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SDMS CME Credit – Detecting Hemopneumothorax With Lung Sonography: A Case Report SDMS CME信用-用肺超声检查血气胸1例报告
JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY Pub Date : 2023-10-16 DOI: 10.1177/87564793231201584
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引用次数: 0
SDMS CME Credit – Comparing Ultrasonography With Plain Radiography in the Diagnosis of Long Bone Fractures SDMS CME信用-超声与x线平片诊断长骨骨折的比较
JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY Pub Date : 2023-10-16 DOI: 10.1177/87564793231201585
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引用次数: 0
Impact of Advanced Cardiac Sonographers on Exam Completeness in the Echocardiography Laboratory 先进心脏超声仪对超声心动图实验室检查完整性的影响
JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY Pub Date : 2023-10-14 DOI: 10.1177/87564793231200173
Joy D. Guthrie, Serena M. Bierig
{"title":"Impact of Advanced Cardiac Sonographers on Exam Completeness in the Echocardiography Laboratory","authors":"Joy D. Guthrie, Serena M. Bierig","doi":"10.1177/87564793231200173","DOIUrl":"https://doi.org/10.1177/87564793231200173","url":null,"abstract":"Objective: Laboratory accreditation has been shown to impact variability and completeness. However, little data exist demonstrating the impact of personnel credentialing on completeness and efficiency. Therefore, the aim of this study was to evaluate exam completeness and efficiency among staff with an advanced cardiac sonographer (ACS) credential, Registered Diagnostic Cardiac Sonographer or Registered Cardiac Sonographer and noncredentialed staff. Materials and Methods: Retrospective review of adult and pediatric echocardiograms at eight facilities in three states. Exam completeness was compared with Intersocietal Accreditation Commission (IAC) standards and completeness by pathology was compared with the American Society of Echocardiography (ASE) standards. Results: This study was based on the review of 1147 patient cases. Of the cases reviewed, 60.3% were performed by credentialed (non-ACS) sonographers, 28.3% were completed by credentialed ACS, and 11.3% by noncredentialed staff. The credentialed staff completed exams ≤ 12 hours. The exams were reviewed for compliance with IAC standards and completed by ACS staff: 80.0% in aortic stenosis and 55.6% in non-ACS staff. Those patient cases for mitral regurgitation (14/19) were 73.7% IAC compliant, cases completed by credentialed non-ACS (20/56) were 35.7% compliant, and those completed by noncredentialed sonographers (2/11) only 18.2% were compliant. Cases specific to patent ductus arteriosus were 92.1% compliant with IAC standards that were completed by ACS compared with 77.9% completed by non-ACS staff. Cases of pulmonary hypertension were also evaluated for IAC compliance and 61.8% met the standard with ASE versus 41.7% completed by non-ACS. Conclusion: Examinations performed by ACS are more often complete in important pathology. Examination efficiency is highest among credentialed sonographers.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135803349","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
The Importance of Cardiac Prescreening: A Case Report of Cardiac Arrest in a Teen Athlete 心脏预筛的重要性:一名青少年运动员心脏骤停病例报告
JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY Pub Date : 2023-09-25 DOI: 10.1177/87564793231200192
Jose Luis Bastida, Maria S. Horenstein
{"title":"The Importance of Cardiac Prescreening: A Case Report of Cardiac Arrest in a Teen Athlete","authors":"Jose Luis Bastida, Maria S. Horenstein","doi":"10.1177/87564793231200192","DOIUrl":"https://doi.org/10.1177/87564793231200192","url":null,"abstract":"This case study describes a 13-year-old male who presented with ventricular fibrillation and pulseless ventricular tachycardia (VT) that occurred during football practice. An echocardiogram showed severely diminished biventricular function with an ejection fraction (EF) of 23% and an anomalous left main coronary artery from the right sinus with an apical echogenic mass of 1.2 cm × 1.2 cm, believed to be a thrombus. The patient underwent unroofing of the left main coronary artery. He was discharged on lisinopril, aspirin, and metoprolol, and a follow-up echocardiogram 79 days after discharge showed improved EF of 51% and resolution of the apical thrombus. It is crucial to remember that postsurgical approaches may still present challenges even after the initial repair or intervention. It is important to remain vigilant and aware of any potential issues that may arise as they can have significant impact on the overall success of the procedure.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135815714","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
Exploring the Use of Lung Ultrasonography to Assess Cardiac Surgery Patients: A Scoping Review 探讨使用肺部超声检查评估心脏手术患者:范围回顾
JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY Pub Date : 2023-09-22 DOI: 10.1177/87564793231198521
Casey Farrell, Kay Cooper, Simon Hayward, Craig Walker
{"title":"Exploring the Use of Lung Ultrasonography to Assess Cardiac Surgery Patients: A Scoping Review","authors":"Casey Farrell, Kay Cooper, Simon Hayward, Craig Walker","doi":"10.1177/87564793231198521","DOIUrl":"https://doi.org/10.1177/87564793231198521","url":null,"abstract":"Objective: Lung ultrasonography (LUS) is a safe, quick, and portable diagnostic tool, which can accurately detect postoperative pulmonary complications, postsurgically, without ionizing radiation. The aim of this scoping review was to map the evidence base regarding the use of LUS to assess cardiac surgery patients. Materials and Methods: The JBI methodology was used to conduct this particular scoping review. Results: In total, 90 publications were identified and of those, 73 were research studies, six were narrative reviews, and 11 were narrative, opinion, and text articles. The studies that were included were predominantly observational cohorts and aimed to determine or compare LUS diagnostic ability, prognostic ability, or both. The LUS methods used with patients were heterogeneous and variably reported. Conclusion: Despite an increasing number of studies since 2014, standardized protocols for the use of LUS are yet to be widely adopted and remain an important area for further work. Future research should consider exploring perceptions and experiences of LUS, the use of LUS in treatment outcome measurement, and use by nonphysician health care professionals.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136059998","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
Sonographic Findings of Pheochromocytoma in an Adolescent Female During an Evaluation for Possible Renal Artery Stenosis 未成年女性嗜铬细胞瘤对肾动脉狭窄可能性的超声检查结果
JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY Pub Date : 2023-09-20 DOI: 10.1177/87564793231198485
Monique Riemann, Lydia Dana
{"title":"Sonographic Findings of Pheochromocytoma in an Adolescent Female During an Evaluation for Possible Renal Artery Stenosis","authors":"Monique Riemann, Lydia Dana","doi":"10.1177/87564793231198485","DOIUrl":"https://doi.org/10.1177/87564793231198485","url":null,"abstract":"A 16-year-old female initially presented to urgent care, with a 2-day history of nausea, vomiting, headache, and abdominal pain. After falling and having a tonic/clonic seizure at urgent care, the patient was transferred to an emergency room and subsequently admitted to the pediatric intensive care unit within the hospital for monitoring. Due to persistent tachycardia and hypertension, a renal Doppler examination was performed to evaluate for possible renal artery stenosis. Instead, a 4.0-cm right adrenal mass was discovered, prompting catecholamines and metanephrines testing, and subsequent endocrinology assessment. The diagnosis of pheochromocytoma was made, and a full diagnostic evaluation was completed to exclude extra-adrenal tumor growth and genetic association. Surgical resection of the tumor was successfully accomplished, and the patient was scheduled for annual metanephrine monitoring. This case highlights the significance of a thorough evaluation of the adrenal glands in pediatric patients presenting with atypical hypertension, where renal artery stenosis is suspected.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136308001","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
Sonographic Assessment of a Ruptured Testicle From a Gunshot Wound: A Case Study 超声诊断枪伤致睾丸破裂一例
JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY Pub Date : 2023-09-20 DOI: 10.1177/87564793231200189
Shannon Anderson, Amy Bro, Malinda Harris, Kimberly Bensyl
{"title":"Sonographic Assessment of a Ruptured Testicle From a Gunshot Wound: A Case Study","authors":"Shannon Anderson, Amy Bro, Malinda Harris, Kimberly Bensyl","doi":"10.1177/87564793231200189","DOIUrl":"https://doi.org/10.1177/87564793231200189","url":null,"abstract":"High-resolution sonography is a valuable imaging technique to evaluate scrotal trauma. Scrotal injuries can be caused by both blunt and penetrating forces, causing harm to the testicles and other scrotal contents. This case study follows the diagnosis of a gunshot victim’s testicular injury and how the use of sonography plays a major role in both the diagnosis and surveillance of testicular rupture. The initial sonogram identified mild enlargement and an irregularity of the right testicle. Hemorrhage surrounding the right testicle, soft tissue emphysema, scrotal wall edema, and some echogenic debris and/or a foreign body in the scrotum were also identified. Testicular rupture is a rare but serious injury and prompt medical attention is necessary in such cases to reduce long-term complications, including, but not limited to, infection, disability, and loss of the testicle.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136308005","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
Sonographic Association of Common Carotid Artery Intima-Media Thickness With Age, Obesity, and Hypertension 颈总动脉内膜-中膜厚度与年龄、肥胖和高血压的超声关系
IF 0.3
JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY Pub Date : 2023-09-08 DOI: 10.1177/87564793231194612
Sumayya Ateeq, S. M. Y. Farooq, Hamnah Fatima, Mehreen Fatima, Maya Chaudhary, Muqadas Sabir, Shaherbano Shafique, Abdul Basit, Sadia Mushtaq, Muhammad Liaqat
{"title":"Sonographic Association of Common Carotid Artery Intima-Media Thickness With Age, Obesity, and Hypertension","authors":"Sumayya Ateeq, S. M. Y. Farooq, Hamnah Fatima, Mehreen Fatima, Maya Chaudhary, Muqadas Sabir, Shaherbano Shafique, Abdul Basit, Sadia Mushtaq, Muhammad Liaqat","doi":"10.1177/87564793231194612","DOIUrl":"https://doi.org/10.1177/87564793231194612","url":null,"abstract":"The intima-media thickness (IMT) of the common carotid artery (CCA) can indicate cardiovascular and cerebrovascular disease risk, which could aid in early disease identification and prevention. This study was designed to correlate carotid artery IMT with age, obesity, diabetes, and hypertension using sonography. This cross-sectional cohort study included 300 individuals of all ages selected through convenient sampling at a university clinic in Lahore from November 2022 to February 2023. An Xario XG ultrasound equipment system (Toshiba, Tokyo, Japan) and a 7.5- to 10-MHz linear transducer was used to examine the patients. The CCA-IMT was evaluated in 300 individuals (mean age 36.83 years). Significant statistical differences were observed between hypertensive/non-hypertensive and diabetic/non-diabetic individuals ( P < .05). CCA-IMT was positively correlated with age and higher in obese/overweight individuals. This large cohort study found a significant difference in CCA-IMT between hypertensive/diabetic and normal individuals. CCA-IMT was positively correlated with age and body mass index.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78930596","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
Sonographic reference values for median nerve cross-sectional area: A meta-analysis of data from healthy individuals. 正中神经横截面积的声像图参考值:健康人数据的荟萃分析。
IF 0.3
JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY Pub Date : 2023-09-01 Epub Date: 2023-06-06 DOI: 10.1177/87564793231176009
Shawn C Roll, Sandy C Takata, Buwen Yao, Lynn Kysh, Wendy J Mack
{"title":"Sonographic reference values for median nerve cross-sectional area: A meta-analysis of data from healthy individuals.","authors":"Shawn C Roll, Sandy C Takata, Buwen Yao, Lynn Kysh, Wendy J Mack","doi":"10.1177/87564793231176009","DOIUrl":"10.1177/87564793231176009","url":null,"abstract":"<p><strong>Objective: </strong>Establish median nerve CSA reference values and identify patient-level factors impacting diagnostic thresholds.</p><p><strong>Methods: </strong>Studies were identified through a robust search of multiple databases, and quality assessment was conducted using a modified version of the National Institute of Health Study Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. A meta-analysis was performed to identify normative values stratified by anatomic location. A meta-regression was conducted to examine heterogeneity effects of age, sex, and laterality.</p><p><strong>Results: </strong>The meta-analysis included 73 studies; 41 (56.2%) were high quality. The median nerve CSA [95% CI] was 6.46mm<sup>2</sup> [6.09-6.84], 8.68mm<sup>2</sup> [8.22-9.13], and 8.60mm<sup>2</sup> [8.23-8.97] at the proximal forearm, the carpal tunnel inlet, and the proximal carpal tunnel, respectively. Age was positively associated with CSA at the level of proximal carpal tunnel (β=0.03mm<sup>2</sup>, p=0.047). Men (9.42mm<sup>2</sup>, [8.06-10.78]) had statistically larger proximal tunnel CSA (p = 0.03) as compared to women (7.71mm<sup>2</sup>, [7.01-8.42]). No difference was noted in laterality.</p><p><strong>Conclusion: </strong>A reference value for median nerve CSA in the carpal tunnel is 8.60mm<sup>2</sup>. Adjustments may be required in pediatrics or older adults. The diagnostic threshold of 10.0mm<sup>2</sup> for male patients should be cautiously applied as the upper limit of normative averages surpasses this threshold.</p>","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10468154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10152153","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
Comparing Ultrasonography With Plain Radiography in the Diagnosis of Long Bone Fractures 超声与x线平片诊断长骨骨折的比较
IF 0.3
JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY Pub Date : 2023-08-30 DOI: 10.1177/87564793231193430
Amjad Khan, Zarin Fatma, R. Bacha, Bakht Rokhan, S. Akhtar, Majid Iqbal, I. Raheem
{"title":"Comparing Ultrasonography With Plain Radiography in the Diagnosis of Long Bone Fractures","authors":"Amjad Khan, Zarin Fatma, R. Bacha, Bakht Rokhan, S. Akhtar, Majid Iqbal, I. Raheem","doi":"10.1177/87564793231193430","DOIUrl":"https://doi.org/10.1177/87564793231193430","url":null,"abstract":"Objective: This study was designed to compare sonography to skeletal radiography, in the diagnosis of long bone fractures. Materials and Methods: This was a cross-sectional and analytical study including 188 patients of varied ages that had 251 suspected long bone fractures. It was conducted over a 9-month period, in the emergency department of a teaching hospital, within the Swat district of Pakistan. After assessing the clinical symptoms of the fracture by an emergency orthopedic physician, sonography was followed by a radiograph performed for these referred patients. Results: Sonography shows a diagnostic accuracy of 91.23% for detecting long bone fractures, with a sensitivity and specificity of 100% and 76.84%, respectively. The positive predictive value and negative predictive value were 87.64% and 100%, respectively. Sonography was able to detect small fractures (up to 0.23 mm) that are often missed on the patient’s radiograph. Conclusion: Sonography may be useful as an initial screening imaging technique for the diagnosis of long bone fractures. The potential exists to reduce the need for unnecessary skeletal radiographs, which could reduce treatment time, cost, and ionizing radiation hazards.","PeriodicalId":45758,"journal":{"name":"JOURNAL OF DIAGNOSTIC MEDICAL SONOGRAPHY","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80621134","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
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