Journal of Ultrasound最新文献_第9页

Point of care lung ultrasound in preschool children with cystic fibrosis: a case-controlled, prospective, pilot study. 对患有囊性纤维化的学龄前儿童进行肺部超声波检查：一项病例对照、前瞻性试点研究。

IF 2

Journal of Ultrasound Pub Date : 2024-06-01 Epub Date: 2024-01-19 DOI: 10.1007/s40477-023-00841-0

Antonio Alessandro Crispino, Anna Maria Musolino, Danilo Buonsenso, Mimma Caloiero, Daniela Concolino

{"title":"Point of care lung ultrasound in preschool children with cystic fibrosis: a case-controlled, prospective, pilot study.","authors":"Antonio Alessandro Crispino, Anna Maria Musolino, Danilo Buonsenso, Mimma Caloiero, Daniela Concolino","doi":"10.1007/s40477-023-00841-0","DOIUrl":"10.1007/s40477-023-00841-0","url":null,"abstract":"Aims: Respiratory complications in Cystic Fibrosis (CF) are still the leading cause of death nowadays in these patients. High-Resolution Computed Tomography is the gold standard method for staging lung disease in CF. In this study we assessed lung ultrasound findings in asymptomatic preschool patients affected by CF.Methods: This is a case-control study with a total of 70 enrolled patients (20 patients affected by CF, 50 healthy controls) aged from 31 to 6 years. All included patients were without intercurrent lung problems and without antibiotic therapy in the last 30 days. For each patient a lung Point of Care Ultrasound (POCUS) of lung was performed.Results: B lines < 3 and sub-pleural consolidations < 1 cm were statistically more frequent in CF patients, both in terms of number of affected patients (p 0.02 and p 0.0001 respectively) and frequency (p 0.0181 and p 0.0001 respectively); the prevalence of B lines < 3 in control group was high (47.73%) however the prevalence of sub-pleural consolidations was very low (2.27%). In both groups coalescent B lines affected a greater number of infants and were in higher number of findings than patients aged between 2 and 6 years.Conclusions: The presence of multiple subpleural pulmonary consolidations < 1 cm in asymptomatic preschool children could be a ultrasound markers of subclinical pulmonary disease such as CF. POCUS of lung is confirmed as a useful tool for the clinician as confirmation of a clinical suspicion, help reduce the use of ionizing radiation.","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11178747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139492914","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

Morphometry of the sural nerve in diabetic neuropathy: a systematic review. 糖尿病神经病变中鞍神经的形态测量：系统综述。

IF 2

Journal of Ultrasound Pub Date : 2024-06-01 Epub Date: 2024-03-08 DOI: 10.1007/s40477-024-00875-y

Zhang Ludi, Matthias Yi Quan Liau, Bryan Song Jun Yong, Amanda Sze Yen Auyong, Quah Hui Ting Lynette, Samuel Jianjie Yeo, Khin Swee Elizabeth Tan, Sreenivasulu Reddy Mogali, Ramya Chandrasekaran, Vivek Perumal, Ranganath Vallabhajosyula

{"title":"Morphometry of the sural nerve in diabetic neuropathy: a systematic review.","authors":"Zhang Ludi, Matthias Yi Quan Liau, Bryan Song Jun Yong, Amanda Sze Yen Auyong, Quah Hui Ting Lynette, Samuel Jianjie Yeo, Khin Swee Elizabeth Tan, Sreenivasulu Reddy Mogali, Ramya Chandrasekaran, Vivek Perumal, Ranganath Vallabhajosyula","doi":"10.1007/s40477-024-00875-y","DOIUrl":"10.1007/s40477-024-00875-y","url":null,"abstract":"Purpose: The aim of this systematic review is to evaluate the usefulness of sural nerve ultrasonography in diagnosing diabetes mellitus (DM) and diabetic polyneuropathy (DPN), the latter of which is a common long-term complication for diabetic patients that frequently involves the sural nerve.Methodology: A meta-analysis of the cross-sectional areas (CSAs) of sural nerves in healthy individuals and patients with diabetes mellitus based on a total of 32 ultrasonographic-based studies from 2015 to 2023 was performed. Sub-analyses were performed for factors such as geographical location and measurement site.Results: The meta-analysis showed that the mean CSA of the sural nerve was significantly larger in DM patients with DPN only compared to healthy individuals across all regions and when pooled together. An age-dependent increase in the CSA of healthy sural nerves is apparent when comparing the paediatric population with adults.Conclusion: Sural nerve ultrasonography can distinguish diabetic adults with DPN from healthy adults based on cross-sectional area measurement. Future studies are needed to clarify the relationships between other parameters, such as body metrics and age, with sural nerve CSAs. Cut-offs for DPN likely need to be specific for different geographical regions.","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11178711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140061228","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

US/CT fusion imaging and virtual navigation to guide lumbar intradiscal oxygen-ozone therapy: a pilot study. 用 US/CT 融合成像和虚拟导航指导腰椎间盘内氧-臭氧疗法：一项试点研究。

IF 2

Journal of Ultrasound Pub Date : 2024-06-01 Epub Date: 2023-12-15 DOI: 10.1007/s40477-023-00835-y

Domenico Albano, Carmelo Messina, Salvatore Gitto, Stefano Fusco, Luca Maria Sconfienza, Alberto Bellelli

{"title":"US/CT fusion imaging and virtual navigation to guide lumbar intradiscal oxygen-ozone therapy: a pilot study.","authors":"Domenico Albano, Carmelo Messina, Salvatore Gitto, Stefano Fusco, Luca Maria Sconfienza, Alberto Bellelli","doi":"10.1007/s40477-023-00835-y","DOIUrl":"10.1007/s40477-023-00835-y","url":null,"abstract":"Purpose: To test the feasibility of US/CT fusion imaging to guide lumbar intradiscal O2/O3 therapy to treat discogenic degenerative low back pain due to lumbar disc herniation (LDH).Methods: We retrospectively included consecutive patients affected by low back pain and/or sciatica due to LDH resistant to conservative therapies, who underwent to lumbar intradiscal O2/O3 injection under CT/US fusion imaging guidance (Fusion Group) and standard CT guidance (Control Group). For each procedure, we collected procedure operative time, room utilization time, number of CT passes, complications, and O2/O3 intradiscal diffusion adequacy. Technical success was defined as the ability to complete the procedure as initially planned to reach the disc. Technical efficacy was based on O2/O3 intradiscal diffusion adequacy, as demonstrated by the last CT scan.Results: Six patients (4 males; mean age: 68 ± 15 years) were included in the Fusion group, six (4 males; mean age: 66 ± 12 years) in Control group. No complications were observed in both groups. In Fusion group we found significantly lower room utilization time (30 ± 6 min vs. 46 ± 10 min, p = 0.008), procedure operative time (14 ± 3 min vs. 24 ± 6 min, p = 0.008), and number of CT passes (2 [2,2] vs. 3 [3,3], p = 0.006) than in Control Group, respectively. Technical success and efficacy were 100% in both Groups.Conclusion: CT/US fusion imaging seems to be a feasible and safe guidance for intradiscal O2/O3 injections, allowing decrease of procedure time and number of CT passes.","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11178682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138810385","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 echocardiography in pulmonary embolism for the prediction of in-hospital mortality: a retrospective study. 超声心动图在肺栓塞患者院内死亡率预测中的作用：一项回顾性研究。

IF 2

Journal of Ultrasound Pub Date : 2024-06-01 Epub Date: 2024-03-23 DOI: 10.1007/s40477-024-00874-z

Michele Domenico Spampinato, Andrea Portoraro, Soccorsa M Sofia, Francesco Luppi, Marcello Benedetto, Luca D'Angelo, Giorgio Galizia, Irma Sofia Fabbri, Teresa Pagano, Benedetta Perna, Matteo Guarino, Giulia Passarini, Rita Pavasini, Angelina Passaro, Roberto De Giorgio

{"title":"The role of echocardiography in pulmonary embolism for the prediction of in-hospital mortality: a retrospective study.","authors":"Michele Domenico Spampinato, Andrea Portoraro, Soccorsa M Sofia, Francesco Luppi, Marcello Benedetto, Luca D'Angelo, Giorgio Galizia, Irma Sofia Fabbri, Teresa Pagano, Benedetta Perna, Matteo Guarino, Giulia Passarini, Rita Pavasini, Angelina Passaro, Roberto De Giorgio","doi":"10.1007/s40477-024-00874-z","DOIUrl":"10.1007/s40477-024-00874-z","url":null,"abstract":"Purpose: Pulmonary Embolism (PE) is the third leading cause of cardiovascular death, following myocardial infarction and stroke. The latest European Society of Cardiology (ESC) guidelines on PE recommend short-term prognostic stratification based on right ventricular (RV) overload detected by transthoracic echocardiography (TTE) or contrast-enhanced chest CT. The aim of the study is to find out which of the signs of right ventricular dysfunction best predicts in-hospital mortality (IHM).Methods: This is a monocentric, retrospective study including adult patients admitted from the emergency department with a c-e cCT confirmed diagnosis of PE between January 2018 and December 2022 who underwent a TTE within 48 h.Results: 509 patients (median age 76 years [IQR 67-84]) were included, with 7.1% IHM. At univariate analysis, RV/LV ratio > 1 (OR 2.23, 95% CI 1.1-4.5), TAPSE < 17 mm (OR 4.73, 95% CI 2.3-9.8), the D-shape (OR 3.73, 95% CI 1.71-8.14), and LVEF < 35% (OR 5.78, 95% CI 1.72-19.47) resulted significantly correlated with IHM. However, at multivariate analysis including also haemodynamic instability, PESI class > II, and abnormal hs-cTnI levels, only LVEF < 35% (OR 5.46, 95% CI 1.32-22.61) resulted an independent predictor of IHM.Conclusion: Despite the recognised role of TTE in the early management of patients with circulatory shock and suspected PE, signs of RV dysfunction have been shown to be poor predictors of IHM, whereas severely reduced LVEF is an independent risk factor for in-hospital death.","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11178708/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140195049","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

FUS-mediated blood-brain barrier disruption for delivering anti-Aβ antibodies in 5XFAD Alzheimer's disease mice. FUS 介导的血脑屏障破坏用于在 5XFAD 阿尔茨海默病小鼠体内递送抗 Aβ 抗体。

IF 1.3

Journal of Ultrasound Pub Date : 2024-06-01 Epub Date: 2023-07-29 DOI: 10.1007/s40477-023-00805-4

Anastasia Antoniou, Marios Stavrou, Nikolas Evripidou, Elena Georgiou, Ioanna Kousiappa, Andreas Koupparis, Savvas S Papacostas, Kleopas A Kleopa, Christakis Damianou

{"title":"FUS-mediated blood-brain barrier disruption for delivering anti-Aβ antibodies in 5XFAD Alzheimer's disease mice.","authors":"Anastasia Antoniou, Marios Stavrou, Nikolas Evripidou, Elena Georgiou, Ioanna Kousiappa, Andreas Koupparis, Savvas S Papacostas, Kleopas A Kleopa, Christakis Damianou","doi":"10.1007/s40477-023-00805-4","DOIUrl":"10.1007/s40477-023-00805-4","url":null,"abstract":"Purpose: Amyloid-β (Aβ) peptides, the main component of amyloid plaques found in the Alzheimer's disease (AD) brain, are implicated in its pathogenesis, and are considered a key target in AD therapeutics. We herein propose a reliable strategy for non-invasively delivering a specific anti-Aβ antibody in a mouse model of AD by microbubbles-enhanced Focused Ultrasound (FUS)-mediated Blood-brain barrier disruption (BBBD), using a simple single stage MR-compatible positioning device.Methods: The initial experimental work involved wild-type mice and was devoted to selecting the sonication protocol for efficient and safe BBBD. Pulsed FUS was applied using a single-element FUS transducer of 1 MHz (80 mm radius of curvature and 50 mm diameter). The success and extent of BBBD were assessed by Evans Blue extravasation and brain damage by hematoxylin and eosin staining. 5XFAD mice were divided into different subgroups; control (n = 1), FUS + MBs alone (n = 5), antibody alone (n = 5), and FUS + antibody combined (n = 10). The changes in antibody deposition among groups were determined by immunohistochemistry.Results: It was confirmed that the antibody could not normally enter the brain parenchyma. A single treatment with MBs-enhanced pulsed FUS using the optimized protocol (1 MHz, 0.5 MPa in-situ pressure, 10 ms bursts, 1% duty factor, 100 s duration) transiently disrupted the BBB allowing for non-invasive antibody delivery to amyloid plaques within the sonicated brain regions. This was consistently reproduced in ten mice.Conclusion: These preliminary findings should be confirmed by longer-term studies examining the antibody effects on plaque clearance and cognitive benefit to hold promise for developing disease-modifying anti-Aβ therapeutics for clinical use.","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11178731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9889726","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

Advantages of the use of ultrasound in newborn vascular access: a systematic review. 超声在新生儿血管通路中的应用优势：一项系统综述。

IF 2

Journal of Ultrasound Pub Date : 2024-06-01 Epub Date: 2023-10-06 DOI: 10.1007/s40477-023-00832-1

Valentina Brusciano, Miriam Lecce

{"title":"Advantages of the use of ultrasound in newborn vascular access: a systematic review.","authors":"Valentina Brusciano, Miriam Lecce","doi":"10.1007/s40477-023-00832-1","DOIUrl":"10.1007/s40477-023-00832-1","url":null,"abstract":"Vascular access in neonates and small infants is often challenging. Ultrasound (US) screening and guidance improves its safety and efficacy. The advantages of a pre-implantation ultrasound examination are intuitive; it is a practical and safe technique that doesn't use radiation, allowing static and dynamic evaluations to be carried out and identifying anatomical variations, the caliber and depth of the vessel, the patency of the entire course and attached structures (nerves, etc.). Optimization of the image is a crucial aspect in achieving a clear view of all anatomical structures while avoiding complications. The goal of this review was to look into the benefits of using US in invasive catheter insertion procedures, especially in pediatric patients. Ultrasonography is used to visualize vessels and related structures in two dimensions (2D), sometimes with the help of color Doppler to detect the presence of intraluminal thrombi by applying gentle compression to assess vessel collapse and evaluate morphologic changes in the internal jugular vein (IJV) who had undergone central venous catheter (CVC) insertion during the neonatal period (Montes-Tapia et al. in J Pediatr Surg 51:1700-1703, 2016).","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11178713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41151383","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

High-resolution ultrasound imaging of elementary lesions in dactylitis. 趾突炎初级病变的高分辨率超声成像。

IF 2

Journal of Ultrasound Pub Date : 2024-06-01 Epub Date: 2023-11-25 DOI: 10.1007/s40477-023-00834-z

Vincenzo Ricci, Giorgio Tamborrini, Fiammetta Zunica, Ke-Vin Chang, Murat Kara, Giacomo Farì, Ondřej Naňka, Levent Özçakar

{"title":"High-resolution ultrasound imaging of elementary lesions in dactylitis.","authors":"Vincenzo Ricci, Giorgio Tamborrini, Fiammetta Zunica, Ke-Vin Chang, Murat Kara, Giacomo Farì, Ondřej Naňka, Levent Özçakar","doi":"10.1007/s40477-023-00834-z","DOIUrl":"10.1007/s40477-023-00834-z","url":null,"abstract":"Objective: The aim of the present study was to illustrate the (potential) diagnostic role of high resolution US images in assessing the elementary lesions of dactylitis.Methods: Using high-frequency US machines/probes, we matched the micro-anatomical cadaveric architecture of the digit with multiple sonographic findings of dactylitis. High-sensitive color/power Doppler assessments have also been performed to evaluate the digital microvasculature.Discussion: Modern US equipment/features guarantee prompt and in-depth B-mode and color/power Doppler imaging of tiny anatomical structures of the digit which are usually not properly visible with standard US machines. More specifically, hypervascularization of the digital subcutaneous tissue, fibrous pulleys of flexor tendons, dorsal synovial pads as well as pathological changes of the distal entheseal anchorage network can be accurately detected.Conclusion: In clinical practice, high-end US equipment can be used to accurately assess the digits in patients with dactylitis. This way, simple and convenient sonographic diagnosis of different elementary lesions can be timely established.","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11178685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138441723","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

Imaging features, classification and clinical features of intrahepatic congenital portosystemic shunts. 肝内先天性门静脉分流的影像特征、分类和临床特征。

IF 2

Journal of Ultrasound Pub Date : 2024-05-28 DOI: 10.1007/s40477-024-00900-0

Christy B Pomeranz, Michael Baad, Arzu Kovanlikaya, Lee K Collins

{"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":"https://doi.org/10.1007/s40477-024-00900-0","url":null,"abstract":"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.","PeriodicalId":51528,"journal":{"name":"Journal of Ultrasound","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141162767","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

Sonographic diagnosis of radiographically undetectable bennet fracture. 影像学无法检测到的本内特骨折的超声诊断。

IF 2

Journal of Ultrasound Pub Date : 2024-05-01 DOI: 10.1007/s40477-024-00901-z

Stefania Laura Calvisi, Diana Olarte, Marco Meloni, Stefano Bianchi

引用次数: 0

Inflammatory bowel disease in children: finding the best diagnostic tool. 儿童炎症性肠病：寻找最佳诊断工具。

IF 2

Journal of Ultrasound Pub Date : 2024-04-29 DOI: 10.1007/s40477-024-00902-y

Paula Andrea Forero, Andrés Felipe Herrera Ortiz, Andrés Vásquez Perdomo, Nelson Bedoya

引用次数: 0