Journal of Ultrasound最新文献

{"title":"MRI directed US for rectosigmoid endometriosis provides added value for preoperative planning.","authors":"Ceylan Colak, Sherry S Wang, Tatnai L Burnett, Wendaline M VanBuren","doi":"10.1007/s40477-025-01028-5","DOIUrl":"https://doi.org/10.1007/s40477-025-01028-5","url":null,"abstract":"<p><p>Endometriosis is a multifocal disease of pelvis affecting mostly reproductive age women. It can involve genital and extra genital organs. The gastrointestinal tract including rectum and sigmoid colon is the most affected extragenital site. Bowel involvement can change the surgery from simple shaving to resection based on depth of invasion and disease distribution. Benefit of ultrasound for bowel endometriosis, especially for rectum and rectosigmoid colon have been reported, however MRI directed ultrasound, particularly for the lesions which demonstrate indeterminate depth of wall invasion and multifocal bowel involvement hasn't been reported. Here we present a case of rectosigmoid endometriosis evaluated with preoperative MRI directed ultrasound, which provided better visualization of muscularis propria invasion of the bowel and multifocal lesions.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144459","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 detection of isolated lumbar transverse process fractures: a case series.","authors":"Alessandro Biglia, Valentina Morandi, Francesco Maggiore, Luigi Mario Castello, Danilo Donati, Roberto Tedeschi, Laura Langone, Fabio Vita, Giovanni Bonacchi, Salvatore Massimo Stella, Barbara Ciampi, Stefano Galletti, Marco Becciolini","doi":"10.1007/s40477-025-01009-8","DOIUrl":"https://doi.org/10.1007/s40477-025-01009-8","url":null,"abstract":"<p><strong>Objective: </strong>To propose the usefulness of ultrasound (US) examination in diagnosing isolated lumbar transverse process fractures (ILTPF) in minor trauma as a first-line imaging and decision-making process.</p><p><strong>Methods: </strong>We report six cases of patients, who suffered from vertebral fractures after blunt trauma or sports injuries and were diagnosed with ILTPF. Data were collected from personal records and images were obtained by different doctors using the US. The results were confirmed by X-ray or magnetic resonance imaging.</p><p><strong>Results: </strong>In two cases, US-examination was able to detect ITPF after a conventional X-ray was apparently normal. In the other four cases, US-examination allowed to discover of the fractures and subsequently, they were confirmed by MRI or X-ray.</p><p><strong>Conclusion: </strong>Our cases demonstrated the usefulness of the ultrasound technique, as a first-line imaging, for spine trauma in diagnosing ITPF, in the context of minor trauma. In two cases ultrasound showed superiority to X-ray in finding the fractures.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144132026","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 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":"https://doi.org/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":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121423","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":"An orphan structure: the plantaris tendon.","authors":"Hilmi Berkan Abacıoğlu, Ondrej Nanka, Berkay Yalçınkaya, Levent Özçakar","doi":"10.1007/s40477-025-01022-x","DOIUrl":"https://doi.org/10.1007/s40477-025-01022-x","url":null,"abstract":"","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991764","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 diagnosis of appendiceal tumor with synchronous liver metastasis mimicking acute appendicitis and liver abscess.","authors":"L Tarantino, P Di Sario, R A Nasto, A Nasto, L Pellegrini, S Sellitto","doi":"10.1007/s40477-025-01021-y","DOIUrl":"https://doi.org/10.1007/s40477-025-01021-y","url":null,"abstract":"<p><p>Appendiceal tumors (AT) are rare gastrointestinal cancers with high incidence of synchronous and metachronous colorectal cancer metastases. AT are rarely associated with hepatic metastases. Sometimes, metastases are the first evidence of the tumor. We report the clinical, surgical and imaging records of a female patient, 81 years old, admitted for a suspect liver abscess, only subsequently diagnosed as metastasis from an undiagnosed AT. Ultrasound (US) based imaging techniques, such as Color-Doppler Ultrasound, Contrast enhanced US, US-guided biopsy of the hepatic nodule played an important role in the assessment of the definitive diagnosis.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050575","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":"B-mode and contrast-enhanced ultrasound versus magnetic resonance imaging in hepatic angiomyolipoma: a case report.","authors":"Andrea Balbinot, Sofia Maria Bakken, Nicola Venturoli, Deborah Malvi, Elisa Albertini, Maria Giulia Pirini, Antonietta D'Errico, Carla Serra","doi":"10.1007/s40477-025-01015-w","DOIUrl":"https://doi.org/10.1007/s40477-025-01015-w","url":null,"abstract":"<p><p>Angiomyolipoma is a solid mesenchymal tumour that usually affects the kidney. Hepatic localization of angiomyolipoma (HAML) is rare and usually asymptomatic however it presents a challenging differential diagnosis. We present the case of a 45-year-old man affected by tuberous sclerosis complex type 2 (TSC2) and an hepatic lesion suspected to be hepatocellular carcinoma on magnetic resonance but whose Bmode ultrasound and contrast-enhanced ultrasound (CEUS) findings were consistent with benignity, as confirmed by histology.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048531","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":"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":"https://doi.org/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":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059852","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 tenotomy of the common extensor tendon in the elbow: a cadaveric investigation.","authors":"Ramon Balius, Marc Blasi, Àngels Ribera, José Aramendi, Xavier Sala-Blanch, Javier de la Fuente","doi":"10.1007/s40477-025-00997-x","DOIUrl":"https://doi.org/10.1007/s40477-025-00997-x","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the efficacy and safety of a novel ultrasound-guided percutaneous tenotomy technique for treating chronic tendinosis of the common extensor tendon (CET) in the elbow (lateral epicondylitis).</p><p><strong>Methods: </strong>The study was conducted on 25 elbows from 13 cadavers without prior local injuries. Each CET tenotomy was performed using a Mikro 64 scalpel under ultrasound guidance to ensure precision and safety. Key anatomical structures, including the lateral collateral ligament (LCL), radial nerve, and posterior antebrachial cutaneous nerve, were monitored to assess safety margins and detect potential complications.</p><p><strong>Results: </strong>In the 20 evaluated cases, the mean distance from the CET section to the radial epicondyle (DET) was 5.86 mm (range 5.96-12.8 mm), while the distance to the proximal LCL margin (DELCL) averaged 8.62 mm (range - 0.96-6.82 mm), yielding a confident tenotomy length of 2.76 mm. Partial LCL injury occurred in four cases without affecting joint stability, and no nerve injuries were observed. Incomplete CET sections were found in four cases, with residual fibers primarily along the medial and lateral margins.</p><p><strong>Conclusion: </strong>The ultrasound-guided percutaneous tenotomy technique demonstrated safety and effectiveness in an anatomical setting. This minimally invasive approach may offer a viable surgical alternative for refractory lateral epicondylitis, minimizing the risk of complications and promoting a shorter recovery period.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063061","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: 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":"https://doi.org/10.1007/s40477-025-01016-9","url":null,"abstract":"","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788883","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":"Tiny patient, big challenge: pancreatic heterotopia causing ileo-ileal intussusception in an infant.","authors":"Benedetta Neri, Marco Di Mitri, Ilaria Corsini, Marcello Lanari, Michelangelo Baldazzi, Laura Greco, Simone D'Antonio, Claudio Antonellini, Rocco Minelli, Eugenio Rossi, Giuseppe Paviglianiti, Marcello Napolitano, Mario Lima","doi":"10.1007/s40477-025-01006-x","DOIUrl":"https://doi.org/10.1007/s40477-025-01006-x","url":null,"abstract":"<p><strong>Background: </strong>Intussusception is a common cause of intestinal obstruction in children, typically occurring between 6 months and 3 years of age. While most cases are idiopathic, rare cases involve pathological lead points. Ileo-ileal intussusception is an uncommon variant, often associated with anomalies such as heterotopic pancreatic tissue.</p><p><strong>Case presentation: </strong>We report a rare case of a 2-month-old infant presenting with inconsolable crying and feeding refusal, diagnosed with ileo-ileal intussusception due to pancreatic heterotopia. Ultrasound confirmed the diagnosis, leading to successful surgical resection of the affected ileal segment, with an uneventful recovery.</p><p><strong>Conclusion: </strong>This case emphasizes the importance of considering intussusception in younger infants with nonspecific symptoms. Early imaging, particularly ultrasound, plays a critical role in timely diagnosis. Though rare, pancreatic heterotopia can act as a pathological lead point, highlighting the need for awareness and prompt surgical intervention to optimize pediatric patient outcomes.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702231","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}