Journal of Ultrasound最新文献

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Liver and spleen shear-wave elastography in the diagnosis and severity staging of myeloproliferative diseases and myelofibrosis. 肝脏和脾脏剪切波弹性成像在骨髓增生性疾病和骨髓纤维化的诊断和严重程度分期中的应用。
IF 1.3
Journal of Ultrasound Pub Date : 2024-09-01 Epub Date: 2024-07-26 DOI: 10.1007/s40477-024-00932-6
Vito Sansone, Giuseppe Auteri, Francesco Tovoli, Camilla Mazzoni, Simona Paglia, Christian Di Pietro, Nicola Vianelli, Michele Cavo, Francesca Palandri, Fabio Piscaglia
{"title":"Liver and spleen shear-wave elastography in the diagnosis and severity staging of myeloproliferative diseases and myelofibrosis.","authors":"Vito Sansone, Giuseppe Auteri, Francesco Tovoli, Camilla Mazzoni, Simona Paglia, Christian Di Pietro, Nicola Vianelli, Michele Cavo, Francesca Palandri, Fabio Piscaglia","doi":"10.1007/s40477-024-00932-6","DOIUrl":"10.1007/s40477-024-00932-6","url":null,"abstract":"<p><strong>Aims: </strong>Spleen and liver stiffness, investigated by VCTE (Vibration-Controlled Transient Elastography), have been associated with marrow fibrosis in patients with myeloproliferative neoplasms (MPNs). Tissue stiffness can be assessed by shear wave point (pSWE) and bidimensional elastography (2DSWE). Spleen stiffness (SS) values were higher in Myelofibrosis (MF) and Polycythemia Vera (PV) compared to Essential Thrombocythemia (ET). We aimed to identify SWE differences between MPN patients and healthy volunteers; to evaluate specific SWE features in patients with MF, PV and ET; to establish a correlation with bone marrow fibrosis in patients with myeloproliferative disease.</p><p><strong>Methods: </strong>Patients with myeloproliferative disease and healthy volunteers performed evaluation of spleen and liver stiffness (LS) by pSWE and 2DSWE.</p><p><strong>Results: </strong>A total of 218 subjects were included: 143 with myeloproliferative disease (64 MF, 29.4%, 33 PV, 15.1% and 46 ET, 21.1%), and 75 (34.4%) healthy volunteers. Compared to volunteers, MF patients had greater spleen (pSWE 40.9 vs. 26.3 kPa, p < 0.001; 2DSWE 34.9 vs. 20.1 kPa, p < 0.001), and liver stiffness (pSWE 7.72 vs. 5.52 kPa, p < 0.001; 2DSWE 6.96 vs. 5.01 kPa, p < 0.001). In low (0-1) (n = 81, 60.4%) versus high-grade bone marrow fibrosis (2-3) (n = 42, 39.6%), is evident a higher median stiffness in patients with higher grades of fibrosis both for liver (pSWE 5.2 vs. 6.65 kPa; 2DSWE 5.1 vs. 6.05 kPa) and spleen (pSWE 27.2 vs. 37.9 kPa, 2DSWE 21.7 vs 30.75 kPa-p < 0.001 in both).</p><p><strong>Conclusion: </strong>SWE evaluation distinguishes MF patients from HV and ET/PV and may help in MPN diagnosis. LS and SS values are associated with bone marrow fibrosis grade.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11333402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141767983","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}
引用次数: 0
Lung ultrasound in early prediction of bronchopulmonary dysplasia in pre-term babies. 肺部超声波在早产儿支气管肺发育不良早期预测中的应用。
IF 1.3
Journal of Ultrasound Pub Date : 2024-09-01 Epub Date: 2024-06-22 DOI: 10.1007/s40477-024-00913-9
Abdelrahman A Abdelrazek, Sara Mahmoud Kamel, Aya Ahmed Elshahat Elbakry, Esraa Ahmed Elmazzahy
{"title":"Lung ultrasound in early prediction of bronchopulmonary dysplasia in pre-term babies.","authors":"Abdelrahman A Abdelrazek, Sara Mahmoud Kamel, Aya Ahmed Elshahat Elbakry, Esraa Ahmed Elmazzahy","doi":"10.1007/s40477-024-00913-9","DOIUrl":"10.1007/s40477-024-00913-9","url":null,"abstract":"<p><strong>Purpose: </strong>Bronchopulmonary dysplasia (BPD) is a respiratory morbidity related to prematurity. Early prediction of BPD allows the selection of patients who would benefit from new therapies. Lung ultrasound (LUS) is a non-invasive diagnostic tool that has proven to be reliable for many neonatal diseases recently. The study aimed to detect the role of LUS in predicting BPD at days 7 and 14 of life in preterm babies.</p><p><strong>Methods: </strong>This was a prospective cohort study that included 95 preterm babies ≤ 34 weeks. Lung ultrasounds were performed on days 7 and 14 of life.</p><p><strong>Results: </strong>The mean gestational age of the studied neonates was 30.25 ± 2.21 weeks. The mean birth weight was 1347.66 ± 432.14 gm. Patients who developed BPD had statistically significantly higher LUS scores on both days 7 and 14 of life. At first examination, a LUS score > 8 showed a sensitivity of 83.33% and a specificity of 60.87%, whereas at follow-up, a LUS score > 8 showed a sensitivity of 76.39% and a specificity of 82.61%. The multivariate logistic regression analysis shows that the most important factors associated with BPD were gestational age ≤ 30 weeks, LUS score at first examination > 8, platelets ≤ 245 × 10<sup>9</sup>/L, segment neutrophils ≤ 42%, and CRP > 5 mg/l.</p><p><strong>Conclusions: </strong>The LUS score predicts BPD at 7 and 14 days of life. LUS scores increased with increasing BPD severity. LUS score > 8 was an independent factor in the prediction of BPD.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11333650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141441146","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}
引用次数: 0
Salvage radiofrequency ablation for microwave ablation treated hepatocellular carcinoma complicated by gas gangrene: case report. 微波消融治疗肝细胞癌并发气性坏疽的抢救性射频消融:病例报告。
IF 1.3
Journal of Ultrasound Pub Date : 2024-09-01 Epub Date: 2024-06-28 DOI: 10.1007/s40477-024-00928-2
Luciano Tarantino, Aurelio Nasto, Pino Di Sario, Simone Sellitto, Riccardo Aurelio Nasto, Lucienne Pellegrini
{"title":"Salvage radiofrequency ablation for microwave ablation treated hepatocellular carcinoma complicated by gas gangrene: case report.","authors":"Luciano Tarantino, Aurelio Nasto, Pino Di Sario, Simone Sellitto, Riccardo Aurelio Nasto, Lucienne Pellegrini","doi":"10.1007/s40477-024-00928-2","DOIUrl":"10.1007/s40477-024-00928-2","url":null,"abstract":"<p><strong>Aim: </strong>Gas gangrene (GG) is a rare severe infection with a very high mortality rate mainly caused by Clostridium species. It develops suddenly, often as a complication of abdominal surgery or liver transplantation. We report a case of GG of the liver occurred after percutaneous microwave (MW) ablation of an hepatocellular carcinoma (HCC) successfully treated with percutaneous Radiofrequency ablation (RFA).</p><p><strong>Case presentation: </strong>A 76-year-old female patient was treated with MW ablation for a large HCC in the VIII segment; 2 days later she developed fever, weakness, abdominal swelling and was hospitalized with diagnosis of anaerobic liver abscess. Despite antibiotic therapy, the patient conditions worsened, and she was moved to the intensive care unit (ICU). Percutaneous drainage was attempted, but was unsuccessful. The surgeon and the anesthesiologist excluded any indication of surgical resection. We performed RFA of the GG by 3 cool-tip needles into the infected area. The procedure was well tolerated by the patient, who left the hospital for follow-up.</p><p><strong>Conclusion: </strong>Percutaneous RFA could be a valuable therapy of focal GG of the liver in patients refractory to antibiotics and when surgery and OLT are not feasible. A fast and early indication is needed in case of rapid worsening of the patient's conditions.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11333407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472500","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}
引用次数: 0
Vagus nerve size determined via ultrasonography is associated with white matter lesions in patients with vascular risk factors. 通过超声波检查确定的迷走神经大小与有血管风险因素患者的白质病变有关。
IF 1.3
Journal of Ultrasound Pub Date : 2024-09-01 Epub Date: 2024-07-29 DOI: 10.1007/s40477-024-00936-2
Tomohisa Nezu, Futoshi Eto, Akemi Hironaka, Shiro Aoki, Shuichiro Neshige, Saki Tasaka, Hikari Kirimoto, Hirofumi Maruyama
{"title":"Vagus nerve size determined via ultrasonography is associated with white matter lesions in patients with vascular risk factors.","authors":"Tomohisa Nezu, Futoshi Eto, Akemi Hironaka, Shiro Aoki, Shuichiro Neshige, Saki Tasaka, Hikari Kirimoto, Hirofumi Maruyama","doi":"10.1007/s40477-024-00936-2","DOIUrl":"10.1007/s40477-024-00936-2","url":null,"abstract":"<p><strong>Purpose: </strong>The cross-sectional area (CSA) of the cervical vagus nerve (VN), as assessed through ultrasonography, might be linked to autonomic nervous system dysfunction. Hypertension is the primary factor associated with cerebral white matter lesions (WMLs), but there is also evidence of a connection with autonomic nervous system dysfunction. However, the associations between WMLs and VN size are unclear. Our objective was to investigate the associations between WMLs and VN size in patients with vascular risk factors.</p><p><strong>Methods: </strong>The CSA of the VN was evaluated using carotid ultrasonography in patients with a history of stroke (acute or chronic) and comorbidities (n = 196, 70.2 ± 12.7 years). Common carotid artery (CCA) intima-media thickness and interadventitial diameter (IAD) were also measured. The severity of the WMLs was assessed by the Fazekas classification and Scheltens' scale.</p><p><strong>Results: </strong>The CSA of the right VN (2.08 ± 0.65 mm<sup>2</sup>) was significantly greater than that of the CSA of the left VN (1.56 ± 0.44 mm<sup>2</sup>) (P < 0.001). Multiple linear regression analyses revealed that older age, hypertension, increased right CCA IAD, and decreased CSA of the right VN (standardized partial regression coefficient [β] - 0.226; P < 0.001) were independently associated with the severity of WMLs (Scheltens' scale). A decreased CSA of the left VN was also associated with the severity of WMLs (β = - 0.239; P < 0.001).</p><p><strong>Conclusion: </strong>VN size determined via ultrasonography was associated with the severity of WMLs. While these findings do not establish a causal relationship, they suggest that autonomic nervous system dysfunction is involved in the progression of WMLs.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11333691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789835","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}
引用次数: 0
Effects of superficial tissue and intermuscular connections on rectus femoris muscle shear modulus heterogeneity. 表层组织和肌间连接对股直肌剪切模量异质性的影响
IF 1.3
Journal of Ultrasound Pub Date : 2024-09-01 Epub Date: 2023-02-07 DOI: 10.1007/s40477-022-00769-x
Taiki Kodesho, Takuya Kato, Gakuto Nakao, Yu Yokoyama, Yuhei Saito, Kota Watanabe, Yuki Ohsaki, Masaki Katayose, Keigo Taniguchi
{"title":"Effects of superficial tissue and intermuscular connections on rectus femoris muscle shear modulus heterogeneity.","authors":"Taiki Kodesho, Takuya Kato, Gakuto Nakao, Yu Yokoyama, Yuhei Saito, Kota Watanabe, Yuki Ohsaki, Masaki Katayose, Keigo Taniguchi","doi":"10.1007/s40477-022-00769-x","DOIUrl":"10.1007/s40477-022-00769-x","url":null,"abstract":"<p><strong>Introduction: </strong>Intramuscular heterogeneity exists in the shear modulus of the rectus femoris (RF) muscle. However, the underlying heterogeneity mechanisms are not entirely understood. Previous research has reported that detachment of superficial tissues reduces the shear modulus by 50%. The aim of this study was to examine the effects of the skin, deep fascia, and intermuscular connections on the shear modulus of the RF at multiple sites.</p><p><strong>Materials and methods: </strong>Eleven donors were fixed using the Thiel method. Measurements were performed at 0°, 60°, and 120° knee flexion in a neutral hip position. Tissue processing was performed under four conditions: superficial tissue (CONT), skin off (SKIN), deep fascia detachment (FASC), and intermuscular connections detachment (ALL). The shear modulus at the proximal, central, and distal regions were measured using ultrasound shear wave elastography. The study was approved by the Sapporo Medical University Ethical Committee.</p><p><strong>Results: </strong>Three-way ANOVA revealed no significant interaction between treatment, site, and angle (P = 0.156), treatment and angle (P = 0.067), or site and angle (P = 0.441). There was a significant effect of treatment (P < 0.001), site (P = 0.010), and angle (P < 0.001) and interaction between treatment and site (P < 0.001). The proximal shear modulus was greater than the central for CONT. There were no significant differences between the measurement sites for SKIN. The distal shear modulus was greater than the proximal for FASC. The distal shear modulus was also greater than the proximal and central for ALL.</p><p><strong>Conclusions: </strong>Intramuscular regional differences that influence superficial tissue and intermuscular connections of RF elasticity heterogeneity were observed.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11333411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9215747","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}
引用次数: 0
Evaluating acoustic and thermal properties of a plaque phantom. 评估斑块模型的声学和热学特性。
IF 1.3
Journal of Ultrasound Pub Date : 2024-09-01 Epub Date: 2023-04-08 DOI: 10.1007/s40477-023-00778-4
Michalis Sotiriou, Christakis Damianou
{"title":"Evaluating acoustic and thermal properties of a plaque phantom.","authors":"Michalis Sotiriou, Christakis Damianou","doi":"10.1007/s40477-023-00778-4","DOIUrl":"10.1007/s40477-023-00778-4","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study is to evaluate the acoustic and thermal properties of a plaque phantom. This is very important for the effective implementation of ultrasound not only in diagnosis but especially in treatment for the future.</p><p><strong>Material and methods: </strong>An evaluation of acoustic and thermal properties of plaque phantoms to test their suitability mainly for ultrasound imaging and therapy was presented. The evaluation included measurements of the acoustic propagation speed using pulse-echo technique, ultrasonic attenuation coefficient using through transmission immersion technique, and absorption coefficient. Moreover, thermal properties (thermal conductivity, volumetric specific heat capacity and thermal diffusivity) were measured with the transient method using a needle probe.</p><p><strong>Results: </strong>It was shown that acoustic and thermal properties of atherosclerotic plaque phantoms fall well within the range of reported values for atherosclerotic plaque and slightly different for thermal diffusivity and volumetric specific heat capacity for soft tissues. The mean value of acoustic and thermal properties and their standard deviation of plaque phantoms were 1523 ± 23 m/s for acoustic speed, 0.50 ± 0.02 W/mK for thermal conductivity, 0.30 ± 0.21 db/cm-MHz for ultrasonic absorption coefficient and 1.63 ± 0.46 db/cm-MHz for ultrasonic attenuation coefficient.</p><p><strong>Conclusions: </strong>This study demonstrated that acoustic and thermal properties of atherosclerotic plaque phantoms were within the range of reported values. Future studies should be focused on the optimum recipe of the atherosclerotic plaque phantoms that mimics the human atherosclerotic plaque (agar 4% w/v, gypsum 10% w/v and butter 10% w/v) and can be used for HIFU therapy.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11333666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9615325","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}
引用次数: 0
The role of CEUS in the management of biloma. CEUS 在胆脂瘤治疗中的作用。
IF 1.3
Journal of Ultrasound Pub Date : 2024-09-01 Epub Date: 2024-02-08 DOI: 10.1007/s40477-023-00849-6
Valentina Marinato, Alice Phillips, Leonardo Giuliano, Tommaso Cascella, Giorgio Greco, Rodolfo Lanocita
{"title":"The role of CEUS in the management of biloma.","authors":"Valentina Marinato, Alice Phillips, Leonardo Giuliano, Tommaso Cascella, Giorgio Greco, Rodolfo Lanocita","doi":"10.1007/s40477-023-00849-6","DOIUrl":"10.1007/s40477-023-00849-6","url":null,"abstract":"<p><strong>Background: </strong>A biloma refers to an abnormal, well-defined accumulation of bile outside the biliary tree within the abdomen, which can be either intra- or extra-hepatic in nature. It can result from traumatic or iatrogenic causes, leading to a disruption in the biliary system. Without prompt diagnosis and appropriate management, it can result in significant morbidity and mortality. While magnetic resonance cholangiopancreatography (MRCP) is the typical diagnostic method, there are instances where it may not provide conclusive results.</p><p><strong>Case presentation: </strong>We present the case of a 72-year-old woman who underwent an hepatic resection of the seventh segment after recurrence of hepatocellular carcinoma (HCC). During the ultrasound (US) follow-up, she developed a peri-hepatic collection which proved to be a biloma continuously refurnished by the biliary tree. Neither the MRCP nor the percutaneous transhepatic cholangiography (PTC) were able to clearly detect the exact site of the bile leak. While awaiting the Endoscopic Retrograde Cholangio-Pancreatography (ERCP), a Contrast-Enhanced Ultrasound (CEUS) was conducted administering the contrast agent directly through the percutaneous drainage catheter placed in the biloma. This revealed the presence of contrast flow from the collection to a peripheral right bile duct, confirming the intra-hepatic leak communication.</p><p><strong>Conclusions: </strong>This case demonstrates that Contrast-Enhanced Ultrasound (CEUS) presents a straightforward, secure, and precise approach to detect biliary leakage responsible for the formation of a biloma. Additionally, the adoption of CEUS offers the dual benefit of minimizing radiation exposure for the patient and obviating the requirement for anesthesia. In summary, CEUS emerges as a compelling alternative to conventional diagnostic methods for effectively managing a biloma.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11333771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139703988","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}
引用次数: 0
BAASIK technique: an innovative single needle technique of performing shoulder corticosteroid injections. BAASIK 技术:进行肩部皮质类固醇注射的创新单针技术。
IF 1.3
Journal of Ultrasound Pub Date : 2024-08-22 DOI: 10.1007/s40477-024-00948-y
Nidhi Agrawal, Kapil Shirodkar, Sindhura Mettu, Ankit B Shah, Bipin R Shah, Karthikeyan P Iyengar, Rajesh Botchu
{"title":"BAASIK technique: an innovative single needle technique of performing shoulder corticosteroid injections.","authors":"Nidhi Agrawal, Kapil Shirodkar, Sindhura Mettu, Ankit B Shah, Bipin R Shah, Karthikeyan P Iyengar, Rajesh Botchu","doi":"10.1007/s40477-024-00948-y","DOIUrl":"https://doi.org/10.1007/s40477-024-00948-y","url":null,"abstract":"<p><p>The novel BAASIK (B-Botchu,Bipin, A-Agrawal, A-Ankit, S- Sindhura, I-Iyengar, K- Kapil) technique is a combined ultrasound-guided injection into the subacromial-subdeltoid (SASD) bursa and the biceps tendon sheath to treat shoulder pain associated with biceps tendonitis/tendinopathy, subacromial bursitis, rotator cuff impingement or to determine the source of shoulder pain. This technique aims in reducing shoulder pain, improving functional activities and enhancing treatment delivery. A single-entry supine ultrasound-guided injection of the subacromial-subdeltoid (SASD) bursa and biceps tendon sheath involves using a single needle insertion point to access both structures for therapeutic injection. This technique could become a favoured alternative technique, rather than  subjecting patients to two needlesticks and preparing two separate injections to address often concomitant pathologies.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037670","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}
引用次数: 0
Portable ultrasound-guided keyhole evacuation of intracerebral hemorrhage: a detailed case report highlighting technical nuances. 便携式超声引导下的脑内出血锁孔排空术:一份强调技术细微差别的详细病例报告。
IF 1.3
Journal of Ultrasound Pub Date : 2024-08-05 DOI: 10.1007/s40477-024-00943-3
Kaiwei Han, Yiming Li, Liang Zhao, Yuqing Zhao, Lijun Hou, Alexander I Evins, Tao Xu
{"title":"Portable ultrasound-guided keyhole evacuation of intracerebral hemorrhage: a detailed case report highlighting technical nuances.","authors":"Kaiwei Han, Yiming Li, Liang Zhao, Yuqing Zhao, Lijun Hou, Alexander I Evins, Tao Xu","doi":"10.1007/s40477-024-00943-3","DOIUrl":"https://doi.org/10.1007/s40477-024-00943-3","url":null,"abstract":"<p><p>Intracerebral hemorrhage (ICH) is a common neurosurgical emergency that is associated with high morbidity and mortality. Minimally invasive or endoscopic hematoma evacuation has emerged in recent years as a viable alternative to conventional large craniotomies. However, accurate trajectory planning and placement of the tubular retractor remains a challenge. We describe a novel technique for handheld portable ultrasound-guided minimally invasive endoscopic evacuation of supratentorial hematomas. A 64-year-old male diagnosed right hematoma (48.5 mL) at the basal ganglia was treated with emergent ultrasound-guided endoscopic transtubular evacuation through a small craniotomy. Ultrasound-guidance facilitated optimal placement of the tubular retractor into the long axis of the hematoma, and allowed for near-total evacuation, reducing iatrogenic tissue damage by mitigating the need for wanding or repositioning of the retractor. The emergence of a new generation of small portable phased array ultrasound probes with improved resolution and clarity has broadened ultrasound's clinical applications.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890837","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}
引用次数: 0
Isolated spontaneous non-insertional tear of the iliopsoas tendon in an elderly patient: significance of ultrasound imaging. 一名老年患者髂腰肌腱的孤立性自发性非插入性撕裂:超声波成像的意义。
IF 1.3
Journal of Ultrasound Pub Date : 2024-07-26 DOI: 10.1007/s40477-024-00945-1
S Chapala, S Mettu, K Shirodkar, Karthikeyan P Iyengar, D Beale, Rajesh Botchu
{"title":"Isolated spontaneous non-insertional tear of the iliopsoas tendon in an elderly patient: significance of ultrasound imaging.","authors":"S Chapala, S Mettu, K Shirodkar, Karthikeyan P Iyengar, D Beale, Rajesh Botchu","doi":"10.1007/s40477-024-00945-1","DOIUrl":"https://doi.org/10.1007/s40477-024-00945-1","url":null,"abstract":"<p><p>Isolated spontaneous tears in the non-insertional portion of the iliopsoas tendon without any underlying injury are uncommon, especially among elderly individuals. We describe the case of an 88-year-old man who experienced right groin pain caused by a spontaneous non-insertional tear in the iliopsoas tendon identified through ultrasound and confirmed via MRI. Ultrasound revealed hypoechogenicity in the non-insertional portion of the iliopsoas tendon, leading to quick identification and conservative treatment and resulting in positive functional outcomes. This case report emphasises the significance of considering spontaneous non-insertional iliopsoas tendon tears when evaluating cases of acute groin pain. This finding underscores the effectiveness of ultrasound as an initial diagnostic tool for the early cost-effective diagnosis of soft tissue injuries around the hip joint, especially in low-resource settings. Timely detection and management can help avoid unnecessary operative interventions and facilitate faster and better recovery.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141767982","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}
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