Journal of Ultrasound最新文献

{"title":"Diagnostic reliability of duplex venous ultrasound for catheter-related thrombosis performed by a general intensive care nurse.","authors":"Barbora Stadlerova, Roman Skulec, Lenka Miksova, Vladimir Cerny","doi":"10.1007/s40477-025-01001-2","DOIUrl":"10.1007/s40477-025-01001-2","url":null,"abstract":"<p><strong>Introduction: </strong>It has been shown that general intensive care nurses are able to perform an examination of the deep venous system of the lower extremities for the diagnosis of proximal deep vein thrombosis (DVT) using a compression ultrasound test with a high degree of reliability. (Skulec et al. in Eur J Intern Med 76:130-131, 2020) Another challenge for the use of vascular point-of-care ultrasound in intensive care is the diagnosis of central venous catheter-related thrombosis. It is a common problem that is often underdiagnosed. Due to the simplicity of the examination and the possible link with nursing care of inserted central venous catheters, this may be another potential diagnostic competency for critical care nurses.</p><p><strong>Methodology: </strong>Before the start of the study, each nurse participating in the study completed a two-hour training in duplex ultrasonography and examined 5 patients under supervision. Then patients in the intensive care unit (ICU) included in the study, underwent a duplex ultrasound performed by a nurse. Within 24 h, the examination was repeated by the ICU doctor. In the case of catheter insertion into the internal jugular vein (VJI) or the subclavian vein (VSC), the jugular vein, subclavian vein, and axillary vein (VA) were examined bilaterally. When the catheter was inserted into the femoral vein (VF), the patients were subjected to a duplex ultrasound of the femoral vein and the popliteal vein (VP) of both lower limbs. The examination results of each patient were blinded until both tests were performed. Calculations were used to evaluate the reliability of the test.</p><p><strong>Result: </strong>A total of 160 patients aged 62.9 ± 12.3 years were included. In our sample, the prevalence of CRT was found to be 41%. The overall sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of examinations performed by general intensive care nurses were 90.8%, 97.1%, 91.8%, 96.8%, and 95.5%, respectively.</p><p><strong>Conclusion: </strong>The results of our study suggest that general ICU nurses are able to perform inpatient CRT duplex ultrasound with excellent specificity but only moderate sensitivity after a short, predefined training.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"397-403"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145396/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626696","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":"Ultrasound-guided small-bore chest drain placement: a retrospective analysis of feasibility, safety and clinical implications in internal medicine ward.","authors":"Andrea Boccatonda, Viola Tallarico, Stefano Venerato, Carla Serra, Susanna Vicari","doi":"10.1007/s40477-025-01000-3","DOIUrl":"10.1007/s40477-025-01000-3","url":null,"abstract":"<p><strong>Purpose: </strong>Massive and complex pleural effusions represent a frequent challenge for internists, particularly when patients present with significant symptoms and the hospital setting lacks dedicated thoracic surgery or interventional pneumology services.</p><p><strong>Methods: </strong>This retrospective study evaluates the effectiveness and feasibility of ultrasound-guided small-bore chest drain placement performed by internal medicine physicians with interventional ultrasound experience. We analyze procedural success rates, complication profiles, and subsequent clinical management in a cohort of patients managed in a single internal medicine ultrasound ward.</p><p><strong>Results: </strong>In our series of ten patients, ultrasound-guided drain placement was successful in all cases. No immediate major complications were encountered, and subsequent complications were minimal and manageable.</p><p><strong>Conclusion: </strong>Ultrasound-guided small-bore chest drain placement is a feasible, safe, and effective alternative to surgical chest tube insertion in selected patients in internal medicine wards, potentially avoiding the need for hospitalization or transfer to specialized thoracic surgery services.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"389-396"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143532088","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":"The correlation between metabolic dysfunction-associated steatotic liver disease (MASLD) grades and hemodynamic alterations of the portal, hepatic, and splenic vein and spleen size.","authors":"Soheila Borji, Hadi Sabat Sani, Saharnaz Ghorbani, Mohammad Soltani, Vahid Mohammadi, Reza Elahi","doi":"10.1007/s40477-024-00965-x","DOIUrl":"10.1007/s40477-024-00965-x","url":null,"abstract":"<p><strong>Introduction: </strong>Metabolic dysfunction-associated steatotic liver disease (MASLD), formerly known as non-alcoholic fatty liver disease (NAFLD), is the most prevalent chronic liver condition worldwide, affecting over 25% of the population. Fatty infiltration in MASLD leads to hemodynamic changes in hepatic circulation, which can be quantitatively assessed using Color Doppler Ultrasonography (US). In this study, we aimed to investigate the correlation of Color Doppler US findings of the portal, hepatic, and splenic venous system within various degrees of MASLD.</p><p><strong>Methods and materials: </strong>Between 2021 and 2024, 104 patients referred to Mousavi Hospital at Zanjan University of Medical Sciences were enrolled. Participants were divided into four groups based on the degree of hepatic fatty infiltration on biopsy results: normal, grade 1, grade 2, and grade 3, with 26 subjects in each group (13 men and 13 women). All patients were biopsy proved. Gray-scale and Color Doppler US were used to assess portal and splenic vein peak systolic velocity (PSV), portal and splenic vein diameter, hepatic vein waveform, and spleen size. The Spearman rank correlation was employed to evaluate the relationship between these variables under non-parametric conditions.</p><p><strong>Results: </strong>A significant negative correlation was found between portal vein PSV and MASLD grade (r = - 0.499, p = 0.000). A significant difference was also observed in hepatic venous waveform abnormality between different grades of MASLD (p = 0.043). Accordingly, portal vein PSV and splenic vein PSV had a significantly positive correlation (r = 0.209, p = 0.033). We also observed a positive correlation between the portal vein and splenic diameter (r = 0.210, p = 0.032).</p><p><strong>Conclusion: </strong>Increasing MASLD severity is associated with reduced portal vein PSV and more pronounced abnormalities in hepatic vein flow. Routine assessment of portal and hepatic vein flow using Color Doppler US is recommended to accurately diagnose and monitor the effects of MASLD on hepatic circulation, potentially improving disease management and patient outcomes.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"339-347"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632462","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":"Changes in cerebrovascular reactivity as a marker of cognitive impairment risk: a transcranial Doppler study.","authors":"Carlo Lugnan, Paola Caruso, Lucrezia Rossi, Giovanni Furlanis, Marcello Naccarato, Paolo Manganotti","doi":"10.1007/s40477-025-00986-0","DOIUrl":"10.1007/s40477-025-00986-0","url":null,"abstract":"<p><strong>Introduction: </strong>Post-stroke cognitive impairment (PSCI) and dementia affect short- and long-term outcome after stroke and can persist even after recover from a physical handicap. The process underlying PSCI is not yet fully understood. Transcranial Doppler ultrasound (TCD) is a feasible method to investigate cerebrovascular aging or dementia, through the pulsatility index (PI), the cerebrovascular reactivity (e.g. the Breath-Holding Index (BHI)) and the functional Transcranial Doppler sonography (fTCD). Aim of the study was to assess the usefulness of PI, BHI, Resistance Index (RI) and fTCD in evaluating the risk of cognitive impairment evolution in patients with minor stroke (MS), compared to patients with transient ischemic attack (TIA) and to healthy controls (HC).</p><p><strong>Material and methods: </strong>PI, RI, BHI and fTCD were evaluated in the middle cerebral artery (MCA) of MS patients, TIA and HC. Patients with MS and TIA were enrolled within six days from the cerebrovascular event (acute phase) and the tests were repeated after 180±15 days from t0 (control phase). During the TCD recording, particular sections of MoCA test and FAB test were performed.</p><p><strong>Results: </strong>43 subjects were enrolled: 13 MS, 16 TIA and 14 HC. MFV analysis in the acute phase demonstrated no difference between MFVs at rest vs MFVs during MoCA/FAB tests in TIA and MS (acute phase), a significant increase of MFVs during MoCA/FAB tests vs MFVs at rest in HC (p<0.01), a statistically significant difference in the PI of MS vs HC at rest (p=0.048) and in BHI between HC vs MS (p<0.001) and HC vs TIA (p<0.01). In the control phase the absence of a statistically significant difference in MFVs was observed only in MS patients (MFVs at rest vs MFVs during MoCA) and PI and BHI values were in the normal range both in MS and TIA. No correlation was observed between MoCA test results and MFV, PI or RI, in any of the three groups.</p><p><strong>Conclusion: </strong>A different cerebral vasoreactivity, in terms of no increase in MFV, was found when performing cognitive tasks in patients with MS and TIA compared to HC in the acute phase. TCD is a fundamental tool to study cerebral vasoreactivity.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"493-504"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043322","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":"Not everything that is red is hemangioma.","authors":"Anna Masucci, Dolores Ferrara, Elena Sammarco, Filomena Barbato, Francesca De Chiara, Raffaele Zeccolini, Francesco Esposito","doi":"10.1007/s40477-025-01005-y","DOIUrl":"10.1007/s40477-025-01005-y","url":null,"abstract":"<p><strong>Purpose: </strong>To demonstrate the utility of ultrasound and color Doppler examination in differentiating red skin lesions.</p><p><strong>Methods: </strong>We used high-frequency probes to identify common features of infantile hemangioma that can help distinguish it from other red skin lesions.</p><p><strong>Results: </strong>In the pediatric population red skin lesions are frequently encountered in clinical practice. The most common red skin lesion is infantile hemangioma, which, in most cases, can be easily diagnosed clinically. An ultrasound examination is necessary to evaluate the lesion's depth or determine its proximity to nearby critical structures. Sometimes is not easy to differentiate it from other reddish lesions with a clinical examination alone. In recent years, thanks to the development of increasingly high-frequencies ultrasound probes, it has been possible to investigate them, evaluating their ultrasound characteristics and integrating them with those of the color Doppler examination. We highlight some ultrasound and color-Doppler features that can guide through differential diagnosis between infantile hemangioma and other clinically red skin lesions such as pyogenic granuloma, idiopathic facial aseptic granuloma, juvenile xanthogranuloma, congenital myofibroma and pilomatricoma.</p><p><strong>Conclusions: </strong>Ultrasound and color Doppler have proven to be useful tools to guide differential diagnosis between skin lesions with a reddish color that can't be clearly identified as hemangiomas with a physical examination alone.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"517-525"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598359","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":"Medical students' knowledge towards ultrasound in Kurdistan region, Iraq: a cross-sectional study.","authors":"Sabah Ghafwr, Kochr Ali Mahmood, Aleen Ahmed Mahmood, Azhi Hamid Ahmad, Hokar Hazhar Ibrahim, Lavan Wali Ali, Manar Hoshyar Ahmed, Marziya Arsto Abdullah, Noor Mohammed Mahdi, Sima Awdl Abas, Solin Dldar Taher","doi":"10.1007/s40477-025-01018-7","DOIUrl":"10.1007/s40477-025-01018-7","url":null,"abstract":"<p><p>POCUS has become an indispensable modality in clinical practice due to its real-time, non-invasive imaging and accessibility. On the contrary, despite the importance of ultrasound, training is significantly variable across medical education, thereby leaving gaps in competency among graduates. In light of the aforementioned fact, ultrasound training is increasingly part of medical curricula; however, practical exposure remains limited due to logistic barriers. This cross-sectional study assesses ultrasound knowledge among 213 medical students across six academic years in the Kurdistan Region of Iraq. Results show that 95.3% of the students know that ultrasound is applied outside obstetrics, hence showing a general comprehension of its area. However, 43.7% of students wrongly believe that exposure to ultrasound radiation is involved, whereas only 56.8% appropriately recognize clinical contraindications, identifying residual misunderstandings. Knowledge improved with advancing year of study. For instance, knowledge that ultrasound is non-radiative increased from 17.6% in students in their first year to 95% in those in the sixth year (p < 0.001). Similarly, the use of ultrasound gel is known to 54.1% of the students in the first year, with this number increasing to 100% in the sixth year of study (p < 0.001). The overall ratings of students' knowledge were: fair, 86.4%; good, 8.5%; and poor, 5.2%. These results also indicate that more comprehensive ultrasound education in terms of ensuring proficiency is necessary, and misconceptions have to be dispelled among future physicians. This study is the first study which conducted in Kurdistan region of Iraq, therefore we think that it is important to know the medical students then the medical education program related to sonography can be changed according to the result.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"455-463"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991766","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":"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":"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":"531-535"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021303","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":"Multiparametric ultrasound in acute scrotum: a comprehensive review with special emphasis on contrast-enhanced ultrasound.","authors":"Maria Laura Schillirò, Valeria Lonardo, Francesca Iacobellis, Martina Caruso, Costanza Camillo, Chiara D'Errico, Francesco Verde, Francesco Muto, Giuseppina Dell'Aversano Orabona, Chiara Rinaldo, Dario Grimaldi, Vittorio Sabatino, Enrico Scarano, Maurizio Carrino, Luigi Pucci, Vito Cantisani, Gianfranco Vallone, Marco Di Serafino","doi":"10.1007/s40477-025-01017-8","DOIUrl":"10.1007/s40477-025-01017-8","url":null,"abstract":"<p><p>Acute scrotum poses diagnostic challenges due to its diverse etiology and potential severity. Multiparametric ultrasound has proven to be a fundamental and valuable imaging modality in this context, improving early-phase sensitivity through various techniques, including B-Mode, color Doppler, power Doppler, pulsed Doppler, microflow studies, and elastography. In this context, Contrast-Enhanced Ultrasound (CEUS) emerges as a rapid, safe, and valuable tool in enhancing diagnostic accuracy and therapeutic decisions for acute scrotal conditions. This study involves a detailed analysis of various ultrasound imaging techniques and investigates the optimal circumstances and methods for employing CEUS in emergency situations to improve diagnostic accuracy and therapeutic decisions. Multiparametric ultrasound plays a crucial role in diagnosing various pathologies, including testicular torsion, appendage torsion, inflammation, ischemia/infarction, and trauma. CEUS provides real-time assessment of vascular perfusion, aiding in early diagnosis and accurate characterization of scrotal pathologies and significantly reducing the need for unnecessary surgical interventions, especially in trauma cases. Its role in differentiating between various pathologies and guiding therapeutic decisions underscores its importance in clinical practice, contributing significantly to improve patient outcomes.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"305-321"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026168","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":"Comparative ultrasonographic assessment of supraspinatus, infraspinatus, and biceps tendon thickness in bodybuilders and non-sportsperson.","authors":"Najmeh Pirasteh, Hamid Reza Farpour, Parisa Najafi, Mohammad Hossein Jabbedari","doi":"10.1007/s40477-025-01004-z","DOIUrl":"10.1007/s40477-025-01004-z","url":null,"abstract":"<p><strong>Background: </strong>Healthy tendons are crucial for sportspersons to prevent injuries. While resistances exercise is known to increase muscle size and composition, its impact on tendon thickness remains unclear. This study investigated potential differences in tendon thickness between bodybuilders and non-sportsperson control group and their association with training intensity/duration in bodybuilders.</p><p><strong>Methods: </strong>Forty men in the age range 18 to 40 were included in the study. Fifteen bodybuilders (2-3 weekly upper body resistance training sessions, moderate-to-high intensity, > 6 months) and 25 non-sportsperson controls participated. All were free of tendon injuries in the studied muscles (biceps, supraspinatus, infraspinatus). Two independent physiatrists measured tendon thickness using ultrasound.</p><p><strong>Results: </strong>No significant differences in tendon thickness were found between bodybuilders and non-sportsperson controls (dominant/non-dominant sides). However, within the bodybuilding group, tendon thickness showed strong positive correlations with both training intensity (r = 0.59-0.84) and exercise duration (r = 0.71-0.88).</p><p><strong>Conclusion: </strong>This study found no overall group differences in tendon thickness between bodybuilders and non-sportsperson controls. However, for bodybuilders, increased training intensity and duration were associated with thicker tendons. Further research with larger samples and advanced techniques is warranted to understand the complex relationship between resistance training and tendon adaptations.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"405-412"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145356/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588184","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":"Contrast-enhanced ultrasonography (CEUS) in the management of pediatric renal injuries: where are we now?","authors":"Dacia Di Renzo, Cristina Gentile, Antonello Persico, Giuseppe Lauriti, Francesco Chiarelli, Gabriele Lisi","doi":"10.1007/s40477-025-01011-0","DOIUrl":"10.1007/s40477-025-01011-0","url":null,"abstract":"<p><strong>Purpose: </strong>Experience with CEUS in management of kidney post-traumatic injuries is limited, especially in pediatric age. This paper aimed to identify: clinical settings in which CEUS could be used as first diagnostic tool, skipping CT; CEUS ability to detect complications during non-operative management (NOM); and CEUS role in patients with collecting system injuries.</p><p><strong>Methods: </strong>Patients with renal trauma admitted between 2003 and 2023 were enrolled in a retrospective study. At T0, CT was performed in case of high-energy trauma, CT or CEUS in case of low-energy or/and localized trauma. CEUS was used during follow up (FU) in case of suspected complications and to follow healing of the lesions and urinomas.</p><p><strong>Results: </strong>Among 22 patients included, at T0 20/22 performed CT, 1/22 CEUS and 1/22 baseline US. During NOM CEUS was necessary: in early FU to rule out complications in 3/22 (1 anemization and 2 hematuria); in middle FU in 14/22 to authorize mobilization/discharge and monitor urinomas; in outpatient setting in 2/22, to authorize return to sport activities. Overall, a collecting system injury was detected in 6 patients by CT and in 1 by CEUS. In 3/7 a perirenal urinoma developed. All were monitored with CEUS or baseline US.</p><p><strong>Conclusions: </strong>CEUS is useful as first imaging study in low-energy and localized trauma, but confidence with CEUS is still to be improved and spread, to replace CT in selected cases. CEUS is valuable for detecting complications, avoiding repeat CT in most of cases. In expert hands CEUS can identify and monitor leakage indirectly.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"429-436"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694401","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}