of Rare Congenital Anomaly and its Sonographic Appearance.","authors":"Wojciech Łyczek, Bartosz Migda","doi":"10.15557/jou.2022.0031","DOIUrl":"https://doi.org/10.15557/jou.2022.0031","url":null,"abstract":"<p><strong>Aim of the study: </strong>We report a case of a blind-ending bifid ureter in a 67-year-old woman with ascites initially diagnosed with B-mode and Color Doppler ultrasonography and afterwards verified with contrast-enhanced abdominal computed tomography. A literature review of the pathogenesis, sonographic appearance with differential diagnoses and clinical significance is also presented and discussed.</p><p><strong>Case description: </strong>The patient was referred for an abdominal ultrasound due to enlarged abdomen circumference. Ultrasound revealed signs of chronic pancreatitis with cavernous transformation of the portal vein and large ascites resulting in bilateral pelvicalyceal system dilatation. Additionally, we have preliminarily diagnosed right-sided, dilatated blind-ending bifid ureter with associated contralateral complete duplication of the ureter and the collecting system. These findings, initially revealed with ultrasound, were confirmed with contrast-enhanced abdominal computed tomography.</p><p><strong>Conclusions: </strong>To our knowledge, this is the first detailed description of sonographic appearance of blind-ending bifid ureter.</p>","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":"22 90","pages":"e191-e195"},"PeriodicalIF":1.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b4/74/jou-22-e191.PMC9714284.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10741134","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}
Hafsa Talat, Syeda Khadija Tul-Sughra Murrium, Taiba Suleman, Easha Tallat, Fatima Naveed, Syed Joun Hussain Shah, Gull E Hina Zulfiqar
{"title":"Sonographic Findings of a Gynecological Cause of Acute Pelvic Pain - A Systematic Review.","authors":"Hafsa Talat, Syeda Khadija Tul-Sughra Murrium, Taiba Suleman, Easha Tallat, Fatima Naveed, Syed Joun Hussain Shah, Gull E Hina Zulfiqar","doi":"10.15557/jou.2022.0030","DOIUrl":"https://doi.org/10.15557/jou.2022.0030","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to use ultrasonographic data to rule out and distinguish diseases that cause acute pelvic pain.</p><p><strong>Material and method: </strong>The literature was reviewed using a systematic search of the databases Google Scholars and PubMed, as well as through hand searching. We looked through a total of 35 articles, but only 26 were selected after preliminary screening. Furthermore, 14 articles were left out because they required a membership, copyright clearance, or featured non-English references. There were a total of 12 articles included in the final revuew. Among all the study-related articles, only original research studies and one systematic review that sonographically explored the gynecological etiology of acute pelvic pain were selected.</p><p><strong>Results: </strong>Acute pelvic pain in women might be difficult to identify between gynecologic and non-gynecologic causes based solely on patient history and examination. Advanced imaging, like ultrasound, aids in determining the reason. Pelvic inflammatory disease can be difficult to diagnose, and clinicians should use a low threshold for starting presumptive treatment in order to avoid significant long-term effects such as infertility.</p><p><strong>Conclusions: </strong>Pelvic pain can be acute, chronic or functional. Imaging investigations such as CT, ultrasonography, and MRI can assist in establishing a diagnosis. Particularly ultrasound scanning makes it possible to arrive at a diagnosis with a high degree of precision.</p>","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":"22 90","pages":"e183-e190"},"PeriodicalIF":1.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e6/01/jou-22-e183.PMC9714290.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10741136","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":"Ultrasonographic Diagnosis of Osteochondroma of the Mandible: A Case Report.","authors":"Antigoni Delantoni, Apostolos Matiakis, Dimitrios Andreadis, Athanasios Poulopoulos","doi":"10.15557/jou.2022.0033","DOIUrl":"https://doi.org/10.15557/jou.2022.0033","url":null,"abstract":"<p><strong>Aim of the study: </strong>The aim of the present paper is to determine the diagnostic features of the rare presentation of osteochondroma in the mandible. The unusual aspect in this case is that the diagnosis was not established with cone beam computer tomography, which is a commonly used radiographic technique in dentistry, but with the use of ultrasonography.</p><p><strong>Case description: </strong>Ultrasonography is very useful for initial examinations, avoiding patient exposure to additional radiation and setting the diagnosis in debatable soft tissue involvement of various lesions. In the presented case, even though the clinical presentation was indicative, the cone beam computer tomography evaluation could not confirm the diagnosis, so the final diagnosis was made by ultrasonography.</p><p><strong>Conclusions: </strong>With the latest advances in the applications of ultrasonography in the maxillofacial region, an examination of lesions on the floor of the mouth or in the neck area may set the diagnosis in cases where hard tissue imaging does not provide enough information.</p>","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":"22 90","pages":"e200-e203"},"PeriodicalIF":1.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a3/ee/jou-22-e200.PMC9714283.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10372921","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}
Maria Binkiewicz-Orluk, Marcin Konopka, Agnieszka Jakubiak, Wojciech Król, Wojciech Braksator, Marek Kuch
{"title":"Lung Ultrasonography and Computed Tomography Comparison in Convalescent Athletes after Sars-CoV-2 Infection - A Preliminary Study.","authors":"Maria Binkiewicz-Orluk, Marcin Konopka, Agnieszka Jakubiak, Wojciech Król, Wojciech Braksator, Marek Kuch","doi":"10.15557/jou.2022.0025","DOIUrl":"https://doi.org/10.15557/jou.2022.0025","url":null,"abstract":"<p><strong>Background: </strong>The assessment of elite athletes after SARS-CoV-2 infection gives rise to doubts concerning return-to-play decisions: what period of convalescence is needed and what diagnostic measures are appropriate. While cardiovascular protocols have been widely discussed in the literature, lung parenchyma imaging was only briefly mentioned, and the usefulness of lung ultrasound has been not considered yet.</p><p><strong>Materials and methods: </strong>A total of 31 elite Caucasian male athletes (mean age: 26.03 ± 5.62), recovered from COVID-19 were assessed after SARS-COV-2 infection. Medical data was collected. Lung ultrasonography and high-resolution computed tomography were performed.</p><p><strong>Results: </strong>Normal lung parenchyma dominated on CT scans. A total of 25 athletes (80.6%) presented abnormalities on high-resolution computed tomography; changes typical for COVID-19 were detected in five cases (16.1%), and less specific abnormalities were identified in 20 athletes (64.5%). Despite the prevalence of ultrasound abnormalities, A-line pattern was dominant in 23 athletes (74.2%): for 434 ultrasound-scans, it was visible in = 265 (61.1%). In 93.2% of the subjects, it corresponded to a normal lung parenchyma pattern visible on high-resolution computed tomography. The sensitivity of lung ultrasonography in comparison to high-resolution computed tomography was 74.65%, while the specificity was 68.56%.</p><p><strong>Conclusion: </strong>Lung changes are frequent, but not extensive. Ultrasound A-line pattern was associated with normal lung parenchyma findings revealed on high-resolution computed tomography. The negative predictive value for lung ultrasonography (93.2%) points towards its suitability in return-to-play protocols.</p>","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":"22 90","pages":"e153-e160"},"PeriodicalIF":1.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/50/48/jou-22-e153.PMC9714289.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10372917","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}