Journal of Ultrasound最新文献_第2页

Pericapsular Nerve Group block in the emergency department for hip fractures: a clinical protocol.

IF 1.3

Journal of Ultrasound Pub Date : 2025-03-03 DOI: 10.1007/s40477-025-00999-9

Vinay Saggar, Anirudh Ramachandran, Michael Halperin, Lorena Abril, Aamir Bandagi, Ariella Gartenberg, Trevor Dixon, Nicole Leonard-Shiu, Michelle A Montenegro, Maninder Singh, Jeremy Sperling, Jonathan Maik

引用次数: 0

Sonographic diagnosis of radiographically undetectable bennet fracture. 影像学无法检测到的本内特骨折的超声诊断。

IF 1.3

Journal of Ultrasound Pub Date : 2025-03-01 Epub Date: 2024-05-01 DOI: 10.1007/s40477-024-00901-z

Stefania Laura Calvisi, Diana Olarte, Marco Meloni, Stefano Bianchi

引用次数: 0

Comparing the efficacy of multiple quantitative and qualitative ultrasound parameters for the diagnosis of carpal tunnel syndrome. 比较多种定量和定性超声参数对诊断腕管综合征的功效。

IF 1.3

Journal of Ultrasound Pub Date : 2025-03-01 Epub Date: 2024-10-16 DOI: 10.1007/s40477-024-00959-9

Isha Gupta, Shashank Sharma, Kshitij Gupta, Meenu Bagarhatta, Naima Mannan, Parul Gupta, Vikas Jhanwar, Deepak Gupta, Jitendra Yadav

{"title":"Comparing the efficacy of multiple quantitative and qualitative ultrasound parameters for the diagnosis of carpal tunnel syndrome.","authors":"Isha Gupta, Shashank Sharma, Kshitij Gupta, Meenu Bagarhatta, Naima Mannan, Parul Gupta, Vikas Jhanwar, Deepak Gupta, Jitendra Yadav","doi":"10.1007/s40477-024-00959-9","DOIUrl":"10.1007/s40477-024-00959-9","url":null,"abstract":"Purpose: Carpal tunnel syndrome (CTS) is a compression neuropathy causing significant morbidity. Over the years, ultrasound has been evaluated as an alternative to nerve conduction study (NCS) for diagnosing CTS, however, there is no consensus as to which ultrasound parameter is the best. Our study aimed to determine and compare the efficacy of various ultrasound-based variables for diagnosis of CTS.Methods: 80 patients with clinical suspicion of CTS underwent ultrasound examination with calculation of cross-sectional area (CSA), delta CSA, wrist forearm ratio (WFR), palmer bowing (PB), flattening ratio (FR), flexor retinaculum thickness (FT), and evaluation of echogenicity and vascularity of median nerve. NCS was taken as the gold standard and the diagnostic efficacy of all these variables was compared, followed by receiver operator curve (ROC) analysis.Results: Delta CSA had the highest accuracy (91.25%), followed by CSAc (80%), WFR (78.75%), and PB (73.75%). Youden's index and sensitivity were highest for delta CSA (0.783 and 96.15% respectively), while specificity was highest for FT (89.29%). The highest area under the curve was noted for delta CSA (97.1%), followed by WFR (AUC = 87.4%) and CSAc (AUC = 86.0%).Conclusion: Delta CSA was found to be the best ultrasound parameter for diagnosis of CTS, followed by CSAc, WFR, and PB, and can be used as an alternative to NCS. Using ROC analysis this study also predicted the best cut-off values for these parameters which could improve their diagnostic accuracy and further research is needed to confirm these findings.","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"43-52"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480418","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}

引用次数: 0

Ceus features of liver pecoma: a case report and literature review. 肝壁细胞瘤的Ceus特征：病例报告和文献综述。

IF 1.3

Journal of Ultrasound Pub Date : 2025-03-01 Epub Date: 2024-11-18 DOI: 10.1007/s40477-024-00973-x

Andrea Boccatonda, Marco Marcello Marcellini, Eugenio Ruggeri, Cristina Felicani, Alice Brighenti, Rossella Loiacono, Giorgio Ercolani, Carla Serra

{"title":"Ceus features of liver pecoma: a case report and literature review.","authors":"Andrea Boccatonda, Marco Marcello Marcellini, Eugenio Ruggeri, Cristina Felicani, Alice Brighenti, Rossella Loiacono, Giorgio Ercolani, Carla Serra","doi":"10.1007/s40477-024-00973-x","DOIUrl":"10.1007/s40477-024-00973-x","url":null,"abstract":"Perivascular epithelioid cell neoplasms (PEComas) and epithelioid angiomyolipomas (EAMLs) are two different denominations for the same \"mesenchymal tumor composed of histologically and immunohistochemically distinctive perivascular epithelioid cells\". Hepatic PEComa/EAML is a very rare neoplasm, and only 29 case reports of hepatic PEComa and 25 of hepatic EAML have been reported in the current literature. A clear female predominance with a mean age at diagnosis of 42.5 years old can be observed by literature review. Ultrasound (US) examination was the first-line diagnostic technique in most of the cases of hepatic PEComa, but it was documented in very few cases of hepatic EAML. A great variability in the ultrasonographic B-mode, color Doppler and contrast-enhanced ultrasonography (CEUS) features of hepatic PEComa/EAML emerges. Computed tomography and magnetic resonance were the most common used techniques to confirm the nature of the hepatic lesion, even if the anatomo-pathological examination was the only technique to display a certainty diagnosis and to differentiate hepatic PEComa/EAML from benign and malignant hepatic lesions. The great majority of hepatic PEComas/EAMLs are surgically treated without any adjuvant therapy.","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"261-268"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669564","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}

引用次数: 0

Ultrasound-guided diagnosis on a parapharyngeal mass. 超声引导诊断咽旁肿块。

IF 1.3

Journal of Ultrasound Pub Date : 2025-03-01 Epub Date: 2024-03-29 DOI: 10.1007/s40477-024-00882-z

Frisone Alessio, Antonio Scarano, Giulia Valentini, Andrea Boccatonda, Lorenzo Andreetto, Susanna Vicari

引用次数: 0

An unusual case of primary tuberculosis of the patella and patellar tendon masquerading as gout. 一例伪装成痛风的髌骨和髌腱原发性结核的罕见病例。

IF 1.3

Journal of Ultrasound Pub Date : 2025-03-01 Epub Date: 2024-02-04 DOI: 10.1007/s40477-023-00859-4

Sisith Ariyaratne, Rahul Mohan, Rajesh Botchu

{"title":"An unusual case of primary tuberculosis of the patella and patellar tendon masquerading as gout.","authors":"Sisith Ariyaratne, Rahul Mohan, Rajesh Botchu","doi":"10.1007/s40477-023-00859-4","DOIUrl":"10.1007/s40477-023-00859-4","url":null,"abstract":"Tuberculosis (TB), an infection caused by Mycobacterium tuberculosis, accounts for significant morbidity and mortality worldwide. While primary TB predominantly involves the respiratory system, approximately 10-19% patients have musculoskeletal involvement. We present a case of a 54-year-old year gentleman with insidious onset of anterior knee pain. Imaging demonstrated a soft tissue lesion involving the patellar tendon and eroding the inferior pole of the patella. The imaging features, particularly ultrasound, resembled those that are typically seen with gout. Ultrasound guided biopsy revealed this to be TB of the patella. The patient was successfully treated with antitubercular therapy. Musculoskeletal TB, while usually not a primary form of TB, is an important consideration particularly in patients with risk factors for the disease. Its imaging features can mimic other forms of arthropathy such as gout. Moreover, while the knee is a relatively common site for TB infection, isolated involvement of the patella and patellar tendon is extremely rare. The case highlights the possibility of rare musculoskeletal manifestation of TB as a well as a potential imaging pitfall of TB infection mimicking gout, which is an important consideration in clinical practice.","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"209-212"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681878","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}

引用次数: 0

Cutaneous ultrasound of the nuchal-type fibroma: diagnostic clues and surgery planning. 颈段型纤维瘤的皮肤超声：诊断线索和手术规划。

IF 1.3

Journal of Ultrasound Pub Date : 2025-03-01 Epub Date: 2024-01-16 DOI: 10.1007/s40477-023-00842-z

Júlia Verdaguer-Faja, Nuria Rodríguez-Garijo, Carolina Arean-Cuns, Pedro Redondo Bellón, Francisco Javier García-Martínez

引用次数: 0

Focal acute cholecystitis misdiagnosed as gallbladder carcinoma.

IF 1.3

Journal of Ultrasound Pub Date : 2025-03-01 Epub Date: 2025-02-13 DOI: 10.1007/s40477-025-00995-z

G L D'Alessandro, G Ancona, C Dellafiore, A Raimondi, D Gangemi, G Arpa, G Poma, E Above

引用次数: 0

Posterior intra-articular hip injections: a pilot study investigating a new approach. 髋关节后方关节内注射：一项调查新方法的试点研究。

IF 1.3

Journal of Ultrasound Pub Date : 2025-03-01 Epub Date: 2024-02-04 DOI: 10.1007/s40477-023-00863-8

Matthew W Kaufman, Chantal Nguyen, Yue Meng, Eugene Roh

{"title":"Posterior intra-articular hip injections: a pilot study investigating a new approach.","authors":"Matthew W Kaufman, Chantal Nguyen, Yue Meng, Eugene Roh","doi":"10.1007/s40477-023-00863-8","DOIUrl":"10.1007/s40477-023-00863-8","url":null,"abstract":"Purpose: The purpose of this study was to investigate a novel posterior intra-articular hip injection approach while discussing the clinical pearls for methodology, accuracy, and associated adverse events. The goal was to investigate if this approach could potentially be used in those where the typical anterior access would be challenging.Materials and methods: 10 adults (age > 18 years) who were referred to a tertiary outpatient clinic for hip injection due to hip osteoarthritis or femoral acetabular impingement with labral tearing to a single academic sports medicine clinic. Patients were placed in prone position. Posterior structures were identified using a curvilinear transducer. A 22 gauge 3.5-6-inch spinal needle was advanced in-plane to the transducer towards the hip capsule at the head-neck junction of the femur from inferolateral to superomedial. A fluoroscopic arthrogram was obtained to evaluate needle placement accuracy. Location of the needle, direction of contrast flow, the rate of conversion to an anterior portal, and adverse events were analyzed.Results: A fluoroscopic arthrogram was obtained after the first attempt in nine patients (90%). One patient (10%) was converted to the anterior approach due to inability to obtain the expected arthrogram. Two patients (20%) demonstrated mild adverse events.Conclusion: Ultrasound-guided posterior approach hip injection is accurate and without serious adverse events in our study. The posterior approach can be considered as an alternative approach for patients who cannot tolerate or may have technical difficulty with an anterior approach.","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"35-41"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681879","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}

引用次数: 0

Accuracy and costs of bedside methods for confirming nasoenteral feeding tube position: a diagnostic accuracy study. 确认鼻饲管位置的床旁方法的准确性和成本：诊断准确性研究。

IF 1.3

Journal of Ultrasound Pub Date : 2025-03-01 Epub Date: 2024-10-15 DOI: 10.1007/s40477-024-00960-2

Mayara Carvalho Godinho Rigobello, Claire Nierva Herrera, Carlos Alberto Grespan Bonacim, Rosana Aparecida Pereira, Roosevelt Santos Nunes, Jorge Elias Junior, Fernanda Raphael Escobar Gimenes

{"title":"Accuracy and costs of bedside methods for confirming nasoenteral feeding tube position: a diagnostic accuracy study.","authors":"Mayara Carvalho Godinho Rigobello, Claire Nierva Herrera, Carlos Alberto Grespan Bonacim, Rosana Aparecida Pereira, Roosevelt Santos Nunes, Jorge Elias Junior, Fernanda Raphael Escobar Gimenes","doi":"10.1007/s40477-024-00960-2","DOIUrl":"10.1007/s40477-024-00960-2","url":null,"abstract":"Aim: To analyze the accuracy and costs of bedside methods for confirming the position of a nasoenteral feeding tube newly inserted blindly by nurses.Design: Diagnostic accuracy study of three clinical methods (ultrasound, epigastric auscultation, and pH measurement) compared to radiography. The direct costs of each method used to confirm the positioning of the nasoenteral tube were also measured.Methods: Seventy-six adult patients underwent a total of 87 nasoenteral tube insertion procedures in hospital units located within the Northeast region of the State of São Paulo, Brazil. The clinical methods were conducted on all study participants in the specified sequence: ultrasound (as index test), followed by epigastric auscultation and pH measurement (also index tests).Results: The outcomes regarding the confirmation of the accurate positioning of the nasoenteral tube are as follows: ultrasonography demonstrated sensitivity and specific of 79.0% and 66.7%, respectively. Epigastric auscultation exhibited a sensitivity of 81.3% and specificity of 83.3%. The pH measurement method displayed sensitivity and specificity of 89.3% and 100% respectively. Additionally, in terms of estimated direct costs, the pH measurement method incurred a higher cost (USD $8.31) compared to the other methods, with a difference of USD $6.68.Conclusions: Based on these results, X-ray examination remains the primary method for confirming the placement of nasoenteral tubes recently inserted blindly at the bedside. However, when considering the costs of the evaluated methods, it is advisable to consider the variations in expenses between non-radiological methods and X-ray examinations.","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"53-61"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480416","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}

引用次数: 0