Journal of UltrasoundPub Date : 2024-12-01Epub Date: 2024-04-29DOI: 10.1007/s40477-024-00902-y
Paula Andrea Forero, Andrés Felipe Herrera Ortiz, Andrés Vásquez Perdomo, Nelson Bedoya
{"title":"Inflammatory bowel disease in children: finding the best diagnostic tool.","authors":"Paula Andrea Forero, Andrés Felipe Herrera Ortiz, Andrés Vásquez Perdomo, Nelson Bedoya","doi":"10.1007/s40477-024-00902-y","DOIUrl":"10.1007/s40477-024-00902-y","url":null,"abstract":"","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140864183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of UltrasoundPub Date : 2024-12-01Epub Date: 2024-08-28DOI: 10.1007/s40477-024-00947-z
Sonal Saran, Kapil Shirodkar, Mohsin Hussein, K Durgaprasad Bhamidipaty, Robert Henderson, Christine Azzopardi, G R Madhu Mallik, Karthikeyan P Iyengar, Rajesh Botchu
{"title":"Optimizing scapulothoracic injections: the role of hand positioning in enhancing procedural ease.","authors":"Sonal Saran, Kapil Shirodkar, Mohsin Hussein, K Durgaprasad Bhamidipaty, Robert Henderson, Christine Azzopardi, G R Madhu Mallik, Karthikeyan P Iyengar, Rajesh Botchu","doi":"10.1007/s40477-024-00947-z","DOIUrl":"10.1007/s40477-024-00947-z","url":null,"abstract":"<p><strong>Introduction: </strong>Pathologies of the scapulothoracic articulation may lead to painful symptoms such as crepitus and bursitis. While conservative treatments are preferred, persistent symptoms may require image-guided injections. This study aims to determine the optimal hand positioning during ultrasound to maximize the distance between the scapula and thoracic wall, and improve its accessibility during injections.</p><p><strong>Methods: </strong>This cross-sectional observational study included ten healthy adult volunteers without scapulothoracic issues or history of trauma/surgery. Two musculoskeletal radiologists independently measured the scapulothoracic distance on Ultrasound in three hand positions: 1. Hands under the head; 2. Hands by the side of the trunk; and 3. Hands hanging by the side of the couch. Data was analyzed using SPSS 24.0. Continuous variables were described using mean and standard deviation (SD), with significance set at p < 0.05.</p><p><strong>Results: </strong>Measurements on 20 scapulothoracic articulations (10 volunteers) showed the following findings: Position 1: Baseline value of 1. Position 2: Distance increased by 1.515 mm ± 3.617 (95% CI [- 0.0178, 3.208]. Position 3: Distance increased by 2.175 mm ± 0.66 (95% CI [0.793, 3.557]. Statistical analysis indicated no significant difference (p = 0.39) between positions. However, both radiologists subjectively noted that positions 2 and 3 provided better access for interventions.</p><p><strong>Conclusion: </strong>This study highlights the importance of hand positioning in optimizing the scapulothoracic distance for therapeutic interventions. While no significant statistical differences were found, the results suggest potential benefits for clinical practice. Further research with larger samples is needed to establish evidence-based guidelines for scapulothoracic injections.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142094173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of UltrasoundPub Date : 2024-12-01Epub Date: 2024-07-18DOI: 10.1007/s40477-024-00939-z
Issac Cheong, Francisco Marcelo Tamagnone
{"title":"The role of different ultrasound modes in hepatic portal venous gas diagnosis, including a novel method using color M-mode.","authors":"Issac Cheong, Francisco Marcelo Tamagnone","doi":"10.1007/s40477-024-00939-z","DOIUrl":"10.1007/s40477-024-00939-z","url":null,"abstract":"<p><p>Hepatic portal venous gas (HPVG) indicates an abnormal gas buildup within the portal venous system, associated with severe medical conditions. Causes include heightened intraluminal pressure, bowel wall disruption, bowel necrosis, and pathogenic bacteria. Previously considered indicative of extensive bowel necrosis requiring surgery, HPVG is now recognized in non-surgical conditions, posing diagnostic challenges. Doppler-coupled sonography, particularly sensitive for HPVG detection, serves as a valuable initial screening tool. This article synthesizes findings from ultrasound methods for assessing portal venous gas reported in the literature and introduces a new approach using Color M-mode ultrasound.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141725011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of UltrasoundPub Date : 2024-12-01Epub Date: 2024-06-22DOI: 10.1007/s40477-024-00923-7
Laura Bruni, Michelangelo Baldazzi, Laura Greco, Donatella Vivacqua, Anna Olga Di Vincenzo, Ilaria Corsini, Stefano Bruni, Rocco Minelli, Eugenio Rossi, Giuseppe Paviglianiti, Marcello Napolitano, Marcello Lanari, Luigi Lovato
{"title":"Atypical clinical and sonographic manifestations of lymphadenopathy in a child with cat-scratch disease: A case report.","authors":"Laura Bruni, Michelangelo Baldazzi, Laura Greco, Donatella Vivacqua, Anna Olga Di Vincenzo, Ilaria Corsini, Stefano Bruni, Rocco Minelli, Eugenio Rossi, Giuseppe Paviglianiti, Marcello Napolitano, Marcello Lanari, Luigi Lovato","doi":"10.1007/s40477-024-00923-7","DOIUrl":"10.1007/s40477-024-00923-7","url":null,"abstract":"<p><p>Cat-scratch disease is a well-known infection in childhood. It usually presents as tender lymphadenopathy and should be included in the differential diagnosis of any lymphadenopathy syndrome. An history of exposure to cats supports the suspect and a positive serologic test to Bartonella henselae confirms the diagnosis. Ultrasound is the first line radiologic imaging performed in case of lymphadenopathy. The presence of hypoechoic lobular or oval mass with central hyperaemia and a possible adjacent fluid collection and surrounding oedema may differentiate the disease from other aetiologies. We describe the case of a 7-year-old girl presenting with an axillary lymphadenopathy, without a reported recent history of exposure to cats, with sonographic findings suggestive for cat-scratch disease. In this case, ultrasound was very useful in orienteering the diagnosis and insist on the medical history. Serology resulted positive for B. henselae and at the end the family remembered that 6 months before the child was scratched by a kitten.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141441145","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":"Assessment of the ulnar nerve stiffness during valgus stress of the elbow using shear wave elastography: an observational cross-sectional study.","authors":"Issei Noda, Rio Goto, Shunpei Yamashita, Kengo Kawanishi, Masahiro Tsutsumi, Shintarou Kudo","doi":"10.1007/s40477-024-00922-8","DOIUrl":"10.1007/s40477-024-00922-8","url":null,"abstract":"<p><strong>Background: </strong>Identification of the relationship between valgus stress in the medial elbow and ulnar nerve strain during maximum external rotation of the shoulder is pivotal for the prevention and management of ulnar neuropathies. In this observational cross-sectional study, we aimed to determine the changes in ulnar nerve stiffness under valgus stress at different nerve entrapment sites.</p><p><strong>Methods: </strong>Twenty healthy baseball players participated in the study. The stiffness of the ulnar nerve on the throwing side was assessed at two sites, the arcade of Struthers and the Osborne's ligament, at 0°, 60°, and 90° flexion by shear wave elastography using a 10-MHz linear transducer. The arcade of Struthers was defined as the proximal site and the Osborne's ligament as the distal site. Valgus stress was applied to the medial elbow at 0, 30, 50, and 70 N using a Telos stress device, and the stiffness caused by valgus stress was measured.</p><p><strong>Results: </strong>At all elbow flexion angles, the stiffness of the ulnar nerve under 70 N valgus stress was higher than that under 30 N stress. The stiffness of the ulnar nerve at the proximal site was significantly higher than that at the distal site.</p><p><strong>Conclusion: </strong>Valgus stress increases ulnar nerve stiffness. In addition, the stiffness of the proximal site increases.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of UltrasoundPub Date : 2024-12-01Epub Date: 2024-08-25DOI: 10.1007/s40477-024-00940-6
Amir Kazory, Olanrewaju A Olaoye, Abhilash Koratala
{"title":"Point-of-care lung and inferior vena cava ultrasound in hemodialysis: more complex than it appears.","authors":"Amir Kazory, Olanrewaju A Olaoye, Abhilash Koratala","doi":"10.1007/s40477-024-00940-6","DOIUrl":"10.1007/s40477-024-00940-6","url":null,"abstract":"","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057302","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":"An unusual case of metastatic melanoma in subcutaneous tissue presenting as a solitary cystic mass with fluid levels.","authors":"Catherine Cubitt, Sisith Ariyaratne, Sumathi Vaiyapuri, Vineet Kurisunkal, Rajesh Botchu","doi":"10.1007/s40477-023-00864-7","DOIUrl":"10.1007/s40477-023-00864-7","url":null,"abstract":"<p><p>Malignant melanoma is a common and often aggressive neoplasm of the skin arising from melanocytes. Metastatic melanoma is known for its diverse clinical manifestations, and can present with atypical features prior to diagnosis of the primary lesion, which can pose a diagnostic challenge. We report a rare case of metastatic melanoma in a 67 year-old male who presented with a painless, enlarging mass in the right axilla over a 4 week period. Ultrasound and magnetic resonance imaging (MRI) scans revealed a well-defined solitary, cystic appearing lesion in the right axilla with a distinct fluid-fluid level. An ultrasound guided biopsy of the lesion diagnosed a metastatic melanoma. While haemorrhagic distant metastases are a well-recognised complication of malignant melanoma, particularly in the brain and lung, soft tissue metastases presenting with fluid-fluid levels is not well described in the literature. The case highlights the importance of considering the differential of melanoma metastasis when encountered with such a lesion and importance of ultrasound guided biopsy for histopathological confirmation, as the imaging features can mimic that of a haemorrhagic soft tissue sarcoma, the management of which differs substantially from that of melanoma.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139944684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of UltrasoundPub Date : 2024-12-01Epub Date: 2024-08-05DOI: 10.1007/s40477-024-00946-0
Yesuraju Aravapalli, Abhishek Mane, Nihar Kathrani, Richa S Chauhan
{"title":"Ruptured large ectopic hydatidiform mole: an infrequent presentation of gestational trophoblastic disease.","authors":"Yesuraju Aravapalli, Abhishek Mane, Nihar Kathrani, Richa S Chauhan","doi":"10.1007/s40477-024-00946-0","DOIUrl":"10.1007/s40477-024-00946-0","url":null,"abstract":"<p><p>Gestational trophoblastic disease (GTD) comprises hydatidiform mole, invasive mole, epithelioid trophoblastic tumor, placental site trophoblastic tumor, and choriocarcinoma. Ectopic molar gestation (EMG) is exceedingly rare with similar malignant potential like that of an intrauterine molar pregnancy. We report an uncommon case of EMG diagnosed by ultrasonography (USG) with a brief literature review. A 36-year-multipara presented at 8-weeks gestational age with severe abdominal pain and spotting. She underwent a spontaneous abortion 4 months back. Current transabdominal USG revealed a large right adnexal hydatidiform mole with moderate hemoperitoneum. Right ovary could not be discerned separately. Emergency laparotomy with hysterectomy and right adnexal clearance was done. Histopathology showed complete ectopic hydatidiform mole. USG remains the modality of choice for initial assessment of suspected GTD and it allows reliable evaluation of residual or recurrent disease. This report emphasizes the role of USG in the diagnosis of EMG and also, the importance of including EMG in the differential diagnosis of suspected ectopic pregnancy.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890838","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":"4D transperineal ultrasound: feedback for good obstetric anal sphincter injuries reparation.","authors":"Elisa Montaguti, Arianna Raspollini, Chiara Montedoro, Bianca Nedu, Gianluigi Pilu","doi":"10.1007/s40477-024-00933-5","DOIUrl":"10.1007/s40477-024-00933-5","url":null,"abstract":"<p><strong>Background: </strong>Obstetric anal injury is the main risk factor for traumatic anal, faecal and flatus, incontinence in women in reproductive age. Its recognition and good reparation are crucial for long term outcomes.</p><p><strong>Case report: </strong>We report a case of a nulliparous woman who reported a fourth-degree perineal tear after delivery. The obstetric anal sphincter injury was repaired and a four-dimensional transperineal ultrasound was performed after reparation and then one and three months after discharge. The woman did not experience any incontinence and no points of discontinuity were observed at tomographic ultrasound imaging reconstruction. In this case, 4D-TPUS was a tool in the obstetrician's hands to evaluate the surgical success of OASIS repair, which requires some expertise.</p><p><strong>Conclusions: </strong>4D-TPUS ultrasound is useful and reliable during immediate puerperium and in the subsequent follow-up, giving positive feedback on the correct positioning of the stiches and on a good healing process. Further studies are needed to demonstrate this usefulness in the operators training and for improving their surgical skills.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141629262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of UltrasoundPub Date : 2024-12-01Epub Date: 2024-06-21DOI: 10.1007/s40477-024-00917-5
Armando Di Ludovico, Saverio La Bella, Francesca Ciarelli, Francesco Chiarelli, Luciana Breda, Angelika Mohn
{"title":"Skeletal muscle as a pro- and anti-inflammatory tissue: insights from children to adults and ultrasound findings.","authors":"Armando Di Ludovico, Saverio La Bella, Francesca Ciarelli, Francesco Chiarelli, Luciana Breda, Angelika Mohn","doi":"10.1007/s40477-024-00917-5","DOIUrl":"10.1007/s40477-024-00917-5","url":null,"abstract":"<p><p>Previously regarded as a movement and posture control agent, the skeletal muscle is now recognized as an endocrine organ that may affect systemic inflammation and metabolic health. The discovery of myokines such as IL-6, released from skeletal muscle in response to physical exercise, is now one of the most recent insights. Myokines are the mediators of the balance between the pro-inflammatory and anti-inflammatory responses. This underscores the muscle function as a determinant of good health and prevention of diseases. Advances in ultrasound technology improved evaluation of muscle thickness, composition, and determining fat distribution. Combining imaging with molecular biology, researchers discovered the complicated interplay between muscle function, cytokine production and general health effects.The production of myokines with exercise showcasing the adaptability of muscles to high-stress conditions and contributing to metabolism and inflammation regulation. These findings have significant implications in order to provide improvement in metabolic and inflammatory diseases.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496437/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141437785","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}