Journal of Ultrasound最新文献

{"title":"Correction: 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/s40477-025-01016-9","DOIUrl":"10.1007/s40477-025-01016-9","url":null,"abstract":"","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"779"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788883","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":"Turning the tide (and the probe)-sonographic liver measurement in the right lateral anterior axillary line is a reliable alternative to the standard frontal approach in term and preterm infants.","authors":"Alexandros Rahn, Thomas Müller, Svea Kleiner, Doris Franke","doi":"10.1007/s40477-025-01047-2","DOIUrl":"10.1007/s40477-025-01047-2","url":null,"abstract":"<p><strong>Purpose: </strong>In term and preterm infants, liver size is important for assessing growth and detecting conditions such as hepatomegaly, infections, or cardiac failure. The German Society for Ultrasound in Medicine (DEGUM) recommends measuring craniocaudal liver length in two frontal planes: the midsternal line (MSL) and the right anterior axillary line (AAL). This study evaluated whether liver length measurements in the right AAL from a lateral view yield results comparable to the standard frontal view, as the lateral approach may be technically more accessible and less stressful for neonates.</p><p><strong>Material and methods: </strong>In this prospective single-center study conducted in a level III neonatal intensive care unit, 62 term and preterm infants underwent 107 liver measurements between July and December 2024. Each measurement was performed in both the frontal and the alternative lateral AAL plane. Statistical analysis included Wilcoxon matched-pairs signed rank test, Pearson Correlation Coefficient, and Bland-Altman analysis.</p><p><strong>Results: </strong>The median liver length was 4.7 cm in both methods (interquartile range 1.5 cm frontal, 1.4 cm lateral). The correlation between approaches was excellent (r = 0.9971), and Bland-Altman analysis showed a median difference of 0 cm, with 99.1% of measurements within the limits of agreement (- 0.3 cm to 0.2 cm).</p><p><strong>Conclusion: </strong>Sonographic liver measurement in the lateral AAL yields results equivalent to the standard frontal method and may offer a practical alternative when standard access is limited. Supporting minimal handling of newborns, the approach is particularly relevant in neonatal intensive care and provides a methodological basis for further evaluation of the lateral view.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"701-708"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568129","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":"Diagnostic value of ultrasound radiomic features in differentiating benign and malignant breast lesions.","authors":"Yuke Gong, Yan Cheng, Yan Liu, Guohui Zhang, Shuang Li, Ruiqi Wu, Hongmei Wang, Lizhou Lu","doi":"10.1007/s40477-025-01025-8","DOIUrl":"10.1007/s40477-025-01025-8","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to explore the relationship between ultrasound radiomics features and semantic features from BI-RADS classification in the preoperative differentiation of benign and malignant breast lesions, as well as the potential diagnostic advantages of radiomics features.</p><p><strong>Methods: </strong>Retrospective analysis was performed on 147 female patients with pathologically confirmed breast lesions. Ultrasound images and clinical data were used to construct three diagnostic models: BI-RADS classification single factor diagnostic model, Radiomics diagnostic model, and a BI-RADS-radiomic combined model. Additionally, univariate radiomic models based on semantic features were developed to investigate the associations.</p><p><strong>Results: </strong>The BI-RADS-Radiomics combined model demonstrated superior performance in both training and testing sets, with AUC values of 0.985 and 0.964, respectively. It also exhibited optimal diagnostic consistency and clinical net benefit. Significant correlations were observed between multiple radiomics features and specific semantic features (AUC range: 0.609-0.752).</p><p><strong>Conclusion: </strong>Radiomics features effectively assist in breast cancer diagnosis via ultrasound and exhibit nonlinear associations with specific semantic features.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"645-652"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512786","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 ultrasound diagnosis of late recurrence of cutaneous melanoma after 11 years of surgery: time for questions and review of the literature.","authors":"Soledad Machado, Ximena Wortsman","doi":"10.1007/s40477-025-01008-9","DOIUrl":"10.1007/s40477-025-01008-9","url":null,"abstract":"","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"771-773"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702286","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":"Radiomics-based machine learning atherosclerotic carotid artery disease in ultrasound: systematic review with meta-analysis of RQS.","authors":"Sebastiano Vacca, Roberta Scicolone, Francesco Pisu, Riccardo Cau, Qi Yang, Andrea Annoni, Gianluca Pontone, Francesco Costa, Kosmas I Paraskevas, Andrew Nicolaides, Jasjit S Suri, Luca Saba","doi":"10.1007/s40477-025-01002-1","DOIUrl":"10.1007/s40477-025-01002-1","url":null,"abstract":"<p><strong>Background: </strong>Stroke, a leading global cause of mortality and neurological disability, is often associated with atherosclerotic carotid artery disease. Distinguishing between symptomatic and asymptomatic carotid artery disease is crucial for appropriate treatment decisions. Radiomics, a quantitative image analysis technique, and machine learning (ML) have emerged as promising tools in Ultrasound (US) imaging, potentially providing a helpful tool in the screening of such lesions.</p><p><strong>Methods: </strong>Pubmed, Web of Science and Scopus databases were searched for relevant studies published from January 2005 to May 2023. The Radiomics Quality Score (RQS) was used to assess methodological quality of studies included in the review. The Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) assessed the risk of bias. Sensitivity, specificity, and logarithmic diagnostic odds ratio (logDOR) meta-analyses have been conducted, alongside an influence analysis.</p><p><strong>Results: </strong>RQS assessed methodological quality, revealing an overall low score and consistent findings with other radiology domains. QUADAS-2 indicated an overall low risk, except for two studies with high bias. The meta-analysis demonstrated that radiomics-based ML models for predicting culprit plaques on US had a satisfactory performance, with a sensitivity of 0.84 and specificity of 0.82. The logDOR analysis confirmed the positive results, yielding a pooled logDOR of 3.54. The summary ROC curve provided an AUC of 0.887.</p><p><strong>Conclusion: </strong>Radiomics combined with ML provide high sensitivity and low false positive rate for carotid plaque vulnerability assessment on US. However, current evidence is not definitive, given the low overall study quality and high inter-study heterogeneity. High quality, prospective studies are needed to confirm the potential of these promising techniques.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"587-597"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250840","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":"Lung ultrasound and coagulation activation in COVID-19 pneumonia.","authors":"Alice Brighenti, Livia Masi, Daniela Agostinelli, Nicola Venturoli, Sofia Maria Bakken, Fabrizio Giostra, Andrea Boccatonda, Carla Serra","doi":"10.1007/s40477-025-01055-2","DOIUrl":"10.1007/s40477-025-01055-2","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the correlation between the degree of pulmonary compromise, as assessed by lung ultrasound, and the activation of the coagulation cascade in patients hospitalized with COVID-19 pneumonia.</p><p><strong>Methods: </strong>A prospective observational study was conducted on 47 adult patients with confirmed COVID-19 pneumonia. Each patient underwent a systematic 12-zone LUS exam to calculate a total Lung Ultrasound Score (LUS score). Arterial blood gas analysis was performed to calculate the arterial partial pressure of oxygen to fraction of inspired oxygen (P/F) ratio and the alveolar-arterial (A-a) oxygen gradient. Laboratory tests included serum D-dimer and C-reactive protein (CRP).</p><p><strong>Results: </strong>The LUS score correlated positively and significantly with D-dimer values (p = 0.019; ρ = 0.342), CRP (p < 0.001; ρ = 0.647), and the A-a gradient (p < 0.001; ρ = 0.640). It also displayed a significant negative correlation with the P/F ratio (p < 0.001; ρ = -0.614).</p><p><strong>Conclusion: </strong>The degree of lung injury in COVID-19 pneumonia, as evaluated by LUS, correlates directly with elevated D-dimer levels, signifying increased coagulation activation. Lung ultrasound, as a bedside and noninvasive tool, could serve as a surrogate marker not only for pulmonary involvement but also for identifying patients at higher risk of thrombotic complications.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"661-667"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745943","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":"Usefulness of ultrasound quantitative assessment of microvascularity in the thyroid nodule risk stratification.","authors":"Alessandro Cannavale, Mario Corona, Pierleone Lucatelli, Piergiorgio Nardis, Fabrizio Basilico, Giacomo Bonito, Luca Giuliani, Gianmarco Lo Conte, Patrizia Pacini, Olha Pushkarenko, Carlo Catalano, Vito Cantisani","doi":"10.1007/s40477-025-01058-z","DOIUrl":"10.1007/s40477-025-01058-z","url":null,"abstract":"<p><strong>Purpose: </strong>We primarily assessed the capability of ultrasound quantitative microvascularity imaging (qMI) in identifying high risk thyroid nodules. In addition, the diagnostic performance of computer aided diagnosis (CAD) was evaluated and correlated with qMI and cytology results.</p><p><strong>Methods: </strong>This single centre prospective study was carried out from 2023 to 2024 and included 165 target thyroid nodules,that were assessed by using CAD for semi-automatic EU-TIRADS classification and qMI, that. Subsequently, all nodules underwent Fine Needle Aspiration Biopsy and Cytology. CAD derived EU-TIRADS and qMI results (Vascularity Index - VI) were correlated with cytology results, that were used as a reference standard, using regression analyses.</p><p><strong>Results: </strong>Target nodules showed mean size of 15.6 mm ± 9 (range 4-40 mm) and mean vascularity index of 29.03% ± 24.3 (range 0-98.7%)at qMI analysis. Mean vascularity index of 'benign' nodules (TIR2) and low risk nodules (TIR3A) was 35% (range 5-98.7%), that was significantly higher than that of high risk (TIR3B) and malignant nodules (TIR 4/5) (24.2%, p = 0.04.). However, within the malignant group, small nodules (< 10 mm) showed higher vascularity mean VI = 31.45%) than larger nodules (mean VI = 16.91%, p = 0.03). CAD showed very high overall sensitivity and specificity for all EU-TIRADS, allowing for EU-TIRADS 3 and 4 nodules.</p><p><strong>Conclusion: </strong>Vascularity index showed a weak relationship with nodule size and cytology results. High vascularity may be observed more frequently in small malignant tumours and large benign tumours. Some EU-TIRADS 3 and 4 nodules may benefit of qMI assessment, as CAD shows lower accuracy.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"635-643"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849588","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":"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":"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":"563-574"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967140","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":"Can transabdominal shear wave elastography play a role in solving the dilemma of complex cystic and solid ovarian tumors by ultrasound?","authors":"Mennatallah Mohamed Hanafy, Mariam Rafaat, Hebatullah Mohammed Ibrahem, Fatma Mohamed Magdy Atta, Lamiaa Mohamed Bassam Hashem","doi":"10.1007/s40477-025-01027-6","DOIUrl":"10.1007/s40477-025-01027-6","url":null,"abstract":"<p><strong>Purpose: </strong>We aimed to assess the role of shear wave elastography in better characterizing complex cystic and solid ovarian tumors in correlation with other ultrasound features and histopathology.</p><p><strong>Materials and methods: </strong>The study included 40 patients with 40 unilateral complex cystic or solid ovarian lesions with a mean age of 43.2 ± 13.27 (mean ± SD). All patients were subjected to history taking, tumor markers assessment, ultrasound with Doppler assessment giving an ORADS score, and shear wave elastography assessment. (qualitatively and quantitatively). Correlation was done with the final histopathology.</p><p><strong>Results: </strong>According to the final histopathological results of the 40 lesions, 14 (35%) were benign, four were borderline (10%), and 22 (55%) were malignant. Ultrasound and Doppler assessments revealed a higher frequency of irregular margins and Doppler score 4 in borderline/malignant patients compared to benign patients. ORADS ultrasound scoring system of the examined lesions showed a statistically significantly higher frequency of ORADS 5 in the malignant group, with ORADS sensitivity, specificity, and Diagnostic accuracy of 96.2%, 57.1, and 82.5%, respectively. Elastographic color mapping scores and elastographic readings were higher in borderline/malignant patients compared to benign patients and it significantly correlated with the Doppler score, ORADS score, color mapping score, and tumor markers.</p><p><strong>Conclusion: </strong>The study detected significant associations between malignancy and higher tumor markers, marginal irregularity, higher Doppler, and higher ORADS scores. Shear wave elastography positively correlated with tumor markers, Doppler score, and ORADS score. This supports the utility of elastography in discriminating malignant from benign ovarian tumors.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"611-620"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192523","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":"Classification of paravertebral muscle trophism and its correlation with thoraco-lumbar fascia thickening in patients with chronic low back pain.","authors":"Fabio Vita, Danilo Donati, Davide Pederiva, Salvatore Massimo Stella, Roberto Tedeschi, Marco Miceli, Cesare Faldini, Stefano Galletti","doi":"10.1007/s40477-025-00988-y","DOIUrl":"10.1007/s40477-025-00988-y","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this work is to demonstrate how the chronicity of low back pain can modify the trophism of the paraspinal muscles, by performing an ultrasound and MRI evaluation of the paraspinal muscles in the lumbar spine and correlating it to the time of onset of low back pain.</p><p><strong>Materials and methods: </strong>An ultrasound evaluation was carried out in the lumbar area with a 5-17 MHz linear probe of the paraspinal muscles of the lumbar region, compared with the MRI of the lumbar spine, in patients presented to our attention for chronic low back pain (> 6 months), from January 2021 to January 2023. In each patient, two series of images were analyzed, in the coronal and sagittal planes.</p><p><strong>Results: </strong>Between January 2021 and January 2023, a total of 79 patients were retrospectively evaluated by ultrasound for chronic low back pain. The patients, including 46 men and 33 women, had an average age of 51.6 years (min 24-max 74). In the evaluation of the profile of the paravertebral muscles, 22 patients (27.8%) showed hypotrophy of the paravertebral muscles with a concave profile, while the measurement of the thickness of the fascia showed an average thickness of 2.19 mm with a range between 1, 3 and 3.2 mm and an interquartile range of 1.7-2.65 mm. 77.2% of patients with a concave profile showed a thickness of the FTL > 2.5 mm, and an average duration of symptoms of approximately 15.3 months, to demonstrate a correlation between muscle hypotrophy, thickness of the FTL and duration of onset of symptoms.</p><p><strong>Conclusion: </strong>In the evaluation of chronic low back pain carried out with MRI and ultrasound, the paravertebral musculature profile and the thickness of the thoracolumbar fascia are two instrumental data which, associated with the proposed classification and correlated to the clinical picture, allow to determine the chronicity of the pathological picture.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"621-626"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016027","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}