Ultraschall in Der Medizin最新文献

{"title":"Pulmonary Findings in Hospitalized COVID-19 Patients Assessed by Lung Ultrasonography (LUS) - A Prospective Registry Study.","authors":"Anna Barner,&nbsp;Egon Burian,&nbsp;Alexander Simon,&nbsp;Katty Castillo,&nbsp;Birgit Waschulzik,&nbsp;Rickmer Braren,&nbsp;Uwe Heemann,&nbsp;Joseph Osterwalder,&nbsp;Alexander Spiel,&nbsp;Markus Heim,&nbsp;Konrad Friedrich Stock","doi":"10.1055/a-2013-8045","DOIUrl":"10.1055/a-2013-8045","url":null,"abstract":"<p><strong>Purpose: </strong>This prospective two-centre study investigated localisation-dependent lesion patterns in COVID-19 with standard lung ultrasonography (LUS) and their relationship with thoracic computed tomography (CT) and clinical parameters.</p><p><strong>Materials and methods: </strong>Between April 2020 and April 2021, 52 SARS-CoV-2-positive patients in two hospitals were examined by means of LUS for \"B-lines\", fragmented pleura, consolidation and air bronchogram in 12 lung regions and for pleural effusions. A newly developed LUS score based on the number of features present was correlated with clinical parameters (respiration, laboratory parameters) and the CT and analysed with respect to the 30- and 60-day outcome. All patients were offered an outpatient LUS follow-up.</p><p><strong>Results: </strong>The LUS and CT showed a bilateral, partially posteriorly accentuated lesion distribution pattern. 294/323 (91%) of CT-detected lesions were pleural. The LUS score showed an association with respiratory status and C-reactive protein; the correlation with the CT score was weak (Spearman's rho = 0.339, p < 0.001). High LUS scores on admission were also observed in patients who were discharged within 30 days. LUS during follow-up showed predominantly declining LUS scores.</p><p><strong>Conclusion: </strong>The LUS score reflected the clinical condition of the patients. No conclusion could be made on the prognostic value of the LUS, because of the low event rate. The LUS and CT score showed no sufficient correlation. This is probably due to different physical principles, which is why LUS could be of complementary value.</p>","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9140524","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}

{"title":"Comments on \"Association Between Urinary Stress Incontinence and Levator Avulsion Detected by 3D Transperineal Ultrasound\".","authors":"Lieming Wen","doi":"10.1055/a-1866-7713","DOIUrl":"10.1055/a-1866-7713","url":null,"abstract":"It is a very interesting report about the association between stress urinary incontinence and levator avulsion [1]. I congratulate the authors for performing such a large sample study on stress urinary incontinence (SUI) and presenting a new finding that the unilateral levator ani muscle avulsion correlated with SUI. However, I have several queries regarding the study. First, the terminology “USI” refers specifically to “urodynamic stress incontinence,” i. e., stress urinary incontinence (SUI) diagnosed by urodynamic testing. “USI” was defined as involuntary urine leakage with stress in the absence of detrusor contraction during filling cystometry [2]. It looks like the term “USI” in this study indicated the symptoms of SUI, which is the involuntary leakage of urine following physical activity, such as coughing, sneezing, or laughing [3]. Second, the methodology of the threedimensional transperineal ultrasound used in this study was incorrect. The authors did not perform the repeatability test for the diagnostic methods of levator ani muscle avulsion. However, the legends of the diagnostic image were incorrect. The legends of Fig. 3 and Fig. 4 were switched. Fig. 3 showed the measurement of the hiatal area, while Fig. 4 showed the LUG measurement. The legend of Fig. 5 was wrong. The picture on the left showed a partial avulsion on the right lateral levator ani muscle. The picture on the right showed a levator ani muscle avulsion on the left sideway. The explanation in Fig. 6 was wrong. The image showed a full avulsion on the right lateral and a partial avulsion on the left lateral. Third, there was an obvious sample selection bias in this study. Generally, levator ani muscle avulsion was correlated to severe pelvic organ prolapse. The incidence of levator ani muscle avulsion in Chinese women with pelvic organ prolapse was 38.9 % [4], and it was 19.0 % in primiparous women at 8 weeks after delivery [5]. The prevalence of levator ani muscle avulsion in women without pelvic organ prolapse (204/593, 34.4 %) in this study was much higher than in other studies on Chinese women. Furthermore, the prevalence of SUI in this study was lower. Authors reported that “USI was found in 7.71% (30/389) in the no-avulsion group, 10.71 % (3/28) in the B-avulsion group, 20.00 % (16/80) in the R-avulsion group, and 18.75 % (18/96) in the L-avulsion group.” However, Zhu Lan, a famous pelvic floor expert in Peking Union Medical College Hospital, reported that the prevalence of female urinary incontinence is high (38.5 %) in Beijing. Among the different types of urinary incontinence, SUI was the most prevalent (22.9 %) [6]. Chan SS reported that the prevalence of SUI was 25.9 % twelve months after delivery [7]. In summary, the diagnostic methodology in this study was incorrect. The study data was not credible. The conclusion that “unilateral levator avulsion may be a risk factor for urinary stress incontinence” is debatable.","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40339476","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}

{"title":"Cervical Cerclage vs. Pessary in Women with a Short Cervix on Ultrasound.","authors":"Vasilios Pergialiotis,&nbsp;Alexandros Psarris,&nbsp;Panagiotis Antsaklis,&nbsp;Marianna Theodora,&nbsp;Aggeliki Papapanagiotou,&nbsp;Alexandros Rodolakis,&nbsp;Georgios Daskalakis","doi":"10.1055/a-1938-6042","DOIUrl":"10.1055/a-1938-6042","url":null,"abstract":"<p><strong>Purpose: </strong>In the present study we sought to compare the efficacy of cervical pessary to that of cerclage in terms of reducing preterm birth rates among women with a short (<25 mm) or ultra-short (<15 and <10 mm) cervix during the ultrasonographic second-trimester assessment.</p><p><strong>Method: </strong>We retrospectively searched the hospital records for singleton pregnancies diagnosed with cervical insufficiency during the second trimester of pregnancy. The McDonald cerclage using a 5mm Mersilene tape was used in all women. An Arabin pessary was used uniformly. In all cases 80 mg of vaginal progesterone gel were administered daily until 37 weeks of gestation.</p><p><strong>Results: </strong>Overall, 294 women (124 (42.2%) with a McDonald cerclage and 170 (57.8%) with placement of an Arabin pessary) were selected for analysis. Preterm birth rates <37 weeks were similar in both groups (C: 30/122 vs. P: 35:165, p=.581) as well as PTB <34 weeks (C: 16/122 vs. 15/150, p=.278). Admission to the NICU and need for CPAP were more prevalent in the cerclage group (p<.001). Analysis of cases with a cervix <15 mm and <10 mm indicated that preterm birth rates remained equal among the groups, while an increased risk of NICU admission was seen in cases with a cervical length <10 mm that were treated with cerclage.</p><p><strong>Discussion and conclusion: </strong>Cervical pessary may be an alternative to cervical cerclage for women with second-trimester cervical shortening and its effect may persist even among cases with an ultra-short cervix. Future randomized trials are needed to ascertain these findings.</p>","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10858762","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}

{"title":"Der Berliner Paul Spiesecke erhält den DEGUM-Promotionspreis – Innovative Studie: Vergleich der Kosten und Effektivität von Bildgebungsverfahren bei Nierenzysten","authors":"","doi":"10.1055/a-2165-3747","DOIUrl":"https://doi.org/10.1055/a-2165-3747","url":null,"abstract":"Nierenzysten sind in der medizinischen Bildgebung häufig anzutreffende Befunde. Sie können mittels unterschiedlicher kontrastmittelgestützter Verfahren nach Bosniak klassifiziert und im Verlauf beobachtet werden. Neben der etablierten Computertomografie (CT) und der Magnetresonanztomografie (MRT) hat sich auch die Sonografie (CEUS) als bildgebendes Verfahren für zystische Nierenläsionen bewährt. Für die Analyse der Kosteneffizienz dieser 3 Bildgebungsverfahren wurde Paul Spiesecke von der Berliner Charité mit dem Promotionspreis der DEGUM ausgezeichnet.","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135707704","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}

{"title":"Kasuistikk: Tidlig vekstavvik mistenkt ved 2 trimester screening","authors":"","doi":"10.1055/a-2143-7188","DOIUrl":"https://doi.org/10.1055/a-2143-7188","url":null,"abstract":"","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135707719","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}

{"title":"Webinare","authors":"","doi":"10.1055/a-2162-0884","DOIUrl":"https://doi.org/10.1055/a-2162-0884","url":null,"abstract":"4.10.23 18 Uhr: Prä- und postoperative Sonografie von Aneurysmen im Bereich der Gefäßchirurgie Vortragende: Dr. Ingrid Gruber, InnsbruckDiskussion im AnschlusskostenfreiAnmeldung über die OEGUM-Homepage","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135707732","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}

{"title":"Nachruf auf Professor Dr. med. Hagen Weiss","authors":"","doi":"10.1055/a-2165-3772","DOIUrl":"https://doi.org/10.1055/a-2165-3772","url":null,"abstract":"Hagen Weiss wurde in Lörrach geboren und besuchte in Rheinfelden die Schule. Nach dem Abitur 1962 studierte er bis 1968 an der Universität Heidelberg, wo er das medizinische Staatsexamen ablegte und am DKFZ mit einer experimentellen onkologischen Arbeit promovierte. Im gleichen Jahr heiratete er seine Kommilitonin Adelheid Moser, mit der er später eine gemeinsame, lebenslang bestehende, äußerst erfolgreiche „Ultraschallforschungs- und Fortbildungsgemeinschaft“ bilden sollte.","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135707847","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}

{"title":"Ultrasound Imaging of the Sciatic Nerve.","authors":"Giulio Cocco,&nbsp;Vincenzo Ricci,&nbsp;Antonio Corvino,&nbsp;Patrizia Pacini,&nbsp;Andrea Boccatonda,&nbsp;Ondřej Naňka,&nbsp;Stefano L Sensi,&nbsp;Massimo Caulo,&nbsp;Andrea Delli Pizzi","doi":"10.1055/a-2095-2842","DOIUrl":"10.1055/a-2095-2842","url":null,"abstract":"Abstract The sciatic nerve (SN) is the biggest nerve in the human body and innervates a large skin surface of the lower limb and several muscles of the thigh, leg, and foot. It originates from the ventral rami of spinal nerves L4 through S3 and contains fibers from both the posterior and anterior divisions of the lumbosacral plexus. After leaving the neural foramina, the nerve roots merge with each other forming a single peripheral nerve that travels within the pelvis and thigh. Non-discogenic pathologies of the SN are largely underdiagnosed entities due to nonspecific clinical tests and poorly described imaging findings. Likewise, to the best of our knowledge, a step-by-step ultrasound protocol to assess the SN is lacking in the pertinent literature. In this sense, the aim of the present manuscript is to describe the normal sono-anatomy of the SN from the greater sciatic foramen to the proximal thigh proposing a standardized and simple sonographic protocol. Then, based on the clinical experience of the authors, a few tips and tricks have been reported to avoid misinterpretation of confounding sonographic findings. Last but not least, we report some common pathological conditions encountered in daily practice with the main purpose of making physicians more confident regarding the sonographic “navigation” of a complex anatomical site and optimizing the diagnosis and management of non-discogenic neuropathies of the SN.","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41217748","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}

{"title":"Authors' Reply to \"Comments on 'Association Between Urinary Stress Incontinence and Levator Avulsion Detected by 3D Transperineal Ultrasound'\".","authors":"Chunyan Zhong,&nbsp;Pan Hu,&nbsp;Suzhen Ran","doi":"10.1055/a-1866-7729","DOIUrl":"10.1055/a-1866-7729","url":null,"abstract":"We would like to thank the authors for the comments on our study [1], in which they expressed several concerns regarding terminology and the incidence rate of urinary stress incontinence in our nation. The following is our reply. First, with regard to the use of the term “USI”, we clearly stated in line 11 in the second paragraph of our study that “USI” was defined as urinary stress incontinence, which means it was used in this study as the abbreviation for the diagnosis of urinary stress incontinence, not “urodynamic stress continence”. In most recent studies, urodynamic investigations (UDS) are no longer the first and necessary tests for the diagnosis of urinary stress incontinence [2, 3, 4]. Moreover, the decline in the routine use of UDS is due to its invasive nature and high cost as stated in most recommendations by international guideline groups [3, 4]. Instead, the cough test, which in our study was presented as a “simple stress test” (in line 5, paragraph 4, section “materials and methods-3/4 D ultrasound image acquisition and clinical evaluation”), was verified as the best performing test with a sensitivity of 83% and specificity of 90% and best correlated with UDS findings [5]. Also, patients in our study who reported isolated symptoms and cases that were unclear underwent a urodynamic test to confirm the diagnosis (in line 5, paragraph 4, section “materials and methods-3/4 D ultrasound image acquisition and clinical evaluation”). In a word, patients in our study who were diagnosed with urinary stress incontinence were confirmed by symptoms, cough test, and UDS (if necessary), which means the object of study was reliable. Second, with regard to a repeatable test, we mentioned more than once in the section “materials and methods-3/4 D ultrasound image acquisition and clinical evaluation” that all collected data were acquired and measured more than 3 times (line 3, the second paragraph of this section& line 1, the third paragraph of this section). With regard to the figure legends, thank you for pointing out the mistakes in the legends. In the process of revising this article, figure 2 and figure 3 were added in the revised version, and the position of figure 3 and figure 4 were reversed, which may have resulted in the errors regarding one-to-one correspondence. The corrections of the figure legends are as follows: Figure 3 Measurement of hiatal area on pelvic floor muscle at rest in patient without avulsion of puborectalis muscle A, and on Valsalva B in patient with right-sided avulsion. Oblique axial plane in plane of minimal hiatal dimensions. Figure 4 Measurement of the levatorurethra gap (LUG) using tomographic ultrasound technique in a woman without levator avulsion. Figure 5 Measurement of levator-urethra gap (LUG) on tomographic ultrasound imaging in patients with right side A and left side B avulsion. We do not agree with the assessment of figure 6 in the authors’ letter. In this study, levator avulsion was diagnosed with LUG> 25","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40339477","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}

{"title":"Prenatal Diagnosis, Associated Findings, and Postnatal Outcome in Fetuses with Double Inlet Ventricle (DIV).","authors":"Paul Böckenhoff,&nbsp;Astrid Hellmund,&nbsp;Ingo Gottschalk,&nbsp;Christoph Berg,&nbsp;Ulrike Herberg,&nbsp;Annegret Geipel,&nbsp;Ulrich Gembruch","doi":"10.1055/a-1866-4538","DOIUrl":"10.1055/a-1866-4538","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the spectrum of associated cardiac anomalies, the intrauterine course, and postnatal outcome of fetuses with double inlet ventricle (DIV).</p><p><strong>Methods: </strong>Retrospective analysis of prenatal ultrasound of 35 patients with DIV diagnosed between 2003 and 2021 in two tertiary referral centers in Germany. All fetuses underwent fetal echocardiography and a detailed anomaly scan. Postnatal outcome and follow-up data were retrieved from pediatric reports.</p><p><strong>Results: </strong>33 cases of DIV were correctly diagnosed prenatally. 24 fetuses (72.7%) had a double inlet ventricle with dominant left (DILV), 7 (21.2%) with dominant right ventricular morphology (DIRV), and 2 cases (6%) with indeterminate morphology (DIIV). 4 (16.6%) were Holmes hearts. 5 of the 7 fetuses (71.4%) with DIRV had a double outlet right ventricle (DORV). Malposition of the great arteries was present in 84.8%. Chromosomal abnormalities were absent. Termination of pregnancy was performed in 8 cases (24.2%). 24 fetuses (72.7%) were live-born. 5 (20.8%) were female and 19 (79.2%) were male. The median gestational age at birth was 38+2.5 weeks. All but one child received univentricular palliation. The median follow-up time was 5.83 years with an adjusted survival rate of 91.6% (22 of 24 live-born children). There was one case of Fontan failure at 15.7 years.</p><p><strong>Conclusion: </strong>DIV remains a major cardiac malformation although both prenatal diagnostics and cardiac surgery have improved over the years. The course of pregnancy is commonly uneventful. All children need univentricular palliation. The children are slightly physically limited, develop a normal intellect, and attend school regularly.</p>","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":null,"pages":null},"PeriodicalIF":3.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/69/5d/10-1055-a-1866-4538.PMC10575714.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40564148","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}