Ultraschall in Der Medizin最新文献

Jugular venous reflux is a potential pitfall of using the transcranial Doppler bubble test to detect patent foramen ovale. 颈静脉返流是经颅多普勒气泡试验检测卵圆孔未闭的一个潜在缺陷。

IF 2.9 3区医学

Ultraschall in Der Medizin Pub Date : 2025-10-06 DOI: 10.1055/a-2716-6705

Lilla Juhasz, Adam Imre Bardoczi, Nora Kovacs, Jonathan Izygon, Steven To, Zsolt Garami

引用次数: 0

Thoracic Ultrasound - EFSUMB Training Recommendations - a Position Paper. 胸部超声- EFSUMB培训建议，立场文件。

IF 2.9 3区医学

Ultraschall in Der Medizin Pub Date : 2025-10-06 DOI: 10.1055/a-2664-6541

Christian B Laursen, Gabriele Via, Damien Basille, Rahul Bhatnagar, Christian Jenssen, Lars Konge, Silvia Mongodi, Pia Iben Pietersen, Helmut Prosch, Najib M Rahman, Paul S Sidhu, Matthias Wüstner, Caroline Ewertsen

{"title":"Thoracic Ultrasound - EFSUMB Training Recommendations - a Position Paper.","authors":"Christian B Laursen, Gabriele Via, Damien Basille, Rahul Bhatnagar, Christian Jenssen, Lars Konge, Silvia Mongodi, Pia Iben Pietersen, Helmut Prosch, Najib M Rahman, Paul S Sidhu, Matthias Wüstner, Caroline Ewertsen","doi":"10.1055/a-2664-6541","DOIUrl":"10.1055/a-2664-6541","url":null,"abstract":"A wide range of medical specialists increasingly use thoracic ultrasound and transthoracic ultrasound-guided interventions in their clinical practice. To ensure high quality and standardized practice across specialties, this position paper of the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) describes the training requirements for thoracic ultrasound. The recommendations follow the three EFSUMB competency levels for medical ultrasound practice. Level 1 describes the skills required to perform basic thoracic ultrasound examinations and basic interventions independently, level 2 includes more advanced transthoracic ultrasound imaging and guided interventions, while level 3 involves the practice of high-level thoracic ultrasound and the use of advanced technologies. Previously, a predefined minimum number of ultrasound examinations was used to determine competence, but in recent years, a general shift towards competency-based training and assessment has been implemented. For each EFSUMB level, we outline the theoretical knowledge and practical skills needed for clinical practice.","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Application of a denoising doppler algorithm in adnexal masses ultrasound: impact on color score attribution and perceived image quality. 多普勒降噪算法在附件肿块超声中的应用：对颜色评分归属和感知图像质量的影响。

IF 2.9 3区医学

Ultraschall in Der Medizin Pub Date : 2025-10-06 DOI: 10.1055/a-2716-6560

Alessandro Arena, Marisol Doglioli, Luca Fuso, Lucia De Meis, Francesca Salis, Flavia De Simone, Rosilari Bellacosa Marotti, Daniele Conti, Renato Seracchioli, Paolo Casadio, Roberta Massobrio, Annamaria Ferrero, Luca Liban Mariani

{"title":"Application of a denoising doppler algorithm in adnexal masses ultrasound: impact on color score attribution and perceived image quality.","authors":"Alessandro Arena, Marisol Doglioli, Luca Fuso, Lucia De Meis, Francesca Salis, Flavia De Simone, Rosilari Bellacosa Marotti, Daniele Conti, Renato Seracchioli, Paolo Casadio, Roberta Massobrio, Annamaria Ferrero, Luca Liban Mariani","doi":"10.1055/a-2716-6560","DOIUrl":"https://doi.org/10.1055/a-2716-6560","url":null,"abstract":"Purpose: Vascularization assessment is crucial for ovarian masses diagnosis; however, its subjectivity often results in suboptimal interobserver agreement. This study evaluated the impact of the OvAi denoising algorithm on IOTA color score assignment and perceived image quality in adnexal mass ultrasound.Materials and methods: In this multicenter prospective study (May 2018-August 2022), color/power Doppler videos of 100 adnexal masses from 100 women were acquired in two outpatient clinics. Six experts, five mid-experienced, and eight beginner examiners assessed IOTA color score and image quality before and after applying the denoising algorithm. Interobserver agreement on color score assignments was measured using Fleiss' Kappa; perceived image quality changes were tested via Chi-square.Results: Interobserver agreement for color score assignment was fair across all observer groups (κ: 0.296-0.396) and unchanged post-denoising. In benign lesions, CS1 increased (+14.9%), while CS2-CS4 decreased. In malignant cases, CS1 and CS2 rose (+76.2% and +30.8%), with smaller reduction in CS3 (-3.7%) and CS4 (-21.4%). The CS4 decrease was less marked in malignant than in benign lesions (-21.4% vs -38.3%). A significant improvement in perceived image quality was observed in all observer groups (p < 0.05).Conclusion: The OvAi algorithm improved perceived image quality without significantly impacting interobserver agreement. Continued development may enable more objective and automated color score assignments, potentially reducing interobserver variability and supporting diagnostic reliability.","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 Critical Role of Ultrasound in Diagnosing Complete Intra-Arterial Misplacement of an Angio-Seal Closure Device: A Case Report. 超声在诊断血管封闭装置完全性动脉内移位中的关键作用：1例报告。

IF 2.9 3区医学

Ultraschall in Der Medizin Pub Date : 2025-10-02 DOI: 10.1055/a-2697-4721

Almahdi Ali, Zenon Tzias

引用次数: 0

Combination of App-Based Ultrasound Simulation and Conventional Learning Methods in Medical Education for Fetal Echocardiography. 基于app的超声模拟与传统学习方法在胎儿超声心动图医学教育中的结合。

IF 2.9 3区医学

Ultraschall in Der Medizin Pub Date : 2025-10-02 DOI: 10.1055/a-2715-5044

Tim Hartmann, Duygu Adiyaman, Christiane Lato, Wolfgang Janni, Julien Hartmann, Krisztian Lato

{"title":"Combination of App-Based Ultrasound Simulation and Conventional Learning Methods in Medical Education for Fetal Echocardiography.","authors":"Tim Hartmann, Duygu Adiyaman, Christiane Lato, Wolfgang Janni, Julien Hartmann, Krisztian Lato","doi":"10.1055/a-2715-5044","DOIUrl":"https://doi.org/10.1055/a-2715-5044","url":null,"abstract":"Purpose: This study examines whether combining conventional textbook materials with the app-based ultrasound simulator Scanbooster enhances learning outcomes in fetal echocardiography, compared to using either method alone. It also evaluates the impact of the learning sequence.Materials and methods: 210 medical students were randomized into two groups: • PDF→App Group (n=103): Textbook study followed by the Scanbooster ultrasound simulator app • App→PDF Group (n=107): Scanbooster ultrasound simulator app followed by textbook study Knowledge was assessed before and after by identifying marked structures in ultrasound videos.Results: There were no significant differences between the groups regarding age (p=0.564) and prior ultrasound experience (p=0.746). Both groups showed a significant improvement in identifying sonographic structures after the learning phase (p<0.001), with a mean learning effect of 104.96% and 102.16%, respectively, for fetal echocardiography- specific knowledge. The order of learning materials had no significant effect on learning success (p>0.05). In comparison with our previous study, we found that the combination of app-based simulation and textbooks led to the best learning outcomes in fetal echocardiography. This approach resulted in significantly higher performance compared to pure PDF learning (p<0.001) and was slightly, yet still significantly better than pure simulation (p=0.031).Conclusion: The combination of conventional textbook material and app-based ultrasound simulation is the most effective approach for teaching fetal echocardiography. The learning sequence does not significantly impact the outcome.","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Intrauterine Therapy. 子宫内治疗。

IF 2.9 3区医学

Ultraschall in Der Medizin Pub Date : 2025-10-01 Epub Date: 2025-03-14 DOI: 10.1055/a-2524-5787

Ingo Gottschalk, Eva Christin Weber, Ivonne Bedei, Roland Axt-Fliedner, Brigitte Strizek, Christoph Berg

{"title":"Intrauterine Therapy.","authors":"Ingo Gottschalk, Eva Christin Weber, Ivonne Bedei, Roland Axt-Fliedner, Brigitte Strizek, Christoph Berg","doi":"10.1055/a-2524-5787","DOIUrl":"10.1055/a-2524-5787","url":null,"abstract":"Since the first intrauterine interventions were carried out in the 1970 s under what today would be considered basic conditions, the range of prenatal interventions has steadily expanded, as has the frequency with which these interventions are carried out at specialized centers. Although most of these procedures are minimally invasive, they are invariably associated with considerable risks for the fetus and, depending on the surgical method, also for the expectant mother. For this reason, most centers worldwide limit themselves to interventions for fetal diseases which, if untreated, have a fatal course or experience a significant deterioration in the postnatal prognosis during the course of intrauterine development. This is all the more significant as only a small proportion of prenatal interventions have been successfully investigated in controlled clinical trials. The only exceptions are laser therapy for feto-fetal transfusion syndrome, intrauterine closure of spina bifida, and tracheal occlusion for diaphragmatic hernia with severe pulmonary hypoplasia. This article is intended to provide an overview of the fetal conditions that are candidates for intrauterine therapy and of the evidence for the individual interventions.","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":" ","pages":"440-471"},"PeriodicalIF":2.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Imaging the fetal aortic arch and its branching pattern in a mid-trimester screening population. 成像胎儿主动脉弓及其分支模式在中期筛查人群。

IF 2.9 3区医学

Ultraschall in Der Medizin Pub Date : 2025-10-01 Epub Date: 2025-02-27 DOI: 10.1055/a-2548-2411

Manuela Tavares de Sousa, Bettina Hergert, Fatima Crispi, Olga Gomez, Kurt Hecher

{"title":"Imaging the fetal aortic arch and its branching pattern in a mid-trimester screening population.","authors":"Manuela Tavares de Sousa, Bettina Hergert, Fatima Crispi, Olga Gomez, Kurt Hecher","doi":"10.1055/a-2548-2411","DOIUrl":"10.1055/a-2548-2411","url":null,"abstract":"Aortic arch branching variants have recently been found to have an impact in neonates undergoing surgical interventions involving the thoracic aorta such as aortic coarctation repair. They have been described prenatally in 6% of neonates, whereas they occur in up to 26% postnatally. To explore whether the branching variations might have been underdiagnosed in utero, we comprehensively assessed the aortic arch and its branching patterns in a low-risk population between the 19th and 22nd week of gestation.This prospective cohort study included 139 low-risk singleton pregnancies. During a standardized fetal echocardiography examination, we investigated the aortic arch in a sagittal view according to predefined landmarks. Based on video clips, its branching pattern was categorized as normal branching or branching variants by 2 operators who were blinded to each other.Classification of aortic arch branching was achieved in 127/139 cases (91.4%). 103 cases (81.1%) showed a normal pattern, and 24 cases (18.9%) showed a branching variant. Both operators agreed on 18 brachiobicephalic trunks (the so-called bovine arch), 4 aberrant left vertebral arteries, 1 aortic arch with 5 branching vessels. In 1 case there was disagreement regarding the type of variant.Prenatal targeted echocardiography could identify 18.9% prevalence of aortic arch branching variants in a low-risk population. Future studies are warranted to assess the clinical impact of our findings on neonates with congenital heart defects.","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":" ","pages":"499-504"},"PeriodicalIF":2.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Update on: Firsttrimester Diagnosis and Therapy @ 11-13+6 weeks' gestation. 最新进展：妊娠早期诊断和治疗@妊娠11-13+6周。

IF 2.9 3区医学

Ultraschall in Der Medizin Pub Date : 2025-10-01 Epub Date: 2025-09-09 DOI: 10.1055/a-2679-1034

Constantin S von Kaisenberg, Peter Kozlowski, Karl O Kagan, Markus Hoopmann, Kai-Sven Heling, Rabih Chaoui, Philipp Klaritsch, Barbara Pertl, Tilo Burkhardt, Sevgi Tercanli, Jochen Frenzel, Christine Mundlos

引用次数: 0

Relationship between prenatal ultrasound signs and genetic abnormalities for fetal malformations of cortical development. 胎儿皮质发育畸形的产前超声征象与遗传异常的关系。

IF 2.9 3区医学

Ultraschall in Der Medizin Pub Date : 2025-10-01 Epub Date: 2024-12-19 DOI: 10.1055/a-2467-3362

JunYa Chen, Rong Zhu, Hong Pan, YiNan Ma, Ying Zhu, LiLi Liu, XinLin Hou, Karina Krajden Haratz

{"title":"Relationship between prenatal ultrasound signs and genetic abnormalities for fetal malformations of cortical development.","authors":"JunYa Chen, Rong Zhu, Hong Pan, YiNan Ma, Ying Zhu, LiLi Liu, XinLin Hou, Karina Krajden Haratz","doi":"10.1055/a-2467-3362","DOIUrl":"10.1055/a-2467-3362","url":null,"abstract":"To explore the relationship between ultrasound signs of suspected fetal malformation of cortical development (MCD) and genetic MCD.The retrospective study involved fetuses with one of the following 10 neurosonography (NSG) signs: (A) abnormal development of the Sylvian fissure; (B) delayed achievement of cortical milestones; (C) premature or aberrant appearance of sulcation; (D) irregular border of the ventricular wall or irregular shape of the ventricle; (E) abnormal shape or orientation of the sulci; (F) hemispheric asymmetry; (G) non-continuous cerebral cortex; (H) intraparenchymal echogenic nodules; (I) persistent ganglionic eminence (GE) or GE cavitation; (J) abnormal cortical lamination.95 fetuses were included in the study. Chromosomal microarray (CMA) combined with exome sequencing (ES) was available in 40 fetuses, CMA was abnormal in nine and ES in 22. Sign C (7/7, 100%), sign H (2/2, 100%), sign A (18/19, 94.7%), and sign B (12/13, 92.3%) were the signs leading to the highest probability of genetic MCD. The incidence of genetic MCD for sign E, sign I, and sign D was 66.7-73.7%. Only one or none of the fetuses with sign J, sign F, or sign G underwent CMA+ES. The signs in the fetuses with FGFR3, CCND2, FLNA, or TSC2 mutations had the expected features. The other fetuses with different gene mutations showed several non-specific NSG signs.Several reliable signs for genetic MCD can be detected by NSG, and the probability varies with different signs. Most signs are not associated with a specific gene. Therefore, CMA combined with ES is preferred.","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":" ","pages":"472-482"},"PeriodicalIF":2.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12500338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

What can fetal neurosonography reveal about the future of an unborn child? 胎儿神经超音波能揭示胎儿的未来吗？

IF 2.9 3区医学

Ultraschall in Der Medizin Pub Date : 2025-10-01 Epub Date: 2025-10-06 DOI: 10.1055/a-2660-3374

Uwe Walter

引用次数: 0