Journal of Ultrasound最新文献

{"title":"Feasibility of point-of-care ultrasound training and remote quality assurance for community physicians in conflict-affected Syria.","authors":"Elad Dana, Sara Dichtwald, Gal Lusky, Maya Zuckerman, Hadas Katz-Dana","doi":"10.1007/s40477-026-01225-w","DOIUrl":"https://doi.org/10.1007/s40477-026-01225-w","url":null,"abstract":"<p><strong>Background: </strong>Point-of-care ultrasound (PoCUS) can extend diagnostic capabilities where conventional imaging is unavailable, yet evidence on its implementation in active conflict zones remains scarce. We describe the operational feasibility of a PoCUS training, device deployment, and remote quality assurance program for community physicians working in village clinics in Syria.</p><p><strong>Methods: </strong>Nine physicians from five community clinics, none of whom had prior PoCUS training and whose ultrasound experience was limited to specialty-specific applications, participated in a two-day in-person PoCUS training course adapted to a conflict-affected, resource-constrained setting. The curriculum focused on cardiac, lung, FAST, and soft-tissue applications. At course completion, each clinic received a handheld ultrasound device (iQ, Butterfly Network, Inc, Guilford, CT, USA). The participants subsequently uploaded examinations to a cloud-based platform for remote expert review and feedback. Outcomes included immediate post-course satisfaction, perceived confidence, and early post-course PoCUS use over 6 months of follow-up. PoCUS competency was not objectively assessed.</p><p><strong>Results: </strong>Overall satisfaction was high (mean, 9.2/10; SD, 0.8), and eight participants (89%; 95% CI, 57-98%) would recommend the course to colleagues. All participants reported that hands-on practice increased their confidence. The duration of hands-on practice received the lowest rating (mean, 2.9/5), and six of seven participants who offered suggestions recommended more training time. During follow-up, four physicians from four clinics uploaded 12 examinations; 11 of 12 examinations (92%; 95% CI, 65-99%) were classified as adequate quality on initial review by a single, non-blinded expert reviewer.</p><p><strong>Conclusion: </strong>A brief, context-adapted PoCUS training program with device deployment and remote expert feedback was operationally feasible and well received by community physicians in conflict-affected Syria. Early post-course use was observed but limited, and competency was not assessed. These findings demonstrate the feasibility of implementation rather than educational effectiveness or clinical impact, and provide a framework for larger prospective studies incorporating extended hands-on training, structured competency assessment, standardized blinded image-quality review, and longer follow-up.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018577","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":"Combined ultrasonographic and clinical assessment of bioimpedance-defined volume status in dialysis patients: a diagnostic accuracy study.","authors":"Gökhan Öztürk, İlhan Kurultak, Fethi Emre Ustabaşıoğlu, Sedat Üstündağ","doi":"10.1007/s40477-026-01223-y","DOIUrl":"https://doi.org/10.1007/s40477-026-01223-y","url":null,"abstract":"<p><strong>Background: </strong>Accurate assessment of volume status in dialysis patients remains challenging, and no single method is universally accepted. This study aimed to evaluate the combined diagnostic performance of lung ultrasonography and physical examination for predicting bioimpedance spectroscopy (BIS)-defined volume overload.</p><p><strong>Methods: </strong>In this cross-sectional study, 44 dialysis patients underwent clinical evaluation, lung ultrasonography, inferior vena cava assessment, and BIS measurement. Clinically significant volume overload was defined as BIS-derived overhydration ≥ 2500 mL. The diagnostic performance of B-line count and pretibial edema was assessed using logistic regression and receiver-operating characteristic (ROC) analysis.</p><p><strong>Results: </strong>Volume overload was significantly associated with B-line count and pretibial edema. In multivariable analysis, both parameters remained independent predictors of volume status, with B-line count demonstrating the strongest individual predictive performance. The addition of pretibial edema significantly improved overall model fit and provided incremental diagnostic value beyond B-line count alone. The combined model showed good discriminative ability for identifying hypervolemic dialysis patients, with an area under the curve (AUC) of 0.941 (95% CI 0.879-1.000).</p><p><strong>Conclusion: </strong>The combined use of bedside lung ultrasound-derived B-lines with pretibial edema assessment demonstrates good discriminatory performance for identifying clinically relevant overhydration in dialysis patients and may serve as a practical, noninvasive adjunct to bioimpedance analysis, particularly in settings where BIS is not readily available.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013078","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 identification and sonoanatomy of the inferior fascicle of the anterior talofibular ligament: a cadaveric study.","authors":"Jordi Esparó, Miki Dalmau-Pastor","doi":"10.1007/s40477-026-01220-1","DOIUrl":"https://doi.org/10.1007/s40477-026-01220-1","url":null,"abstract":"<p><strong>Purpose: </strong>To demonstrate that the identification and visualization of the inferior fascicle of the anterior talofibular ligament (ATFLif) by ultrasound is feasible, to describe its sonoanatomy, and to compare the ultrasound anatomy of the superior (ATFLsf) and inferior (ATFLif) fascicles.</p><p><strong>Methods: </strong>Sixteen fresh-frozen below-the-knee cadaveric ankles were evaluated. Longitudinal ultrasound scans of the ATFLsf and ATFLif were performed using a high-definition transducer. Anatomical dissection followed to expose the fascicles. The length of each fascicle was measured post-dissection using an analog caliper and compared with the sonographic findings.</p><p><strong>Results: </strong>Ultrasound examination, dissection, and measurements were successfully completed in 16 specimens, with the ATFLif visualized in 14 and analyzed in 11. Measurements showed that the inferior fascicle is shorter than the superior fascicle. The intraclass correlation coefficient (ICC 2,1) between sonographic and post-dissection measurements was 0.9752 (95% CI 0.9128-0.9932), indicating the high reliability of the ultrasound method.</p><p><strong>Conclusion: </strong>The fibers of the ATFLif are visible and identifiable by ultrasound. These findings demonstrate the anatomical feasibility of ultrasound identification of both ATFL fascicles and support their inclusion in the systematic examination of the anterolateral ligament complex of the ankle.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149002703","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":"MMBCFNet: multi modal hybrid deep learning framework for breast cancer detection using MRI, mammography, and ultrasound images.","authors":"Sureshkumar Natesan, N Duraimutharasan","doi":"10.1007/s40477-026-01194-0","DOIUrl":"https://doi.org/10.1007/s40477-026-01194-0","url":null,"abstract":"<p><p>Accurate diagnosis of breast cancer is essential for enhancing the outcomes of patients. Although magnetic resonance imaging (MRI), mammography (MMG), and ultrasound (US) provides complementary diagnostic data, current deep learning technologies tend to use only one of these methods or do not have an efficient means of fusing diagnostic data, which restricts the diagnostic capabilities. This study proposes Multimodal Breast Cancer Fusion Network (MMBCFNet), a novel multi modal deep learning that combines MRI, MMG, and US with the help of hybrid models that are modality-specific and an attention-based feature fusion approach. In particular, MRI features are obtained with the help of DSMRINet, a combination of 3D DenseNet and Swin Transformer models; MMG features are obtained with the help of ERMMGNet, which is a combination of ResNet and EfficientNet models; and US features are obtained with the help of MRUSNet, which is a combination of MobileNetV3 and ResNeXt models. The predictions obtained from these modality-specific networks are combined using a weighted decision-level fusion mechanism to generate the final diagnostic outcome. Experimental results demonstrate that the proposed framework achieves accuracy of 98.78%, precision of 98.29%, sensitivity of 98.54%, specificity of 98.46%, and MCC of 0.9868, outperforming baseline models. The evaluation results demonstrate that the proposed framework effectively leverages complementary information from multiple imaging modalities and determines improved strength and accuracy for breast cancer detection.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148984103","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":"Does the ABCDEFG point-of-care ultrasound protocol for abdominal pain improve diagnosis, or change how diagnosis is established?","authors":"C Hari Prasath, Thirunavukkarasu Arun Babu","doi":"10.1007/s40477-026-01221-0","DOIUrl":"https://doi.org/10.1007/s40477-026-01221-0","url":null,"abstract":"","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148957330","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":"Incremental value of ultrasound-based carotid plaque-RADS beyond stenosis degree in discriminating symptomatic carotid atherosclerosis.","authors":"Jia Liu, Yuying Deng, Miao Zhong, Luanjing Zhang, Junlin Zhong, Jie Ren","doi":"10.1007/s40477-026-01197-x","DOIUrl":"10.1007/s40477-026-01197-x","url":null,"abstract":"<p><strong>Purpose: </strong>To determine whether ultrasound-based Carotid Plaque‑RADS adds incremental value beyond stenosis degree in distinguishing symptomatic from asymptomatic carotid atherosclerosis.</p><p><strong>Methods: </strong>Patients with carotid artery stenosis diagnosed by ultrasound were retrospectively enrolled. Plaque-RADS scores and stenosis degree were independently assessed by two blinded radiologists. Binary logistic regression identified factors associated with symptoms. Model discrimination was evaluated by AUC with DeLong comparison. Incremental value was quantified by continuous NRI and IDI with bootstrap validation. Calibration was assessed using bootstrap-corrected slopes, and decision curve analysis evaluated clinical net benefit.</p><p><strong>Results: </strong>A total of 161 patients were included (mean age 70.99 ± 9.86 years; 73.3% male). Plaque-RADS (OR = 3.51, P = 0.0058), stenosis (OR = 4.12, P = 0.0002), and age (OR = 1.07, P = 0.0053) were independent symptom predictors. Adding Plaque-RADS to stenosis improved AUC from 0.762 to 0.807 (P = 0.039). The combined model (Plaque-RADS, stenosis, age) achieved the highest AUC (0.838), though the gain over the model (stenosis plus age) was not significant (P = 0.080). All models showed good calibration (slopes 0.951-0.999). Adding Plaque-RADS to stenosis plus age significantly improved reclassification (continuous NRI = 0.432, P = 0.004; IDI = 0.058, P = 0.002). Decision curve analysis showed net benefit at higher thresholds (0.20-0.30), but no added benefit at lower screening thresholds.</p><p><strong>Conclusion: </strong>Ultrasound-based Plaque-RADS provides independent incremental discriminative value beyond stenosis, primarily improving identification of symptomatic patients, supporting its utility as an adjunctive risk stratification tool for clinical decision-making.</p><p><strong>Highlights: </strong></p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"653-662"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13589011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622434","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 ultrasound and contrast-enhanced ultrasound characteristics of IgG4-related cholangitis: compared with cholangiocarcinoma.","authors":"Qingyang Kong, Lili Wu, Jie Ren, Kai Li, Yinglin Long","doi":"10.1007/s40477-026-01218-9","DOIUrl":"10.1007/s40477-026-01218-9","url":null,"abstract":"<p><strong>Background: </strong>IgG4-related cholangitis (IgG4-SC) is often difficult to differentiate from cholangiocarcinoma (CCA) due to similar clinical and imaging presentations, yet their management and prognosis differ drastically. Accurate non-invasive distinction remains a significant clinical challenge.</p><p><strong>Aim: </strong>This study aimed to identify and compare the characteristic features of IgG4-SC and CCA on conventional ultrasound (US) and contrast-enhanced ultrasound (CEUS) to establish reliable imaging discriminators.</p><p><strong>Methods: </strong>We retrospectively analyzed clinical and imaging data from 14 patients with IgG4-SC and 26 with CCA. Two blinded physicians independently reviewed US and CEUS images to assess lesion characteristics, bile duct lumen visibility, wall thickening, and enhancement patterns. Statistical comparisons were performed using appropriate tests.</p><p><strong>Results: </strong>On conventional US, a preserved bile duct lumen within the thickened segment was significantly more frequent in IgG4-SC (10/14, 71.4%) than in CCA (1/26, 3.8%; P < 0.001). Concomitant lesions in other organs were also more common in IgG4-SC (50% vs. 3.8%, P = 0.001). On CEUS, arterial-phase hyper-enhancement was observed in 95.8% of CCA lesions but only in 50.0% of IgG4-SC lesions (P = 0.009), with the latter showing more variable (hypo-/iso-) enhancement.</p><p><strong>Conclusion: </strong>The combination of a preserved bile duct lumen on conventional US and a lower frequency of arterial hyper-enhancement on CEUS provides key imaging clues to differentiate IgG4-SC from CCA. These features, alongside assessment for other organ involvement, may improve diagnostic confidence and guide appropriate clinical management. However, given the exploratory nature of this small-sample study, these findings require validation in larger prospective cohorts.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"707-715"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588769/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867684","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":"Early volume reduction slope as a novel predictor of long-term outcomes following microwave ablation of benign thyroid nodules: a machine learning-enhanced prediction model.","authors":"XueJing Zhang, MingFeng Mao, Xin Jia Liu, Ling Lin","doi":"10.1007/s40477-026-01155-7","DOIUrl":"10.1007/s40477-026-01155-7","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to develop and validate a predictive model incorporating early VRR slope kinetics to predict long-term treatment outcomes.</p><p><strong>Methods: </strong>This retrospective study included 78 patients with benign thyroid nodules treated with microwave ablation. VRR was measured at 3-, 6-, and 12-months post-ablation. Treatment success was defined as 12-month VRR ≥ 90%. Three slope parameters were calculated: K1 (0-3 months, %/month), K2 (3-6 months), and K3 (6-12 months). Machine learning algorithms (LASSO, Random Forest, Support Vector Machine) were employed for feature selection from baseline characteristics, contrast-enhanced ultrasound parameters, and ablation parameters. Multivariate logistic regression was used to develop the final predictive model.</p><p><strong>Results: </strong>Overall, 38.5% of 78 patients achieved treatment success. VRR demonstrated progressive increase from 72.2 ± 5.5% (3 months) to 85.4 ± 8.5% (12 months), with decelerating slopes (K1: 0.241 ± 0.018, K2: 0.022 ± 0.014, K3: 0.011 ± 0.006). K1 showed a moderate positive correlation with 12-month VRR (R = 0.420, P < 0.001) and was a predictor of treatment success (AUC = 0.685). Machine learning identified multiple features, with 5 features (enhancement slope, FT4, K1, maximum diameter, TG) consistently selected by all three algorithms. The final logistic regression model incorporating 5 consensus features achieved an AUC of 0.908 (95% CI 0.845-0.971). Internal validation confirmed model robustness (tenfold cross-validation AUC = 0.873; bootstrap AUC = 0.881).</p><p><strong>Conclusions: </strong>The early slope parameter K1 is a predictor of long-term ablation outcomes. Integration of early response kinetics with baseline characteristics substantially improves prediction accuracy, potentially guiding personalized treatment strategies and early intervention decisions.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"563-572"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13589008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845733","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":"Point-of-care ultrasonography in High-Care Internal Medicine.","authors":"Francesco Cei, Lucia Colavolpe, Riccardo Capra, Aldo Fici, Emanuela Laurita, Stefania Marengo, Michela Provisione, Nicola Mumoli","doi":"10.1007/s40477-026-01217-w","DOIUrl":"10.1007/s40477-026-01217-w","url":null,"abstract":"<p><strong>Background: </strong>Internal Medicine wards have progressively evolved into high-complexity clinical environments, increasingly managing patients with acute respiratory failure, hemodynamic instability, and multi-organ dysfunction. Within this scenario, point-of-care ultrasonography (POCUS) has emerged as a bedside imaging modality capable of supporting rapid diagnostic reasoning and real-time clinical decision-making.</p><p><strong>Objectives: </strong>This narrative review aims to critically analyze the role of POCUS in High-Care Medical Areas of Internal Medicine, focusing on diagnostic applications, clinical monitoring, and ultrasound-guided procedures, while addressing limitations and training requirements.</p><p><strong>Methods: </strong>A narrative review of the literature was conducted, integrating evidence from international guidelines, observational studies, randomized trials, and expert consensus documents regarding the use of POCUS in acutely ill medical patients. Emphasis was placed on multimodal ultrasound approaches consistent with the holistic clinical framework of Internal Medicine.</p><p><strong>Results: </strong>POCUS facilitates early identification of time-dependent conditions such as pulmonary embolism, acute coronary syndromes, acute heart failure, acute respiratory distress syndrome, and septic shock. Lung ultrasound, focused cardiac ultrasound, vascular, and abdominal ultrasound can be integrated to improve diagnostic accuracy and etiological characterization of shock and respiratory failure. Serial POCUS examinations enable dynamic monitoring of disease progression, treatment response, and fluid responsiveness. Furthermore, ultrasound guidance significantly improves the safety and effectiveness of bedside invasive procedures.</p><p><strong>Conclusion: </strong>POCUS represents a cornerstone of modern High-Care Internal Medicine, enhancing bedside diagnostic integration, clinical monitoring, and procedural safety. Its effectiveness depends on structured training, awareness of limitations, and appropriate clinical governance. Although evidence of direct mortality reduction remains limited, POCUS consistently improves diagnostic confidence, appropriateness of care, and patient-centered decision-making.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"541-551"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588772/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882100","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":"\"Tadpole tail sign\" in high-grade synovial sarcoma of the ulnar nerve: a case report.","authors":"Chetna Mishra, Ankur Gulati, Neha Nischal, Dheeraj Gautam, Akram Javed, Jatinder Pal Singh","doi":"10.1007/s40477-025-01030-x","DOIUrl":"10.1007/s40477-025-01030-x","url":null,"abstract":"<p><p>Synovial sarcomas of the peripheral nerve (SSPNs) are rare aggressive tumors with only a few cases documented in the literature. Among these, the involvement of the ulnar nerve was identified in seven patients, however without in depth radiological description. To the best of our knowledge, this is the first case report with high-resolution ultrasound, MR imaging and a histopathological description of a high-grade synovial sarcoma of the ulnar nerve. SSPNs are frequently misinterpreted as peripheral nerve sheath tumor making the diagnosis difficult and often challenging. Our case report highlights an unusual instance of a malignant synovial sarcoma originating from the ulnar nerve in a 28-year-old woman, which rapidly progressed with a worse outcome. We present the specific imaging and histological findings of this monophasic spindle cell type lesion with immunocytochemical markers, and describe a new \"tadpole tail sign\" on ultrasound, to allow its early recognition and prevent misdiagnosis.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"767-773"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200796","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}