Yan Dang, Sha Zhang, Yu Bao, Chongqing Shi, Zhenming Zhang
{"title":"Endoscopic ultrasound-guided fine-needle aspiration assisted by a novel dental floss traction technique for diagnosing an occult pharyngeal malignancy: a first case report.","authors":"Yan Dang, Sha Zhang, Yu Bao, Chongqing Shi, Zhenming Zhang","doi":"10.11152/mu-4638","DOIUrl":"https://doi.org/10.11152/mu-4638","url":null,"abstract":"<p><p></p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":"28 3","pages":"368-369"},"PeriodicalIF":2.3,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149042705","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":"Isolated tear of the superior bundle of the subscapularis tendon: sonographic detection using the USMSIT/NMUSIT protocol.","authors":"Yu-Ting Li, Wei-Ting Wu, Ke-Vin Chang, Levent Özçakar","doi":"10.11152/mu-4640","DOIUrl":"https://doi.org/10.11152/mu-4640","url":null,"abstract":"<p><p></p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":"28 3","pages":"371-372"},"PeriodicalIF":2.3,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149042876","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}
Silvia Novaes Pinto, Gustavo Yano Callado, Edward Araujo Júnior, Alberto Borges Peixoto, Antonio Braga, Heron Werner, Marcio Bezerra Barcellos, Pedro Teixeira Castro, Gabriela Paiva, Sue Yazaki Sun
{"title":"Ultrasonographic vascular indices in the post-evacuation assessment of complete hydatidiform mole and gestational trophoblastic neoplasia.","authors":"Silvia Novaes Pinto, Gustavo Yano Callado, Edward Araujo Júnior, Alberto Borges Peixoto, Antonio Braga, Heron Werner, Marcio Bezerra Barcellos, Pedro Teixeira Castro, Gabriela Paiva, Sue Yazaki Sun","doi":"10.11152/mu-4585","DOIUrl":"10.11152/mu-4585","url":null,"abstract":"<p><strong>Aim: </strong>To identify clinical, biochemical, and ultrasonographic parameters that may serve as early predictors of gestational trophoblastic neoplasia (GTN) in patients initially diagnosed with complete hydatidiform mole (CHM).</p><p><strong>Material and methods: </strong>This retrospective study included 47 patients with trophoblastic gestational disease, of whom 28 had CHM and 19 developed GTN. Clinical data, serum human chorionic gonadotropin (hCG) levels, and ultrasonographic parameters-including vascular index (VI) (MV-Flow®) and uterine artery pulsatility index (PI)-were collected and analyzed. Logistic regression and receiver operating characteristic (ROC) curve analyses were used to assess predictive value.</p><p><strong>Results: </strong>GTN patients had significantly higher rates of second uterine evacuation (47.4% vs. 7.1%, p=0.001), prolonged time to hCG normalization (92.0 vs. 40.0 days, p<0.001), and increased frequency of focal lesions (68.4% vs. 14.3%, p<0.001). VI values in the longitudinal, transverse, and mean uterine planes were significantly higher in GTN, while mean PI was significantly lower (1.61 vs. 3.13, p=0.001). ROC curves demonstrated good diagnostic performance for the mean VI (AUC=0.823) and mean PI (AUC=0.777).</p><p><strong>Conclusion: </strong>The VI and uterine artery PI, in combination with serum hCG dynamics and focal lesion detection, may serve as useful parameters in the early identification of patients at increased risk for neoplastic progression following molar pregnancy.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":"308-314"},"PeriodicalIF":2.3,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286811","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":"Ultrasound in the comprehensive management of nodal lymphoma: from conventional B-mode to multimodal ultrasound and artificial intelligence.","authors":"Chunjin Xiong, Xinxin Sun, Xuanxuan Sun, Huajiao Zhao, Enock Adjei Agyekum, Huaqin Zuo, Mei Sun, Xusheng Song, Jing Ye, Xiaoqin Qian","doi":"10.11152/mu-4609","DOIUrl":"10.11152/mu-4609","url":null,"abstract":"<p><p>Nodal lymphoma requires precise diagnosis and longitudinal monitoring. Ultrasound is now established as a first-line tool for evaluating superficial lymphadenopathy, and the introduction of shear-wave elastography, contrast-enhanced ultrasound, super-resolution contrast-enhanced ultrasound, and artificial-intelligence-based decision support has expanded its role far beyond simple morphological assessment. This updated review outlines the evolving role of multimodal ultrasound and its advanced applications in the comprehensive management of nodal lymphoma, from initial diagnosis and biopsy guidance to treatment evaluation and prognosis stratification, highlighting current evidence, clinical utility, and future research directions.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":"340-348"},"PeriodicalIF":2.3,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145938","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}
Yawen Chen, Quan Zeng, Jiangyan Yin, Wenqi Zuo, Xuemei He
{"title":"The diagnostic value of transfistular contrast-enhanced ultrasound in branchial cleft fistulas.","authors":"Yawen Chen, Quan Zeng, Jiangyan Yin, Wenqi Zuo, Xuemei He","doi":"10.11152/mu-4587","DOIUrl":"10.11152/mu-4587","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to assess the diagnostic value of transfistular contrast-enhanced ultrasound (CEUS) for branchial cleft fistulas (BCF), using surgical findings as the reference standard.</p><p><strong>Materials and methods: </strong>Fifty - six patients were initially suspected of having BCF. Among them, 35 patients who underwent two-dimensional ultrasound (2D-US), transfistular CEUS, and prior to surgery were retrospectively enrolled. The diagnostic accuracy of transfistular CEUS and 2D-US for BCF detection was compared. The agreement between CEUS and surgical findings in internal orifice localization and BCF classification was assessed.</p><p><strong>Results: </strong>Among the enrolled 35 patients, 29 were surgically confirmed as BCF. Postoperative surgical findings served as the reference standard for all analyses. Transfistular CEUS demonstrated superior diagnostic accuracy compared to 2D-US for BCF detection (91.4% vs. 82.9%). Excellent agreement was observed between CEUS and surgical findings in internal orifice localization (κ=0.814, p<0.001). For BCF classification, the accuracy, sensitivity, and specificity of transfistular CEUS were as follows: type I BCF (93.1%, 93.8%, 92.3%), type II BCF (89.7%, 71.4%, 91.3%), and pyriform fossa fistulas (96.6%, 100.0%, and 95.7%), respectively. Conclusions: As a radiation-free, cost-effective, and non-invasive technique, transfistular CEUS can accurately diagnose BCF, precisely localize its internal orifice, and effectively differentiate its subtypes. For patients clinically suspected of BCF, transfistular CEUS is a reliable preoperative tool for individualized clinical guidance.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":"286-292"},"PeriodicalIF":2.3,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286734","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 accuracy of contrast-enhanced ultrasound for detecting renal cancer: a systematic review and meta-analysis.","authors":"Renfan Xu, Yunqi He, Xianghuan Xie, Guangzhi Chen","doi":"10.11152/mu-4610","DOIUrl":"10.11152/mu-4610","url":null,"abstract":"<p><strong>Aim: </strong>This systematic review and meta-analysis was designed to evaluate the diagnostic accuracy of contrast-enhanced ultrasound (CEUS) in distinguishing renal cancers from benign renal masses.</p><p><strong>Material and methods: </strong>Meta-regression evaluated the sources of heterogeneity across studies and subgroup analyses for individual clinical classifications were conducted. Subgroup diagnostic performance for solid vs. cystic masses was also performed. The methodological quality evaluation was performed using the Quality Assessment of Diagnostic Accuracy Studies version 2 (QUADAS-2). Publication bias was assessed using the Begg funnel plot and Egger's test.</p><p><strong>Results: </strong>Thirty-six articles involving 4,530 renal masses (3,221 malignant, 1,309 benign) were included in the analysis. The pooled sensitivity, specificity, PLR, NLR, and DOR were 0.94 (0.91-0.96), 0.85 (0.79-0.89), 6.24 (4.54-8.56), 0.07 (0.04-0.11), and 89.46 (51.66-154.94), respectively. The accuracy was 0.95 (0.93-0.97). I2 values of sensitivity (I2=95.91%) and specificity (I2=80.43%) were both >50%. Subgroup analyses demonstrated that CEUS had higher sensitivity for cystic renal masses than solid renal masses (0.99 vs. 0.88), but lower specificity (0.80 vs. 0.87). No publication bias was found (p=0.123).</p><p><strong>Conclusion: </strong>This meta-analysis demonstrated that CEUS could be an excellent tool for differentiating between malignant and benign renal masses, particularly for cystic renal masses.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":"349-362"},"PeriodicalIF":2.3,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148146029","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}
Kathleen Möller, Michael Ludwig, Christian Jenssen, Yi Dong, Nils Daum, Xin Wu Cui, Manjiri Dighe, Ole Graumann, Michael Kallenbach, Claudia Lucius, Roxana Șirli, Constantinos Zervides, Christoph Frank Dietrich
{"title":"Ultrasound measurements and normal values of the liver: a comprehensive review and practical guide.","authors":"Kathleen Möller, Michael Ludwig, Christian Jenssen, Yi Dong, Nils Daum, Xin Wu Cui, Manjiri Dighe, Ole Graumann, Michael Kallenbach, Claudia Lucius, Roxana Șirli, Constantinos Zervides, Christoph Frank Dietrich","doi":"10.11152/mu-4576","DOIUrl":"10.11152/mu-4576","url":null,"abstract":"<p><p>Reliable and reproducible sonographic measurements are essential for accurate liver assessment, both in daily clinical practice and in research. Reference values enable clinicians to differentiate between physiological and pathological findings and thus support diagnostic accuracy, follow-up, and therapeutic decision-making. This comprehensive review synthesizes current evidence on normal liver size as assessed by ultrasound, with a particular focus on measurement techniques, standard values, anatomical variants, and the clinical contexts in which these parameters are relevant. Special attention is given to the influence of patient-related factors such as body constitution, sex, age, and ethnicity. The role of right, left, and caudate lobe measurements is discussed in detail, outlining their relevance in conditions such as hepatomegaly, vascular disorders, or post-resection follow-up. Limitations of currently available data are acknowledged, especially regarding interobserver variability and lack of global uniformity. Future priorities include the establishment of consensus-based international reference standards and the integration of emerging technologies, such as artificial intelligence and advanced image analysis tools, to enhance reproducibility, reduce variability, and improve clinical utility. Ultimately, standardized liver measurements should form an integral part of multiparametric ultrasound examinations to optimize patient care.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":"326-339"},"PeriodicalIF":2.3,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146014080","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}