{"title":"Dynamic ultrasound evaluation and treatment of subcoracoid bursitis after HPV vaccination: a case of shoulder injury related to vaccine administration (SIRVA).","authors":"Aslinur Keles, Ozge Gulsum Illeez, Burak Giray, Esra Giray","doi":"10.1007/s40477-025-00984-2","DOIUrl":"https://doi.org/10.1007/s40477-025-00984-2","url":null,"abstract":"<p><p>Shoulder Injury Related to Vaccine Administration (SIRVA) is a complication caused by improperly administered vaccinations. It triggers an inflammatory cascade that damages shoulder structures, resulting in prolonged shoulder pain and restricted range of motion. Common diagnoses in SIRVA patients include shoulder bursitis (all classified as subacromial bursitis), adhesive capsulitis, and rotator cuff injuries such as tears or tendinopathy. Less frequent diagnoses include biceps tenosynovitis, shoulder synovitis, intramuscular hematoma, and polymyalgia rheumatica or polymyalgia rheumatica-like syndrome. We present a case of SIRVA with prominent subcoracoid bursitis, confirmed via ultrasound. Ultrasound plays a critical role in static and dynamic assessments, providing accurate diagnoses and valuable guidance for identifying associated pathologies and managing SIRVA.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016097","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":"Correction to: Superb microvascular imaging (SMI) and elastosonography in thyroid nodule: diagnostic value in a real‑time cohort.","authors":"Davide Negroni, Gaetano Maddalena, Romina Bono, Flavia Abruzzese, Sara Cesano, Patrizio Conte, Chiara Airoldi, Pierluigi Neri, Alessandro Carriero","doi":"10.1007/s40477-024-00978-6","DOIUrl":"https://doi.org/10.1007/s40477-024-00978-6","url":null,"abstract":"","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973194","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}
Eunice Amankona, Andrew Donkor, Benedict Apaw Agyei, Ijeoma Anyitey-Kokor, Alexander Tawiah Odoi, Yaw Amo Wiafe
{"title":"Effectiveness of prenatal ultrasound in fetal sex identification: a systematic review and meta-analysis.","authors":"Eunice Amankona, Andrew Donkor, Benedict Apaw Agyei, Ijeoma Anyitey-Kokor, Alexander Tawiah Odoi, Yaw Amo Wiafe","doi":"10.1007/s40477-024-00977-7","DOIUrl":"https://doi.org/10.1007/s40477-024-00977-7","url":null,"abstract":"<p><p>This systematic review and meta-analysis aimed to assess the accuracy and success rate of ultrasound in determining fetal sex. A search was conducted on Medline, Cochrane Library, and EMBASE databases, and the reference lists of selected studies were also reviewed. Meta-analyses were performed using Revman 5.4.1 and Meta-DiSc 2.0. Twenty-eight studies met the criteria for inclusion in the systematic review. Nine studies reported the accuracy rate of first-trimester fetal sex identification, with a mean accuracy of 85% and a median of 87%. Six studies provided accuracy rates for second and third-trimester identifications, with mean and median rates of 92% and 99%, respectively. A pooled sensitivity and specificity analysis shows that the sensitivity increased from 69% at 11 weeks to 89% at 12 weeks to 96% at 13 weeks. Forest plots on the success rates indicated no significant statistical differences between first-trimester ultrasound sex determination and actual birth sex, with p values of 0.06 for males and 0.08 for females. Similarly, second and third-trimester forest plots showed p values of 0.70 for males and 0.14 for females. In conclusion, ultrasound accuracy for fetal sex determination rises from 87% in first to 99% in second trimesters. The success rate shows no significant difference for either trimester. However, male sex is more easily detected in the second and third trimesters, while female sex is more easily detected in the first trimester. The sensitivity of fetal sex detection in the first trimester increases with gestational age. These findings suggest that prenatal ultrasound sex determination can be useful in managing sex-related pregnancy complications.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967140","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}
Karine Tokhunts, Luis Alonso Pacheco, Armine Chopikyan, Anna Khudaverdyan, Nelly Abgaryan, Knarik Aleksandryan, Adrine Grigoryan, Marianna Adamyan
{"title":"The impact of uterine cavity structural features on reproductive outcomes in T-shaped uterine malformation.","authors":"Karine Tokhunts, Luis Alonso Pacheco, Armine Chopikyan, Anna Khudaverdyan, Nelly Abgaryan, Knarik Aleksandryan, Adrine Grigoryan, Marianna Adamyan","doi":"10.1007/s40477-024-00980-y","DOIUrl":"https://doi.org/10.1007/s40477-024-00980-y","url":null,"abstract":"<p><strong>Objectives: </strong>Despite advancements in modern medicine, the effectiveness of in vitro fertilization (IVF) remains low. This study aimed to assess the impact of specific features of T-shaped uterine cavity malformation and its intermediate forms on reproductive function and the effectiveness of assisted reproductive technology (ART), particularly on IVF results and pregnancy outcomes.</p><p><strong>Methods: </strong>A prospective cohort study included 388 somatically healthy patients undergoing 3D ultrasound (US) examination of the uterine cavity before embryonic transfer for IVF treatment. Patients were evaluated for morphometric parameters using standardized US protocols. Statistical analysis was performed using SPSS statistics.</p><p><strong>Results: </strong>The study revealed that patients with T-shaped uterus and intermediate forms had higher rates of miscarriages, and unfavorable pregnancy outcomes compared to those with normal uterine cavities. The frequency of pregnancy occurrence in T-shaped and Intermediate groups was statistically similar with the \"Normal uterus\" group. Morphometric parameters such as T-angle, lateral angle, and myometrial thickness significantly influenced IVF outcomes.</p><p><strong>Conclusion: </strong>The study highlights the importance of morphometric parameters in predicting IVF success and pregnancy outcomes in patients with T-shaped uterine cavity malformation. These parameters can guide clinical decision-making and may serve as predictors for reproductive outcomes in ART procedures. Further research is warranted to validate these findings and explore additional ultrasound markers for better prediction of reproductive outcomes in patients with uterine cavity malformations.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899423","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}
Su Min Cho, Joo Hee Cha, Hak Hee Kim, Hee Jung Shin, Eun Young Chae, Woo Jung Choi, Hye Joung Eom, Hee Jeong Kim
{"title":"Prevalence and outcomes of nonmass lesions detected on screening breast ultrasound based on ultrasound features.","authors":"Su Min Cho, Joo Hee Cha, Hak Hee Kim, Hee Jung Shin, Eun Young Chae, Woo Jung Choi, Hye Joung Eom, Hee Jeong Kim","doi":"10.1007/s40477-024-00981-x","DOIUrl":"https://doi.org/10.1007/s40477-024-00981-x","url":null,"abstract":"<p><strong>Purpose: </strong>To determine how often non-mass lesions are seen in screening breast ultrasounds, and analyze their ultrasound features according to the ultrasound lexicon to find features suggestive of malignant non-mass lesions.</p><p><strong>Methods: </strong>This study is a single center retrospective study for nonmass lesions on screening breast ultrasound. Among 21,604 patients who underwent screening breast US, there were 279 patients with nonmass lesions. Of these lesions, 242 lesions were included for analysis. To distinguish between benign and malignant nonmass lesions, univariate analysis was performed on size, echogenicity, distribution, orientation, and associated ultrasound features. Additionally, Fisher's exact test was performed for mammographic density and abnormalities.</p><p><strong>Results: </strong>279 patients with nonmass lesions were included (mean age 53.7 ± 9.7 years, all women). The incidence of nonmass lesions on screening breast ultrasound was 1.29% with positive predictive value of 5.78%. The most common malignant nonmass lesion was ductal carcinoma in situ. Nonparallel orientation (p = 0.002), echogenic rim (p = 0.005), architectural distortion (p = 0.0004), posterior shadowing (p = 0.007), vascularity (p < 0.001), and calcifications (p < 0.001) were indicators of malignant lesions. Additionally, mammographic abnormalities were significantly associated with malignant lesions (p < 0.001).</p><p><strong>Conclusion: </strong>The incidence of nonmass lesions on screening breast ultrasound was 1.29%, with a positive predictive value of 5.78%. Mammographic abnormalities, nonparallel orientation, architectural distortion, posterior shadowing, vascularity, and calcifications were associated with malignant nonmass lesions.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899275","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}
Vittorio Oteri, Francesco Galeano, Andrea Conti, Giovanni Scavone, Andrea Tumminia, Francesco Frasca, Raffaella Romano, Marcello Romano
{"title":"Casual detection of an abdominal aortic aneurysm thanks to a trainee-made ultrasound with two subsequent \"domino\" diagnoses: case report and insights on the role of ultrasound courses.","authors":"Vittorio Oteri, Francesco Galeano, Andrea Conti, Giovanni Scavone, Andrea Tumminia, Francesco Frasca, Raffaella Romano, Marcello Romano","doi":"10.1007/s40477-024-00979-5","DOIUrl":"https://doi.org/10.1007/s40477-024-00979-5","url":null,"abstract":"<p><p>Early detection of abdominal aortic aneurysm (AAA) is crucial as untreated lesions can be life-threatening. We describe the case of a fortuitous ultrasound (US) detection of AAA by a trainee which allowed two subsequent \"domino\" diagnoses. A 69 y.o. male underwent US to evaluate prostate and bladder. He was a heavy smoker affected by hypertension and dyslipidemia. An endocrinology resident and ultrasound trainee started the exam accidentally from the epigastrium and found a fusiform aneurysmal lesion. Subsequent computed tomography (CT) scan confirmed the diagnosis of AAA and incidentally revealed a colon adenocarcinoma and a diffuse non-Hodgkin lymphoma. This case report underlines the importance of extending the abdominal US examination to the aorta in patients over 60 years of age (especially in those people with multiple risk factors for AAA) and emphasizes the critical role of organizing hands-on-patient US courses with a multidisciplinary approach to optimize the training of future sonographers.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873198","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}
Marcello Napolitano, Beatrice Lama, Anna Maria Ierardi, Clarissa Valle, Eugenio Rossi, Rocco Minelli, Giuseppe Paviglianiti, Gianpaolo Di Rosa, Michelangelo Baldazzi, Gian Paolo Carrafiello
{"title":"A case report of hepatic inflammatory myofibroblastic tumor in a pediatric patient: diagnostic challenges and management strategies.","authors":"Marcello Napolitano, Beatrice Lama, Anna Maria Ierardi, Clarissa Valle, Eugenio Rossi, Rocco Minelli, Giuseppe Paviglianiti, Gianpaolo Di Rosa, Michelangelo Baldazzi, Gian Paolo Carrafiello","doi":"10.1007/s40477-024-00975-9","DOIUrl":"https://doi.org/10.1007/s40477-024-00975-9","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study is to present a case of inflammatory myofibroblastic tumor (IMT) of the liver in a 4-year-old girl. We will discuss the diagnostic challenges, the role of the radiologist in differential diagnosis, treatment modalities, and clinical outcomes.</p><p><strong>Methods: </strong>A case report of a 4-year-old girl with IMT of the liver is presented. We will review the patient's clinical presentation, diagnostic imaging findings, histological features, treatment, and follow-up.</p><p><strong>Results: </strong>The patient presented with vomiting and jaundice, but no fever. Imaging studies revealed an hepatic lesion suspicious for IMT; pathology confirmed the diagnosis. The patient underwent surgical intervention with successful resolution.</p><p><strong>Conclusion: </strong>IMT of the liver is a rare but important diagnosis to consider in children with abdominal masses. Radiologists play a crucial role in differential diagnosis. Surgical resection can be an effective treatment option for IMT, leading to favorable clinical outcomes.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840204","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}
Olivier Fantino, G Chauplannaz, T Ferry, A Tchurukdichian, P Pernot, A Gazarian, M Dziadzko, M Nersisyan, J B Pialat
{"title":"Contribution of ultrasound in the management of ballistic nerve injury during the 2020 Nagorno-Karabakh war.","authors":"Olivier Fantino, G Chauplannaz, T Ferry, A Tchurukdichian, P Pernot, A Gazarian, M Dziadzko, M Nersisyan, J B Pialat","doi":"10.1007/s40477-024-00974-w","DOIUrl":"https://doi.org/10.1007/s40477-024-00974-w","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the contribution of ultrasound in the management of ballistic peripheral nerve injuries (BPNI).</p><p><strong>Methods: </strong>Twenty-five Armenian soldiers who sustained BPNI of 44 different nerves during the Second Nagorno-Karabakh War in 2020 benefited from multidisciplinary team management including ultrasound examination.</p><p><strong>Results: </strong>The injuries affected the upper limb in 17 cases (including 2 bilateral cases), the lower limb in 7 cases and both upper and lower limb in 1 case. The injuries were due to shrapnel in 14 cases and to high-velocity bullets in 10 cases. One median-radial nerve injury occurred after prolonged haemostatic tourniquet. Thirteen patients had at least 2 nerves injuries. Ultrasound showed 16 nerves with neurapraxia, including 2 blast injuries, 8 axonotmesis with a neuroma-in-continuity and 8 neurotmesis. Twelve soldiers got surgery prior to our missions. The preoperative skin marking of nerve lesions under ultrasound control was very useful for the surgeon during the operation. A good correlation with surgery was observed, in 7 cases, and in 10 cases, a correlation with electroneuromyography (ENMG) was found. The ultrasound exploration was not informative in 2 patients.</p><p><strong>Conclusion: </strong>Ultrasound is a useful examination for the assessment of BPNI. It allows exploration of the entire nerve without artefact in the presence of projectiles or external fixator, contrary to MRI. It localizes and characterizes the nerve damage with a good correlation with data from the surgery and ENMG.</p><p><strong>Clinical relevance statement: </strong>Ballistic wounds of peripheral nerves are frequent in war wounded. Ultrasound can localize and characterize nerve injuries with good correlation with surgical and electrophysiological data.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830824","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":"Diagnostic performance of ultrasound for myositis and fasciitis, including necrotizing fasciitis, in pediatric patients.","authors":"Takahiro Hosokawa, Yumiko Sato, Yutaka Tanami, Eiji Oguma","doi":"10.1007/s40477-024-00976-8","DOIUrl":"https://doi.org/10.1007/s40477-024-00976-8","url":null,"abstract":"<p><strong>Objectives: </strong>To demonstrate the diagnostic performance of ultrasound for abnormal magnetic resonance imaging findings in pediatric patients with suspected myositis and fasciitis. We compared sonographic findings between patients with and without necrotizing fasciitis.</p><p><strong>Methods: </strong>In 21 pediatric patients, the presence or absence of abnormal T2-high signal intensity in subcutaneous fat, peripheral deep fascia, intermuscular fascia, and muscle was recorded. The extent of the disease based on ultrasound findings was recorded according to the previous locations. The vascular lumen within the affected muscle was also evaluated. Patients were classified into two groups: those with necrotizing fasciitis and those without. The presence/absence of sonographic findings and width of fluid accumulation in the peripheral deep fascia was compared between the two groups.</p><p><strong>Results: </strong>Three patients were classified into the necrotizing fasciitis group. The ultrasound diagnostic performance for abnormal findings in subcutaneous fat/peripheral deep fascia/ intermuscular fascia/muscle was 90.5%/76.2%/47.6%/90.5%, respectively. The presence/absence of abnormal findings in peripheral deep fascial edema, its width and vascular lumen collapse were significantly different between the two groups. The other findings were not significantly different between the groups.</p><p><strong>Conclusions: </strong>Ultrasound demonstrated reliability in detecting abnormal findings and was useful for diagnosing necrotizing fasciitis, facilitating urgent surgical intervention.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824574","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}
Antonio Leidi, Juliette Krauer, Guillaume Soret, Thibault Parent, Christophe Marti, Philippe Meyer, André Juillerat, Stijn Bex, Noémie Suh, Frédéric Rouyer, Nils Siegenthaler, Olivier Grosgurin
{"title":"Heart and lung point-of-care ultrasonography tutoring in internal medicine: a randomized controlled trial.","authors":"Antonio Leidi, Juliette Krauer, Guillaume Soret, Thibault Parent, Christophe Marti, Philippe Meyer, André Juillerat, Stijn Bex, Noémie Suh, Frédéric Rouyer, Nils Siegenthaler, Olivier Grosgurin","doi":"10.1007/s40477-024-00968-8","DOIUrl":"https://doi.org/10.1007/s40477-024-00968-8","url":null,"abstract":"<p><strong>Purpose: </strong>In recent years, point-of-care ultrasonography (POCUS) has been integrated into internal medicine practice with most curricula composed of a single course. Despite competency acquisition during the course, a significant decline in proficiency occurs in the subsequent weeks due to a lack of regular practice and training. This study aims to evaluate the impact of a structured POCUS tutoring, on POCUS use and skills retention at 6 months.</p><p><strong>Methods: </strong>In this randomized controlled trial, internal medicine residents were enrolled after completing a practical course focused on heart and lung ultrasonography. Residents assigned to the intervention group were paired with a tutor, and time slots were scheduled for bedside direct supervision over the following 6 months. The primary outcome was the proportion of residents who successfully completed at least 25 POCUS examinations six months after inclusion. Secondary outcomes included self- and blinded-expert-assessed POCUS competency skills.</p><p><strong>Results: </strong>Between January and May 2022, 23 residents were included in the study. The intervention significantly increased the proportion of participants reaching the primary outcome (70% versus 0%; p < 0.001) with a median of 27 (interquartile range, IQR, 6 to 44) supervised examinations performed versus 0 (IQR 0 to 0) in intervention and control arm respectively; p < 0.001. After 6 months, proficiency was higher for most heart imaging but not for lung imaging, as assessed through self-assessment by participants or independently by blinded experts.</p><p><strong>Conclusion: </strong>Structured POCUS supervision significantly enhances the number of POCUS examinations and proficiency at 6-months, particularly in applications requiring greater visuospatial skills.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774662","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}