Journal of Ultrasound最新文献

{"title":"Posterior intra-articular hip injections: a pilot study investigating a new approach.","authors":"Matthew W Kaufman, Chantal Nguyen, Yue Meng, Eugene Roh","doi":"10.1007/s40477-023-00863-8","DOIUrl":"10.1007/s40477-023-00863-8","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to investigate a novel posterior intra-articular hip injection approach while discussing the clinical pearls for methodology, accuracy, and associated adverse events. The goal was to investigate if this approach could potentially be used in those where the typical anterior access would be challenging.</p><p><strong>Materials and methods: </strong>10 adults (age > 18 years) who were referred to a tertiary outpatient clinic for hip injection due to hip osteoarthritis or femoral acetabular impingement with labral tearing to a single academic sports medicine clinic. Patients were placed in prone position. Posterior structures were identified using a curvilinear transducer. A 22 gauge 3.5-6-inch spinal needle was advanced in-plane to the transducer towards the hip capsule at the head-neck junction of the femur from inferolateral to superomedial. A fluoroscopic arthrogram was obtained to evaluate needle placement accuracy. Location of the needle, direction of contrast flow, the rate of conversion to an anterior portal, and adverse events were analyzed.</p><p><strong>Results: </strong>A fluoroscopic arthrogram was obtained after the first attempt in nine patients (90%). One patient (10%) was converted to the anterior approach due to inability to obtain the expected arthrogram. Two patients (20%) demonstrated mild adverse events.</p><p><strong>Conclusion: </strong>Ultrasound-guided posterior approach hip injection is accurate and without serious adverse events in our study. The posterior approach can be considered as an alternative approach for patients who cannot tolerate or may have technical difficulty with an anterior approach.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"35-41"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681879","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":"TIRADS-based artificial intelligence systems for ultrasound images of thyroid nodules: protocol for a systematic review.","authors":"Yasaman Sharifi, Amin Amiri Tehranizadeh, Morteza Danay Ashgzari, Zeinab Naseri","doi":"10.1007/s40477-024-00972-y","DOIUrl":"10.1007/s40477-024-00972-y","url":null,"abstract":"<p><strong>Purpose: </strong>The thyroid imaging reporting and data system (TIRADS) was developed as a standard global term to describe thyroid nodule risk features, aiming to address issues such as variability and low reproducibility in nodule feature detection and interpretation by different physicians. The objective of this study is to comprehensively study articles that utilize AI techniques to design and develop decision support systems for classifying thyroid nodule risk on the basis of various TIRADS guidelines from ultrasound images.</p><p><strong>Methods: </strong>This protocol includes five steps: identification of key research questions of the review, descriptions of the systematic literature search strategies, criteria for study inclusion and exclusion, study quality measures, and the data extraction process. We designed a complete search string using PubMed, Scopus, and Web of Sciences to retrieve all relevant English language studies up to January 2024. A PRISMA diagram was constructed, inclusion and exclusion criteria were defined, and after a quality assessment of the included papers, relevant data were extracted. The protocol of this systematic review was registered in the PROSPERO database (CRD42024551311).</p><p><strong>Results: </strong>We anticipate that our findings will assist researchers in creating higher-quality systems with increased efficiency, reducing unnecessary biopsies, improving the reproducibility and reliability of thyroid nodule diagnostics, and providing good educational opportunities for less experienced physicians.</p><p><strong>Conclusion: </strong>In this study, a protocol was used for performing a systematic review to evaluate the diagnostic performance and other various aspects used in the design and development of artificial intelligence CAD systems based on various thyroid imaging reporting and data systems (TI-RADSs).</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"151-158"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677698","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":"Rare occurrence of ovarian choriocarcinoma: ultrasound evaluation.","authors":"Ashraf Talaat Youssef","doi":"10.1007/s40477-023-00868-3","DOIUrl":"10.1007/s40477-023-00868-3","url":null,"abstract":"<p><p>Choriocarcinoma of the ovary is a rare, highly malignant tumor showing malignant trophoblastic cells and produces human chorionic gonadotropins. It can be classified as gestational and non-gestational choriocarcinoma. Non-gestational choriocarcinoma is extremely rare. Treatment is Methotrexate-based chemotherapy for the gestational type. This case study is a rare case of ovarian choriocarcinoma managed by surgical resection, followed by methotrexate-based chemotherapy, and aimed to evaluate the ultrasound characteristics of ovarian choriocarcinoma and how to arrive at the diagnosis. In cases with an elevated serum beta-human chorionic gonadotropin (beta hCG), the finding of a highly vascularized adnexal mass on ultrasound evaluation should be underlined as a clue for suspecting choriocarcinoma, particularly if the female was young with no marriage history or history of sexual intercourse and also to be highly considered in married females with history of repeated abortions, molar pregnancy or uterine choriocarcinoma.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"213-216"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139974405","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":"Heart and lung point-of-care ultrasonography tutoring in internal medicine: a randomized controlled trial.","authors":"Antonio Leidi, Juliette Krauer, Guillaume Soret, Thibault Parent, Christophe Marti, Philippe Meyer, André Juillerat, Stijn Bex, Noémie Suh, Frédéric Rouyer, Nils Siegenthaler, Olivier Grosgurin","doi":"10.1007/s40477-024-00968-8","DOIUrl":"10.1007/s40477-024-00968-8","url":null,"abstract":"<p><strong>Purpose: </strong>In recent years, point-of-care ultrasonography (POCUS) has been integrated into internal medicine practice with most curricula composed of a single course. Despite competency acquisition during the course, a significant decline in proficiency occurs in the subsequent weeks due to a lack of regular practice and training. This study aims to evaluate the impact of a structured POCUS tutoring, on POCUS use and skills retention at 6 months.</p><p><strong>Methods: </strong>In this randomized controlled trial, internal medicine residents were enrolled after completing a practical course focused on heart and lung ultrasonography. Residents assigned to the intervention group were paired with a tutor, and time slots were scheduled for bedside direct supervision over the following 6 months. The primary outcome was the proportion of residents who successfully completed at least 25 POCUS examinations six months after inclusion. Secondary outcomes included self- and blinded-expert-assessed POCUS competency skills.</p><p><strong>Results: </strong>Between January and May 2022, 23 residents were included in the study. The intervention significantly increased the proportion of participants reaching the primary outcome (70% versus 0%; p < 0.001) with a median of 27 (interquartile range, IQR, 6 to 44) supervised examinations performed versus 0 (IQR 0 to 0) in intervention and control arm respectively; p < 0.001. After 6 months, proficiency was higher for most heart imaging but not for lung imaging, as assessed through self-assessment by participants or independently by blinded experts.</p><p><strong>Conclusion: </strong>Structured POCUS supervision significantly enhances the number of POCUS examinations and proficiency at 6-months, particularly in applications requiring greater visuospatial skills.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"1-9"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774662","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":"Iliotibial band friction syndrome after knee cementoplasty: a case report.","authors":"Rajesh Botchu, Janaranjan Jalli, Vineet Kurisunkal, Karthikeyan P Iyengar","doi":"10.1007/s40477-023-00792-6","DOIUrl":"10.1007/s40477-023-00792-6","url":null,"abstract":"<p><p>Iliotibial band pathologies can result in lateral knee pain. These are commonly seen in runners and cyclists. Lateral knee pain following knee arthroplasty can be due to distal iliotibial band enthesopathy or impingement by the femoral component. Cementoplasty is a common procedure performed during treatment of osseous lesions. We describe a case of ITB friction syndrome due to small focus of cement following cementoplasty for GCT (giant cell tumour).</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"199-201"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9655354","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 yield of transvaginal ultrasonography versus saline: infused sonohysterography in the evaluation of post-cesarean section uterine niche.","authors":"Medhat Ibraheem Mohammad Ahmad, Ahmad Hussien Mohammed, Walid Ahmad Ali, Radwa Ahmed El Bahy, Mohamad Hasan Alam-Eldeen","doi":"10.1007/s40477-024-00969-7","DOIUrl":"10.1007/s40477-024-00969-7","url":null,"abstract":"<p><strong>Background: </strong>Caesarean section (CS) defects, also known as niches, refer to the discontinuity in the myometrium at the site of a previous CS. These niches pose a complication in over 50% of CS performed on Egyptian women. The primary method used to diagnose uterine niches is transvaginal ultrasound (TVU). In recent times, the use of TVU with saline- infused sonohysterography (SISH) has significantly improved the detection of uterine niches. Our objective was to assess the diagnostic performance of SISH compared to TVU in diagnosing uterine niches among non-pregnant women with previous cesarean sections (CS), by integrating the findings and demographic features of the participants.</p><p><strong>Methods: </strong>For this purpose, we conducted a cross-sectional study involving 60 non-pregnant women with a history of CS but without any known systemic cause. Each participant underwent TVU followed by SISH. We recorded and analyzed the dimensions (depth, length and width) of the niche, as well as the residual myometrial thickness (RMT) adjacent to the niche in both TVU and SISH. Additionally, we collected data on the patients' age and the number of previous CSs.</p><p><strong>Results: </strong>Our results showed that women with a CS niche detected by SISH had a significantly lower age compared to those detected by TVU. We also found a significant association between the number of previous CSs diagnosed by either TVU or SISH and the rate of CS niche detection, which increased with an increasing number of previous CSs. Furthermore, there was a significant difference in the depth, width, and residual myometrial thickness adjacent to the niche between the two procedures. All niche dimensions were significantly higher among women examined by SISH.</p><p><strong>Conclusion: </strong>Our study confirms that SISH is a superior tool for assessing uterine niches in non-pregnant women with a history of CS compared to TVU. Furthermore, the combined approach of using both SISH and TVU eliminates the need for costly hysteroscopy.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"107-117"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649435","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":"An ultrasound working table as diagnostic tool of temporomandibular joint inflammation.","authors":"Serena Guiducci, Maria Angela Bagni, Sara Torracchi, Pamela Bernardini, Marco Maresca, Lorenzo Vanini, Diego Longo, Alessio Frisone, Daniela Melchiorre","doi":"10.1007/s40477-025-00990-4","DOIUrl":"10.1007/s40477-025-00990-4","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the use of ultrasound (US) in identifying the inflammatory or not inflammatory changes in different diseases that involve the temporomandibular joint (TMJ).</p><p><strong>Methods: </strong>165 patients [50 Rheumatoid Arthritis (RA), 30 Psoriatic Arthritis (PsA), 15 Ankylosing Spondylitis (AS) and 70 Temporomandibular Disorders (TMD)] were studied by US with a linear probe 12-16 MHz (MyLABX8 eXP, ESAOTE S.p.A., Milan, Italy) placed along the axis of the mandibular branch. US results were compared with magnetic resonance imaging (MRI).</p><p><strong>Results: </strong>In TMJ, US identified joint effusion (JE), as well as disc displacement and modifications of the condylar profile. The specificity of US in comparison with MRI was 90.3% for JE, 75.2% for disc displacement, and 48.1% for condylar alterations. The sensitivity of US in comparison with MRI was 92.4% in the assessment of JE, 72% in the assessment of disc displacement, and 53% in the assessment of condylar alterations.</p><p><strong>Conclusions: </strong>US must be performed to define the inflammatory or not inflammatory changes of TMJ in different diseases adopting a specific working table. Moreover, the resulting disability may induce a significant loss of workdays for short and close periods with consequently high cost for the health care system.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"129-136"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517139","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 rare case of hepatic portal venous gas (HPVG) diagnosed as emphysematous cystitis in an elderly diabetic dialysis patient.","authors":"Shahryar Rahmani, Niloofar Ayoobi Yazdi, Mohammadreza Tahamtan, Tayebe Ostadian","doi":"10.1007/s40477-024-00920-w","DOIUrl":"10.1007/s40477-024-00920-w","url":null,"abstract":"<p><p>Hepatic portal venous gas (HPVG) is the presence of air bubbles in the portal vein and its branches. Traditionally it was considered a lethal condition because the main etiology was bowel ischemia. However, with the extensive use of diagnostic tools, it became clear that the causes of this condition are diverse and may include, but are not limited to, bowel necrosis. Here, we present a rare case of HPVG in an elderly dialysis patient with diabetes mellitus, initially diagnosed by ultrasound and CT scan. Our patient experienced abdominal pain, dysuria, oliguria, and other urinary symptoms starting three weeks prior. After considering all diagnostic tools and correlating them with the patient's history, clinical findings, and follow-up, the underlying cause of the HPVG was determined to be emphysematous cystitis. We concluded that the presence of HPVG in the initial screening test should prompt a comprehensive investigation to determine the cause, as a rare condition like emphysematous cystitis can result in HPVG.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"251-256"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141437752","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 features of cutaneous myiasis: a rare case in a child.","authors":"Giuseppe Paviglianiti, Valentina Cariello, Marzia Vaccaro, Paolo Pizzicato, Rocco Minelli, Gianpaolo Di Rosa, Marcello Napolitano, Michelangelo Baldazzi, Roberta Cristina Avallone, Antonio Rossi, Eugenio Rossi","doi":"10.1007/s40477-024-00915-7","DOIUrl":"10.1007/s40477-024-00915-7","url":null,"abstract":"<p><p>Cutaneous myiasis is an infestation of the skin with larvae of some dipteran species. Among humans, Dermatobia hominis is the most frequently encountered dipteran responsible for cutaneous myiasis. This insect is endemic to tropical and subtropical regions, consequently, individuals travelling from non-endemic areas are most susceptible to infection due to a lack of prior exposure. Three clinical variants of myiasis are distinguished: furuncular, migratory, and wound myiasis. Furuncular myiasis represents the most common form among travelers, yet it is a rare cause of pediatric skin manifestations in developed countries. Limited awareness of this condition in non-endemic regions contributes to diagnostic challenges. In this scenario, ultrasound is useful in the diagnostic workup, enabling the identification of the viable larva.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"245-249"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141545446","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":"Imaging features, classification and clinical features of intrahepatic congenital portosystemic shunts.","authors":"Christy B Pomeranz, Michael Baad, Arzu Kovanlikaya, Lee K Collins","doi":"10.1007/s40477-024-00900-0","DOIUrl":"10.1007/s40477-024-00900-0","url":null,"abstract":"<p><p>Congenital portosystemic shunts (CPSS) are a rare developmental anomaly diverting blood flow from the portal venous system and the liver to the systemic venous system. This case series examines the sonographic imaging findings, shunt classification, ultrasound shunt ratios, and outcomes in nine children (5 females, 4 males) admitted to our institution between 2015 and 2022 were included in this study. The shunts were initially categorized by the Parks classification and were followed by serial ultrasounds. Clinical presentation, clinical course, laboratory data, shunt ratios, and time to shunt closure were all followed on subsequent ultrasounds. The most common type of CPPS was the Type 3 shunt. In cases where shunt ratios were measured, the shunt ratio gradually decreased in tandem with decreasing ammonia levels until spontaneous closure was achieved. Predictors of lack of shunt closure included high shunt ratios and Type 4 shunts. Patients with CPPS can be followed with the shunt ratio calculation obtained from sonographic imaging, which may correlate to ammonia levels and indicate risk of hepatic encephalopathy as well as predict speed and timing of closure.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"227-238"},"PeriodicalIF":1.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947343/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141162767","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}