Laura Eusebi, Federica Masino, Michele Bertolotto, Manuela Montatore, Giuseppe Sortino, Lucia Pitoni, Stefano Santarelli, Andrea Benedetto Galosi, Giuseppe Guglielmi
{"title":"Contrast-enhanced ultrasound in the evaluation and management of solid renal lesions based on EFSUMB guidelines.","authors":"Laura Eusebi, Federica Masino, Michele Bertolotto, Manuela Montatore, Giuseppe Sortino, Lucia Pitoni, Stefano Santarelli, Andrea Benedetto Galosi, Giuseppe Guglielmi","doi":"10.1007/s10396-025-01546-z","DOIUrl":"10.1007/s10396-025-01546-z","url":null,"abstract":"<p><p>Contrast-enhanced ultrasound (CEUS) has become an important tool for the detection and characterization of solid renal lesions, complementing traditional B-mode US, which often struggles to distinguish between solid and cystic masses. CEUS enhances diagnostic accuracy by providing detailed vascularization information, helping to identify potentially malignant solid lesions and differentiate between pseudotumours and solid masses. Moreover, CEUS employs a contrast agent that is safe even for nephropathic patients and can be used without concern for kidney function, making it an advantageous method for renal imaging. In this narrative review, following the European Federation of Societies for Ultrasound in Medicine and Biology guidelines, the authors show its main indications: characterizing indeterminate renal lesions in patients with transplanted kidney, monitoring non-surgical lesions, diagnosing inflammatory-infectious renal pathologies, and assessing advanced renal lesions and masses in the surgical bed.</p>","PeriodicalId":50130,"journal":{"name":"Journal of Medical Ultrasonics","volume":" ","pages":"293-303"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12241257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correction: Quantification of the size of subchorionic hematoma causing pregnancy-related complications: a retrospective cohort study.","authors":"Tatsuya Yoshihara, Yasuhiko Okuda, Osamu Yoshino","doi":"10.1007/s10396-025-01540-5","DOIUrl":"10.1007/s10396-025-01540-5","url":null,"abstract":"","PeriodicalId":50130,"journal":{"name":"Journal of Medical Ultrasonics","volume":" ","pages":"357"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12241219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"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}
Tetsu Wakimoto, Saki Kunimoto, Ryo Yamamoto, Jun Sasahara, Keisuke Ishii
{"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":"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}
Jun Miyazaki, Hideyuki Hayashi, Yuta Torii, Aoi Hamano, Toshiaki Toyota, Yutaka Furukawa
{"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":"Sonographic evaluation of vascular normalization induced by lenvatinib in a patient with hepatocellular carcinoma.","authors":"Hiroshi Takahashi, Katsutoshi Sugimoto, Naohisa Kamiyama, Tatsuya Kakegawa, Takuya Wada, Hirohito Takeuchi, Takao Itoi","doi":"10.1007/s10396-025-01550-3","DOIUrl":"https://doi.org/10.1007/s10396-025-01550-3","url":null,"abstract":"","PeriodicalId":50130,"journal":{"name":"Journal of Medical Ultrasonics","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052069","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}
Masaru Yoshikai, Hisashi Sato, Motonori Uchino, Masahide Shichijo, Nobuhiko Koga
{"title":"Supravalvular aortic stenosis caused by compression of a pseudoaneurysm late after aortic root replacement.","authors":"Masaru Yoshikai, Hisashi Sato, Motonori Uchino, Masahide Shichijo, Nobuhiko Koga","doi":"10.1007/s10396-025-01547-y","DOIUrl":"https://doi.org/10.1007/s10396-025-01547-y","url":null,"abstract":"","PeriodicalId":50130,"journal":{"name":"Journal of Medical Ultrasonics","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036948","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}