Journal of Ultrasound最新文献

{"title":"MRI directed US for rectosigmoid endometriosis provides added value for preoperative planning.","authors":"Ceylan Colak, Sherry S Wang, Tatnai L Burnett, Wendaline M VanBuren","doi":"10.1007/s40477-025-01028-5","DOIUrl":"https://doi.org/10.1007/s40477-025-01028-5","url":null,"abstract":"<p><p>Endometriosis is a multifocal disease of pelvis affecting mostly reproductive age women. It can involve genital and extra genital organs. The gastrointestinal tract including rectum and sigmoid colon is the most affected extragenital site. Bowel involvement can change the surgery from simple shaving to resection based on depth of invasion and disease distribution. Benefit of ultrasound for bowel endometriosis, especially for rectum and rectosigmoid colon have been reported, however MRI directed ultrasound, particularly for the lesions which demonstrate indeterminate depth of wall invasion and multifocal bowel involvement hasn't been reported. Here we present a case of rectosigmoid endometriosis evaluated with preoperative MRI directed ultrasound, which provided better visualization of muscularis propria invasion of the bowel and multifocal lesions.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultrasound detection of isolated lumbar transverse process fractures: a case series.","authors":"Alessandro Biglia, Valentina Morandi, Francesco Maggiore, Luigi Mario Castello, Danilo Donati, Roberto Tedeschi, Laura Langone, Fabio Vita, Giovanni Bonacchi, Salvatore Massimo Stella, Barbara Ciampi, Stefano Galletti, Marco Becciolini","doi":"10.1007/s40477-025-01009-8","DOIUrl":"https://doi.org/10.1007/s40477-025-01009-8","url":null,"abstract":"<p><strong>Objective: </strong>To propose the usefulness of ultrasound (US) examination in diagnosing isolated lumbar transverse process fractures (ILTPF) in minor trauma as a first-line imaging and decision-making process.</p><p><strong>Methods: </strong>We report six cases of patients, who suffered from vertebral fractures after blunt trauma or sports injuries and were diagnosed with ILTPF. Data were collected from personal records and images were obtained by different doctors using the US. The results were confirmed by X-ray or magnetic resonance imaging.</p><p><strong>Results: </strong>In two cases, US-examination was able to detect ITPF after a conventional X-ray was apparently normal. In the other four cases, US-examination allowed to discover of the fractures and subsequently, they were confirmed by MRI or X-ray.</p><p><strong>Conclusion: </strong>Our cases demonstrated the usefulness of the ultrasound technique, as a first-line imaging, for spine trauma in diagnosing ITPF, in the context of minor trauma. In two cases ultrasound showed superiority to X-ray in finding the fractures.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144132026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultrasound assessment of the distal pectoralis major: identification of two distinct tendons.","authors":"Renaud Guiu, Vincent Martinel, Frank Lapègue, Leonard Tanko Tankeng, Jean-David Werthel, Charles Schlur","doi":"10.1007/s40477-025-01026-7","DOIUrl":"https://doi.org/10.1007/s40477-025-01026-7","url":null,"abstract":"<p><strong>Purpose: </strong>Distal pectoralis major pathology is complex. Recent anatomical findings have identified the deltopectoral tendon, a structure distinct from the pectoralis major tendon, originating from the clavicular bundle and merging with the distal deltoid tendon. This study aims to characterize the deltopectoral tendon, assess its consistency, and define its relationship to the pectoralis major tendon to improve the understanding of distal pectoralis major pathology.</p><p><strong>Methods: </strong>This study consisted of a prospective, monocentric, observational cohort design. Forty-six volunteer subjects with no history of trauma to the pectoralis major muscle underwent a systematic ultrasound examination of the muscle's connective skeleton. Complementing this prospective data, a retrospective review of five ultrasound scans documenting pectoralis major injuries was performed.</p><p><strong>Results: </strong>The deltopectoral tendon was consistently identified on ultrasound. It was observed emerging between the deltoid and the clavicular bundle, adhering superficially to the terminal portion of the pectoralis major tendon, and merging with the anterior intramuscular tendon of the deltoid. The pectoralis major tendon, originating from the sternal and abdominal muscular portions and measuring 32 mm in length, 42 mm in width, and 2.1 mm in thickness, should be analysed independently of the clavicular bundle.</p><p><strong>Conclusion: </strong>The distal insertion of the pectoralis major consists of two distinct tendons: the pectoralis major tendon and the deltopectoral tendon. The presence of an intact clavicular bundle, signifying the persistence of the deltopectoral tendon, may coexist with a complete rupture of the pectoralis major tendon and should not be mistaken for a partial, non-surgical injury.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An orphan structure: the plantaris tendon.","authors":"Hilmi Berkan Abacıoğlu, Ondrej Nanka, Berkay Yalçınkaya, Levent Özçakar","doi":"10.1007/s40477-025-01022-x","DOIUrl":"https://doi.org/10.1007/s40477-025-01022-x","url":null,"abstract":"","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A novel approach to physician assistant ultrasound education: the fast eFAST.","authors":"Harrison Steins, Zach Ryan, Ethan Kromberg, Sarah Boulos","doi":"10.1007/s40477-025-01024-9","DOIUrl":"https://doi.org/10.1007/s40477-025-01024-9","url":null,"abstract":"<p><strong>Purpose: </strong>This study evaluated a novel method of teaching physician assistant (PA) students the Extended Focused Assessment with Sonography in Trauma (eFAST) point-of-care ultrasound (POCUS) examination and sought to determine the optimal workshop duration and gain feedback on workshop administration, format, and application by PA students in future clinical scenarios.</p><p><strong>Methods: </strong>Prospective cohort analysis evaluating a POCUS eFAST training modality administered to first-year PA students. Students completed a pre-test evaluating experience and comfortability with POCUS, principles of imaging and optimization, and the eFAST exam. Researchers delivered didactic training on the use of eFAST and hands-on sessions. Students completed a post-test evaluation and demonstrated proficiency with the modality by performing an eFAST scan. The evaluation of the effectiveness of this training on knowledge and hands-on skills was determined through a statistical comparison of scores between a pre-and post-test.</p><p><strong>Results: </strong>The cohort consisted of 16 PA students with the majority completing both the pre- and post-tests (response rate: 94%, n = 15). Post-training scores showed a significant improvement in knowledge with an increase of 77.6% (p < 0.01). All respondents (n = 14) reported that POCUS would be \"Somewhat to Very Beneficial\" in their future practice as PAs, with a moderate increase from Somewhat Beneficial to Very Beneficial post-training.</p><p><strong>Conclusions: </strong>These results indicate that our novel training was effective at teaching the eFAST procedure, normal anatomy, pathology, and clinical decisions based on findings. Participants agreed that POCUS could be a valuable tool for emergency care provided by PAs.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultrasound diagnosis of appendiceal tumor with synchronous liver metastasis mimicking acute appendicitis and liver abscess.","authors":"L Tarantino, P Di Sario, R A Nasto, A Nasto, L Pellegrini, S Sellitto","doi":"10.1007/s40477-025-01021-y","DOIUrl":"https://doi.org/10.1007/s40477-025-01021-y","url":null,"abstract":"<p><p>Appendiceal tumors (AT) are rare gastrointestinal cancers with high incidence of synchronous and metachronous colorectal cancer metastases. AT are rarely associated with hepatic metastases. Sometimes, metastases are the first evidence of the tumor. We report the clinical, surgical and imaging records of a female patient, 81 years old, admitted for a suspect liver abscess, only subsequently diagnosed as metastasis from an undiagnosed AT. Ultrasound (US) based imaging techniques, such as Color-Doppler Ultrasound, Contrast enhanced US, US-guided biopsy of the hepatic nodule played an important role in the assessment of the definitive diagnosis.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"B-mode and contrast-enhanced ultrasound versus magnetic resonance imaging in hepatic angiomyolipoma: a case report.","authors":"Andrea Balbinot, Sofia Maria Bakken, Nicola Venturoli, Deborah Malvi, Elisa Albertini, Maria Giulia Pirini, Antonietta D'Errico, Carla Serra","doi":"10.1007/s40477-025-01015-w","DOIUrl":"https://doi.org/10.1007/s40477-025-01015-w","url":null,"abstract":"<p><p>Angiomyolipoma is a solid mesenchymal tumour that usually affects the kidney. Hepatic localization of angiomyolipoma (HAML) is rare and usually asymptomatic however it presents a challenging differential diagnosis. We present the case of a 45-year-old man affected by tuberous sclerosis complex type 2 (TSC2) and an hepatic lesion suspected to be hepatocellular carcinoma on magnetic resonance but whose Bmode ultrasound and contrast-enhanced ultrasound (CEUS) findings were consistent with benignity, as confirmed by histology.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A lost race against time-a rare case of AL amyloidosis.","authors":"Inês Conde, Mónica Dias, Sofia Fernandes, Nuno Antunes, Rui Flores, Carlos Galvão Braga","doi":"10.1007/s40477-025-01020-z","DOIUrl":"https://doi.org/10.1007/s40477-025-01020-z","url":null,"abstract":"<p><strong>Introduction: </strong>Amyloidosis is a rare multi-system disease that can affect the heart. Recent advances have been made in finding successful treatments for these patients. Nonetheless, cardiac amyloidosis continues to carry high morbidity and mortality.</p><p><strong>Case presentation: </strong>This case refers to a 52-year-old man presenting with signs and symptoms of heart failure. Electrocardiogram showed q waves in V1-V3 and T wave inversion in the inferior and lateral leads. Echocardiography revealed moderate concentric left ventricular hypertrophy, with preserved biventricular systolic function and no other changes. Cardiac magnetic resonance showed severe left ventricular hypertrophy and diffuse fibrosis, suggesting infiltrative cardiomyopathy. Given these findings, a diagnosis of amyloidosis was considered and complementary tests were requested. Laboratory tests showed elevation of Kappa light chains in urine, with normal serum light chains. Cardiac scintigraphy with Tec99m-DPD showed increased cardiac uptake. Genetic testing showed no clinically relevant variants in the TTR gene. Salivary gland and abdominal fat biopsy demonstrated no deposition of amyloid substance. Bone marrow evaluation demonstrated the presence of 0.8% plasma cells (99.2% clonal). Given that a high degree of suspicion remained, an endocardial biopsy was performed and immunohistochemical staining revealed deposits of kappa light chains, suggesting AL amyloidosis. However, in the course of the clinical investigation, the patient's condition progressively deteriorated. By the time AL amyloidosis was diagnosed and targeted therapy initiated, the patient was already severely debilitated, ultimately leading to a short-term fatal outcome.</p><p><strong>Comment: </strong>Amyloidosis, often undiagnosed early, can severely affect multiple organs, particularly the heart, leading to poor prognosis without timely intervention. In this case, AL amyloidosis, a type where plasma cells produce amyloidogenic light chains, was identified. The patient's late diagnosis led to rapid progression and treatment with chemotherapy and steroids; however, his condition deteriorated quickly, resulting in a fatal outcome.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ectopia cordis with multiple congenital malformations: rare but real.","authors":"Shruti Thakur, Sumala Kapila, Charu Smita Thakur, Narender Thakur","doi":"10.1007/s40477-025-01023-w","DOIUrl":"https://doi.org/10.1007/s40477-025-01023-w","url":null,"abstract":"<p><p>Ectopia cordis is a rare congenital defect where in a portion or the entire heart is mispositioned outside the thoracic cage. The exact cause is not clear. It may present as an isolated anomaly or may be associated with other congenital malformations. Once detected on antenatal sonography, a detailed anatomical and high-quality cardiac scan of the fetus is warranted. The prognosis is poor, and most infants are stillborn or die in early neonatal life. Early diagnosis is essential as it has consequences on the method of termination of pregnancy and its safety profile. We report a case of ectopia cordis with associated multiple congenital malformations that included ventriculomegaly, omphalocele with herniation of liver and intestines, and bilateral clubfeet. In view of the scarcity of data regarding this unusual condition and its association with multiple anatomic defects and limited clinical experience with its management, medical termination of pregnancy is desirable.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prospective ultrasonographic evaluation of femoral and vastus intermedius muscles as predictors of ICU-acquired weakness in critically ill patients.","authors":"A M Chaves, S J Torres, L Palacios, J I Alvarado, M V Stozitzky, C A Santacruz H","doi":"10.1007/s40477-025-01013-y","DOIUrl":"https://doi.org/10.1007/s40477-025-01013-y","url":null,"abstract":"<p><strong>Purpose: </strong>Intensive care unit-acquired weakness (ICU-AW) is associated with poor functional outcomes and increased healthcare costs. This study aimed to evaluate the diagnostic performance of muscular ultrasound (MUS) measurements in predicting ICU-AW and identify potential predictors.</p><p><strong>Methods: </strong>Forty-three surgical and medical ICU patients underwent serial MUS measurements of the femoral cross-sectional area (Fcsa) and femoral + vastus intermedius thickness (F + VIth) on days 1, 3 and 5 post-ICU admission. Patients were categorized as having ICU-AW (Medical Research Council (MRC) sum score < 48 at discharge) or not. Univariate and multivariate logistic regression analyses were performed to identify predictors of ICU-AW. The diagnostic performance of MUS measurements was assessed via receiver operating characteristic (ROC) curves. Clinical outcomes (ICU length of stay, ventilator days, extubation failure) were compared between the groups.</p><p><strong>Results: </strong>Patients with ICU-AW (n = 12, 28%) showed a significant reduction in the Fcsa from Day 1 to Day 5 (p < 0.001). Univariate analysis revealed significant associations between ICU-AW and the Apache II score (OR 1.12, p = 0.03), SOFA score (OR 1.32, p = 0.008), and Day 1 F + VIth score (OR 0.23, p = 0.05). Multivariate analysis confirmed a significant association with the SOFA score (OR 1.35, p = 0.04) and a trend toward an F + VIth score of Day 1 (OR 0.12, p = 0.09). The day 1 Fcsa and F + VIth demonstrated moderate predictive capabilities for ICU-AW (ROC-AUC values of 0.72 and 0.82, respectively). ICU-AW patients experienced longer ICU stays, more ventilator days, and higher extubation failure rates.</p><p><strong>Conclusion: </strong>Preexisting low muscle mass, combined with a high SOFA score, may be a stronger predictor of ICU-acquired weakness than the degree of subsequent muscle loss.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}