Journal of Ultrasound最新文献

{"title":"Ultrasound assessment of the distal pectoralis major: identification of two distinct tendons.","authors":"Renaud Guiu, Vincent Martinel, Frank Lapègue, Leonard Tanko Tankeng, Jean-David Werthel, Charles Schlur","doi":"10.1007/s40477-025-01026-7","DOIUrl":"10.1007/s40477-025-01026-7","url":null,"abstract":"<p><strong>Purpose: </strong>Distal pectoralis major pathology is complex. Recent anatomical findings have identified the deltopectoral tendon, a structure distinct from the pectoralis major tendon, originating from the clavicular bundle and merging with the distal deltoid tendon. This study aims to characterize the deltopectoral tendon, assess its consistency, and define its relationship to the pectoralis major tendon to improve the understanding of distal pectoralis major pathology.</p><p><strong>Methods: </strong>This study consisted of a prospective, monocentric, observational cohort design. Forty-six volunteer subjects with no history of trauma to the pectoralis major muscle underwent a systematic ultrasound examination of the muscle's connective skeleton. Complementing this prospective data, a retrospective review of five ultrasound scans documenting pectoralis major injuries was performed.</p><p><strong>Results: </strong>The deltopectoral tendon was consistently identified on ultrasound. It was observed emerging between the deltoid and the clavicular bundle, adhering superficially to the terminal portion of the pectoralis major tendon, and merging with the anterior intramuscular tendon of the deltoid. The pectoralis major tendon, originating from the sternal and abdominal muscular portions and measuring 32 mm in length, 42 mm in width, and 2.1 mm in thickness, should be analysed independently of the clavicular bundle.</p><p><strong>Conclusion: </strong>The distal insertion of the pectoralis major consists of two distinct tendons: the pectoralis major tendon and the deltopectoral tendon. The presence of an intact clavicular bundle, signifying the persistence of the deltopectoral tendon, may coexist with a complete rupture of the pectoralis major tendon and should not be mistaken for a partial, non-surgical injury.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"599-609"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121423","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":"Splanchnic venous thrombosis in patients with acute cholecystitis: a case series and review of literature.","authors":"Andrea Boccatonda, Elena Campello, Viola Tallarico, Damiano D'Ardes, Francesco Cipollone, Paolo Simioni, Cosima Schiavone, Fabio Piscaglia, Carla Serra","doi":"10.1007/s40477-025-01029-4","DOIUrl":"10.1007/s40477-025-01029-4","url":null,"abstract":"<p><p>Portal vein thrombosis (PVT) is a rare vascular disorder with an estimated incidence of 2-4 cases per 100,000 inhabitants. Although chronic liver disease (especially cirrhosis), hepatobiliary malignancies, major infectious/inflammatory abdominal diseases, and myeloproliferative disorders are well-recognized predisposing conditions for PVT, various abdominal inflammatory processes can also predispose to visceral venous thrombosis. In this article, we present a case series of three patients with a clinical diagnosis of acute cholecystitis complicated by visceral venous thrombosis. We describe the clinical presentation, imaging findings, therapeutic approaches-including the use of injectable anticoagulants and direct oral anticoagulants (DOACs)-and the impact of venous thrombosis on the timing of definitive surgical treatment. We also discuss the implications of these findings in the context of current knowledge and propose management strategies for similar cases.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"551-561"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188466","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":"Venous excess ultrasound and right heart catheterization in pre-capillary pulmonary hypertension.","authors":"Sergio M Alday-Ramírez, César A Gómez-Rodríguez, Félix Damas-de-Los-Santos, Rodrigo Zebadúa-Torres, Mario A J Leal-Villarreal, Nayeli Zayas, Juan C Jasso-Molina, José Luis Hernández-Oropeza, Hatem Soliman-Aboumarie, Eduardo R Argaiz","doi":"10.1007/s40477-025-01050-7","DOIUrl":"10.1007/s40477-025-01050-7","url":null,"abstract":"<p><strong>Aims: </strong>Venous congestion is an important determinant of organ dysfunction in patients with pulmonary hypertension. Currently, there are no optimal methods for non-invasive assessment of venous congestion. We aimed to evaluate the accuracy of the recently described venous excess ultrasound grading system (VExUS) to determine the presence of venous congestion in patients with precapillary pulmonary hypertension compared to right heart catheterization.</p><p><strong>Methods: </strong>We included patients with precapillary pulmonary hypertension undergoing right heart catheterization. VExUS was performed by trained cardiologists simultaneous with catheterization. Correlation and simple logistic regression between invasive hemodynamic measurement and VExUS was performed.</p><p><strong>Results: </strong>Forty-nine patients with precapillary pulmonary hypertension were included. A significant correlation between VExUS and right atrial pressure (RAP) was found (R = 0.70, p < 0.001). VExUS was an excellent predictor of RAP > 10 mmHg (AUC 0.93, p < 0.001).</p><p><strong>Conclusion: </strong>Our study provides evidence that VExUS score is a reliable, non-invasive method for assessing right atrial pressure in patients with pre-capillary PH.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"685-689"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546085","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":"Intratumoral and peritumoral radiomics based on 2D ultrasound imaging in breast cancer was used to determine the optimal peritumoral range for predicting KI-67 expression.","authors":"Wangxing Huang, Songming Zheng, Xiaoyan Zhang, Lina Qi, Min Li, Qinghua Zhang, Zhen Zhen, Xiuwei Yang, Changqin Kong, Dong Li, Guoyong Hua","doi":"10.1007/s40477-025-01049-0","DOIUrl":"10.1007/s40477-025-01049-0","url":null,"abstract":"<p><strong>Objectives: </strong>Currently, radiomics focuses on intratumoral regions and fixed peritumoral regions, and lacks an optimal peritumoral region taken to predict KI-67 expression. The aim of this study was to develop a machine learning model to analyze ultrasound radiomics features with different regions of peri-tumor fetch values to determine the optimal peri-tumor region for predicting KI-67 expression.</p><p><strong>Methods: </strong>A total of 453 breast cancer patients were included. They were randomly assigned to training and validation sets in a 7:3 ratio. In the training cohort, machine learning models were constructed for intra-tumor and different peri-tumor regions (2 mm, 4 mm, 6 mm, 8 mm, 10 mm), identifying the relevant Ki-67 features for each ROI and comparing the different models to determine the best model. These models were validated using a test cohort to find the most accurate peri-tumor region for Ki-67 prediction. The area under the receiver operating characteristic curve (AUC) was used to evaluate the performance of predicting KI-67 expression, and the Delong test was used to assess the difference between each AUC.SHAP (Shapley Additive Decomposition) was performed to analyze the optimal prediction model and quantify the contribution of major radiomics features.</p><p><strong>Results: </strong>In the validation cohort, the SVM model with the combination of intratumoral and peritumoral 6 mm regions showed the highest prediction effect, with an AUC of 0.9342.The intratumoral and peritumoral 6-mm SVM models showed statistically significant differences (P < 0.05) compared to the other models. SHAP analysis showed that peri-tumoral 6 mm features were more important than intratumoral features.</p><p><strong>Conclusion: </strong>SVM models using intratumoral and peritumoral 6 mm regions showed the best results in prediction of KI-67 expression.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"709-717"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610287","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":"Levator plate function may be important in maintaining fecal continence after obstetric anal sphincter injury repair: a pilot perineal and endovaginal ultrasound analysis.","authors":"Benjamin Feiner, Rashad Falah, Abbas Shobeiri, Yael Baumfeld, Livna Shafat Heller, Rawan Daher, Rinat Gabbay-Benziv, Tanya Levy, Jonia Alshiek","doi":"10.1007/s40477-025-01038-3","DOIUrl":"10.1007/s40477-025-01038-3","url":null,"abstract":"<p><strong>Background: </strong>Fecal Incontinence (FI) following Obstetric Anal Sphincter Injuries (OASI) and repair is under constant investigation. Ultrasound is reliable in identifying Levator Ani Muscle (LAM) morphology and malfunction.</p><p><strong>Objective: </strong>To investigate the incidence of levator plate dysfunction by pelvic floor ultrasound in patients with OASI repair and to correlate with patient-reported outcomes.</p><p><strong>Methods: </strong>A prospective cohort study of patients who had sustained OASI in one year. We reviewed the computerized files to obtain obstetrics variables. We invited OASI patients to undergo anal manometry, 2D Endovaginal, and 2D perineal, and to complete outcome questionnaires at a 6-12-month follow-up. We measured by Ultrasound the distances between the Levator Plate (LP) and Pubic bone (LP-P) and LP and vaginal probe (LP-V) at rest and during squeeze, with delta calculations for these distances (∆ LP-P and ∆ LP-V).</p><p><strong>Results: </strong>27 patients completed the study. 15% had FI. All FI patients also had flatus incontinence compared with 8% of FC (p 0.001). The patient's age, long second stage of labor, and high newborn weight were correlated with FI. LP-P resting and LP-P squeeze distances were larger among the FI (p 0.01 for both). LP-V resting and LP-V squeeze were more significant among the FI group (p 0.07, < 0.001). ∆ LP-P was significantly greater among the FC than the FI (0.01).</p><p><strong>Conclusions: </strong>Patients with normal levator plate function had FC following OASI repair. Given the small sample size, a firm conclusion about FI cannot be reached, but notably, the few patients with FI after OASI repair had abnormal LAM function.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"653-659"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555612","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 and shear wave elastography in carotid plaque risk stratification.","authors":"Asmaa Hussein Habib, Ahmed Abdelrahman Baz, Shrouk Fareed Mohamed, Salsabil Abo Al-Azayem","doi":"10.1007/s40477-025-01051-6","DOIUrl":"10.1007/s40477-025-01051-6","url":null,"abstract":"<p><strong>Background: </strong>Atherosclerotic plaque in the carotid bifurcation is a major risk factor for ischemic stroke, one of the most frequent causes of death and a leading cause of disability worldwide.</p><p><strong>Aim of this work: </strong>The aim of our study was to identify differences in atherosclerotic plaque elasticity (measured using shear wave elastography-SWE) and plaque echogenicity among symptomatic and asymptomatic groups.</p><p><strong>Methods: </strong>Fifty-eight patients with carotid plaques were enrolled in our study. Plaque echogenicity and shear wave elastography assessments given as kilopascals (kPa), were measured.</p><p><strong>Results: </strong>Plaques from the symptomatic group were predominantly less echogenic and the shear wave elastography values were significantly lower than those in the asymptomatic group. The mean plaque Young's Modulus (YM) of the symptomatic group was 34.23 kPa (kilo pascal) (SD = 22.3 kPa) compared to 64.84 kPa (SD = 35.00 kPa) in the asymptomatic group with P value of < 0.001.</p><p><strong>Conclusion: </strong>Shear wave elastography is a helpful tool in quantifying elasticity of the carotid plaques and can help to identify the unstable plaque, which would help in proper patient management.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"691-700"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661056","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":"Formal letter to the editor regarding methodological concerns.","authors":"Jinyu Lai, Yijun Wu, Xiaofeng Zhou, Panpan Sun, Yong Xiang, Yu-Lan Li","doi":"10.1007/s40477-025-01046-3","DOIUrl":"10.1007/s40477-025-01046-3","url":null,"abstract":"","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"777-778"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790702","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":"Renal resistive index for the prediction of augmented renal clearance: a prospective observational study.","authors":"Mrudula Prasanna, Dilip Shende, Rajathadri Hosur Ravikumar, Lokesh Kashyap, Sudip Kumar Datta, Surabhi Vyas, Bikash Ranjan Ray","doi":"10.1007/s40477-025-01035-6","DOIUrl":"10.1007/s40477-025-01035-6","url":null,"abstract":"<p><strong>Background: </strong>Augmented renal clearance (ARC) is frequently observed in ICU patients and is associated with renal vascular changes. We hypothesized that the renal resistive index (RRI) could predict ARC. Secondary objectives included evaluating the correlation between RRI and creatinine clearance (CrCl), identifying risk factors for ARC, and assessing its impact on ICU outcomes such as length of stay and survival.</p><p><strong>Methods: </strong>This prospective observational study included 108 adult ICU patients without kidney disease, enrolled within 24 h of admission. RRI measurement, 24-h CrCl, and ARC score calculation were performed on the first day of ICU stay. We analysed RRI's accuracy in predicting ARC and investigated associations with clinical variables and outcomes.</p><p><strong>Results: </strong>RRI demonstrated high predictive accuracy for ARC (AUROC: 0.897, 95% CI 0.836-0.958). ARC prevalence was 38.9%. Significant risk factors for ARC included younger age, SOFA score, vasopressor use, trauma-related admissions, and diuretic use. A moderate negative correlation between RRI and CrCl was observed (r = - 0.541, p < 0.001). RRI showed superior predictive performance compared to the ARC score (p = 0.0008). ARC did not significantly affect ICU length of stay but was associated with improved ICU survival.</p><p><strong>Conclusions: </strong>RRI is a reliable predictor of ARC in ICU patients and can help identify patients at risk early. Combining RRI with risk factors such as age, trauma-related admissions, and severity of illness may improve ARC detection and guide therapeutic decisions.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"669-678"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477840","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":"Accuracy of shear wave elastography in diagnosing axillary lymph node metastasis in patients with suspicious axillary lymph nodes: development of a predictive nomogram.","authors":"Wethaka Kritcharoen, Varanatjaa Pradaranon, Patteera Rohitopakarn, Warunee Kaewpiboon","doi":"10.1007/s40477-025-01037-4","DOIUrl":"10.1007/s40477-025-01037-4","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate shear wave elastography [SWE] for predicting axillary lymph node metastasis in breast cancer patients.</p><p><strong>Methods: </strong>Thirty-nine patients with suspicious axillary lymph nodes (BI-RADS ≥ 4 and abnormal B-mode ultrasound features) underwent B-mode ultrasound, strain elastography, and shear wave elastography (SWE) prior to ultrasound-guided core needle biopsy. Two experienced radiologists independently assessed lymph node appearance, cortical thickness, vascularity, as well as shear wave and strain elastography using the Siemens ACUSON Sequoia system. Statistical analysis compared imaging parameters between benign and malignant nodes using the Wilcoxon rank-sum test. Diagnostic performance was evaluated using receiver operating characteristic (ROC) curves. A predictive nomogram incorporating B-mode, strain elastography, and SWE findings was developed to improve diagnostic accuracy.</p><p><strong>Results: </strong>Malignant nodes showed significantly higher stiffness and velocity [p < 0.05]. Cut points for diagnostic accuracy were determined by using the Youden index. Combining B-Mode and elastography improved sensitivity and specificity. A predictive nomogram incorporating SWE, strain elastography, and B-Mode appearance achieved high diagnostic efficacy [sensitivity = 0.96, specificity = 0.77, PPV = 0.89, NPV = 0.91].</p><p><strong>Conclusions: </strong>SWE demonstrates potential as a non-invasive tool for axillary nodal assessment in breast cancer patients. It effectively distinguishes between benign and malignant axillary lymph nodes, offering promise for optimizing management. The predictive nomogram, incorporating SWE, strain elastography, and B-Mode appearance, provides a practical tool for pre-operative decision-making, enhancing the diagnostic process and potentially improving the management of breast cancer patients.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"627-633"},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644145","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":"Evaluation of a dressing film for ultrasound-guided vascular puncture to achieve high-quality imaging and infection prevention.","authors":"Mari Abe, Toshiaki Takahashi, Miyako Muta, Atsuo Kawamoto, Ryoko Murayama, Gojiro Nakagami","doi":"10.1007/s40477-025-01067-y","DOIUrl":"https://doi.org/10.1007/s40477-025-01067-y","url":null,"abstract":"<p><strong>Purpose: </strong>This study evaluated the quality of ultrasound images obtained during peripheral vascular catheter insertion using a transparent film designed to maintain puncture site sterility during ultrasound-guided puncture.</p><p><strong>Methods: </strong>Images were collected from 10 healthy adult participants with and without film, focusing on the radial artery, forearm cephalic vein, and median cubital vein. In total, 300 ultrasound still images were assessed using a 10-point Likert scale.</p><p><strong>Results: </strong>Image quality was significantly lower at all sites with the film (mean total image quality: radial artery, 5.2 vs. 6.0: p = 0.019; forearm cephalic vein, 6.1 vs. 7.6: p < 0.001; median cubital vein, 6.0 vs. 7.4: p < 0.001). However, the clinical nurse's evaluation of puncture feasibility showed no significant difference for the radial artery (80.0% vs 96.7%) and forearm cephalic vein (100.0% vs 100.0%).</p><p><strong>Conclusion: </strong>Compromised image quality using the film does not negatively affect the puncturability of the radial artery and forearm veins. This finding underscores the potential for maintaining sterile conditions during procedures without compromising the ability to successfully perform puncture, thereby improving patient outcomes and procedural efficiency.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977949","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}