Ultraschall in Der Medizin最新文献_第9页

IF 3.4 3区医学

Ultraschall in Der Medizin Pub Date : 2023-12-01 Epub Date: 2023-12-04 DOI: 10.1055/a-2180-6817

Eberhard Merz

引用次数: 0

Reliability and Reproducibility of Analyzing 3D Transperineal Ultrasound Volumes Obtained in the First Phase of Labor - A Pilot Study. 在分娩第一阶段获得的三维经会阴超声体积分析的可靠性和可重复性-一项试点研究。

IF 3.4 3区医学

Ultraschall in Der Medizin Pub Date : 2023-12-01 Epub Date: 2023-01-19 DOI: 10.1055/a-1957-5383

Rebecca Caspers, Elmar Stickeler, Lieven Nils Kennes, Stefanie Krawutschke, Rene Wynands, Julia Wittenborn, Linda Lecker, Friederike Schlayer, Laila Najjari

{"title":"Reliability and Reproducibility of Analyzing 3D Transperineal Ultrasound Volumes Obtained in the First Phase of Labor - A Pilot Study.","authors":"Rebecca Caspers, Elmar Stickeler, Lieven Nils Kennes, Stefanie Krawutschke, Rene Wynands, Julia Wittenborn, Linda Lecker, Friederike Schlayer, Laila Najjari","doi":"10.1055/a-1957-5383","DOIUrl":"10.1055/a-1957-5383","url":null,"abstract":"Purpose: The aim of this study was to investigate the reliability and reproducibility of transperineal ultrasound (TPUS) in the initial phase of labor. As TPUS is a common method, it could supplement vaginal palpation and even replace it in certain situations. In addition, we used a 4-dimensional method for the assessment of cervical effacement.Materials and methods: 54 women in labor were included and underwent TPUS. The resulting images from the acquired 4D volumes were evaluated after the examination for the first time and a second time after 21 days. The measured values were cervical length, dilatation and effacement, the angle of progression (AoP), and head-perineum distance.Results: 54 patients were examined. TPUS images were unable to be evaluated in 12 patients because of cervical dilatation of more than 5 cm or poor image quality. Thus, 42 measurements were included. The concordance correlation coefficients according to Lin are satisfactory overall, with one exception for cervical effacement. The accuracy component of cervical length (CCCLin: 0.93; accuracy: 1.00), dilatation (CCCLin: 0.93; accuracy: 1.00), and AoP (CCCLin: 0.87; accuracy: 1.00) is excellent and still high for the head-perineum distance (CCCLin: 0.89; accuracy: 0.96) and cervical effacement (CCCLin: 0.77; accuracy: 0.97).Conclusion: TPUS is a valuable noninvasive tool with good diagnostic accuracy for the AoP, cervical length, and dilatation. Our study provides support for the use of TPUS to complement a vaginal examination. It should not replace a digital examination but should serve as a suitable alternative method for monitoring labor progression in the future.","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":" ","pages":"623-630"},"PeriodicalIF":3.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10603330","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

Judging Urgency in 343 Ectopic Pregnancies Prior to Surgery - The Importance of Transvaginal Sonographic Diagnosis of Intraabdominal Free Blood. 术前判断343例异位妊娠的急迫性——经阴道超声诊断腹内游离血的重要性。

IF 3.4 3区医学

Ultraschall in Der Medizin Pub Date : 2023-12-01 Epub Date: 2023-01-19 DOI: 10.1055/a-1967-2134

Janna Pape, Anahita Bajka, Burkhardt Seifert, Lars Asmis, Patrick Imesch, Julian Metzler, Tilo Burkhardt, George Condous, Eleftherios Pierre Samartzis, Michael Bajka

{"title":"Judging Urgency in 343 Ectopic Pregnancies Prior to Surgery - The Importance of Transvaginal Sonographic Diagnosis of Intraabdominal Free Blood.","authors":"Janna Pape, Anahita Bajka, Burkhardt Seifert, Lars Asmis, Patrick Imesch, Julian Metzler, Tilo Burkhardt, George Condous, Eleftherios Pierre Samartzis, Michael Bajka","doi":"10.1055/a-1967-2134","DOIUrl":"10.1055/a-1967-2134","url":null,"abstract":"Objectives: Assessing urgency in ectopic pregnancies (ECP) remains controversial since the disorder covers a large clinical spectrum. Severe conditions such as acute abdomen or hemodynamic instability are mostly related to intra-abdominal blood loss diagnosed as free fluid (FF) on transvaginal sonography (TVS). The aims of the current study were to investigate the value of FF and to assess other potentially predictive parameters for judging urgency.Methods: Retrospective cohort analysis on prospectively collected cases of proven ECP (n = 343). Demographics, clinical and laboratory parameters, and findings on TVS and laparoscopy (LSC) were extracted from the digital patient file. FF on TVS and free blood (FB) in LSC were evaluated. Low urgency was defined as FB (LSC) < 100 ml and high urgency as FB (LSC) ≥ 300 ml. The best subset of variables for the prediction of FB was selected and predictors of urgency were evaluated using receiver operator characteristic (ROC) curves.Results: Clinical symptoms, age, β-HCG, hemoglobin (HB) preoperative, and FF were examined in multivariate analysis for the cutoff values of 100 ml and 300 ml. FF was the only independent predictor for low and high urgency; HB preoperative was only significant for high urgency offering marginal improvement. ROC analysis revealed FF as an excellent discriminatory parameter for defining low (AUC 0.837, 95% CI 0.794-0.879) and high urgency (AUC 0.902, 95 % CI 0.860-0.945).Conclusion: Single assessment of FF on TVS is most valuable for judging urgency. However, the exact cutoff values for a low- and high-risk situation must still be defined.","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":" ","pages":"614-622"},"PeriodicalIF":3.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10603331","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: 1

Evaluation and Classification of Incidentally Detected Splenic Lesions Based on B-Mode and Contrast-Enhanced Ultrasound. 基于b超和增强超声的偶然发现的脾脏病变的评估和分类。

IF 3.4 3区医学

Ultraschall in Der Medizin Pub Date : 2023-12-01 Epub Date: 2023-02-02 DOI: 10.1055/a-2001-5516

Ehsan Safai Zadeh, Christian Görg, Clemens Post, Amjad Alhyari, Corinna Trenker, Christoph F Dietrich, Hajo Findeisen

{"title":"Evaluation and Classification of Incidentally Detected Splenic Lesions Based on B-Mode and Contrast-Enhanced Ultrasound.","authors":"Ehsan Safai Zadeh, Christian Görg, Clemens Post, Amjad Alhyari, Corinna Trenker, Christoph F Dietrich, Hajo Findeisen","doi":"10.1055/a-2001-5516","DOIUrl":"10.1055/a-2001-5516","url":null,"abstract":"Purpose: To evaluate B-mode ultrasound (B-US) and contrast-enhanced ultrasound (CEUS) patterns of focal splenic incidentalomas (FSIs), and to correlate ultrasound patterns with benignity and malignancy via histologic examination and/or the clinical course.Materials and methods: Between 2004 and 2021, 139 consecutive patients with an FSI detected by B-US were investigated additionally with CEUS. On CEUS, the arterial enhancement (AE) of the FSI (hyperenhancement, isoenhancement, hypoenhancement, and absent enhancement) was analyzed. Subsequently, the malignancy rate according to different B-US echo patterns and CEUS perfusion patterns was determined.Results: The final diagnosis of FSI was malignant in 9/139 (6.5%) and benign in 130/139 (93.5%) cases. The hypoechoic and hyperechoic lesions on B-US with arterial hyperenhancement on CEUS and the echogenic cystic or complex lesions on B-US with predominantly absent enhancement on CEUS were benign in 54/54 (100%) cases. 6/37 (16.2%) hypoechoic lesions on B-US with arterial hypo-/isoenhancement on CEUS and 3/48 (6.3%) of hyperechoic lesions on B-US with an arterial hypo-/isoenhancement on CEUS were malignant.Conclusion: Based on these results, FSIs reveal different malignancy rates depending on the B-US und CEUS patterns, and classification according to these B-US and CEUS patterns may be helpful in further evaluation of an FSI.","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":" ","pages":"637-644"},"PeriodicalIF":3.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9209558","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: 2

The role of ultrasound in first-trimester screening after the introduction of NIPT as a service of public health insurance - a consensus statement of the Fetal Medicine Foundation (FMF) Germany. 引入NIPT作为公共健康保险服务后，超声在妊娠早期筛查中的作用——德国胎儿医学基金会(FMF)的共识声明。

IF 3.4 3区医学

Ultraschall in Der Medizin Pub Date : 2023-12-01 Epub Date: 2023-08-01 DOI: 10.1055/a-2104-2689

Eberhard Merz, Bernd Eiben, Christian Thode, Bernhard-Joachim Hackelöer, Renaldo Faber, Sevgi Tercanli, Rudolf Alkier

引用次数: 1

Sonographic demonstration of the sulci and gyri on the convex surface in normal fetuses using 3D-ICRV rendering technology. 使用3D-ICRV渲染技术的超声显示正常胎儿凸面上的脑沟和脑回。

IF 3.4 3区医学

Ultraschall in Der Medizin Pub Date : 2023-12-01 Epub Date: 2023-07-04 DOI: 10.1055/a-2122-6182

Zhixuan Chen, Ya Ma, Huaxuan Wen, Yimei Liao, Yan Ouyang, BoCheng Liang, Meiling Liang, Shengli Li

{"title":"Sonographic demonstration of the sulci and gyri on the convex surface in normal fetuses using 3D-ICRV rendering technology.","authors":"Zhixuan Chen, Ya Ma, Huaxuan Wen, Yimei Liao, Yan Ouyang, BoCheng Liang, Meiling Liang, Shengli Li","doi":"10.1055/a-2122-6182","DOIUrl":"10.1055/a-2122-6182","url":null,"abstract":"Purpose: To demonstrate morphological alteration of the sulci and gyri on the convex surface in normal fetuses using innovative three-dimensional inversion and Crystalvue and Realisticvue (3D-ICRV) rendering technology.Materials and methods: 3D fetal brain volumes were collected from low-risk singleton pregnancies between 15+0 and 35+6 gestational weeks. Volumes were acquired from the transthalamic axial plane by transabdominal ultrasonography and were then post-processed with Crystalvue, Realisticvue rendering software and inversion mode. Volume quality was assessed. The anatomic definition of the sulci and gyri was determined according to location and orientation. The morphology alteration and sulcus display rates were recorded in sequential order of gestational weeks. Follow-up data were collected in all cases.Results: 294 of 300 fetuses (294 brain volumes) (98%) with qualified fetal brain volumes were included (n=294, median 27 gestational weeks). 6 fetuses with unsatisfactory 3D-ICRV image quality were excluded. The morphology of the sulci and gyri on the brain convex surface could be demonstrated clearly on 3D-ICRV images. The Sylvian fissure was the first structure to be recognized. From 25 to 30 weeks, other sulci and gyri became visible. An ascending trend in the display rate of the sulci was found in this period. Follow-up showed no detectable anomalies.Conclusion: 3D-ICRV rendering technology is different from traditional 3D ultrasound. It can provide vivid and intuitive prenatal visualization of the sulci and gyri on the brain surface. Moreover, it may offer new ideas for neurodevelopment exploration.","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":" ","pages":"e284-e295"},"PeriodicalIF":3.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9752126","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: 1

HCCs lacking arterial phase hyperenhancement (APHE) on contrast-enhanced ultrasound (CEUS) - a diagnostic challenge. Findings from the prospective multicenter DEGUM CEUS HCC trial. 对比增强超声(CEUS)缺乏动脉期高增强(APHE)的hcc -一个诊断挑战。来自前瞻性多中心DEGUM超声造影HCC试验的结果。

IF 3.4 3区医学

Ultraschall in Der Medizin Pub Date : 2023-12-01 Epub Date: 2023-02-13 DOI: 10.1055/a-2034-1911

Deike Strobel, Abbas Agaimy, Daniel Jesper, Sebastian Zundler, Barbara Schellhaas

{"title":"HCCs lacking arterial phase hyperenhancement (APHE) on contrast-enhanced ultrasound (CEUS) - a diagnostic challenge. Findings from the prospective multicenter DEGUM CEUS HCC trial.","authors":"Deike Strobel, Abbas Agaimy, Daniel Jesper, Sebastian Zundler, Barbara Schellhaas","doi":"10.1055/a-2034-1911","DOIUrl":"10.1055/a-2034-1911","url":null,"abstract":"Objectives: Hepatocellular carcinoma (HCC) upon contrast-enhanced ultrasound (CEUS) typically shows arterial phase hyperenhancement (APHE), followed by late (> 60 seconds) and mild contrast washout (WO). Although APHE is considered as the hallmark of HCC, it can be absent in some HCCs. Thus, we explored which sonomorphological and histopathological features of HCC are associated with a lack of APHE upon CEUS.Methods: Focal liver lesions in high-risk patients for HCC were assessed with CEUS following a standardized protocol in a prospective multi-center real-life setting. CEUS patterns in HCC were assessed, and tumour and patient characteristics were compared for HCCs with and without APHE.Results: 316 patients with HCC were recruited (cirrhosis, 76.9%). APHE occurred in 271/316 HCCs (85.8%). A lack of APHE was associated with portal vein thrombosis, tumour infiltration of the liver vessels (p<0.001), larger size, multilocularity, and higher depth location upon ultrasound (p<0.01). Histological grading did not differ between HCCs with and without APHE (p=0.39). Histopathological features of HCCs without APHE included cirrhotic stromal reaction, marked tumour cell steatosis and absence of the typical surrounding dilated sinusoidal vascular channels.Conclusion: Correlation with histopathological findings support the fact that HCCs with a lack of APHE in CEUS are a heterogeneous group. The examiner has to be aware that particularly HCCs with portal vein thrombosis or macro-invasion of the liver vessels may lack APHE.","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":" ","pages":"606-613"},"PeriodicalIF":3.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9168966","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: 2

Pulmonary Findings in Hospitalized COVID-19 Patients Assessed by Lung Ultrasonography (LUS) - A Prospective Registry Study. 肺超声（LUS）评估住院新冠肺炎患者的肺部表现——一项前瞻性注册研究。

IF 3.4 3区医学

Ultraschall in Der Medizin Pub Date : 2023-10-01 Epub Date: 2023-01-16 DOI: 10.1055/a-2013-8045

Anna Barner, Egon Burian, Alexander Simon, Katty Castillo, Birgit Waschulzik, Rickmer Braren, Uwe Heemann, Joseph Osterwalder, Alexander Spiel, Markus Heim, Konrad Friedrich Stock

{"title":"Pulmonary Findings in Hospitalized COVID-19 Patients Assessed by Lung Ultrasonography (LUS) - A Prospective Registry Study.","authors":"Anna Barner, Egon Burian, Alexander Simon, Katty Castillo, Birgit Waschulzik, Rickmer Braren, Uwe Heemann, Joseph Osterwalder, Alexander Spiel, Markus Heim, Konrad Friedrich Stock","doi":"10.1055/a-2013-8045","DOIUrl":"10.1055/a-2013-8045","url":null,"abstract":"Purpose: 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.Materials and methods: 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.Results: 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.Conclusion: 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.","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":" ","pages":"e248-e256"},"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}

引用次数: 1

Cervical Cerclage vs. Pessary in Women with a Short Cervix on Ultrasound. 超声检查中短宫颈妇女的宫颈环扎术与子宫颈。

IF 3.4 3区医学

Ultraschall in Der Medizin Pub Date : 2023-10-01 Epub Date: 2022-09-07 DOI: 10.1055/a-1938-6042

Vasilios Pergialiotis, Alexandros Psarris, Panagiotis Antsaklis, Marianna Theodora, Aggeliki Papapanagiotou, Alexandros Rodolakis, Georgios Daskalakis

{"title":"Cervical Cerclage vs. Pessary in Women with a Short Cervix on Ultrasound.","authors":"Vasilios Pergialiotis, Alexandros Psarris, Panagiotis Antsaklis, Marianna Theodora, Aggeliki Papapanagiotou, Alexandros Rodolakis, Georgios Daskalakis","doi":"10.1055/a-1938-6042","DOIUrl":"10.1055/a-1938-6042","url":null,"abstract":"Purpose: 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.Method: 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.Results: 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.Discussion and conclusion: 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.","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":" ","pages":"e257-e262"},"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}

引用次数: 1

Der Berliner Paul Spiesecke erhält den DEGUM-Promotionspreis – Innovative Studie: Vergleich der Kosten und Effektivität von Bildgebungsverfahren bei Nierenzysten 柏林版的保罗·斯皮策克(Paul Spiesecke)拿到了创新的degda宣传奖:对肾酶成像技术成本和效果进行比较

3区医学

Ultraschall in Der Medizin Pub Date : 2023-10-01 DOI: 10.1055/a-2165-3747

引用次数: 0