Journal of Medical Ultrasonics最新文献_第2页

Comparing reference points in strain elastography for predicting autoimmune thyroiditis. 应变弹性成像预测自身免疫性甲状腺炎参考点的比较。

IF 2.1 4区医学

Journal of Medical Ultrasonics Pub Date : 2026-04-01 Epub Date: 2025-11-11 DOI: 10.1007/s10396-025-01593-6

Yi-Chen Ho, Chi-Yu Kuo, Ming-Nan Chien, Shih-Ping Cheng

{"title":"Comparing reference points in strain elastography for predicting autoimmune thyroiditis.","authors":"Yi-Chen Ho, Chi-Yu Kuo, Ming-Nan Chien, Shih-Ping Cheng","doi":"10.1007/s10396-025-01593-6","DOIUrl":"10.1007/s10396-025-01593-6","url":null,"abstract":"Purpose: Chronic autoimmune thyroiditis shows increased stiffness on elastography. The sternocleidomastoid (SCM) or strap muscles have been used as references in strain elastography in prior studies. We aimed to compare the effects of different reference points in strain elastography on its diagnostic performance.Methods: Patients referred for thyroidectomy underwent strain elastography assessment of the non-tumor-bearing thyroid parenchyma. The strain ratio was determined using either the adjacent SCM muscle or the trachea at the same depth as reference points. Final pathological results served as the standard.Results: A total of 174 patients were analyzed, with 39 (22%) diagnosed with autoimmune thyroiditis. Multivariate logistic regression identified thyroid peroxidase antibodies, thyroglobulin antibodies, and the strain ratio using the trachea as a reference as independent predictors of thyroiditis. The area under the receiver operating characteristic curve was significantly higher with the trachea as the reference compared to the SCM (0.854 vs. 0.611). Sensitivity analyses indicated that diagnostic performance was not affected by patient age or body habitus.Conclusions: Different reference points in strain elastography significantly influence the predictability of autoimmune thyroiditis, and using the trachea as a reference improves diagnostic performance.","PeriodicalId":50130,"journal":{"name":"Journal of Medical Ultrasonics","volume":" ","pages":"139-146"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145497398","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}

引用次数: 0

Optimizing forceps delivery safety: predicting anal sphincter injury with intrapartum ultrasound. 优化产钳使用安全性：产时超声预测肛门括约肌损伤。

IF 2.1 4区医学

Journal of Medical Ultrasonics Pub Date : 2026-04-01 Epub Date: 2025-10-28 DOI: 10.1007/s10396-025-01587-4

Shin Hashiramoto, Hiroko Takita, Tatsuya Arakaki, Yuka Yamashita, Mayumi Kaneko, Ryu Matsuoka, Akihiko Sekizawa

{"title":"Optimizing forceps delivery safety: predicting anal sphincter injury with intrapartum ultrasound.","authors":"Shin Hashiramoto, Hiroko Takita, Tatsuya Arakaki, Yuka Yamashita, Mayumi Kaneko, Ryu Matsuoka, Akihiko Sekizawa","doi":"10.1007/s10396-025-01587-4","DOIUrl":"10.1007/s10396-025-01587-4","url":null,"abstract":"Purpose: To assess whether intrapartum ultrasound parameters can predict obstetric anal sphincter injury (OASI) in forceps deliveries.Methods: This retrospective cohort study included women undergoing forceps delivery for live, singleton, term cephalic pregnancies at Showa Medical University Hospital, between April 2021 and September 2024. Ultrasound was performed immediately before forceps application to evaluate angle of progression (AoP), head direction (HD), transperineal ultrasound (TUS) station, and midline angle (MLA) at rest and during pushing. Delta (Δ) values were calculated as differences between pushing and resting. OASI was diagnosed clinically and via transanal ultrasound. Parameters were compared between women with and without OASI. The Benjamini-Hochberg procedure corrected for multiple testing, with significance below < 0.05.Results: Among 256 women, 23 (8.9%) developed OASI. Maternal, labor, and neonatal characteristics were similar between groups. Several intrapartum ultrasound parameters were significantly associated with OASI: TUS station during pushing (median 3.2 and 4.2, p = 0.002, q = 0.012), ΔTUS station (1.1 and 1.6, p = 0.006, q = 0.042), HD at rest (28° and 38°, p < 0.0001 q < 0.001), HD during pushing (32° and 50°, p < 0.0001, q < 0.001), and ΔHD (3.2° and 10°, p = 0.0005, q = 0.004). HD during pushing showed the best predictive performance (AUC = 0.871), with an optimal cutoff of 36° (sensitivity 0.69, specificity 0.90).Conclusion: Intrapartum ultrasound, particularly HD during pushing, is a valuable predictor of OASI in forceps deliveries. A cut-off value of 36° may identify women at higher risk and improve forceps delivery safety.","PeriodicalId":50130,"journal":{"name":"Journal of Medical Ultrasonics","volume":" ","pages":"189-197"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145394803","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}

引用次数: 0

Prenatal diagnosis and outcome of meso/dextrocardia: a single-center report of 29 cases. 29例中位/右位心的产前诊断及预后

IF 2.1 4区医学

Journal of Medical Ultrasonics Pub Date : 2026-04-01 Epub Date: 2025-10-25 DOI: 10.1007/s10396-025-01583-8

Yuya Tanaka, Yoshifumi Kasuga, Keisuke Akita, Yuka Fukuma, Junko Tamai, Keita Hasegawa, Satoru Ikenoue, Daigo Ochiai, Mamoru Tanaka

{"title":"Prenatal diagnosis and outcome of meso/dextrocardia: a single-center report of 29 cases.","authors":"Yuya Tanaka, Yoshifumi Kasuga, Keisuke Akita, Yuka Fukuma, Junko Tamai, Keita Hasegawa, Satoru Ikenoue, Daigo Ochiai, Mamoru Tanaka","doi":"10.1007/s10396-025-01583-8","DOIUrl":"10.1007/s10396-025-01583-8","url":null,"abstract":"Purpose: While meso/dextrocardia, a cardiac axis abnormality, is associated with various complications and a poor prognosis, few studies have been reported. We aimed to identify and review patients at our hospital who had been diagnosed with fetal meso/dextrocardia.Methods: The medical records of 29 patients diagnosed with fetal meso/dextrocardia between April 1, 2014 and March 31, 2024 were reviewed.Results: We identified eight cases of mesocardia and 21 cases of dextrocardia (17 dextropositions and four dextroversions). Right lung hypoplasia (including 3q trisomy, esophageal bronchopleural fistula, and left pulmonary artery sling) was identified in three cases. Five cases of persistent left superior vena cava (PLSVC) were identified [isolated PLSVC (n = 2), VACTERL association (n = 1), trisomy 13 (n = 2)]. Dextroposition was linked to congenital pulmonary airway malformation (eight cases), left pulmonary sequestration (one case), congenital diaphragmatic hernia (six cases), right lung hypoplasia (one case), and VACTERL association with right lung aplasia and esophageal atresia (one case). Dextroversion was associated with asplenia syndrome (two cases), single-ventricle (one case), and Temple syndrome with PLSVC and bilateral hypoplastic pulmonary arteries (one case). Among 29 newborns, six (20.7%) died during the early neonatal period and seven (24.1%) required postnatal multidisciplinary treatment, highlighting a poor prognosis in many cases.Conclusion: While some patients, such as those with isolated PLSVC, had favorable outcomes, several cases involved severe complications requiring intensive perinatal management. When fetal meso/dextrocardia is detected, it is critical to evaluate fetal anomalies comprehensively and not limit assessment to the heart and lungs.","PeriodicalId":50130,"journal":{"name":"Journal of Medical Ultrasonics","volume":" ","pages":"179-188"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145368812","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}

引用次数: 0

"Blowfish sign" of fresh and chronic mixed-vein thrombosis in the chronic phase after the 2024 Noto Peninsula earthquake. 2024年诺托半岛地震后慢性期新鲜和慢性混合静脉血栓形成的“河豚标志”。

IF 2.1 4区医学

Journal of Medical Ultrasonics Pub Date : 2026-04-01 Epub Date: 2026-02-17 DOI: 10.1007/s10396-026-01621-z

Hiromasa Tsubouchi, Eiju Hatano, Naomi Satou, Hisateru Nishizawa, Yuzo Shimode, Takashi Kobata, Kazuhiko Hanzawa

引用次数: 0

A review of my history of research on ultrasound tissue characterization of chronic liver disease for developing ultrasound clinical technology. 综述我在慢性肝病超声组织特征研究的历史，以发展超声临床技术。

IF 2.1 4区医学

Journal of Medical Ultrasonics Pub Date : 2026-04-01 Epub Date: 2026-01-07 DOI: 10.1007/s10396-025-01595-4

Naohisa Kamiyama

引用次数: 0

Progressive left atrial dissection caused by chronic eccentric mitral regurgitant jet. 慢性偏心二尖瓣反流射流致进行性左心房夹层。

IF 2.1 4区医学

Journal of Medical Ultrasonics Pub Date : 2026-04-01 Epub Date: 2026-01-10 DOI: 10.1007/s10396-025-01596-3

Kenta Ayai, Takahisa Noma, Hiromichi Watanabe, Kaori Ishikawa, Tetsuo Minamino

引用次数: 0

Anomalous left coronary artery from the noncoronary sinus, diagnosed using transesophageal echocardiography. 左冠状动脉非冠状窦异常，经食管超声心动图诊断。

IF 2.1 4区医学

Journal of Medical Ultrasonics Pub Date : 2026-04-01 Epub Date: 2025-11-11 DOI: 10.1007/s10396-025-01591-8

Hiroyuki Takao, Koichi Toda, Akinori Hirano, Hirotaka Ishido, Takaya Hoashi, Satoshi Masutani, Takuro Kojima

引用次数: 0

Real-time visualization of human colonic vascular architecture using 33-MHz high-frequency ultrasound and superb microvascular imaging. 利用33兆赫高频超声和高超微血管成像技术实时可视化人类结肠血管结构。

IF 2.1 4区医学

Journal of Medical Ultrasonics Pub Date : 2026-04-01 Epub Date: 2025-12-17 DOI: 10.1007/s10396-025-01603-7

Satoko Arai, Gaku Ohira, Atsushi Hirata, Tetsuro Maruyama

引用次数: 0

Anatomical variation of cervical nerve roots not passing through the scalene muscle plane. 颈神经根不经斜角肌平面的解剖变异。

IF 2.1 4区医学

Journal of Medical Ultrasonics Pub Date : 2026-04-01 Epub Date: 2025-10-16 DOI: 10.1007/s10396-025-01590-9

Toru Omodani

引用次数: 0

Correction: Application of four-section approach for prenatal diagnosis of Pierre robin sequence. 更正：四节法在Pierre robin序列产前诊断中的应用。

IF 2.1 4区医学

Journal of Medical Ultrasonics Pub Date : 2026-04-01 DOI: 10.1007/s10396-025-01586-5

Xiuling Li, Lingyan Liu, Fang Yan, Xiang Yang, Guanghui Xiu, Xudong Dong

引用次数: 0