Ultrasound Quarterly最新文献

The Effectiveness of Pelvic Ultrasonography Findings in Diagnosing Precocious Puberty.

IF 0.7 4区医学

Ultrasound Quarterly Pub Date : 2025-02-25 eCollection Date: 2025-03-01 DOI: 10.1097/RUQ.0000000000000705

Fatma Özgüç Çömlek, Mehmet Öztürk, Ahmet Fatih Yılmaz, Muslu Kazım Körez, Fuat Buğrul, Muammer Büyükinan

{"title":"The Effectiveness of Pelvic Ultrasonography Findings in Diagnosing Precocious Puberty.","authors":"Fatma Özgüç Çömlek, Mehmet Öztürk, Ahmet Fatih Yılmaz, Muslu Kazım Körez, Fuat Buğrul, Muammer Büyükinan","doi":"10.1097/RUQ.0000000000000705","DOIUrl":"10.1097/RUQ.0000000000000705","url":null,"abstract":"Objective: Gonadotropin-releasing hormone (GnRH) stimulation testing is the gold standard for distinguishing central precocious puberty (CPP) from premature thelarche (PT). Due to the limitations of this test, previous studies have elucidated the clinical and laboratory factors that predict CPP. This study explored the diagnostic importance of pelvic ultrasound in girls with CPP.Method: Between May 2023 and May 2024, 55 girls with suspected CPP underwent a GnRH stimulation test and pelvic ultrasonography (PU). Additionally, bone ages were evaluated using a left wrist x-ray.Result: The multivariate analysis found that basal luteinizing hormone (bLH) > 0.67 IU/L, basal follicle-stimulating hormone (FSH) > 3.5 IU/L, basal estradiol > 7.5 pg/mL, uterine volume > 2.6 cm3, and longitudinal uterine diameter >35 mm were significantly associated with a pubertal response at the GnRH test. The 2 groups had no difference in bone age and bLH/basal FSH values. Peak LH/FSH ratio had the best diagnostic performance, with an area under the curve of 0.956 (95% confidence interval, 0.864-0.993), a sensitivity of 81.82%, a specificity of 96.97%, a positive predictive value of 94.7%, and a negative predictive value of 88.9%. The optimal cutoff value was >0.59 for the LH/FSH ratio.Conclusions: Uterine long axis and uterine volume measurements are noninvasive data that help distinguish CPP from PT.","PeriodicalId":49116,"journal":{"name":"Ultrasound Quarterly","volume":"41 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Routine Collection of "Just-in-Case" Thyroid Aspirates for Molecular Testing at the Time of Initial Fine Needle Aspiration. Our Experience.

IF 0.7 4区医学

Ultrasound Quarterly Pub Date : 2025-02-20 eCollection Date: 2025-03-01 DOI: 10.1097/RUQ.0000000000000704

Adrian Dawkins, Dana Richards, Asmi Sabujan, Rashmi Nair

{"title":"The Routine Collection of \"Just-in-Case\" Thyroid Aspirates for Molecular Testing at the Time of Initial Fine Needle Aspiration. Our Experience.","authors":"Adrian Dawkins, Dana Richards, Asmi Sabujan, Rashmi Nair","doi":"10.1097/RUQ.0000000000000704","DOIUrl":"10.1097/RUQ.0000000000000704","url":null,"abstract":"Abstract: Patients with Bethesda III/IV thyroid nodules may benefit from molecular testing in order to determine the likelihood of malignancy. The goal is to avoid unnecessary surgery for these often-benign nodules. The decision to acquire samples for molecular testing is typically made after formal cytologic interpretation. This creates anxiety and inconvenience for patients who must return for a repeat biopsy. We explored the impact of routinely collecting \"just-in-case\" samples from each thyroid nodule. Thus, a minimum of 4 samples were acquired from each nodule: 2 for routine cytologic analysis and 2 for possible genomic sequencing. Nodules subsequently determined to be Bethesda III/IV, were further evaluated by sending the prospectively acquired aspirates for genomic sequencing. Over a 7-month period, there were 69 consecutive patients with ages ranging from 24 to 88 years. There were 16 males and 63 females. Six patients had 2 nodules sampled, yielding total of 75 nodules. Of the 75 nodules, 4 (5.3%) were Bethesda I, 37 (49.3%) Bethesda II, 30 (40%) Bethesda III, 0 (0%) Bethesda IV, 1 (1.3%) Bethesda V, and 3 (4%) Bethesda VI. Of the 30 Bethesda III, 18 (60%) were deemed benign (4% risk of malignancy) by genomic testing. Nine (30%) were deemed 50% or 75% suspicious for malignancy. Two (6.7%) yielded insufficient material for analysis and 1 (3.3%) analysis was canceled because of nonpayment. There were no patient complications. Just-in-case samples prevented call-back of 40% of sampled nodules and thus deemed worthwhile and efficient despite adding an estimated 10 minutes to overall procedure time.","PeriodicalId":49116,"journal":{"name":"Ultrasound Quarterly","volume":"41 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ultrasound Measurement of Thyroid Volume in Healthy Children.

IF 0.7 4区医学

Ultrasound Quarterly Pub Date : 2025-02-20 eCollection Date: 2025-03-01 DOI: 10.1097/RUQ.0000000000000711

Mete Özdikici

{"title":"Ultrasound Measurement of Thyroid Volume in Healthy Children.","authors":"Mete Özdikici","doi":"10.1097/RUQ.0000000000000711","DOIUrl":"10.1097/RUQ.0000000000000711","url":null,"abstract":"Abstract: Various thyroid diseases can lead to changes in the volume of the gland. Therefore, it is important to know the normal thyroid volume. The primary aim of this investigation was to establish normative values for thyroid gland volume using ultrasonography in children aged 0-18 years in Turkey.A retrospective analysis was conducted on thyroid ultrasound findings from 800 children (400 boys, 400 girls) between 2019 and 2020. Pediatric age groups were classified into 20 categories for children aged 0-18. Among these 20 groups, the initial 3 pertain to the 0-1 age range, encompassing infants aged 0-1 month, 1-6 months, and 6-12 months. Each age group consisted of 20 boys and 20 girls.The volume of each thyroid lobe was computed in milliliters using Brunn's formula, which involves multiplying the maximal anteroposterior diameter, mediolateral diameter, and craniocaudal diameter of the lobe by the correction factor 0.479.Data analysis employed the Statistical Package for the Social Sciences, SPSS version 24.0. All analyses were conducted at a 95% confidence interval, and significance was set at P < 0.05.Mean thyroid volumes of 800 children were determined for each age group. Thyroid volume exhibited a strong correlation with age. The Pearson correlation coefficient was 0.987 (P = 0.001).Given the scarcity of comprehensive studies in the literature focusing on thyroid volume in children aged 0-18 across various age groups, we believe that our findings for each age group can provide valuable insights for daily clinical practice.","PeriodicalId":49116,"journal":{"name":"Ultrasound Quarterly","volume":"41 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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 Funiculitis in Sonographic Diagnosis of Acute Epididymitis.

IF 0.7 4区医学

Ultrasound Quarterly Pub Date : 2025-02-10 eCollection Date: 2025-03-01 DOI: 10.1097/RUQ.0000000000000709

Akshya Gupta, Emily Schartz, Derrek Schartz, Timothy Baran, Vikram S Dogra

{"title":"Role of Funiculitis in Sonographic Diagnosis of Acute Epididymitis.","authors":"Akshya Gupta, Emily Schartz, Derrek Schartz, Timothy Baran, Vikram S Dogra","doi":"10.1097/RUQ.0000000000000709","DOIUrl":"10.1097/RUQ.0000000000000709","url":null,"abstract":"Abstract: Ultrasonography is the gold standard for diagnosing acute epididymitis. However, it is not well understood if the simultaneous inflammation of the spermatic cord (funiculitis) is a helpful imaging finding in diagnosing acute epididymitis. This study aimed to investigate the frequency of funiculitis in cases of epididymitis and determine its sensitivity and specificity. This retrospective study included 50 consecutive patients with acute epididymitis. Funiculitis was defined as increased echogenicity of the spermatic cord fat with mass-like cord thickening. All scrotal ultrasound examinations were reviewed for the size of the spermatic cord and surrounding fat, indistinct margins between the spermatic cord and epididymis, similar findings on the contralateral side, and scrotal wall thickening. Spermatic cord inflammation was present in 96% (48/50) of patients with acute epididymitis, significantly higher than in the asymptomatic side (18%, n = 9/50, P < 0.0001). The presence of funiculitis had a sensitivity of 95.9% (confidence interval [CI] 86-99.5%), a specificity of 81.6% (CI 68-91.2%), a positive predictive value of 83.9% (CI 71.7-93%), and a negative predictive value of 95.2% (CI 84-99%) for diagnosing acute epididymitis. The sonographic presence of funiculitis in the setting of acute scrotal pain is a sensitive marker for concomitant acute epididymitis.","PeriodicalId":49116,"journal":{"name":"Ultrasound Quarterly","volume":"41 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Value of Prenatal 3D HD-Live Flow in the Evaluation of True and False Knots of the Umbilical Cord.

IF 0.7 4区医学

Ultrasound Quarterly Pub Date : 2025-02-10 eCollection Date: 2025-03-01 DOI: 10.1097/RUQ.0000000000000707

Lipeng Zheng, Ying Liu, Lili Gong, Yingluan Wang, Hongbo Chang

引用次数: 0

Lung Ultrasound for the Assessment of Patients With Acute Respiratory Failure.

IF 0.7 4区医学

Ultrasound Quarterly Pub Date : 2025-02-07 eCollection Date: 2025-03-01 DOI: 10.1097/RUQ.0000000000000706

Kelly Greenwall, Kevin Kobes, Brian Buchanan, Christopher Fung

引用次数: 0

Imaging Spectrum of Extrathyroidal Neck Masses.

IF 0.7 4区医学

Ultrasound Quarterly Pub Date : 2025-02-07 eCollection Date: 2025-03-01 DOI: 10.1097/RUQ.0000000000000708

Naiya Patel, Sean Gharai, Kathleen A Brindle, Nadia J Khati

{"title":"Imaging Spectrum of Extrathyroidal Neck Masses.","authors":"Naiya Patel, Sean Gharai, Kathleen A Brindle, Nadia J Khati","doi":"10.1097/RUQ.0000000000000708","DOIUrl":"10.1097/RUQ.0000000000000708","url":null,"abstract":"Abstract: Extrathyroidal masses in the anterolateral neck are frequently encountered in the adult population and may represent a diagnostic dilemma. These neck masses can result from a diverse array of pathologies including congenital, inflammatory, infectious, and neoplastic causes. Relevant medical history and physical examination are essential to complement the imaging findings. Ultrasound (US) plays an important role in the initial evaluation of neck masses due to its reliability, availability, safety and cost-effectiveness. It can confirm or exclude the presence of a mass and initially characterize it as solid or cystic. Sonographically assessing the relationship of a mass to adjacent cervical anatomy can facilitate a more targeted differential diagnosis. US also effectively guides fine needle aspirations and/or biopsies of accessible lesions. Multimodality imaging is reserved for problem-solving complex cases and presurgical planning. The anterolateral neck masses are categorized into midline/paramedian lesions, salivary gland pathologies, and other soft tissue lesions. Midline and paramedian lesions include thyroglossal duct pathologies, ectopic thyroid tissue, and parathyroid adenomas. Salivary gland pathologies include obstructive/inflammatory processes, benign and malignant neoplasms, and systemic diseases. This pictorial essay presents clinical features and sonographic characteristics of extrathyroidal masses in the anterolateral neck with a brief discussion of other imaging modalities.","PeriodicalId":49116,"journal":{"name":"Ultrasound Quarterly","volume":"41 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prenatal Diagnosis of Berry Syndrome by Fetal Echocardiography.

IF 0.7 4区医学

Ultrasound Quarterly Pub Date : 2025-01-21 eCollection Date: 2025-03-01 DOI: 10.1097/RUQ.0000000000000700

Jie Ren, Xiang-Yang Huang, Chao-Xue Zhang, Dong-Mei Yang

引用次数: 0

Contrast-Enhanced Ultrasound Compared With Hepatobiliary Agent MRI for Differentiation of Focal Nodular Hyperplasia and Hepatic Adenoma: A Prospective Trial. 对比增强超声与肝胆制剂核磁共振成像在区分局灶性结节性增生和肝腺瘤方面的比较：一项前瞻性试验。

IF 0.7 4区医学

Ultrasound Quarterly Pub Date : 2024-11-22 eCollection Date: 2024-12-01 DOI: 10.1097/RUQ.0000000000000696

Jordan Swensson, Mary McCrate, Vivek Gowdra Halappa, Taylor Stethen, Fatih Akisik

{"title":"Contrast-Enhanced Ultrasound Compared With Hepatobiliary Agent MRI for Differentiation of Focal Nodular Hyperplasia and Hepatic Adenoma: A Prospective Trial.","authors":"Jordan Swensson, Mary McCrate, Vivek Gowdra Halappa, Taylor Stethen, Fatih Akisik","doi":"10.1097/RUQ.0000000000000696","DOIUrl":"10.1097/RUQ.0000000000000696","url":null,"abstract":"Abstract: Magnetic resonance imaging (MRI) may be time-consuming, expensive, or poorly tolerated by patients with liver lesions. This is a prospective clinical trial designed to evaluate if contrast-enhanced ultrasound (CEUS) can be used to differentiate focal nodular hyperplasia (FNH) from hepatocellular adenoma (HCA) with similar accuracy compared with hepatobiliary agent MRI.Institutional review board approval was obtained (1805450097), and the trial was registered with ClinicalTrials.gov (NCT03652636). From 2018 through 2023, 40 patients who had lesions consistent with FNH or HCA on HBA-MRI underwent 1-time prospective CEUS of up to 2 hepatic lesions. Sonographic images obtained before and after intravenous administration of 2 mL sulfur hexafluoride lipid-type A microspheres (Lumason) per lesion totaling 59 lesions (27 FNHs/32 HCAs). Two blinded radiologists provided a diagnosis of FNH or HCA.Thirty-eight female and 2 male patients (age 36.7 ± 9.9) were scanned. Radiologists provided diagnosis of FNH or HCA with respective sensitivity (66.7/64.0%), specificity (71.9/90.6%), and accuracy (69.5/78.0%). For 38 lesions greater than or equal to 2 cm in size (17 FNHs/21 HCAs), readers had sensitivity (70.6/84.2%), specificity (70.6/84.2%), and accuracy (81.5/86.8%). Interobserver agreement for all lesions was fair (κ = 0.34), whereas agreement for lesions 2 cm or larger was substantial (κ = 0.67).Contrast-enhanced ultrasound can differentiate FNH from HCA with accuracy approaching that of hepatobiliary agent MRI for lesions 2 cm or greater. Interobserver agreement is improved with larger lesions. CEUS may have utility as an alternate diagnostic tool for FNH/HCA, especially in patients who cannot or do not desire to undergo MRI.","PeriodicalId":49116,"journal":{"name":"Ultrasound Quarterly","volume":"40 4","pages":""},"PeriodicalIF":0.7,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

CEUS Is Possible Where MRI Is Impossible! 在磁共振成像无法实现的地方，CEUS 是可能的！

IF 0.7 4区医学

Ultrasound Quarterly Pub Date : 2024-11-01 eCollection Date: 2024-12-01 DOI: 10.1097/RUQ.0000000000000693

Krishna Mundada, Aman Khurana

引用次数: 0