Journal of Ultrasound最新文献

{"title":"Clinical value of the venous volume excess ultrasound score (VExUS) for volume management following cardiopulmonary bypass (CPB).","authors":"Lijun Guo, Wei Gong, Huiyan Zhang, Hongli Gu, Qiong Li","doi":"10.1007/s40477-026-01200-5","DOIUrl":"10.1007/s40477-026-01200-5","url":null,"abstract":"<p><strong>Objective: </strong>To assess the clinical value of VExUS-guided volume management in patients following CPB surgery.</p><p><strong>Methods: </strong>A single-center, prospective, randomized controlled trial was performed. All adult patients undergoing CPB surgery between January 2024 and October 2025 were consecutively enrolled and randomly allocated in a 1:1 ratio to either a VExUS-guided intervention group or a conventional control group. Baseline demographics, intraoperative surgical parameters, serial postoperative fluid and transfusion metrics, and clinical outcomes were compared between the two cohorts. Intergroup comparisons were conducted using two-tailed statistical tests, with a significance level of P < 0.05.</p><p><strong>Results: </strong>A total of 89 eligible participants completed the study, including 46 in the VExUS group and 43 in the control group. Baseline clinical profiles and all intraoperative variables showed no statistically significant intergroup differences (all P > 0.05). At 12 h and 24 h postoperatively, the median albumin transfusion volume was 0 g in both groups; however, the VExUS-guided cohort exhibited broader data distribution and a larger proportion of patients receiving high-dose albumin administration, with significant between-group differences (P = 0.007 and P = 0.015, respectively). The median postoperative hospital stay was markedly shorter in the VExUS group (15 days vs. 19 days, P = 0.027). No significant differences were observed in intensive care unit (ICU) or total mechanical ventilation time. Although the cumulative net fluid balance did not reach statistical significance between groups, the VExUS-guided group demonstrated a more prominent negative fluid balance trend at 48 h postoperatively, reflecting greater systemic decongestion.</p><p><strong>Conclusion: </strong>VExUS-directed volume management optimizes personalized fluid therapy and shortens postoperative hospital stay in patients undergoing CPB surgery.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"663-670"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686507","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":"Pictorial insights into high-resolution ultrasound for various subtypes of juvenile idiopathic arthritis.","authors":"Anisha Garg, Jyoti Gupta, Isha Saini, Rupi Jamwal, Dharmendra Kumar Singh, Nishith Kumar","doi":"10.1007/s40477-026-01176-2","DOIUrl":"10.1007/s40477-026-01176-2","url":null,"abstract":"<p><p>Juvenile idiopathic arthritis (JIA) remains a diagnostic challenge because of its heterogeneous clinical and radiological presentation. High-resolution ultrasonography (HR-USG) has emerged as an indispensable imaging modality for diagnosis, image-guided interventions, and follow-up. A thorough understanding of the sonographic findings, combined with clinical correlation, is essential for both trainees and practicing radiologists involved in the management of these patients. This review highlights the key clinicoradiological features of JIA, with particular emphasis on the imaging characteristics of the different JIA subtypes, their patterns of joint involvement, and potential imaging pitfalls, thereby facilitating accurate diagnosis and early treatment.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"717-725"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563370","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":"Comparison of different approaches to assess fascicle length using 3D ultrasound with cadaveric dissection as a reference for the human biceps femoris long head.","authors":"Carmela Julia Mantecón-Tagarro, Guido Weide, Yasuo Kawakami, Huub Maas","doi":"10.1007/s40477-026-01203-2","DOIUrl":"10.1007/s40477-026-01203-2","url":null,"abstract":"<p><strong>Purpose: </strong>The biceps femoris long head (BFlh) has a complex architecture, posing challenges for accurately assessing its fascicle length. This study compared four 3D ultrasound (3DUS)-based methods for estimating mid-belly BFlh fascicle length in human cadavers (n = 6 legs).</p><p><strong>Methods: </strong>Method 1 and Method 2 assumed straight fascicles within a single longitudinal plane, aligned with the muscle axis and oriented perpendicular to either proximal or distal aponeurosis. Method 3 represented multiplanar trajectory using two connected straight segments, whereas Method 4 further incorporated local in-plane curvature within each segment.</p><p><strong>Results: </strong>Agreement relative to the direct measurement of fascicle length by dissection using Bland-Altman bias and 95% limits of agreement (LoA), together with mean difference. All 3DUS-based estimates showed good agreement with dissection (bias < 7.5%, LoA < 18.8 mm, mean differences < 7 mm). Method 3 and Method 4 yielded the lowest bias, narrowest limits of agreement, and smallest mean differences. While repeated-measures ANOVA revealed a significant main effect, post hoc analysis did not identify significant differences between methods (all p ≥ 0.096). All methods demonstrated good intra-rater repeatability (ICC (3,1) = 0.77-0.87) and moderate measurement precision (SEM = 5.51-8.74%).</p><p><strong>Conclusion: </strong>Overall, these findings suggest that a two-plane approach yields higher accuracy for BFlh fascicle length measurements than approaches assuming straight fascicles within a single plane.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"671-680"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680969","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":"Emerging role of ultrasound in food technology: principles, applications, and future prospects.","authors":"Antara Roy, Bimal Krishna Banik","doi":"10.1007/s40477-026-01199-9","DOIUrl":"10.1007/s40477-026-01199-9","url":null,"abstract":"<p><p>Ultrasound technology has developed to be a versatile and sustainable technology in new food processing and preservation methods. Ultrasound, which is based on the principles of acoustic cavitation and mechanical vibrations, can improve mass and heat transfer, ramping up processing times and improve the quality of products. The main application of low intensity ultrasound is the analytical and quality checks in food systems while high intensity ultrasound is more common in food systems for emulsification, extraction, homogenization, drying, freezing and microbial inactivation. As it is a nonthermal approach, ultrasound is safe for food systems to follow nutritional and sensory characteristics, making it a green processing technology versus conventional methods. Advances in ultrasonic equipment design and combined use with other elegant technologies like pulsed electric fields, high pressure processing and nanotechnology have led to a broader industrial application. Although the advantages are promising, aspects of scalability, energy efficiency, and uniform energy distribution are important areas for research moving forward. This review provides various applications, fundamental principles of ultrasound in food science with a focus on improving energy efficiency, product safety and sustainability.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"517-525"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148760292","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":"Guidelines for ultrasound in aesthetic medicine: a narrative review.","authors":"Orlando Catalano, Camilla Leggieri, Andrea Maria Scarpa","doi":"10.1007/s40477-026-01206-z","DOIUrl":"10.1007/s40477-026-01206-z","url":null,"abstract":"<p><strong>Aims: </strong>Ultrasound is becoming popular as an adjunct to aesthetic and rejuvenation medicine procedures. This needs, however, standardized protocols and specific guidelines. The purpose of this review article is to identify and to critically analyze the available guidelines on using ultrasound for the aesthetic procedures.</p><p><strong>Methods: </strong>A PubMed and Google Scholar search was performed for the term \"aesthetic\" OR \"cosmetics\" OR \"face\" OR \"facial\" AND the term \"ultrasound\" OR \"ultrasonography\".</p><p><strong>Results: </strong>Applying the inclusion and exclusion criteria, 7981 results were obtained. These articles were screened to select guidelines, expert opinions, expert group consensus reports, position papers, and position statements. We also identified a consistent number of guidelines and similar articles dealing with aesthetics but failing to mention ultrasound.</p><p><strong>Conclusions: </strong>The number of guidelines on the specific topic of ultrasound imaging in aesthetics is quite limited by now, with some of them that only deal with fillers injection, while neglecting other, relevant aesthetic topics. Updated, fulfilled recommendations are needed.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"537-540"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13589033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148609961","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":"Ultrasound grading of hepatic steatosis and its metabolic and endocrine correlates among adults with MASLD in Duhok, Iraq: a cross-sectional study.","authors":"Maysaloon Shaman Saeed, Rasha Nadeem Ahmed, Marwa Ismail Al-Khafaji, Mohamed Muyaser Naif","doi":"10.1007/s40477-026-01172-6","DOIUrl":"10.1007/s40477-026-01172-6","url":null,"abstract":"<p><strong>Purpose: </strong>Metabolic dysfunction-associated steatotic liver disease (MASLD), previously termed non-alcoholic fatty liver disease, is increasingly encountered in daily imaging practice. This study explored which metabolic, endocrine, and lifestyle factors are associated with ultrasound (US) grade of hepatic steatosis among adults with MASLD.</p><p><strong>Methods: </strong>In this prospective cross-sectional study, 500 adults (20-60 years) with MASLD diagnosed by abdominal ultrasound were enrolled in Duhok, Iraq. Hepatic steatosis was graded on US into grades I-III, and clinical history, BMI, blood pressure, glycemic status, and laboratory parameters were compared across grades using chi-square testing (with Fisher's exact test when needed).</p><p><strong>Results: </strong>The mean age was 43.9 ± 3.4 years, and 58% of participants were women. On ultrasound, 302 patients had grade I (60.4%), 167 had grade II (33.4%), and 31 had grade III steatosis (6.2%). Increasing severity was associated with older age and higher BMI (both P < 0.001), and differed by sex (P = 0.001). Higher grades were also more frequent in individuals with abnormal glycemic status (P < 0.001) and among women with polycystic ovary syndrome (P = 0.017). Among biochemical variables, triglycerides (P = 0.001) and AST (P = 0.002) showed significant associations with US grade.</p><p><strong>Conclusion: </strong>In this cohort, ultrasound grading of hepatic steatosis reflected a broader metabolic and endocrine profile rather than an isolated liver finding. Higher grades clustered with older age, increased BMI, dysglycemia, and selected laboratory abnormalities, supporting the role of routine ultrasound grading in clinical risk stratification of MASLD.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"607-616"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044417","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":"A lost race against time-a rare case of AL amyloidosis.","authors":"Inês Conde, Mónica Dias, Sofia Fernandes, Nuno Antunes, Rui Flores, Carlos Galvão Braga","doi":"10.1007/s40477-025-01020-z","DOIUrl":"10.1007/s40477-025-01020-z","url":null,"abstract":"<p><strong>Introduction: </strong>Amyloidosis is a rare multi-system disease that can affect the heart. Recent advances have been made in finding successful treatments for these patients. Nonetheless, cardiac amyloidosis continues to carry high morbidity and mortality.</p><p><strong>Case presentation: </strong>This case refers to a 52-year-old man presenting with signs and symptoms of heart failure. Electrocardiogram showed q waves in V1-V3 and T wave inversion in the inferior and lateral leads. Echocardiography revealed moderate concentric left ventricular hypertrophy, with preserved biventricular systolic function and no other changes. Cardiac magnetic resonance showed severe left ventricular hypertrophy and diffuse fibrosis, suggesting infiltrative cardiomyopathy. Given these findings, a diagnosis of amyloidosis was considered and complementary tests were requested. Laboratory tests showed elevation of Kappa light chains in urine, with normal serum light chains. Cardiac scintigraphy with Tec99m-DPD showed increased cardiac uptake. Genetic testing showed no clinically relevant variants in the TTR gene. Salivary gland and abdominal fat biopsy demonstrated no deposition of amyloid substance. Bone marrow evaluation demonstrated the presence of 0.8% plasma cells (99.2% clonal). Given that a high degree of suspicion remained, an endocardial biopsy was performed and immunohistochemical staining revealed deposits of kappa light chains, suggesting AL amyloidosis. However, in the course of the clinical investigation, the patient's condition progressively deteriorated. By the time AL amyloidosis was diagnosed and targeted therapy initiated, the patient was already severely debilitated, ultimately leading to a short-term fatal outcome.</p><p><strong>Comment: </strong>Amyloidosis, often undiagnosed early, can severely affect multiple organs, particularly the heart, leading to poor prognosis without timely intervention. In this case, AL amyloidosis, a type where plasma cells produce amyloidogenic light chains, was identified. The patient's late diagnosis led to rapid progression and treatment with chemotherapy and steroids; however, his condition deteriorated quickly, resulting in a fatal outcome.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"757-762"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059852","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":"Ultrasound-guided double-needle lavage for acute calcific periarthritis of the hand: technical description and preliminary experience in five patients.","authors":"Domenico Romeo, Davide Abruzzese, Angela Zanfino, Federico Ponti, Marco Miceli, Paolo Spinnato","doi":"10.1007/s40477-026-01201-4","DOIUrl":"10.1007/s40477-026-01201-4","url":null,"abstract":"<p><p>This study describes a standardized ultrasound-guided double-needle lavage technique for acute calcific periarthritis of the hand and reports its technical feasibility and preliminary clinical outcomes. Five consecutive patients underwent ultrasound-guided percutaneous lavage. Clinical characteristics, affected joint, calcification size, sonographic features, complications, and visual analog scale (VAS) scores at baseline, 1 week, and 1 month were recorded. Four cases involved the metacarpophalangeal joints, whereas one involved the interphalangeal joint. Mean calcification size was 14.4 ± 6.0 mm. All deposits were mature and showed no posterior acoustic shadowing. Mean VAS decreased from 8.8 ± 1.8 at baseline to 0.4 ± 0.5 at 1 week and 0.2 ± 0.4 at 1 month, corresponding to mean pain reductions of 94.2% and 96.7%, respectively. No complications occurred. Ultrasound-guided lavage appears feasible, safe, and minimally invasive, providing rapid and substantial pain relief. Larger prospective studies are needed to confirm these preliminary findings.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"749-756"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13589007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654982","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":"Correction: CEUS in the evaluation of focal salivary gland lesions: a systematic review.","authors":"Alessio Frisone, Giuseppe Balice, Matteo Serroni, Gianmaria D'Addazio, Antonella Berardicurti, Andrea Boccatonda","doi":"10.1007/s40477-026-01213-0","DOIUrl":"10.1007/s40477-026-01213-0","url":null,"abstract":"","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"779"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588758/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148851949","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":"Colour Doppler and contrast-enhanced ultrasound diagnosis of a delayed intrahepatic pseudoaneurysm after liver biopsy: a case report and literature review.","authors":"Leonardo Sacco, Antonella Marra, Chiara Lillo, Silvio Maresca, Michelangelo Nasuto, Simone Mammone, Agnese Favale, Veronica Nassisi, Fulvia Terracciano","doi":"10.1007/s40477-026-01215-y","DOIUrl":"https://doi.org/10.1007/s40477-026-01215-y","url":null,"abstract":"<p><p>Percutaneous liver biopsy is widely performed and generally safe; however, rare vascular complications may occur. We report a 43-year-old man with a history of allogeneic haematopoietic stem cell transplantation undergoing ultrasound evaluation for multiple hepatic and splenic lesions detected during investigation of persistent fever. After a non-diagnostic biopsy, follow-up ultrasound three weeks later demonstrated vascular features within a left-lobe lesion selected for repeat sampling. Contrast-enhanced ultrasound (CEUS) showed rapid and persistent arterial enhancement. Colour Doppler revealed turbulent bidirectional flow with a \"yin-yang\" pattern, and pulsed-wave Doppler demonstrated a characteristic \"to-and-fro\" waveform consistent with pseudoaneurysm. CT angiography confirmed a pseudoaneurysm arising from a peripheral intrahepatic branch of the left hepatic artery. The patient remained asymptomatic, haemodynamically stable and without laboratory evidence of bleeding. Selective endovascular embolisation was performed. This case highlights how combined CEUS and Doppler may detect delayed, clinically silent vascular complications after liver biopsy.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148834617","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}