Ultrasound Quarterly最新文献_第2页

Does Increased Echogenicity in the Caudothalamic Groove Always Indicate Hemorrhage in Early Infancy? 尾丘脑沟回声增强是否总是婴儿期出血的前兆？

IF 1.1 4区医学

Ultrasound Quarterly Pub Date : 2026-02-18 eCollection Date: 2026-03-01 DOI: 10.1097/RUQ.0000000000000736

Merve Yazol, Burak Mert Akhan, Oznur Leman Boyunaga

{"title":"Does Increased Echogenicity in the Caudothalamic Groove Always Indicate Hemorrhage in Early Infancy?","authors":"Merve Yazol, Burak Mert Akhan, Oznur Leman Boyunaga","doi":"10.1097/RUQ.0000000000000736","DOIUrl":"10.1097/RUQ.0000000000000736","url":null,"abstract":"We aim to evaluate the diagnostic significance of caudothalamic groove (CTG) echogenicity on cranial ultrasonography (CUS) by examining its correlation with magnetic resonance imaging (MRI) findings, including susceptibility-weighted imaging (SWI). This retrospective study screened 131 neonatal intensive care unit neonatal intensive care unit infants with diagnostic-quality CUS and MRI (including SWI) performed between January 2019 and April 2022. Among these, 34 had CTG echogenicity on CUS; 18 of the 34 had no corresponding CTG hemorrhage on SWI and formed the analytic cohort. The final cohort included 18 infants (10 males, 8 females; mean gestational age 32.7 wk, range 25.3 to 39.3 wk). Five (27.8%) were term, 13 (72.2%) were preterm. Initial CUS demonstrating CTG echogenicity was performed at a mean of 15.7 postnatal days; echogenicity was bilateral in 9 (50%) and unilateral in 9 (50%), with teardrop-like morphology in 10 (55.6%). MRI with SWI was performed at a mean of 29 postnatal days (range 2 to 90 d). No hemorrhagic changes were observed in the CTG region on SWI. Three patients (16.7%) had normal MRI findings, 15 (83.3%) showed nonhemorrhagic abnormalities, including edema, thin corpus callosum, subependymal cysts, ventricular dilatation, or cortical malformations. This study demonstrates a discordance between CUS and SWI-MRI findings in infants with CTG echogenicity. The presence of term infants and bilateral involvement suggests that CTG echogenicity may be a nonspecific imaging finding that can reflect a variable pathophysiological process. Therefore, confirmatory MRI with SWI may be valuable for accurate diagnosis and clinical decision-making in both preterm and term neonates with isolated CTG echogenicity.","PeriodicalId":49116,"journal":{"name":"Ultrasound Quarterly","volume":"42 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214446","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

Evaluating the Diagnostic Accuracy of Ultrasound-Guided Omental Biopsy in Relation to Pre-Biopsy Computed Tomography Imaging. 评价超声引导下大网膜活检与活检前计算机断层成像的诊断准确性。

IF 1.1 4区医学

Ultrasound Quarterly Pub Date : 2026-02-18 eCollection Date: 2026-03-01 DOI: 10.1097/RUQ.0000000000000735

Umut Asfuroğlu, Saffet Öztürk, Erdi Tangobay, Berrak Barutcu Asfuroğlu, Sadik Ahmet Uyanik

{"title":"Evaluating the Diagnostic Accuracy of Ultrasound-Guided Omental Biopsy in Relation to Pre-Biopsy Computed Tomography Imaging.","authors":"Umut Asfuroğlu, Saffet Öztürk, Erdi Tangobay, Berrak Barutcu Asfuroğlu, Sadik Ahmet Uyanik","doi":"10.1097/RUQ.0000000000000735","DOIUrl":"10.1097/RUQ.0000000000000735","url":null,"abstract":"To evaluate the diagnostic accuracy and safety of ultrasound (US)-guided omental biopsy in patients with omental involvement, and to assess the added value of pre-biopsy computed tomography (CT). This retrospective study included 75 patients who underwent US-guided omental biopsy between January 2023 and 2025. Demographics, clinical, surgical pathology, and cytology data of patients were reviewed. The Mann-Whitney U test and Pearson χ2 test were used to compare the benign and malignant groups as well as diagnostic and non-diagnostic groups. Diagnostic accuracy, sensitivity, specificity, negative predictive value (NPV), and positive predictive value (PPV) were calculated using final diagnoses. Among the 75 patients [median age: 69 y (range: 28 to 87); 81% women], 70 had malignant and 5 had benign final diagnoses. US-guided omental biopsy achieved a diagnostic accuracy of 90.67%, with a sensitivity of 90%, specificity of 100%, NPV of 41.67%, PPV of 100%. No complications occurred. Ascitic fluid cytology was concordant with the final diagnosis in 70% of cases. On CT, higher omental attenuation was significantly associated with diagnostic biopsies, whereas other CT features showed no significant correlation. US-guided omental biopsy is a safe, minimally invasive, and highly accurate technique for evaluating omental involvement.","PeriodicalId":49116,"journal":{"name":"Ultrasound Quarterly","volume":"42 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221716","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

Sonographic Hallmarks of Nutcracker Syndrome. 胡桃夹子综合征的超声特征。

IF 1.1 4区医学

Ultrasound Quarterly Pub Date : 2026-02-18 eCollection Date: 2026-03-01 DOI: 10.1097/RUQ.0000000000000734

Kacper Kubiszewski, Jennings Clingan, Melanie P Caserta

{"title":"Sonographic Hallmarks of Nutcracker Syndrome.","authors":"Kacper Kubiszewski, Jennings Clingan, Melanie P Caserta","doi":"10.1097/RUQ.0000000000000734","DOIUrl":"10.1097/RUQ.0000000000000734","url":null,"abstract":"Nutcracker syndrome (NCS) occurs when the left renal vein (LRV) is compressed between the aorta and superior mesenteric artery (SMA), which can manifest as hematuria, proteinuria, flank pain, and pelvic venous congestion as a sequela of renovenous hypertension. In the absence of symptoms, LRV compression is referred to as nutcracker anatomy or the nutcracker phenomenon. Though there are no currently formally accepted diagnostic pathways, US, CT, and MRI are frequently used to assess patients with NCS. The US is often the first imaging modality to be used in the workup of NCS. Doppler US is a way to measure blood flow velocity to suggest this diagnosis noninvasively. Two main US findings have been described in patients with NCS: a caliber reduction in the LRV >50% where it crosses the abdominal aorta and elevated peak systolic velocity at the level of obstruction. The anteroposterior diameter of the LRV hilar portion to its aortomesenteric portion of the LRV is compared with a ratio >4 described with NCS. In addition, the peak flow velocity of the LRV at the site of narrowing is compared to the flow velocity proximal to the narrowing, with a ratio greater than 5 described in patients with NCS.","PeriodicalId":49116,"journal":{"name":"Ultrasound Quarterly","volume":"42 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146220545","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

Core Needle Biopsy of the Abdominal Fat Pad for Diagnosis of Amyloidosis. 腹部脂肪垫核心针活检诊断淀粉样变性。

IF 1.1 4区医学

Ultrasound Quarterly Pub Date : 2026-01-29 eCollection Date: 2026-03-01 DOI: 10.1097/RUQ.0000000000000732

Benjamin W Carney, Shannon M Navarro, Jennifer LaRoy, Morgan A Darrow, Ghaneh Fananapazir

引用次数: 0

Ultrasound-Supplemented Scoring Method for Evaluating the Activity of Idiopathic Retroperitoneal Fibrosis. 超声辅助评分法评价特发性腹膜后纤维化活动性。

IF 1.1 4区医学

Ultrasound Quarterly Pub Date : 2026-01-29 eCollection Date: 2026-03-01 DOI: 10.1097/RUQ.0000000000000729

Ling Ren, Xiaoqi Tian, Qing Song, Zipeng He

{"title":"Ultrasound-Supplemented Scoring Method for Evaluating the Activity of Idiopathic Retroperitoneal Fibrosis.","authors":"Ling Ren, Xiaoqi Tian, Qing Song, Zipeng He","doi":"10.1097/RUQ.0000000000000729","DOIUrl":"10.1097/RUQ.0000000000000729","url":null,"abstract":"To investigate the diagnostic value of contrast-enhanced ultrasound (CEUS) in idiopathic retroperitoneal fibrosis (IRPF) activity and establish an optimal ultrasound-supplemented scoring method to evaluate the activity of IRPF. The retrospective study included 139 CEUS examinations of 59 IRPF patients treated in our hospital from January 2017 to January 2025. They were divided into the IRPF active group (66 examinations) and the inactive group (73 examinations). The parameters between the 2 groups were compared by univariate analysis. Spearman rank correlation was used to analyze the association between the parameters and IRPF activity. Significant parameters were scored according to the correlation coefficients (rs). The receiver operating characteristic (ROC) curve was drawn to evaluate the diagnostic efficiency of the scoring method. Univariate analysis showed that the incidence of back pain, ESR, CRP, lesion thickness, and CEUS grade was higher in the active group than in the inactive group (P<0.01). The CEUS grade and thickness had the strongest association with IRPF activity [rs=0.710 (95% CI: 0.616-0.784) and 0.703 (95% CI: 0.608-0.778), respectively]. The total score of the active group was significantly higher than that of the inactive group (P<0.001). The ROC curve showed that the optimal cutoff value was 3 scores. The sensitivity, specificity, positive, and negative predictive values were 84.85%, 83.56%, 82.35%, and 85.92%, respectively. The area under the ROC curve was 0.935 (95% CI: 0.880-0.970). In conclusion, CEUS was an excellent noninvasive diagnostic tool for assessing the activity of IRPF.","PeriodicalId":49116,"journal":{"name":"Ultrasound Quarterly","volume":"42 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087762","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

Relationship Between Grayscale Ultrasound and Attenuation Imaging in the Evaluation of Hepatic Steatosis. 灰度超声与衰减成像评价肝脂肪变性的关系。

IF 1.1 4区医学

Ultrasound Quarterly Pub Date : 2026-01-29 eCollection Date: 2026-03-01 DOI: 10.1097/RUQ.0000000000000727

Lea Kaadi, Melissa Khanfour, Theresia Choullamy, Aren Joe Bizdikian, Tatiana Hachem, Kamal Hachem

{"title":"Relationship Between Grayscale Ultrasound and Attenuation Imaging in the Evaluation of Hepatic Steatosis.","authors":"Lea Kaadi, Melissa Khanfour, Theresia Choullamy, Aren Joe Bizdikian, Tatiana Hachem, Kamal Hachem","doi":"10.1097/RUQ.0000000000000727","DOIUrl":"10.1097/RUQ.0000000000000727","url":null,"abstract":"Non-alcoholic fatty liver disease is emerging as a global health concern. Screening is the only way to alleviate its burden. Grayscale evaluation is the most commonly used non-invasive method for this purpose, but it lacks precision and reproducibility. In contrast, attenuation imaging is an innovative technique that has not yet been extensively studied. The aim of our study is to determine the correlation between hepatic steatosis grading obtained through attenuation measurement and grayscale ultrasound assessment performed by both a physician and a resident. In addition, we aim to evaluate the reproducibility of results obtained using both methods. A prospective study was conducted on 112 patients who underwent 2 double-blinded ultrasound examinations executed by an experienced radiologist with 30 years of expertise and a fifth-year resident from October to December 2023. Consequently, for each patient, a grayscale assessment of liver fat and attenuation coefficient measurement was done by the 2 readers, and graded accordingly. For attenuation coefficient, 5 measurements were taken with respect to the quality criteria set by the vendor. No significant difference was shown in the grading of liver fat using subjective method and attenuation imaging, obtained by the physician and the resident. Our results showed good reproducibility for grading fat liver using grayscale (Cohen Kappa=0.682) and attenuation imaging (Cohen Kappa=0.729) and excellent agreement for attenuation coefficient (ICC=0.956, 2k model). Attenuation imaging is an objective ultrasound application, with better inter-observer evaluation compared with grayscale evaluation, which remains a subjective method.","PeriodicalId":49116,"journal":{"name":"Ultrasound Quarterly","volume":"42 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087737","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

Cost-Effectiveness of Thyroid Nodule Risk Stratification Guidelines. 甲状腺结节风险分层指南的成本-效果。

IF 0.8 4区医学

Ultrasound Quarterly Pub Date : 2025-11-19 eCollection Date: 2025-12-01 DOI: 10.1097/RUQ.0000000000000725

Natalie Vankka, Bo Bao, Alexandria Webb, Michael Seidler, Christopher Fung

{"title":"Cost-Effectiveness of Thyroid Nodule Risk Stratification Guidelines.","authors":"Natalie Vankka, Bo Bao, Alexandria Webb, Michael Seidler, Christopher Fung","doi":"10.1097/RUQ.0000000000000725","DOIUrl":"https://doi.org/10.1097/RUQ.0000000000000725","url":null,"abstract":"The goal of this study is to evaluate the cost savings of consistently adhering to the 2017 American College of Radiology (ACR) Thyroid Imaging Reporting and Data System (TI-RADS) and the 2015 American Thyroid Association (ATA) criteria for the evaluation of thyroid nodules. In this retrospective study, 2 radiologists independently reviewed ultrasound (US) features of 291 cytology-proven thyroid nodules and scored them based on the ACR TI-RADS and ATA guidelines. The expected costs of strict adherence to recommendations based on the 2 risk stratification guidelines were calculated and compared with the actual cost to the health care system. Strict adherence to risk stratification guidelines can save the regional health care system up to $88,000 annually based on the 291 thyroid nodules examined. With retrospective application of ACR TI-RADS criteria, 51 nodules were recommended for follow-up US and 147 for fine-needle aspiration biopsy. With ATA criteria, 9 nodules were recommended for follow-up US, and 261 for fine-needle aspirations. Although fewer nodules were recommended for biopsy with TI-RADS criteria, the majority met criteria for follow-up US. Between the two guidelines, the ACR-TI-RADS offered slightly greater savings of ∼$3000 annually compared with ATA. Strict adherence to ACR TI-RADS and ATA guidelines can lead to substantial cost savings for the health care system by eliminating unnecessary thyroid biopsies. ACR TI-RADS is more cost-effective compared with ATA.","PeriodicalId":49116,"journal":{"name":"Ultrasound Quarterly","volume":"41 4","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145907204","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

Bedside US and Contrasted Enhanced US Findings in Symptomatic Neonatal Stroke: A Case Series Study Correlated With MRI. 有症状的新生儿卒中的床边超声和对比增强超声结果：与MRI相关的病例系列研究。

IF 0.8 4区医学

Ultrasound Quarterly Pub Date : 2025-11-19 eCollection Date: 2025-12-01 DOI: 10.1097/RUQ.0000000000000728

Lei Liu, Qiuying Zheng, Zhouqin Lin, Jingran Zhou, Fusui Xie, Tingting Liu, Yanbing Lin, Luyao Zhou

{"title":"Bedside US and Contrasted Enhanced US Findings in Symptomatic Neonatal Stroke: A Case Series Study Correlated With MRI.","authors":"Lei Liu, Qiuying Zheng, Zhouqin Lin, Jingran Zhou, Fusui Xie, Tingting Liu, Yanbing Lin, Luyao Zhou","doi":"10.1097/RUQ.0000000000000728","DOIUrl":"https://doi.org/10.1097/RUQ.0000000000000728","url":null,"abstract":"The purpose of this study was to evaluate bedside cranial ultrasound (CUS) and contrast-enhanced ultrasound (CEUS) for demonstrating changes in neonatal arterial ischemic stroke (NAIS). Fifteen newborns with symptomatic NAIS underwent a cranial ultrasound examination and subsequently confirmed by magnetic resonance imaging (MRI), were enrolled. Color Doppler Flow Imaging (CDFI) and Pulsed-Wave Doppler (PW) were performed to acquire data from 6 coronal, 5 sagittal, and 3 cerebellar planes through the anterior or mastoid fontanelle. For CEUS, a 2-minute wash-in cine clip and static images were captured. CUS showed all lesions in the blood-supplying region of the middle cerebral artery (MCA), with 10(66.7%) located on the left hemisphere, and on the right. CEUS was performed on 3 neonates to evaluate microvascular perfusion. Two cases showed a large area of non-enhancement on the lesion side, while the third case showed significantly higher enhancement on the lesion side. MRI confirmed all lesions in the MCA blood-supplying region, with 10 on the left hemisphere and 5 on the right. Magnetic resonance angiography (MRA) identified abnormalities in the trunk or branches of the MCA in 8 neonates. Our preliminary results suggest that CUS can evaluate NAIS in conjunction with MRI and CEUS metrics may have potential for clinical quantification, warranting future validation studies.","PeriodicalId":49116,"journal":{"name":"Ultrasound Quarterly","volume":"41 4","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913760","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

Sonographic Features of Acute Sigmoid Diverticulitis Detected During Pelvic Pain Evaluation. 急性乙状结肠憩室炎在盆腔疼痛评估中的超声特征。

IF 0.8 4区医学

Ultrasound Quarterly Pub Date : 2025-11-19 eCollection Date: 2025-12-01 DOI: 10.1097/RUQ.0000000000000726

Anahita Tavana, Melanie P Caserta

引用次数: 0

Ultrasound Findings in Endosalpingiosis: A Closer Look at an Overlooked Condition. 输卵管内肿大的超声表现：一种被忽视的疾病。

IF 0.8 4区医学

Ultrasound Quarterly Pub Date : 2025-09-23 eCollection Date: 2025-12-01 DOI: 10.1097/RUQ.0000000000000721

Victoria Barbee, Melanie P Caserta, Neema Patel

{"title":"Ultrasound Findings in Endosalpingiosis: A Closer Look at an Overlooked Condition.","authors":"Victoria Barbee, Melanie P Caserta, Neema Patel","doi":"10.1097/RUQ.0000000000000721","DOIUrl":"10.1097/RUQ.0000000000000721","url":null,"abstract":"Endosalpingiosis is a rare, benign condition characterized by ectopic cystic glands lined with ciliated cuboidal epithelium, histologically resembling the fallopian tube. Its etiology remains uncertain but is hypothesized to result from either ectopic implantation of fallopian tube tissue or metaplastic transformation of multipotential peritoneal cells. While frequently misdiagnosed as endometriosis, endosalpingiosis coexists with endometriosis in ~35% to 40% of cases. The condition can affect both women of reproductive age and postmenopausal individuals, with a median age of diagnosis between 50 and 52 years. While often asymptomatic, patients may present with infertility, pelvic pain (including dysmenorrhea and dyspareunia), pelvic masses, or urinary symptoms such as hematuria or dysuria when lesions involve the urinary bladder. Lesions primarily localize to the peritoneal surfaces of the uterus, fallopian tubes, ovaries, and cul-de-sac but can rarely extend to the bladder, ureters, bowel serosa, omentum, lymph nodes, appendix, cervix, and even the skin. Endosalpingiosis is considered part of the spectrum of peritoneal serous lesions and may be associated with or progress to borderline or low-grade ovarian serous neoplasms. Sonographic evaluation typically reveals multiple small, anechoic, and avascular cystic structures forming a \"bunch-of-grapes\" pattern along pelvic and peritoneal surfaces.","PeriodicalId":49116,"journal":{"name":"Ultrasound Quarterly","volume":"41 4","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132340","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