Ultraschall in Der Medizin最新文献_第2页

Fetal cardiovascular function in a late-onset SGA and FGR cohort: CURIOSA study. 晚期 SGA 和 FGR 队列中的胎儿心血管功能：CURIOSA 研究。

IF 3.1 3区医学

Ultraschall in Der Medizin Pub Date : 2025-06-01 Epub Date: 2024-08-19 DOI: 10.1055/a-2390-2010

Silvia M Lobmaier, Oliver Graupner, Christina Franke, Nadia Boess, Bernhard Haller, Renate Oberhoffer, Annette Wacker-Gussmann, Javier U Ortiz

{"title":"Fetal cardiovascular function in a late-onset SGA and FGR cohort: CURIOSA study.","authors":"Silvia M Lobmaier, Oliver Graupner, Christina Franke, Nadia Boess, Bernhard Haller, Renate Oberhoffer, Annette Wacker-Gussmann, Javier U Ortiz","doi":"10.1055/a-2390-2010","DOIUrl":"10.1055/a-2390-2010","url":null,"abstract":"The measurement of fetal cardiovascular function parameters is not yet established in prenatal diagnostics. Now that the research field of fetal programming is becoming increasingly important, this might change. Fetal cardiovascular changes have been described above all in early/severe fetal growth restriction (FGR). The aim of this study was to investigate functional echocardiographic parameters in fetuses with late-onset small for gestational age (SGA)/FGR.A prospective cohort of SGA fetuses (including FGR) and a control group with similar distribution of gestational age were studied. Parameters of systolic, diastolic, and global cardiac function, morphometry and measurements of the fetal abdominal aorta were collected.A total of 149 SGA fetuses and 143 control fetuses were included from 32 weeks until term. The total SGA group was further divided into SGA 3rd-10th (fetuses between the 3rd and 10th weight percentile) and FGR subgroups. In the total SGA group, relative right and left ventricular wall thickness, left E/A ratio, isovolumetric contraction time and left myocardial performance index were significantly increased compared to controls after adjustment for gestational age. MAPSE, TAPSE, ejection time, left cardiac output, and abdominal aortic distensibility were significantly lower. The changes were more pronounced in the FGR subgroup.Even in a group of late-onset SGA/FGR, echocardiographic parameters are already altered in utero.","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":" ","pages":"270-277"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005695","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

Kaposiform haemangioendothelioma: ultrasonographic features and risk factors for the Kasabach-Merritt phenomenon. 楷模状血管内皮瘤：超声特征和 Kasabach-Merritt 现象的风险因素。

IF 3.1 3区医学

Ultraschall in Der Medizin Pub Date : 2025-06-01 Epub Date: 2024-10-15 DOI: 10.1055/a-2421-6047

Jing Zhao, Jian-Jun Yuan, Chang-Xian Dong, Xiangqin Zhang, Chuang Li, Qi Sun, Gang Wu

{"title":"Kaposiform haemangioendothelioma: ultrasonographic features and risk factors for the Kasabach-Merritt phenomenon.","authors":"Jing Zhao, Jian-Jun Yuan, Chang-Xian Dong, Xiangqin Zhang, Chuang Li, Qi Sun, Gang Wu","doi":"10.1055/a-2421-6047","DOIUrl":"10.1055/a-2421-6047","url":null,"abstract":"Kaposiform hemangioendothelioma (KHE) is a rare, locally aggressive vascular tumor with high morbidity and mortality. The aim of this study was to evaluate ultrasonographic findings associated with KHE.The clinical and ultrasonographic findings of a cohort of 64 cases with pathologically proven KHE were retrospectively reviewed and analyzed between November 2014 and February 2021. Two subtypes were divided according to the presence or absence of the Kasabach-Merritt phenomenon (KMP). The KMP risk factors in patients with KHE were analyzed statistically.Among the 64 cases of KHE, 43 (67.2%) were accompanied by KMP. There was a positive correlation between the appearance of KMP and tumor size. KHEs had an increased risk of developing KMP if the lesions measured were >6 cm and if they belonged to the deep or mixed subtype. On ultrasonography, all KHE lesions were heterogeneous, and 81.3% were hypoechoic; 93.8% of KHEs exhibited ill-defined margins, 68.7% had strands branching into the adjacent tissue, and 84.4% presented marked hypervascularity. Elastography showed that central hypoechogenic lesion areas were hard, and surrounding hyperechogenic lesion areas were soft.KHEs can occur in different parts of childrens' bodies. On ultrasonography, the main findings are heterogeneous low erosions, indistinct margins, branching strangulation into adjacent tissues, and obvious hypervascularity. Patients with lesions larger than 6 cm or belonging to deep or mixed subtypes (musculoskeletal infiltrates) are at risk for developing KMP, and clinicians should be vigilant.","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":" ","pages":"278-284"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478961","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

Fetal biometry in the 2nd and 3rd trimesters - simple or actually complicated? 妊娠第二和第三个月的胎儿生物测量——简单还是复杂？

IF 3.1 3区医学

Ultraschall in Der Medizin Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1055/a-2555-4146

Leonhard Schäffer, Tilo Burkhardt

引用次数: 0

Endosonography in head and neck imaging and surgery. 内窥镜在头颈部成像和手术中的应用。

IF 3.1 3区医学

Ultraschall in Der Medizin Pub Date : 2025-06-01 Epub Date: 2024-12-20 DOI: 10.1055/a-2451-9373

Marie Brandt, Martin Garset-Zamani, Alessandro Bozzato, Johannes M Weimer, Christoph Arens, Christoph F Dietrich, Tobias Todsen, Julian Künzel

{"title":"Endosonography in head and neck imaging and surgery.","authors":"Marie Brandt, Martin Garset-Zamani, Alessandro Bozzato, Johannes M Weimer, Christoph Arens, Christoph F Dietrich, Tobias Todsen, Julian Künzel","doi":"10.1055/a-2451-9373","DOIUrl":"10.1055/a-2451-9373","url":null,"abstract":"This CME article explores the evolving role of endosonography in otorhinolaryngology and head and neck surgery. Endosonography offers significant potential to improve imaging inside the upper respiratory tract, particularly with advancements in probe technology and imaging resolution. The article will describe the sonoanatomy of the oral cavity, pharynx, and larynx and the selection of probes and scanning techniques used for the various anatomical sites. Transoral ultrasound can be used to improve the diagnosis of salivary gland diseases, oropharyngeal abscesses, and ultrasound-guided puncture and biopsy. Endoscopic endolaryngeal ultrasound is used especially for diagnosing small laryngeal cancer and determining infiltration status. The article highlights the role of endosonography in managing oncologic diseases, especially in oral tongue carcinoma, where it aids in surgical planning by assessing the depth of invasion. In cases of HPV-positive carcinoma of unknown primary, high-frequency endosonography is crucial for detecting small tumors in the oropharyngeal region. In summary, the article advocates the broader integration of endosonography in clinical practice, highlighting its potential to enhance diagnostic accuracy and improve patient outcomes in head and neck oncology.","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":" ","pages":"224-244"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873098","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

Fallopian tube catheterization under 3D vaginal ultrasound guidance followed by highly selective hysterosalpingo-foam sonography: an outpatient procedure. 在三维阴道超声引导下进行输卵管导管插入术，然后进行高选择性子宫输卵管造影：门诊手术。

IF 3.1 3区医学

Ultraschall in Der Medizin Pub Date : 2025-06-01 Epub Date: 2024-08-12 DOI: 10.1055/a-2384-4254

Yaakov Melcer, Marina Pekar-Zlotin, Michal Youngster, Itai Gat, Ron Maymon

{"title":"Fallopian tube catheterization under 3D vaginal ultrasound guidance followed by highly selective hysterosalpingo-foam sonography: an outpatient procedure.","authors":"Yaakov Melcer, Marina Pekar-Zlotin, Michal Youngster, Itai Gat, Ron Maymon","doi":"10.1055/a-2384-4254","DOIUrl":"10.1055/a-2384-4254","url":null,"abstract":"To describe the feasibility of our preliminary outpatient fallopian tube catheterization procedure under 3D vaginal ultrasound (US) guidance followed by highly selective hysterosalpingo-foam sonography (HyFoSy) in infertile women diagnosed with proximal tubal obstruction.A prospective trial was conducted from October 2022 to December 2023. 3D vaginal US was used to establish the precise location of the tip of the selective salpingography catheter at the tubal ostium. A roadrunner was used to cannulate the occluded portion of the fallopian tube. After tubal cannulation, ExEm foam was injected under direct US guidance to confirm tubal recanalization and its passage through the fallopian tubes.During the study period, a total of 14 women with proximal tubal occlusion underwent this procedure. Tubal patency was achieved in 92.8% of cases. No immediate and remote complications were observed. To date, 3 (21.4%) of the patients conceived after tubal catheterization and 1 had a live birth.Outpatient fallopian tube catheterization under 3D vaginal US guidance, followed by selective HyFoSy, can be successfully implemented for the diagnosis and treatment of patients with proximal tubal occlusion. The 3D modality allows volume capture of the required acquisition and subsequent post-imaging analysis, thus permitting further examination and study. Additional experience is needed to determine the feasibility of this innovative procedure and to identify the patient subgroups that would benefit the most from this approach.","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":" ","pages":"285-290"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972181","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

Revisiting the metacarpophalangeal joint: comparison of ultrasound tissue patterns with its anatomical, histological, and immunohistochemical features. 重访掌指关节：超声组织形态与其解剖、组织学和免疫组织化学特征的比较。

IF 3.1 3区医学

Ultraschall in Der Medizin Pub Date : 2025-05-27 DOI: 10.1055/a-2595-9856

Esperanza Naredo, Carlos Guillén-Astete, Otto Olivas-Vergara, Raquel Largo, José Ramón Mérida-Velasco, María Del Carmen Barrio-Asensio, Cristina Vazquez-Carballo, Gabriel Herrero-Beaumont, Jacqueline Uson, Jorge Murillo-González

{"title":"Revisiting the metacarpophalangeal joint: comparison of ultrasound tissue patterns with its anatomical, histological, and immunohistochemical features.","authors":"Esperanza Naredo, Carlos Guillén-Astete, Otto Olivas-Vergara, Raquel Largo, José Ramón Mérida-Velasco, María Del Carmen Barrio-Asensio, Cristina Vazquez-Carballo, Gabriel Herrero-Beaumont, Jacqueline Uson, Jorge Murillo-González","doi":"10.1055/a-2595-9856","DOIUrl":"10.1055/a-2595-9856","url":null,"abstract":"This study aimed to identify the structures and tissues of the dorsal aspect of the metacarpophalangeal joint (MCPJ) using ultrasound, with gross anatomy as a comparator and learning source. In addition, the composition of several MCPJ tissues was investigated by histology and immunohistochemistry.The study comprised 3 steps. First, 4 rheumatologist ultrasonographers identified on B-mode imaging the tissue patterns of the structures in the dorsal aspect of the MCPJ in fresh-frozen cadaveric hands. In the second step, 2 anatomists performed dissections on fresh-frozen and embalmed cadaveric hands to characterize the components of the dorsal MCPJ, providing anatomy-based feedback to aid ultrasound tissue interpretation. Histological and immunohistochemical analyses were also conducted on selected dorsal MCPJ tissues. In the third step, the anatomy and histology-based knowledge were applied to identify and evaluate these structures in healthy subjects using B-mode and Doppler mode ultrasound.Ultrasound examination of the cadaveric hands identified the key dorsal MCPJ structures, including the extensor tendon, joint capsule, dorsal plate, synovial recesses, and metacarpal head cartilage. Anatomical and histological analyses further characterized these structures, enhancing their identification in healthy subjects. Additionally, new insight into the histological and immunohistological features of these structures is provided.Ultrasound successfully identified the main structures of the dorsal MCPJ. Integrating anatomical and histological features improved ultrasound imaging observations and confidence.","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056876","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

Strong heart, fit brain. Cardiac impact on brain development in fetuses with congenital diaphragmatic hernia: a prospective cohort study. 心脏强壮，大脑健康。先天性膈疝胎儿心脏对大脑发育的影响：一项前瞻性队列研究。

IF 3.1 3区医学

Ultraschall in Der Medizin Pub Date : 2025-05-21 DOI: 10.1055/a-2618-3187

Isabella Fabietti, Chiara Vassallo, Milena Viggiano, Anna Claudia Massolo, Laura Valfrè, Alessia Sala, Lorenza Driul, Pietro Bagolan, Leonardo Caforio, Francesco Morini

{"title":"Strong heart, fit brain. Cardiac impact on brain development in fetuses with congenital diaphragmatic hernia: a prospective cohort study.","authors":"Isabella Fabietti, Chiara Vassallo, Milena Viggiano, Anna Claudia Massolo, Laura Valfrè, Alessia Sala, Lorenza Driul, Pietro Bagolan, Leonardo Caforio, Francesco Morini","doi":"10.1055/a-2618-3187","DOIUrl":"https://doi.org/10.1055/a-2618-3187","url":null,"abstract":"Purpose CDH fetuses may present with abnormal brain volume and cerebral fissures. Since cardiac function and size may also be altered, we hypothesized that abnormal cardiac function may contribute in their impaired brain development. The aim of this study is to evaluate if cardiac dimensions and function correlate with brain development in CDH fetuses. Materials and Methods All fetuses with left CDH who underwent ultrasound evaluation of cardiac function and brain development between 2018 and 2023 were included. We analyzed the correlation between cardiac size and function parameters with the parieto-occipital (POF) and Sylvian (SF) fissures and insular depth (ID) at two gestation periods (GP). Cardiac and brain anatomical measures were corrected for head circumference, cardiac function parameters were corrected for estimated fetal weight or GA. Correlations were analyzed using Pearson test, p value <0.05 was considered significant. Results 24 fetuses with left CDH were included. Between 20 and 24 weeks gestation, POF, SF, and ID were significantly correlated with aortic flow. Right ventricle E/A was significantly correlated with POF and SF, with a trend toward correlation with ID, approaching the threshold of significance. In this GP, ID was also significantly correlated to the Left ventricle area, E/A, and E', S' and A'. Most correlations were lost in next GP. Conclusions Between 20 and 24 weeks gestation, brain development of fetuses with CDH is significantly correlated with cardiac function. Most of these correlations were lost at 25-28 weeks' gestation. Further studies are needed to confirm our results and to evaluate if these findings have postnatal clinical significance.","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121160","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

Significance of high-resolution ultrasound imaging and elastography as early predictors of diabetic peripheral neuropathy. 高分辨率超声成像和弹性成像作为糖尿病周围神经病变早期预测指标的意义。

IF 3.1 3区医学

Ultraschall in Der Medizin Pub Date : 2025-05-05 DOI: 10.1055/a-2589-8675

Ahmed Elshimy, Ghada Elshimy, Ahmed Mohamed Abouelhoda, Ahmed Abdellatif Awad, Omar Farouk

{"title":"Significance of high-resolution ultrasound imaging and elastography as early predictors of diabetic peripheral neuropathy.","authors":"Ahmed Elshimy, Ghada Elshimy, Ahmed Mohamed Abouelhoda, Ahmed Abdellatif Awad, Omar Farouk","doi":"10.1055/a-2589-8675","DOIUrl":"https://doi.org/10.1055/a-2589-8675","url":null,"abstract":"To evaluate the significance of high-resolution ultrasound (HRUS) and shear wave elastography (SWE) in the diagnosis of diabetic peripheral neuropathy (DPN) to clarify their possible roles as early predictors of the occurrence of this important complication.The study included 90 patients with diabetes mellitus with different clinical stages of DPN as well as 30 healthy controls. A full history, clinical examination, and assessment of both the Toronto Clinical Neuropathy Score (TCNS) and HbA1c were performed, followed by real-time HRUS and SWE examinations of their right and left tibial and median nerves to assess their cross-sectional area (CSA) and nerve stiffness, respectively.The CSA and stiffness of tibial and median nerves were significantly increased in patients with diabetes compared to controls, with higher values associated with the severity of their DPN. Both parameters were correlated with each other and with the duration of the disease, TCNS, and HbA1c. The CSA cut-off value of both tibial and median nerves to detect DPN in patients was 13.5 mm2, meanwhile, the SWE cut-off values were 68.5 and 61.5 KPa, respectively. SWE showed a higher AUC than CSA for the prediction of DPN.Measurement of the CSA and stiffness of the peripheral nerves could be a reliable tool for early detection of DPN. Therefore, we recommend adding these noninvasive diagnostic parameters as complementary diagnostic tools to the routine follow-up schedule of diabetic complications, especially in long-standing cases.","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024417","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

Fetal Cerebral Ventricular Asymmetry Without Dilation: A Systematic Review. 胎儿脑室不对称无扩张：一项系统综述。

IF 3.1 3区医学

Ultraschall in Der Medizin Pub Date : 2025-04-23 DOI: 10.1055/a-2548-6131

Inshirah Sgayer, Nizar Khatib, Lior Lowenstein, Marwan Odeh

{"title":"Fetal Cerebral Ventricular Asymmetry Without Dilation: A Systematic Review.","authors":"Inshirah Sgayer, Nizar Khatib, Lior Lowenstein, Marwan Odeh","doi":"10.1055/a-2548-6131","DOIUrl":"https://doi.org/10.1055/a-2548-6131","url":null,"abstract":"The aim of this systematic review was to investigate the outcomes of pregnancies with fetal cerebral lateral ventricle asymmetry without dilation. We conducted a comprehensive literature search in the Embase, Medline, and Web of Science databases until April 29, 2024, of observational cohort studies that reported fetal ventricular asymmetry without dilation detected on ultrasound or magnetic resonance imaging. Of the 150 studies identified, 6 met the inclusion criteria. Among the cases of non-dilated ventricular asymmetry, 36.8-46.2% progressed to ventriculomegaly on follow-up by neurosonography or magnetic resonance imaging. Additional findings in the central nervous system were observed in 5.5-10.5% of cases, while 7.6% had additional fetal body findings. Abnormal genetic findings were present in 5.1% of cases. Postnatal follow-up indicated no abnormal developmental findings during the first year of life. By the age of 9-11 years, lower writing speed was observed, yet verbal fluency scores were higher than in the general population. In conclusion, non-dilated ventricular asymmetry in fetuses showed the potential for progression to ventriculomegaly, and linkage to genetic abnormalities. Larger prospective studies are essential to fully elucidate the condition's natural history and refine clinical management strategies.","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037860","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

Multimodality Imaging Assessment of Rosai-Dorfman Disease:A Case Report. Rosai-Dorfman病的多模态影像学评价1例。

IF 3.1 3区医学

Ultraschall in Der Medizin Pub Date : 2025-04-22 DOI: 10.1055/a-2592-1053

Wenyue Cao, Cui Chen, Lan Ma, Xiaoyi Xie, Shulian Gu, Lili Du, Lan He, Yi Yu

引用次数: 0