{"title":"A nephrology trainee can define the fluid status through lung ultrasonography and inferior vena cava measurements in hemodialysis patients: an observational study in a single center.","authors":"Christodoulos Keskinis, Stylianos Panagoutsos, Eleni Soilemezi, Panagiotis Pateinakis, Parthena Kyriklidou, Evangelos Memmos, Dorothea Papadopoulou, Ploumis Passadakis","doi":"10.1007/s40477-024-00903-x","DOIUrl":"10.1007/s40477-024-00903-x","url":null,"abstract":"<p><strong>Aims: </strong>The determination of ideal weight in hemodialysis patients remains a common problem. The use of Lung Ultrasound (LUS) is an emerging method of assessing the hydric status of hemodialysis patients. LUS combined with Inferior Vena Cava (IVC) ultrasonography can define the fluid status in hemodialysis patients.</p><p><strong>Methods: </strong>This study included 68 hemodialysis patients from the Dialysis Unit of Papageorgiou General Hospital in Thessaloniki. The patients underwent lung and IVC ultrasound 30 min before and after the end of the dialysis session by a nephrology trainee. Patients' ideal weight was modified based on daily clinical practice rather than ultrasound findings. The presence of B lines and ultrasound findings of the IVC were evaluated.</p><p><strong>Results: </strong>The average B line score was 11.53 ± 5.02 before dialysis and became 5.57 ± 3.14 after the session. The average diameter of the IVC was 14.266 ± 0.846 mm before dialysis and 12.328 ± 0.879 mm after the session. The patients were categorized based on the magnitude of overhydration and the findings were evaluated. In addition, findings after the session showed a statistically significant correlation between the b line score and the diameter of the IVC adjusted for the body surface area. (p = 0.009 < 0.05).</p><p><strong>Conclusions: </strong>A high rate of hyperhydration was detected before the dialysis session (25%). While it is the first study conducted by a nephrology trainee highlighting that it is a feasible technique. Intervention studies should be carried out in the future to draw more precise conclusions.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496488/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141312315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of UltrasoundPub Date : 2024-12-01Epub Date: 2024-07-17DOI: 10.1007/s40477-024-00931-7
K Shirodkar, G K Sharma, P Kaur, K P Iyengar, M Hussein, R Botchu
{"title":"GIBPS technique-a novel sequential technique of performing shoulder corticosteroid injections.","authors":"K Shirodkar, G K Sharma, P Kaur, K P Iyengar, M Hussein, R Botchu","doi":"10.1007/s40477-024-00931-7","DOIUrl":"10.1007/s40477-024-00931-7","url":null,"abstract":"<p><p>The introduction of the xxxxxxxx (GIBPS) technique represents a patient-centric novel and innovative method of ultrasound guided corticosteroid injection targeting the Glenohumeral joint (GHJ) and the Subacromial-Subdeltoid (SASD) bursa in a sequential manner, in the same setting. By integrating the two different sites of injection into a single technique, the procedure has the potential of transforming musculoskeletal interventional radiology and maximising patient care in shoulder pathologies. This procedure aims to reduce patient discomfort, optimise procedural efficiency, and enhance treatment precision through ultrasound guidance and improve the overall patient experience.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141629263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of UltrasoundPub Date : 2024-12-01Epub Date: 2024-03-28DOI: 10.1007/s40477-023-00867-4
Ann T Foran, Luis Octavio Tierradentro-Garcia, Sophie Haddad, Santiago Martinez-Correa, Misun Hwang
{"title":"Microvascular imaging findings in infants with bacterial meningitis: a case series.","authors":"Ann T Foran, Luis Octavio Tierradentro-Garcia, Sophie Haddad, Santiago Martinez-Correa, Misun Hwang","doi":"10.1007/s40477-023-00867-4","DOIUrl":"10.1007/s40477-023-00867-4","url":null,"abstract":"<p><p>Bacterial meningitis is a severe and life-threatening disease that rapidly progresses in neonates and infants; prompt diagnosis and appropriate treatment are lifesaving. Magnetic resonance imaging remains the primary imaging technique for diagnosing meningitis; however, due to its limited availability and cost, ultrasound is often used for initial screening. Microvascular imaging ultrasound (MVI) is an emerging technique that offers insight into the brain microvasculature beyond conventional ultrasound. Here we present three patients with confirmed bacterial meningitis and associated cerebral microvascular findings on brain MVI to instigate further validation of cerebral microvascular imaging markers of bacterial meningitis for early detection and intervention.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of UltrasoundPub Date : 2024-12-01Epub Date: 2024-06-25DOI: 10.1007/s40477-024-00914-8
Giulia Fichera, Roberto Stramare, Gianni Bisogno, Rolf Wyttenbach, Barbara Simonetti Goeggel, Filippo Del Grande, Chiara Giraudo, Marirosa Cristallo Lacalamita
{"title":"Neonatal cerebral ultrasound: anatomical variants and age-related diseases.","authors":"Giulia Fichera, Roberto Stramare, Gianni Bisogno, Rolf Wyttenbach, Barbara Simonetti Goeggel, Filippo Del Grande, Chiara Giraudo, Marirosa Cristallo Lacalamita","doi":"10.1007/s40477-024-00914-8","DOIUrl":"10.1007/s40477-024-00914-8","url":null,"abstract":"<p><p>Cerebral ultrasound is a non-invasive imaging technique widely used for the assessment of brain anatomy and diseases in neonates and infants. Indeed, it allows a precise characterization of common variants such as cavum septum pellucidum or diseases like intraventricular hemorrhage. The aim of this pictorial review is to provide a comprehensive overview of the main ultrasound features of the most common cerebral anatomical variants and disorders detectable by cerebral ultrasound using an age-related approach which could support non-subspecialized radiologists.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141452100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of UltrasoundPub Date : 2024-12-01Epub Date: 2024-06-19DOI: 10.1007/s40477-023-00861-w
Francesco M Drudi, Roberto Maroncelli, Flavia Angelini, Maurizio Renda, Gianluca Maglia, Michele Bertolotto, Vito Cantisani
{"title":"Unusual application of twinkling artifact.","authors":"Francesco M Drudi, Roberto Maroncelli, Flavia Angelini, Maurizio Renda, Gianluca Maglia, Michele Bertolotto, Vito Cantisani","doi":"10.1007/s40477-023-00861-w","DOIUrl":"10.1007/s40477-023-00861-w","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of this paper is to show how to improve diagnostic accuracy using CDUS and twinkling artifact in patients experiencing discomfort due to the presence of small FBs in the soft tissues not clearly visible at US grayscale examination.</p><p><strong>Materials and methods: </strong>We enrolled 7 adult patients presenting with small (2-4 mm) superficial FBs located in the subcutaneous and muscle tissues, barely or not detectable on US grayscale. All patients underwent US grayscale and CDUS examinations.</p><p><strong>Results: </strong>We identified superficial FB with twinkling artifact in all 7 patients. All of these were confirmed to represent foreign bodies after surgical excision.</p><p><strong>Conclusion: </strong>TA is useful in the evaluation of subcutaneous and muscular FBs and provides information on their location, depth and shape, which is useful if surgical excision is required.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of UltrasoundPub Date : 2024-12-01Epub Date: 2024-08-06DOI: 10.1007/s40477-024-00935-3
Mariana S Barbagianni, Stefanos G Georgiou, Pagona G Gouletsou, Apostolos D Galatos, Irene Valasi, Elena Pappa, Anargyros T Karatrantos, Athanasios Giannoukas
{"title":"Imaging of experimental venous thrombus by means of Doppler and CEUS techniques in dogs.","authors":"Mariana S Barbagianni, Stefanos G Georgiou, Pagona G Gouletsou, Apostolos D Galatos, Irene Valasi, Elena Pappa, Anargyros T Karatrantos, Athanasios Giannoukas","doi":"10.1007/s40477-024-00935-3","DOIUrl":"10.1007/s40477-024-00935-3","url":null,"abstract":"<p><p>Venous thrombosis has been widely studied in humans, but not in dogs. This study was designed to evaluate a venous thrombus in dogs, from creation to solution, by means of various ultrasonographic techniques. Nine healthy Beagle dogs were included in the study. The venous thrombus was formatted by puncturing the lumen of the external jugular veins and then, the veins were examined with B-mode, color Doppler, pulsed-wave Doppler, and contrast-enhanced ultrasound (CEUS) techniques, at regular intervals, within 210-270 min after venipuncture. Haemodynamic parameters were calculated at two different locations, before and after the site of the thrombus formation. The existence of a thrombus was confirmed by CEUS technique. Thrombus volume and echogenicity were evaluated. The results showed that the visualization of the venous thrombus by color Doppler modality was not feasible in some veins. The blood volume was the parameter that could more precisely indicate the presence or absence of a thrombus. In cases where thrombus volume was less than 0.001 cm<sup>3</sup>, it was impossible to detect its presence using haemodynamic parameters. The CEUS imaging depicted accurately the size and shape of an anechoic venous thrombus, even when its volume was 0.001cm<sup>3</sup>.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of UltrasoundPub Date : 2024-12-01Epub Date: 2024-07-12DOI: 10.1007/s40477-024-00930-8
Carmelo Pirri, Nina Pirri, Carla Stecco, Veronica Macchi, Raffaele De Caro, Andrea Porzionato
{"title":"Optimizing healthcare in space: the role of ultrasound imaging in medical conditions.","authors":"Carmelo Pirri, Nina Pirri, Carla Stecco, Veronica Macchi, Raffaele De Caro, Andrea Porzionato","doi":"10.1007/s40477-024-00930-8","DOIUrl":"10.1007/s40477-024-00930-8","url":null,"abstract":"<p><p>In the context of long-distance space travel, managing medical conditions presents unique challenges due to communication delays. Consequently, onboard physicians must possess proficiency in diagnostic tools such as ultrasound, which has demonstrated its efficacy in the Space. However, there is a notable lack of comprehensive discussion regarding its effectiveness in handling medical scenarios in the Space. This bibliometric and systematic review aims to provide an updated analysis of the evidence supporting the role of ultrasound imaging in diagnosing medical conditions within microgravity environments.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of UltrasoundPub Date : 2024-12-01Epub Date: 2024-08-10DOI: 10.1007/s40477-024-00924-6
Logeswaran Selvarajah, Mark Cresswell, Romain David, Paul Winston, Timothy Murray
{"title":"Trans-axillary sonography in the ABER (ABduction and External Rotation) position: a window to the subscapularis, teres major and latissimus dorsi.","authors":"Logeswaran Selvarajah, Mark Cresswell, Romain David, Paul Winston, Timothy Murray","doi":"10.1007/s40477-024-00924-6","DOIUrl":"10.1007/s40477-024-00924-6","url":null,"abstract":"<p><p>Shoulder ultrasound is a key tool used by musculoskeletal practitioners to diagnose and treat a variety of upper girdle diseases. While magnetic resonance imaging is the cornerstone of shoulder imaging, sonography is readily available, practical and superior in its ability for dynamic assessment of musculoskeletal pathologies. The subscapularis, teres major and latissimus dorsi muscles are commonly involved in a myriad of pathology including myofascial pain and spasticity. There is scarce literature on the assessment of these muscles for diagnostic and therapeutic purposes. Conventional approaches to shoulder ultrasound have not included a dedicated assessment of the subscapularis muscle due to its inherent anatomical location deep to the scapular blade which blocks sound wave penetration. We describe an approach to visualizing the subscapularis muscle as a short addition to the established shoulder sonography format, which also permits assessment of both the latissimus dorsi and teres major muscles, which are important muscles for shoulder spasticity. The patient is imaged in a semi-recumbent position with the arms elevated above and behind the head in the ABduction and External Rotation (ABER) position. The relative ease of positioning and sonographic access to the musculature coupled with the potential for assessment and intervention makes this approach extremely desirable to the musculoskeletal practitioner looking to diagnose or treat muscle belly pathologies of the subscapularis, teres major or latissimus dorsi.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of UltrasoundPub Date : 2024-12-01Epub Date: 2024-09-21DOI: 10.1007/s40477-024-00956-y
Sheila Veronese, Alessandro Picelli, Andrea Zoccatelli, Domenico Amuso, Roberto Amore, Nicola Smania, Alessio Frisone, Andrea Sbarbati, Antonio Scarano
{"title":"Morphological characterization of two dermal and hypodermal alterations in an adult man: surgical scar vs. stretch mark.","authors":"Sheila Veronese, Alessandro Picelli, Andrea Zoccatelli, Domenico Amuso, Roberto Amore, Nicola Smania, Alessio Frisone, Andrea Sbarbati, Antonio Scarano","doi":"10.1007/s40477-024-00956-y","DOIUrl":"10.1007/s40477-024-00956-y","url":null,"abstract":"<p><p>Scars and stretch marks are extremely common. For scars, evidence of alterations of the dermal and hypodermic layers is known, while for stretch marks, less data are available, and they are considered purely aesthetic conditions. The intra- and inter-subject variability of the skin makes the comparison between these two particularly complex. This study presents the case of a 54-year-old man who had both stretch marks and a surgical scar on his abdomen. We performed ultrasound and elastosonographic investigations for both to analyse the structural alteration of the skin and subcutaneous layers. Their structures were also compared to the structure of intact skin. The two skin conditions appeared substantially morphologically different and different from intact skin. The alterations detected, particularly of the connective structures, allow us to state that both scars and stretch marks are alterations of both the dermis and the hypodermis and stretch marks differ from scars.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exploring discrepancies in muscle analysis with ImageJ: understanding the impact of tool selection on echo intensity and muscle area measurements.","authors":"Shabnam Lateef, Odessa Addison, Li-Qun Zhang, Vicki Gray, Marcel B Lanza","doi":"10.1007/s40477-024-00934-4","DOIUrl":"10.1007/s40477-024-00934-4","url":null,"abstract":"<p><strong>Purpose: </strong>The aim was to compare the use of different tools within the ImageJ program (polygon vs. segmented line) and their impact on the calculation of muscle area and echo intensity (EI) values in ultrasound imaging of the vastus lateralis muscle.</p><p><strong>Methods: </strong>Thirteen volunteers participated in this study. Ultrasound images of the vastus lateralis muscle were acquired using 2D B-mode ultrasonography and analyzed using both the polygon and segmented line tools by the same evaluator. The intraclass correlation coefficient (ICC) and coefficient of variation (CV) assessed the tools' reliability. Bland-Altman plots were employed to verify the agreement between measurements, and linear regression analysis determined proportional bias. A paired t-test was conducted to analyze differences between the tools.</p><p><strong>Results: </strong>The reliability between tools for muscle area calculation was weak (r = 0.000; CV = 138.03 ± 0.34%), while it was excellent for EI (r = 0.871; CV = 15.19 ± 2.96%). The Bland-Altman plots indicated a large bias for muscle area (d = 195.2%) with a proportional bias (p < 0.001). For EI, the bias was (d = 15.2) with proportional bias (p = 0.028). The paired t-test revealed significant differences between the tools for area (p < 0.001) but not for EI (p = 0.060).</p><p><strong>Conclusion: </strong>The study found significant differences in measurements obtained with the polygon and segmented line tools in ImageJ, with the polygon tool showing higher values for muscle area and lower values for EI.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496482/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141767981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}