Journal of Ultrasound最新文献

{"title":"Prospective ultrasonographic evaluation of femoral and vastus intermedius muscles as predictors of ICU-acquired weakness in critically ill patients.","authors":"Pablo Echevarría Díez-Canedo, Raquel Marín-Baselga, Yale Tung-Chen","doi":"10.1007/s40477-025-01056-1","DOIUrl":"https://doi.org/10.1007/s40477-025-01056-1","url":null,"abstract":"","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785889","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":"Ultrasound-guided infiltration of the posterior femoral cutaneous nerve: a technical approach for neuropathic pain management.","authors":"Fabio Vita, Danilo Donati, Flavio Gaetano Origlio, Roberto Tedeschi, Salvatore Massimo Stella, Adriano Drago, Stefano Galletti, Marco Miceli, Cesare Faldini","doi":"10.1007/s40477-025-01057-0","DOIUrl":"https://doi.org/10.1007/s40477-025-01057-0","url":null,"abstract":"<p><strong>Purpose: </strong>To describe a reproducible ultrasound-guided technique for infiltrating the posterior femoral cutaneous nerve (PFCN) in patients with neuropathic pain involving the posterior thigh and gluteal region.</p><p><strong>Methods: </strong>High-resolution ultrasound was used to identify the PFCN along its superficial course over the long head of the biceps femoris muscle. Under sterile conditions, a perineural injection was performed using an in-plane approach. Hydrodissection with saline was employed to confirm needle placement. A local anaesthetic, with or without corticosteroids, was administered.</p><p><strong>Results: </strong>The PFCN was reliably visualised in all procedures, and the targeted infiltration was successfully performed in each case. Patients experienced immediate partial pain relief, and no adverse events were reported. The technique proved feasible, safe, and reproducible in clinical practice.</p><p><strong>Conclusion: </strong>Ultrasound-guided infiltration of the PFCN is a precise and minimally invasive approach for managing neuropathic pain in the posterior thigh. It enables accurate nerve targeting and provides both diagnostic confirmation and therapeutic benefit. This technique may reduce reliance on systemic medications and guide further management in complex pain syndromes. Additional studies are needed to evaluate long-term outcomes and confirm clinical efficacy.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735231","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":"Spontaneous regression of \"pauci-hemosiderotic\" fibrolipomatous tumor.","authors":"Alejandro Arbona-Lampaya, Kumarasen Cooper, Jenny T Bencardino","doi":"10.1007/s40477-025-01060-5","DOIUrl":"https://doi.org/10.1007/s40477-025-01060-5","url":null,"abstract":"<p><p>A 64-year-old man presented with a palpable, soft, compressible, superficial mass on his left lateral hindfoot, with no other symptoms. No significant past medical history. Initial ultrasound and magnetic resonance imaging (MRI) studies characterized the mass as a cyst-like, fluid-containing lesion. Biopsy results indicated an atypical myxoid and spindle cell neoplasm, with immunohistochemistry favoring \"pauci-hemosiderotic\" fibrolipomatous tumor. Four months after the biopsy, follow-up MRI revealed substantial tumor size regression with decreased post contrast enhancement. Given the potential for recurrence and malignant transformation in hemosiderotic fibrolipomatous tumors, continuous monitoring and complete surgical excision are recommended.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144719145","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: Multiparametric ultrasound for non‑invasive evaluation of kidney graft function.","authors":"Maria Irene Bellini, Sergio Angeletti, Daniele Fresilli, Mattia Di Segni, Gian Marco Lo Conte, Raponi Flavia, Manuela Garofalo, Renzo Pretagostini, Corrado De Vito, Patrizia Pacini, Vito D'Andrea, Angelo Barbato, Francesco M Drudi, Marcello Caratozzolo, Vito Cantisani","doi":"10.1007/s40477-025-01054-3","DOIUrl":"https://doi.org/10.1007/s40477-025-01054-3","url":null,"abstract":"","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683591","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":"Homemade, low-cost ultrasound phantoms for ultrasound-guided procedures: a survey-based comparative analysis.","authors":"Hassan Magdy Abd Elrazek, Mohamed Sherif Ali Ahmed, Dalia Fahmy, Reem Khaled","doi":"10.1007/s40477-025-01052-5","DOIUrl":"https://doi.org/10.1007/s40477-025-01052-5","url":null,"abstract":"<p><strong>Purpose: </strong>There is growing demand for ultrasound-based minimally invasive procedures, such as biopsy, aspiration, and tube drain. Homemade ultrasound (US) phantoms provide a simple, low-cost method for training young radiology residents. We aimed to compare and finally prescribe low-cost recipes of a US phantom model utilizing available ingredients, providing homogenous images and is stable in our hot, humid weather.</p><p><strong>Methods: </strong>Five recipes with different ingredients and concentrations were used during five workshops. All participants were asked to fill out a survey assessing the stability, visibility of targets, homogeneity, and persistence of air-filled tracks. Solid and cyst-like targets were used for training and were included in the survey.</p><p><strong>Results: </strong>Our findings demonstrate that model 3 (1 cup of gelatin powder per 2 cups of cornflower) and model 5 (7 tablespoons of gelatin powder per 4 tablespoons of mucil) yielded the best phantoms in terms of stability and visibility of targets. Model 5 provided the best homogeneity (no layering), but it was the most expensive. Animal tissue within US phantoms was not suitable for recurrent use after 24 h.</p><p><strong>Conclusions: </strong>Gelatin-based homemade US phantom models were useful in training young radiologists. The best mixture was gelatin and mucil (in a 7:4 ratio), followed by gelatin and cornflower (in a 1:2 ratio).</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638644","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":"Microwave ablation therapy of an intrathyroid parathyroid adenoma.","authors":"José Vicente Rocha, Marta Vaz Lopes, Francisca Delfim, Carolina Peixe, Ana Coelho Gomes, Leonor Fernandes, João Leitão, Ema Lacerda Nobre","doi":"10.1007/s40477-025-01053-4","DOIUrl":"https://doi.org/10.1007/s40477-025-01053-4","url":null,"abstract":"<p><strong>Introduction: </strong>Primary Hyperparathyroidism (PHPT) is a disorder of calcium metabolism most frequently due to a parathyroid adenoma. Although parathyroidectomy is the treatment of choice, Microwave Ablation Therapy (MWA) has also been applied for the treatment of PHPT. The incidence of ectopic parathyroid glands ranges from 10 to 22% with an intrathyroid parathyroid adenoma (IPA) being a possible cause of PHPT (0.7-6.7%). The best treatment for IPAs is still in debate.</p><p><strong>Case report: </strong>A 47-year-old woman was referred to the endocrinology clinic following an incidental finding of PHPT. The patient had no personal history of bone fractures or nephrolithiasis. Biochemical analysis demonstrated elevated serum calcium (11.9 mg/dL), low serum phosphate (2 mg/dL), and elevated parathyroid hormone (PTH) levels (199 pg/mL). A [99mTc]Tc-MIBI scintigraphy scan showed slight persistent uptake in the inferior third of the left thyroid lobe and the neck ultrasound identified a mixed predominantly solid and slightly hypoechoic nodule, measuring 2.1 × 1.8 × 1.5 cm (LxTxAP). Fine-needle aspiration biopsy (FNAB) confirmed IPA. MWA of the IPA in the left thyroid lobe was performed with no complications and a 90% nodule volume reduction and a reduction of serum calcium and PTH values at 6 months were achieved, no longer reaching surgical criteria.</p><p><strong>Discussion and conclusion: </strong>To our knowledge this is the first reported MWA of an IPA. Literature review identified a total of 5 patients that had IPAs treated with radiofrequency ablation. MWA ablation may be a viable alternative to surgery in the treatment of IPAs.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602236","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":"Role of platelet rich plasma in management of diabetic peripheral neuropathy: a case-control study.","authors":"Asmaa Ali Elsayed, Eman Saif Eldeen, Marwa Abdellah Osman, Seham Abdallah Elazab","doi":"10.1007/s40477-025-01042-7","DOIUrl":"https://doi.org/10.1007/s40477-025-01042-7","url":null,"abstract":"<p><strong>Background: </strong>Diabetic Peripheral Neuropathy (DPN) is a prevalent complication of diabetes mellitus, resulting in substantial morbidity. This study assesses the effectiveness of platelet-rich plasma (PRP) in managing DPN symptoms and enhancing nerve function.</p><p><strong>Objective: </strong>To assess the therapeutic effects of ultrasound-guided perineural injection of PRP on neuropathic pain and nerve conduction parameters in patients with type 2DPN.</p><p><strong>Methods: </strong>This is a prospective, case-control trial that included 80 participants with type 2 DPN, divided into two groups: Group A (intervention) (n = 40) received ultrasound-guided perineural injections of PRP in conjunction with medical treatment. In contrast, Group B (control) (n = 40) received medical treatment alone. Participants underwent detailed medical history, general and neurological examinations, and laboratory tests. Assessments included nerve conduction studies (NCS), which were conducted at baseline and reassessed after 3 months. The modified Toronto Clinical Neuropathy Score (mTCNS) and Visual Analog Scale (VAS) for pain were measured at baseline and 1- and 3-months post-treatment.</p><p><strong>Results: </strong>Demographic and baseline clinical characteristics were analogous across groups (p > 0.05). At three months, the intervention group showed a substantial elevation in mNCV for the tibial nerves, from 38.5 ± 5.2 m/s to 45.3 ± 4.8 m/s (p < 0.001), and for the peroneal motor nerves, from 36.2 ± 4.9 m/s to 42.7 ± 5.1 m/s (p < 0.001). The mTCNS scores improved significantly from 12.4 ± 2.1 to 6.3 ± 1.8 (p < 0.001), and VAS scores decreased from 8.2 ± 1.0 to 3.5 ± 1.2 (p < 0.001). Conversely, the control group experienced a deterioration in mTCNS scores, from 12.5 ± 2.0 to 14.1 ± 2.3 (p < 0.01), and an elevation in VAS scores, from 8.1 ± 1.1 to 9.0 ± 0.9 (p < 0.05).</p><p><strong>Conclusion: </strong>PRP therapy significantly alleviates symptoms of DPN and enhances nerve function, suggesting its potential as an effective treatment option for diabetic neuropathies.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585588","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":"Dynamic color Doppler assessment for the detection of small abdominal hernias: the \"Cocco Sign\".","authors":"Giulio Cocco","doi":"10.1007/s40477-025-01048-1","DOIUrl":"https://doi.org/10.1007/s40477-025-01048-1","url":null,"abstract":"<p><strong>Objective: </strong>To describe an innovative, dynamic ultrasound technique for detecting abdominal hernias using the Color Doppler effect, particularly in small hernias and those that are challenging to identify with conventional ultrasound methods.</p><p><strong>Materials and methods: </strong>With the patient in a supine position, the ultrasound probe is positioned over the suspected hernia area without applying compression. The sonographer activates the Color Doppler box and instructs the patient to perform a Valsalva maneuver.</p><p><strong>Results: </strong>During the Valsalva maneuver, the hernia sac becomes visible as a red Doppler signal moving toward the probe, clearly indicating its presence and motion. When the Valsalva maneuver is stopped and intra-abdominal pressure decreases, the hernia retracts back into the abdominal cavity, resulting in a blue signal moving away from the probe. The combination of the Color Doppler effect and the Valsalva maneuver enhances the detection of small hernias, where a narrow defect increases tissue velocity and generates clearer Doppler signals. This characteristic Doppler pattern is here proposed as a novel diagnostic indicator, referred to as the \"Cocco Sign.\"</p><p><strong>Conclusion: </strong>This dynamic ultrasound assessment using the Color Doppler effect may significantly enhance the identification of hernias-especially small ones that are challenging to visualize with conventional ultrasound techniques. This innovative approach has the potential to significantly enhance the diagnosis of hernias.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565504","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":"Comments on: Morphological characterization of two dermal and hypodermal alterations in an adult man: surgical scar vs. stretch mark.","authors":"Salvatore Chirumbolo","doi":"10.1007/s40477-025-01044-5","DOIUrl":"https://doi.org/10.1007/s40477-025-01044-5","url":null,"abstract":"","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546084","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":"Faster diagnosis, smarter care? Point of care ultrasound for pediatric sternal fractures secondary to indirect trauma: a case series.","authors":"Leopold Simma, Raoul Schmid, Felicia Drack, Sonja Fontana","doi":"10.1007/s40477-025-01043-6","DOIUrl":"https://doi.org/10.1007/s40477-025-01043-6","url":null,"abstract":"<p><p>This multisite case series examines the role of point-of-care ultrasound (POCUS) in diagnosing isolated sternal fractures in pediatric patients following indirect trauma. While traditionally linked to high-impact injuries and major trauma, these fractures can also occur in children participating in leisure activities like trampoline jumping. We aim to highlight POCUS as a rapid, radiation-free alternative to traditional imaging. We included pediatric patients presenting with acute chest pain after indirect trauma at three clinical sites in Switzerland. POCUS was performed by trained physicians to detect cortical discontinuity, confirming sternal fractures. Patients were managed conservatively and followed up by phone. Eleven children (median age: 11 years) were diagnosed with isolated sternal fractures, with the majority involving hyperflexion injuries. None had external signs of trauma. POCUS swiftly identified fractures, enabling immediate diagnosis without additional imaging. All patients recovered fully with conservative management, and no repeat visits or complications were reported. POCUS could be an effective, non-invasive tool for diagnosing pediatric sternal fractures following indirect trauma. It may facilitate rapid evaluation, avoid unnecessary imaging, and may streamline management, making it a valuable first-line diagnostic modality in pediatric emergency care.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499100","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}