Journal of Ultrasound最新文献

{"title":"Blinded by occlusion: transforming painless vision loss assessment in the ED.","authors":"N Vuong, E Richardson, L Silva-Baucage, F Zorrilla-Caballero, A Icazatti, D Lebowitz, J Rosario","doi":"10.1007/s40477-025-01034-7","DOIUrl":"https://doi.org/10.1007/s40477-025-01034-7","url":null,"abstract":"<p><p>Painless vision loss presents a diagnostic conundrum for Emergency Medicine physicians, encompassing a spectrum of differential diagnoses ranging from benign to potentially serious conditions. Among these, Central Retinal Artery Occlusion (CRAO) stands out as a critical diagnosis requiring prompt recognition and intervention. In the Emergency Department, identifying CRAO poses a unique challenge due to its reliance on a fundoscopic examination, a procedure that may not be routinely performed by emergency physicians. This case series highlights the utility of Point-of-Care Ultrasound in aiding the rapid bedside identification of CRAO by recognizing the retrobulbar spot sign (RBSS). Our findings underscore the importance of integrating ultrasound into the armamentarium of emergency physicians for expeditious recognition and management of ophthalmologic emergencies such as CRAO.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486959","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":"First-trimester screening for preeclampsia between 11 and 13 + 6 weeks of gestation and adverse perinatal outcomes.","authors":"Karine Mendonça Davi Rodrigues, Marilia de Lacerda Silva, Barbara Coppola Oliveira, Felipe Augusto Pereira Dos Santos, Gustavo Yano Callado, Luis Ronan Marquez Ferreira de Sousa, Edward Araujo Júnior, Alberto Borges Peixoto","doi":"10.1007/s40477-025-01039-2","DOIUrl":"https://doi.org/10.1007/s40477-025-01039-2","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the impact of first-trimester screening for preeclampsia (PE) and its association with adverse perinatal outcomes.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted in women with (Group I) or without (Group II) first-trimester screening for PE between 11 and 13 + 6 weeks using maternal characteristics, mean arterial pressure, and uterine artery Doppler. Women were classified as low and high risk using a cut-off value of 1:150 according to the Fetal Medicine Foundation guidelines.</p><p><strong>Results: </strong>A total of 2442 pregnant women were analysed, 988 in Group I and 1434 in Group II, of whom 204 were at high risk and 1230 at low risk for PE. Group II had higher maternal age (28.0 vs. 26.0 years, p < 0.001), Apgar score at the 1st minute (9.0 vs. 8.0, p < 0.001), Apgar score at the 5th minute (9.0 vs. 8.0, p < 0.001) and lower gestational age at delivery (39.1 vs. 39.4 weeks, p < 0.001) than Group I. Group II was found to have a lower risk of gestational hypertension (p < 0.001), higher risk of delivery < 34 weeks (p = 0.06), and lower risk of spontaneous delivery < 37 weeks (p < 0.001). Women at high risk of PE had a higher risk of delivery < 34 weeks (6.9% vs. 1.2%, p < 0.001), delivery < 37 weeks (16.7% vs. 8.0%, p < 0.001), PE < 34 weeks (2.9% vs. 0.5%, p = 0.005), PE < 37 weeks (4.9% vs. 1.0%, p = 0.0007) and PE > 37 weeks (2.9% vs. 0.5%, p = 0.005). Among women at high risk of PE, 61.3% (125/204) used aspirin (ASA) 100 mg by 37 weeks' gestation. The ASA use was associated with a lower risk of PE > 37 weeks' gestation (0.8% vs. 6.3%, p = 0.033).</p><p><strong>Conclusion: </strong>First-trimester screening for PE did not reduce the risk of preterm or term PE. First-trimester screening was associated with a lower risk of gestational hypertension and preterm PE. High risk pregnancies had a higher risk of preterm and term PE and of preterm and term delivery. ASA use was associated with lower risk of term PE.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477839","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":"Lost in the ligament: a diagnostic odyssey of a massive broad ligament fibroid.","authors":"Bessy Binu Sam, Vaishnavi Rajaraman, Leena A Joseph, Anjali Prem","doi":"10.1007/s40477-025-01040-9","DOIUrl":"10.1007/s40477-025-01040-9","url":null,"abstract":"<p><p>True broad ligament leiomyomas are rare, accounting for less than 1% of all fibroids, and pose significant diagnostic and surgical challenges due to their atypical location and proximity to vital pelvic structures. We report a case of a 3.4 kg true broad ligament leiomyoma presenting as an abdominopelvic mass, initially suspected to be an ovarian neoplasm. Preoperative imaging was inconclusive, and a definitive diagnosis was made intraoperatively. Surgical excision required meticulous dissection to avoid injury to the ureters and iliac vessels. This case highlights the importance of differential diagnosis, careful preoperative planning, and precise surgical techniques in managing such rare tumors.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334387","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":"Renal atrophy due to ınguinoscrotal bladder hernia: a rare case documented with time lapse CT imaging.","authors":"Gökhan Ecer, Ahmet Baytok","doi":"10.1007/s40477-025-01036-5","DOIUrl":"https://doi.org/10.1007/s40477-025-01036-5","url":null,"abstract":"<p><p>Bladder herniation into the inguinal canal is a rare entity, observed in approximately 1-4% of inguinal hernias, and often remains clinically silent. We present the case of a 77-year-old male with a known inguinal hernia and benign prostatic hyperplasia who experienced progressive left flank and groin pain over several years. Serial CT imaging demonstrated gradual herniation of the left bladder wall into the inguinal canal, leading to ureteral compression, hydronephrosis, and ultimately irreversible left renal atrophy. Despite multiple surgical recommendations, the patient had deferred intervention. This case uniquely illustrates the time-dependent evolution of bladder herniation and its potential to cause silent but severe upper urinary tract damage if not promptly recognized and treated.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318648","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 speckle-tracking echocardiography in diagnosing reverse Takotsubo syndrome in the intensive care unit.","authors":"Issac Cheong, Pablo Martín Merlo, Francisco Marcelo Tamagnone","doi":"10.1007/s40477-025-01031-w","DOIUrl":"https://doi.org/10.1007/s40477-025-01031-w","url":null,"abstract":"<p><p>Takotsubo cardiomyopathy (TCM), often referred to as broken heart syndrome, presents as a temporary dysfunction of the heart's left ventricle (LV) apex, resembling a heart attack but without any blockage in the coronary arteries. Reverse TCM, a less common variant, is characterized by abnormal heart muscle contractions primarily affecting the basal and midventricular segments. We report a case of a 76-year-old patient undergoing hip surgery who developed reverse TCM, diagnosed through echocardiography with speckle tracking in the intensive care unit (ICU). Intraoperatively, the patient experienced shock necessitating ICU admission and mechanical ventilation. Point-of-care ultrasound revealed bilateral B-lines compatible with pulmonary edema and severe deterioration of LV function. Speckle-tracking echocardiography (STE) demonstrated a LV global longitudinal strain (GLS) of - 11% with an abnormal bull's eye pattern consistent with reverse TCM. Subsequent coronary angiography ruled out ischemic cardiomyopathy. Inotropic support improved the patient's condition, with subsequent lung ultrasound demonstrating normal aeration. Follow-up echocardiography exhibited improved cardiac function, with the speckle-tracking mode showing improvement in the bull's eye pattern and GLS. Reverse TCM, although rare, can occur in postoperative settings and necessitates prompt diagnosis and management. STE holds promise as a valuable tool for its detection and monitoring, particularly in critical care settings.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276571","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":"Re: Identifying skull fractures after head trauma in infants with ultrasonography: is that possible?","authors":"Salvatore Bonforte","doi":"10.1007/s40477-025-01014-x","DOIUrl":"10.1007/s40477-025-01014-x","url":null,"abstract":"","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"541"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145328/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055539","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":"FibroScan's evolution: a critical 20-year review.","authors":"Nisar Ahmed, Ayushi Kumari, R Srinivasa Murty","doi":"10.1007/s40477-024-00971-z","DOIUrl":"10.1007/s40477-024-00971-z","url":null,"abstract":"<p><p>FibroScan, initially designed for assessing cheese maturity, has evolved into a crucial medical tool for liver fibrosis diagnosis. This systematic review explores its development history, functionality, and pros and cons compared to traditional liver biopsy. Precision in various clinical settings is scrutinised, emphasising FibroScan's accuracy in conditions like NAFLD and viral-induced liver disease. The article also delves into its potential in paediatrics, its relevance in monitoring COVID-19-related liver complications, and its role in predicting hepatocellular carcinoma risk, Technical aspects, including transducers, imaging integration, and portability, are examined. Various methods for evaluating liver fibrosis are discussed, highlighting FibroScan's suitability for advanced stages, contrasting with the gold standard of liver biopsy for early stages. The impact of FibroScan on long-term liver conditions is emphasised, focusing on early detection, progression monitoring, reduced invasive biopsies, and hepatocellular carcinoma risk prediction. This systematic review underscores FibroScan's transformative potential in liver disease treatment and predicts ongoing research to enhance early detection, disease monitoring, and explore new clinical applications. Anticipated advances include FibroScan-guided liver biopsy, artificial intelligence data analysis, and point-of-care device development, promising a further revolution in liver disease management. The article concludes with optimistic prospects for FibroScan's future.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"295-304"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677697","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":"\"Tadpole tail sign\" in high-grade synovial sarcoma of the ulnar nerve: a case report.","authors":"Chetna Mishra, Ankur Gulati, Neha Nischal, Dheeraj Gautam, Akram Javed, Jatinder Pal Singh","doi":"10.1007/s40477-025-01030-x","DOIUrl":"https://doi.org/10.1007/s40477-025-01030-x","url":null,"abstract":"<p><p>Synovial sarcomas of the peripheral nerve (SSPNs) are rare aggressive tumors with only a few cases documented in the literature. Among these, the involvement of the ulnar nerve was identified in seven patients, however without in depth radiological description. To the best of our knowledge, this is the first case report with high-resolution ultrasound, MR imaging and a histopathological description of a high-grade synovial sarcoma of the ulnar nerve. SSPNs are frequently misinterpreted as peripheral nerve sheath tumor making the diagnosis difficult and often challenging. Our case report highlights an unusual instance of a malignant synovial sarcoma originating from the ulnar nerve in a 28-year-old woman, which rapidly progressed with a worse outcome. We present the specific imaging and histological findings of this monophasic spindle cell type lesion with immunocytochemical markers, and describe a new \"tadpole tail sign\" on ultrasound, to allow its early recognition and prevent misdiagnosis.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200796","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":"The impact of uterine cavity structural features on reproductive outcomes in T-shaped uterine malformation.","authors":"Karine Tokhunts, Luis Alonso Pacheco, Armine Chopikyan, Anna Khudaverdyan, Nelly Abgaryan, Knarik Aleksandryan, Adrine Grigoryan, Marianna Adamyan","doi":"10.1007/s40477-024-00980-y","DOIUrl":"10.1007/s40477-024-00980-y","url":null,"abstract":"<p><strong>Objectives: </strong>Despite advancements in modern medicine, the effectiveness of in vitro fertilization (IVF) remains low. This study aimed to assess the impact of specific features of T-shaped uterine cavity malformation and its intermediate forms on reproductive function and the effectiveness of assisted reproductive technology (ART), particularly on IVF results and pregnancy outcomes.</p><p><strong>Methods: </strong>A prospective cohort study included 388 somatically healthy patients undergoing 3D ultrasound (US) examination of the uterine cavity before embryonic transfer for IVF treatment. Patients were evaluated for morphometric parameters using standardized US protocols. Statistical analysis was performed using SPSS statistics.</p><p><strong>Results: </strong>The study revealed that patients with T-shaped uterus and intermediate forms had higher rates of miscarriages, and unfavorable pregnancy outcomes compared to those with normal uterine cavities. The frequency of pregnancy occurrence in T-shaped and Intermediate groups was statistically similar with the \"Normal uterus\" group. Morphometric parameters such as T-angle, lateral angle, and myometrial thickness significantly influenced IVF outcomes.</p><p><strong>Conclusion: </strong>The study highlights the importance of morphometric parameters in predicting IVF success and pregnancy outcomes in patients with T-shaped uterine cavity malformation. These parameters can guide clinical decision-making and may serve as predictors for reproductive outcomes in ART procedures. Further research is warranted to validate these findings and explore additional ultrasound markers for better prediction of reproductive outcomes in patients with uterine cavity malformations.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"359-368"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899423","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 overview of the use of cutting-edge artificial intelligence (AI) modeling to produce synthetic medical data (SMD) in decentralized clinical machine learning (ML) for ovarian cancer(OC) and ovarian lymphoma(OL).","authors":"Diana Donatello","doi":"10.1007/s40477-025-00983-3","DOIUrl":"10.1007/s40477-025-00983-3","url":null,"abstract":"<p><strong>Aim: </strong>o point out how novel analysis tools of AI can make sense of the data acquired during OL and OC diagnosis and treatment in an effort to help improve and standardize the patient pathway for these disease.</p><p><strong>Material and methods: </strong>ultilizing programmed detection of heterogeneus OL and OC habitats through radiomics and correlate to imaging based tumor grading plus a literature review.</p><p><strong>Results: </strong>new analysis pipelines have been generated for integrating imaging and patient demographic data and identify new multi-omic biomarkers of response prediction and tumour grading using cutting-edge artificial intelligence (AI) in OL and OC.</p><p><strong>Description: </strong>deline the main AI methods used in OL and OC that we can try to standardize in the clinical radiological and medical practice to ameliorate the patients diagnosis and theraphy.</p><p><strong>Conclusion: </strong>through new AI methods it's possible to combine research into a SwarmDeepSurv, generate new data flow channels, create medical imaging data channels of OL and OC using AI and identify new biomarkers of OL and OC. .</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"483-492"},"PeriodicalIF":1.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015949","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}