Journal of Medical Ultrasonics最新文献

{"title":"Color doppler in first-trimester congenital heart disease screening: A decade of clinical insights.","authors":"Shin Hashiramoto, Mayumi Kaneko, Hiroko Takita, Yuka Yamashita, Ryu Matsuoka, Akihiko Sekizawa","doi":"10.1007/s10396-025-01559-8","DOIUrl":"https://doi.org/10.1007/s10396-025-01559-8","url":null,"abstract":"<p><strong>Purpose: </strong>The detection rate of congenital morphological abnormalities during ultrasound examinations in early pregnancy is not sufficient with B-mode alone due to the small size of the target. This study aimed to evaluate the effectiveness of routine color Doppler mode compared to B-mode alone in the early detection of congenital heart disease (CHD) during first-trimester screening.</p><p><strong>Methods: </strong>A before-after clinical study was conducted at Showa University Hospital between January 2012 and May 2023. In April 2018, the protocol was modified to incorporate routine color Doppler mode. We compared detection rates, specificity, positive predictive values (PPV), and negative predictive values (NPV) between the B-mode only group and the B-mode with routine color Doppler group.</p><p><strong>Results: </strong>Among the 12,321 fetuses screened, 5,907 were screened with B-mode only and 6,414 with routine color Doppler mode. The detection rate for CHD was significantly higher with color Doppler mode (29.26% vs. 64.15% for all CHDs, p < 0.001; 48% vs. 85.71% for major CHDs, p = 0.001) without impairing the specificity (99.96% vs. 99.98%) or PPV (94.44% vs. 92.31%).</p><p><strong>Conclusion: </strong>Routine use of color Doppler mode in first-trimester CHD screening significantly increases detection rates while maintaining high specificity and PPV. This protocol supports early CHD diagnosis, facilitating timely prenatal counseling and management.</p>","PeriodicalId":50130,"journal":{"name":"Journal of Medical Ultrasonics","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477654","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}

{"title":"Detection rate of the Japan society of obstetrics and gynecology's definition of fetal growth restriction for predicting small-for-gestational-age neonates.","authors":"Tetsu Wakimoto, Saki Kunimoto, Ryo Yamamoto, Jun Sasahara, Keisuke Ishii","doi":"10.1007/s10396-025-01551-2","DOIUrl":"https://doi.org/10.1007/s10396-025-01551-2","url":null,"abstract":"<p><strong>Purpose: </strong>To identify the ability of the definitions of fetal growth restriction (FGR) according to the Japan Society of Obstetrics and Gynecology (JSOG) and the Society for Maternal-Fetal Medicine (SMFM) to predict small-for-gestational-age (SGA) neonates.</p><p><strong>Methods: </strong>A retrospective cohort of Japanese women with singleton pregnancies who delivered at our hospital was analyzed. The primary outcome measure was the incidence of SGA neonates. The odds ratios (ORs) of SGA neonates according to the FGR definitions at 18 weeks (17-20 weeks, period 1) and 28 weeks (27-30 weeks, period 2) were calculated.</p><p><strong>Results: </strong>During periods 1 and 2, the incidence rates of SGA neonates were 7.6% and 7.7%, respectively. The ORs of the JSOG and SMFM definitions were 8.24 [95% confidence interval (CI) 4.27-14.4] and 5.88 (95% CI 3.90-8.88), respectively, during period 1 and 22.7 (95% CI 12.6-40.8) and 15.5 (95% CI 10.4-23.1), respectively, during period 2. Compared to the JSOG definition, the SMFM definition was more sensitive for predicting SGA neonates. During both periods, the positive likelihood ratio (LR +) of the JSOG definition was higher than that of the SMFM definition for predicting SGA neonates.</p><p><strong>Conclusion: </strong>The JSOG definition more strongly predicts SGA neonates and is associated with a higher LR + . The SMFM definition is highly sensitive for screening fetuses at risk for SGA status.</p>","PeriodicalId":50130,"journal":{"name":"Journal of Medical Ultrasonics","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477655","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}

{"title":"The emerging future of breast ultrasound: a strategic modality amid population decline and healthcare system strain in Japan.","authors":"Kazuaki Nakashima","doi":"10.1007/s10396-025-01561-0","DOIUrl":"10.1007/s10396-025-01561-0","url":null,"abstract":"","PeriodicalId":50130,"journal":{"name":"Journal of Medical Ultrasonics","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334334","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}

{"title":"Changes in proximal colon on intestinal ultrasound indicate the efficacy of induction therapy for active ulcerative colitis.","authors":"Koichi Izumikawa, Tomoki Inaba, Eriko Yasutomi, Sakuma Takahashi, Hugh Shunsuke Colvin, Ichiro Sakakihara, Kumiko Yamamoto, Shigetomi Tanaka, Shigenao Ishikawa, Masaki Wato","doi":"10.1007/s10396-025-01554-z","DOIUrl":"https://doi.org/10.1007/s10396-025-01554-z","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to elucidate the effectiveness of intestinal ultrasound (IUS) in assessing induction therapy for active ulcerative colitis (UC).</p><p><strong>Methods: </strong>Thirty-two patients (12 with severe colitis and 20 with moderate colitis) were analyzed. Disease activity was assessed using the Mayo endoscopic score (MES) obtained via colonoscopy. Ultrasound (US) grade and bowel wall thickness (BWT) before induction therapy were compared in terms of MES. Changes in US grade and BWT from pre-treatment to clinical improvement were analyzed at the most inflamed segments, oral side, and anal side.</p><p><strong>Results: </strong>A correlation coefficient of 0.58 (p < 0.01) indicated a strong correlation between US grade and MES. US grade and BWT decreased at the most inflamed segments, oral side, and anal side for clinical improvement in all cases (p < 0.01, p < 0.01, respectively). However, changes in US grade were significantly greater on the oral side than the most inflamed segments or the anal side (p = 0.008 and p = 0.039, respectively).</p><p><strong>Conclusion: </strong>IUS is an effective method for assessing the efficacy of induction therapy for active UC. The assessment should be performed at the proximal part of the colon, rather than solely at the site of the most pronounced inflammation.</p>","PeriodicalId":50130,"journal":{"name":"Journal of Medical Ultrasonics","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303457","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}

{"title":"Ultrasound features of periosteal abnormalities in children.","authors":"Yibing Zhao, Rongfang Dong, Xi Chen, Tao Chen","doi":"10.1007/s10396-025-01553-0","DOIUrl":"https://doi.org/10.1007/s10396-025-01553-0","url":null,"abstract":"<p><p>Ultrasound is a good diagnostic technique for musculoskeletal system diseases in children. At present, musculoskeletal ultrasound is widely used in diagnosing soft tissue and joint diseases in pediatric patients, but its application for bone and cartilage diseases is limited. However, ultrasound examination is very important for the diagnosis of bone and cartilage diseases in children. Especially for lesions displaying periosteum, ultrasound has unique advantages, but there are few reports. This article summarized the normal, variant and abnormal ultrasound findings of periosteum on the surface of bone cortex, which could help to diagnose the diseases of children's skeletal system.</p>","PeriodicalId":50130,"journal":{"name":"Journal of Medical Ultrasonics","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276491","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}

{"title":"Utility of superb microvascular imaging in evaluating intracardiac thrombus in Loeffler endocarditis.","authors":"Jun Miyazaki, Hideyuki Hayashi, Yuta Torii, Aoi Hamano, Toshiaki Toyota, Yutaka Furukawa","doi":"10.1007/s10396-025-01555-y","DOIUrl":"https://doi.org/10.1007/s10396-025-01555-y","url":null,"abstract":"","PeriodicalId":50130,"journal":{"name":"Journal of Medical Ultrasonics","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259299","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}

{"title":"A case of nodular fasciitis that appeared in the breast and required differentiation from a malignant tumor.","authors":"Yuka Hayashi, Hikaru Otani, Hideyuki Mishima, Ako Itoh","doi":"10.1007/s10396-025-01543-2","DOIUrl":"https://doi.org/10.1007/s10396-025-01543-2","url":null,"abstract":"","PeriodicalId":50130,"journal":{"name":"Journal of Medical Ultrasonics","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152714","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}

{"title":"Ultrasound-guided insertion of controlled-release dinoprostone vaginal delivery system (PROPESS).","authors":"Kenji Imai, Sho Tano, Kazuya Fuma, Seiko Matsuo, Takafumi Ushida, Hiroaki Kajiyama, Tomomi Kotani","doi":"10.1007/s10396-025-01552-1","DOIUrl":"https://doi.org/10.1007/s10396-025-01552-1","url":null,"abstract":"","PeriodicalId":50130,"journal":{"name":"Journal of Medical Ultrasonics","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081571","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}

{"title":"Anterolateral hip injection approach under portable ultrasound guidance: a prospective randomized controlled trial versus conventional ultrasound.","authors":"Jiamu Liu, Jingjie Huang, Yiling Tan, Ying Zhang, Yun He, Xing Hua, Tiao Su, Guangxing Chen","doi":"10.1007/s10396-025-01548-x","DOIUrl":"https://doi.org/10.1007/s10396-025-01548-x","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate an innovative anterolateral approach using portable ultrasound, comparing the accuracy and safety of portable ultrasound-guided, conventional ultrasound-guided, and landmark-based blind injection techniques.</p><p><strong>Methods: </strong>In this single-centre, prospective, randomised controlled trial, 117 patients with hip pain were randomly assigned to three groups: landmark-based blind injection (n = 39), conventional ultrasound-guided injection (n = 39), and portable ultrasound-guided injection (n = 39). Each patient received a unilateral injection of 2.5 ml hyaluronic acid and 1 ml betamethasone via the anterolateral approach, using parameters optimized from previous research. Primary endpoints included success and accuracy rates, while secondary endpoints comprised post-injection visual analogue scale (VAS) pain scores, procedure time, puncture depth, and complications.</p><p><strong>Results: </strong>The portable ultrasound group achieved 100% success and accuracy rates, comparable to the conventional ultrasound group, whereas the blind group showed lower success (87.2%) and accuracy (79.4%) rates. Post-injection VAS pain scores were significantly lower in the portable ultrasound group (1.95, SD 0.99) compared with the blind group (2.95, SD 1.61; p = 0.007) and similar to those in the conventional ultrasound group (2.41, SD 1.27; p = 0.337). Procedure times were comparable across all groups, and no significant differences in puncture depth were observed. Importantly, no injection-related complications were reported.</p><p><strong>Conclusion: </strong>Portable ultrasound-guided injections via the anterolateral approach demonstrate accuracy and safety comparable to conventional ultrasound-guided injections. Additionally, the portable device offers advantages in portability, reduced space requirements, and cost-effectiveness, thereby enhancing clinical utility in outpatient settings.</p>","PeriodicalId":50130,"journal":{"name":"Journal of Medical Ultrasonics","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024227","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}

{"title":"Correction: Usefulness of carotid duplex ultrasonography in predicting residual large-vessel occlusions after intravenous recombinant tissue plasminogen activator therapy in patients with acute ischemic stroke.","authors":"Kei Kaburagi, Takahiro Shimizu, Yuta Hagiwara, Takayuki Fukano, Soichiro Shibata, Masashi Hoshino, Naoshi Sasaki, Hisanao Akiyama, Yasuhiro Hasegawa, Yoshihisa Yamano","doi":"10.1007/s10396-025-01549-w","DOIUrl":"https://doi.org/10.1007/s10396-025-01549-w","url":null,"abstract":"","PeriodicalId":50130,"journal":{"name":"Journal of Medical Ultrasonics","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048171","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}