Vittorio Oteri, Francesco Galeano, Andrea Conti, Giovanni Scavone, Andrea Tumminia, Francesco Frasca, Raffaella Romano, Marcello Romano
{"title":"Casual detection of an abdominal aortic aneurysm thanks to a trainee-made ultrasound with two subsequent \"domino\" diagnoses: case report and insights on the role of ultrasound courses.","authors":"Vittorio Oteri, Francesco Galeano, Andrea Conti, Giovanni Scavone, Andrea Tumminia, Francesco Frasca, Raffaella Romano, Marcello Romano","doi":"10.1007/s40477-024-00979-5","DOIUrl":"https://doi.org/10.1007/s40477-024-00979-5","url":null,"abstract":"<p><p>Early detection of abdominal aortic aneurysm (AAA) is crucial as untreated lesions can be life-threatening. We describe the case of a fortuitous ultrasound (US) detection of AAA by a trainee which allowed two subsequent \"domino\" diagnoses. A 69 y.o. male underwent US to evaluate prostate and bladder. He was a heavy smoker affected by hypertension and dyslipidemia. An endocrinology resident and ultrasound trainee started the exam accidentally from the epigastrium and found a fusiform aneurysmal lesion. Subsequent computed tomography (CT) scan confirmed the diagnosis of AAA and incidentally revealed a colon adenocarcinoma and a diffuse non-Hodgkin lymphoma. This case report underlines the importance of extending the abdominal US examination to the aorta in patients over 60 years of age (especially in those people with multiple risk factors for AAA) and emphasizes the critical role of organizing hands-on-patient US courses with a multidisciplinary approach to optimize the training of future sonographers.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873198","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}
Marcello Napolitano, Beatrice Lama, Anna Maria Ierardi, Clarissa Valle, Eugenio Rossi, Rocco Minelli, Giuseppe Paviglianiti, Gianpaolo Di Rosa, Michelangelo Baldazzi, Gian Paolo Carrafiello
{"title":"A case report of hepatic inflammatory myofibroblastic tumor in a pediatric patient: diagnostic challenges and management strategies.","authors":"Marcello Napolitano, Beatrice Lama, Anna Maria Ierardi, Clarissa Valle, Eugenio Rossi, Rocco Minelli, Giuseppe Paviglianiti, Gianpaolo Di Rosa, Michelangelo Baldazzi, Gian Paolo Carrafiello","doi":"10.1007/s40477-024-00975-9","DOIUrl":"https://doi.org/10.1007/s40477-024-00975-9","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study is to present a case of inflammatory myofibroblastic tumor (IMT) of the liver in a 4-year-old girl. We will discuss the diagnostic challenges, the role of the radiologist in differential diagnosis, treatment modalities, and clinical outcomes.</p><p><strong>Methods: </strong>A case report of a 4-year-old girl with IMT of the liver is presented. We will review the patient's clinical presentation, diagnostic imaging findings, histological features, treatment, and follow-up.</p><p><strong>Results: </strong>The patient presented with vomiting and jaundice, but no fever. Imaging studies revealed an hepatic lesion suspicious for IMT; pathology confirmed the diagnosis. The patient underwent surgical intervention with successful resolution.</p><p><strong>Conclusion: </strong>IMT of the liver is a rare but important diagnosis to consider in children with abdominal masses. Radiologists play a crucial role in differential diagnosis. Surgical resection can be an effective treatment option for IMT, leading to favorable clinical outcomes.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840204","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":"Diagnostic performance of ultrasound for myositis and fasciitis, including necrotizing fasciitis, in pediatric patients.","authors":"Takahiro Hosokawa, Yumiko Sato, Yutaka Tanami, Eiji Oguma","doi":"10.1007/s40477-024-00976-8","DOIUrl":"https://doi.org/10.1007/s40477-024-00976-8","url":null,"abstract":"<p><strong>Objectives: </strong>To demonstrate the diagnostic performance of ultrasound for abnormal magnetic resonance imaging findings in pediatric patients with suspected myositis and fasciitis. We compared sonographic findings between patients with and without necrotizing fasciitis.</p><p><strong>Methods: </strong>In 21 pediatric patients, the presence or absence of abnormal T2-high signal intensity in subcutaneous fat, peripheral deep fascia, intermuscular fascia, and muscle was recorded. The extent of the disease based on ultrasound findings was recorded according to the previous locations. The vascular lumen within the affected muscle was also evaluated. Patients were classified into two groups: those with necrotizing fasciitis and those without. The presence/absence of sonographic findings and width of fluid accumulation in the peripheral deep fascia was compared between the two groups.</p><p><strong>Results: </strong>Three patients were classified into the necrotizing fasciitis group. The ultrasound diagnostic performance for abnormal findings in subcutaneous fat/peripheral deep fascia/ intermuscular fascia/muscle was 90.5%/76.2%/47.6%/90.5%, respectively. The presence/absence of abnormal findings in peripheral deep fascial edema, its width and vascular lumen collapse were significantly different between the two groups. The other findings were not significantly different between the groups.</p><p><strong>Conclusions: </strong>Ultrasound demonstrated reliability in detecting abnormal findings and was useful for diagnosing necrotizing fasciitis, facilitating urgent surgical intervention.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824574","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}
Journal of UltrasoundPub Date : 2024-12-01Epub Date: 2024-03-28DOI: 10.1007/s40477-023-00867-4
Ann T Foran, Luis Octavio Tierradentro-Garcia, Sophie Haddad, Santiago Martinez-Correa, Misun Hwang
{"title":"Microvascular imaging findings in infants with bacterial meningitis: a case series.","authors":"Ann T Foran, Luis Octavio Tierradentro-Garcia, Sophie Haddad, Santiago Martinez-Correa, Misun Hwang","doi":"10.1007/s40477-023-00867-4","DOIUrl":"10.1007/s40477-023-00867-4","url":null,"abstract":"<p><p>Bacterial meningitis is a severe and life-threatening disease that rapidly progresses in neonates and infants; prompt diagnosis and appropriate treatment are lifesaving. Magnetic resonance imaging remains the primary imaging technique for diagnosing meningitis; however, due to its limited availability and cost, ultrasound is often used for initial screening. Microvascular imaging ultrasound (MVI) is an emerging technique that offers insight into the brain microvasculature beyond conventional ultrasound. Here we present three patients with confirmed bacterial meningitis and associated cerebral microvascular findings on brain MVI to instigate further validation of cerebral microvascular imaging markers of bacterial meningitis for early detection and intervention.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"911-915"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319869","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 nephrology trainee can define the fluid status through lung ultrasonography and inferior vena cava measurements in hemodialysis patients: an observational study in a single center.","authors":"Christodoulos Keskinis, Stylianos Panagoutsos, Eleni Soilemezi, Panagiotis Pateinakis, Parthena Kyriklidou, Evangelos Memmos, Dorothea Papadopoulou, Ploumis Passadakis","doi":"10.1007/s40477-024-00903-x","DOIUrl":"10.1007/s40477-024-00903-x","url":null,"abstract":"<p><strong>Aims: </strong>The determination of ideal weight in hemodialysis patients remains a common problem. The use of Lung Ultrasound (LUS) is an emerging method of assessing the hydric status of hemodialysis patients. LUS combined with Inferior Vena Cava (IVC) ultrasonography can define the fluid status in hemodialysis patients.</p><p><strong>Methods: </strong>This study included 68 hemodialysis patients from the Dialysis Unit of Papageorgiou General Hospital in Thessaloniki. The patients underwent lung and IVC ultrasound 30 min before and after the end of the dialysis session by a nephrology trainee. Patients' ideal weight was modified based on daily clinical practice rather than ultrasound findings. The presence of B lines and ultrasound findings of the IVC were evaluated.</p><p><strong>Results: </strong>The average B line score was 11.53 ± 5.02 before dialysis and became 5.57 ± 3.14 after the session. The average diameter of the IVC was 14.266 ± 0.846 mm before dialysis and 12.328 ± 0.879 mm after the session. The patients were categorized based on the magnitude of overhydration and the findings were evaluated. In addition, findings after the session showed a statistically significant correlation between the b line score and the diameter of the IVC adjusted for the body surface area. (p = 0.009 < 0.05).</p><p><strong>Conclusions: </strong>A high rate of hyperhydration was detected before the dialysis session (25%). While it is the first study conducted by a nephrology trainee highlighting that it is a feasible technique. Intervention studies should be carried out in the future to draw more precise conclusions.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"887-894"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496488/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141312315","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}
Journal of UltrasoundPub Date : 2024-12-01Epub Date: 2024-07-17DOI: 10.1007/s40477-024-00931-7
K Shirodkar, G K Sharma, P Kaur, K P Iyengar, M Hussein, R Botchu
{"title":"GIBPS technique-a novel sequential technique of performing shoulder corticosteroid injections.","authors":"K Shirodkar, G K Sharma, P Kaur, K P Iyengar, M Hussein, R Botchu","doi":"10.1007/s40477-024-00931-7","DOIUrl":"10.1007/s40477-024-00931-7","url":null,"abstract":"<p><p>The introduction of the xxxxxxxx (GIBPS) technique represents a patient-centric novel and innovative method of ultrasound guided corticosteroid injection targeting the Glenohumeral joint (GHJ) and the Subacromial-Subdeltoid (SASD) bursa in a sequential manner, in the same setting. By integrating the two different sites of injection into a single technique, the procedure has the potential of transforming musculoskeletal interventional radiology and maximising patient care in shoulder pathologies. This procedure aims to reduce patient discomfort, optimise procedural efficiency, and enhance treatment precision through ultrasound guidance and improve the overall patient experience.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"969-972"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141629263","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}
Journal of UltrasoundPub Date : 2024-12-01Epub Date: 2024-06-25DOI: 10.1007/s40477-024-00914-8
Giulia Fichera, Roberto Stramare, Gianni Bisogno, Rolf Wyttenbach, Barbara Simonetti Goeggel, Filippo Del Grande, Chiara Giraudo, Marirosa Cristallo Lacalamita
{"title":"Neonatal cerebral ultrasound: anatomical variants and age-related diseases.","authors":"Giulia Fichera, Roberto Stramare, Gianni Bisogno, Rolf Wyttenbach, Barbara Simonetti Goeggel, Filippo Del Grande, Chiara Giraudo, Marirosa Cristallo Lacalamita","doi":"10.1007/s40477-024-00914-8","DOIUrl":"10.1007/s40477-024-00914-8","url":null,"abstract":"<p><p>Cerebral ultrasound is a non-invasive imaging technique widely used for the assessment of brain anatomy and diseases in neonates and infants. Indeed, it allows a precise characterization of common variants such as cavum septum pellucidum or diseases like intraventricular hemorrhage. The aim of this pictorial review is to provide a comprehensive overview of the main ultrasound features of the most common cerebral anatomical variants and disorders detectable by cerebral ultrasound using an age-related approach which could support non-subspecialized radiologists.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"993-1002"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141452100","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}
Journal of UltrasoundPub Date : 2024-12-01Epub Date: 2024-08-06DOI: 10.1007/s40477-024-00935-3
Mariana S Barbagianni, Stefanos G Georgiou, Pagona G Gouletsou, Apostolos D Galatos, Irene Valasi, Elena Pappa, Anargyros T Karatrantos, Athanasios Giannoukas
{"title":"Imaging of experimental venous thrombus by means of Doppler and CEUS techniques in dogs.","authors":"Mariana S Barbagianni, Stefanos G Georgiou, Pagona G Gouletsou, Apostolos D Galatos, Irene Valasi, Elena Pappa, Anargyros T Karatrantos, Athanasios Giannoukas","doi":"10.1007/s40477-024-00935-3","DOIUrl":"10.1007/s40477-024-00935-3","url":null,"abstract":"<p><p>Venous thrombosis has been widely studied in humans, but not in dogs. This study was designed to evaluate a venous thrombus in dogs, from creation to solution, by means of various ultrasonographic techniques. Nine healthy Beagle dogs were included in the study. The venous thrombus was formatted by puncturing the lumen of the external jugular veins and then, the veins were examined with B-mode, color Doppler, pulsed-wave Doppler, and contrast-enhanced ultrasound (CEUS) techniques, at regular intervals, within 210-270 min after venipuncture. Haemodynamic parameters were calculated at two different locations, before and after the site of the thrombus formation. The existence of a thrombus was confirmed by CEUS technique. Thrombus volume and echogenicity were evaluated. The results showed that the visualization of the venous thrombus by color Doppler modality was not feasible in some veins. The blood volume was the parameter that could more precisely indicate the presence or absence of a thrombus. In cases where thrombus volume was less than 0.001 cm<sup>3</sup>, it was impossible to detect its presence using haemodynamic parameters. The CEUS imaging depicted accurately the size and shape of an anechoic venous thrombus, even when its volume was 0.001cm<sup>3</sup>.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"813-823"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894880","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}
Journal of UltrasoundPub Date : 2024-12-01Epub Date: 2024-07-12DOI: 10.1007/s40477-024-00930-8
Carmelo Pirri, Nina Pirri, Carla Stecco, Veronica Macchi, Raffaele De Caro, Andrea Porzionato
{"title":"Optimizing healthcare in space: the role of ultrasound imaging in medical conditions.","authors":"Carmelo Pirri, Nina Pirri, Carla Stecco, Veronica Macchi, Raffaele De Caro, Andrea Porzionato","doi":"10.1007/s40477-024-00930-8","DOIUrl":"10.1007/s40477-024-00930-8","url":null,"abstract":"<p><p>In the context of long-distance space travel, managing medical conditions presents unique challenges due to communication delays. Consequently, onboard physicians must possess proficiency in diagnostic tools such as ultrasound, which has demonstrated its efficacy in the Space. However, there is a notable lack of comprehensive discussion regarding its effectiveness in handling medical scenarios in the Space. This bibliometric and systematic review aims to provide an updated analysis of the evidence supporting the role of ultrasound imaging in diagnosing medical conditions within microgravity environments.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"793-811"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592126","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}
Journal of UltrasoundPub Date : 2024-12-01Epub Date: 2024-08-10DOI: 10.1007/s40477-024-00924-6
Logeswaran Selvarajah, Mark Cresswell, Romain David, Paul Winston, Timothy Murray
{"title":"Trans-axillary sonography in the ABER (ABduction and External Rotation) position: a window to the subscapularis, teres major and latissimus dorsi.","authors":"Logeswaran Selvarajah, Mark Cresswell, Romain David, Paul Winston, Timothy Murray","doi":"10.1007/s40477-024-00924-6","DOIUrl":"10.1007/s40477-024-00924-6","url":null,"abstract":"<p><p>Shoulder ultrasound is a key tool used by musculoskeletal practitioners to diagnose and treat a variety of upper girdle diseases. While magnetic resonance imaging is the cornerstone of shoulder imaging, sonography is readily available, practical and superior in its ability for dynamic assessment of musculoskeletal pathologies. The subscapularis, teres major and latissimus dorsi muscles are commonly involved in a myriad of pathology including myofascial pain and spasticity. There is scarce literature on the assessment of these muscles for diagnostic and therapeutic purposes. Conventional approaches to shoulder ultrasound have not included a dedicated assessment of the subscapularis muscle due to its inherent anatomical location deep to the scapular blade which blocks sound wave penetration. We describe an approach to visualizing the subscapularis muscle as a short addition to the established shoulder sonography format, which also permits assessment of both the latissimus dorsi and teres major muscles, which are important muscles for shoulder spasticity. The patient is imaged in a semi-recumbent position with the arms elevated above and behind the head in the ABduction and External Rotation (ABER) position. The relative ease of positioning and sonographic access to the musculature coupled with the potential for assessment and intervention makes this approach extremely desirable to the musculoskeletal practitioner looking to diagnose or treat muscle belly pathologies of the subscapularis, teres major or latissimus dorsi.</p>","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":" ","pages":"963-968"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11496416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914539","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}