{"title":"Ultrasound radiomics in the assessment of breast cancer molecular subtypes: A systematic review and meta-analysis.","authors":"Jianan Zhou, Jialing Wu, Changfu Zhu, Qi An","doi":"10.11152/mu-4449","DOIUrl":"https://doi.org/10.11152/mu-4449","url":null,"abstract":"<p><strong>Aim: </strong>Accurate prediction of preoperative molecular subtypes of breast cancer is crucial for treatment planning and prognosis evaluation of patients. This systematic review aims to investigate the capacity of ultrasound radiomics in accurately identifying the molecular subtypes of breast cancer.</p><p><strong>Material and methods: </strong>We conducted a thorough search of PubMed, Embase, and Cochrane databases to identify relevant research up until May 2024. We pooled sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, diagnostic odds ratio, and the area under the curve (AUC) to summarize the ability of ultrasound radiomics to predict Luminal type and triple negative breast cancer (TNBC) type in patient with breast cancer. Results: Our meta-analysis found that nine studies provided ultrasound radiomics predictions for TNBC. Pooled sensitivity, specificity, and AUC were 0.64, 0.89, and 0.86, respectively. Four studies have provided the ultrasound radiomics prediction of Luminal molecular subtype breast cancer. Pooled sensitivity, specificity, and AUC were 0.89, 0.79, and 0.90, respectively. There are two studies that predict Luminal A, Luminal B and Her 2+molecular subtype by ultrasound radiology, but they cannot be synthesized quantitatively because of the small number of studies.</p><p><strong>Conclusion: </strong>Ultrasound radiomics has a good diagnostic performance in predicting molecular subtypes in breast cancer.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869818","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":"Effectiveness of ultrasound-guided ilioinguinal and iliohypogastric nerve block in pediatric inguinal hernia surgery: a systematic review and meta-analysis of randomized controlled trials.","authors":"Ling Zhang, Zhina Liu, Jifeng Guo, Hongquan Jin, Zhimin Zhang","doi":"10.11152/mu-4448","DOIUrl":"https://doi.org/10.11152/mu-4448","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the efficacy of ultrasound-guided ilioinguinal and iliohypogastric nerve block (IIHB) in children undergoing surgery for inguinal hernias.</p><p><strong>Material and methods: </strong>PubMed, Embase, Cochrane Library, and Web of Science databases were searched to January 4, 2024. For continuous data, the effect sizes were presented as weighted mean differences (WMDs), and for categorical data, they were reported as relative ratios (RR), each accompanied by 95% confidence intervals (CIs).</p><p><strong>Results: </strong>IIHB demonstrated a longer duration before the need for the first analgesic compared to transverse abdominis plane (TAP), caudal epidural block (CEB), and pre-incisional wound infiltration (PWI), but a shorter duration than quadratus lumborum block (QLB). The IIHB group had a higher probability of requiring rescue analgesics compared to other blocks or PWI (RR: 1.69, 95% CI: 1.25 to 2.28, p=0.001). Higher FLACC scores were noted at 12 hours for the IIHB group (WMD:0.50, 95% CI: 0.13 to 0.86, p=0.008). IIHB required more intraoperative fentanyl compared to controls (RR: 2.14, 95% CI:1.17 to 3.92, p=0.014).</p><p><strong>Conclusion: </strong>While IIHB may have some benefits, it does not appear to be more effective overall in managing postoperative pain in pediatric inguinal hernia surgery patients compared to other blocks or PWI.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869812","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 transcranial ultrasonography for detecting stenosis in patients with acute ischaemic stroke: a systematic review and meta-analysis.","authors":"Xiaofei Zhu, Yan Li, Wei Xia, Wenfu Wang","doi":"10.11152/mu-4413","DOIUrl":"https://doi.org/10.11152/mu-4413","url":null,"abstract":"<p><strong>Aim: </strong>Transcranial ultrasonography, including transcranial doppler (TCD) and transcranial colour-coded duplex/sonography (TCCD/TCCS), offers potential benefits in the evaluation of cerebrovascular patency, but its accuracy remains under scrutiny. Hence, this study aims to investigate the diagnostic accuracy of transcranial ultrasonography for detecting stenosis in acute ischaemic stroke patients.</p><p><strong>Material and methods: </strong>We systematically reviewed the databases such as CINAHL, SCOPUS, EMBASE, MEDLINE, Cochrane Library, Google Scholar, and ScienceDirect from inception till June 2023. Studies were eligible if they compared the diagnostic role of transcranial ultrasonography with established techniques, and reported accuracy parameters such as sensitivity, specificity, positive and negative likelihood ratios. Subgroup analysis was performed for TCD and TCCD/TCCS.</p><p><strong>Results: </strong>Seventeen studies involving 1496 participants were included. The pooled sensitivity and specificity of transcranial ultrasonography were 90% and 95% respectively. For TCD, the sensitivity and specificity were 87% and 93% respectively. TCCD/TCCS showed sensitivity 98% and specificity 97%. High clinical value was evident in both TCD and TCCD/TCCS, with heterogeneity across studies but no observable publication bias.</p><p><strong>Conclusion: </strong>Transcranial ultrasonography, including both TCD and TCCD/TCCS, demonstrates high diagnostic accuracy in detecting stenosis in patients with acute ischaemic stroke. These findings support the utility of these methods as reliable, non-invasive tools for cerebrovascular assessment.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484564","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}
Oliver Wedel Fischer, Tobias Freyberg Justesen, Christian Pallson Nolsøe, Christo Pentchev Pentchev, Evelina Georgieva Atanasova
{"title":"Pancreatic cancer liver metastasis mimicking focal nodular hyperplasia. A case report.","authors":"Oliver Wedel Fischer, Tobias Freyberg Justesen, Christian Pallson Nolsøe, Christo Pentchev Pentchev, Evelina Georgieva Atanasova","doi":"10.11152/mu-4442","DOIUrl":"https://doi.org/10.11152/mu-4442","url":null,"abstract":"<p><p>Metastases to the liver from gastroenteropancreatic neuroendocrine tumors are varied in their presentation and echogenicity on ultrasound. We present a case of adenocarcinoma of the pancreas with sporadic neuroendocrine differentiation and metastasis to the liver, referred for inclusion in a clinical study. Standard ultrasound showed two hypoechoic focal liver lesions. On contrast enhanced ultrasound (CEUS) the larger tumour bore an enhancement resemblance to that of a focal nodular hyperplasia (FNH). This result necessitated a histological confirmation, which indicated neuroendocrine, highly differentiated tumour tissue, compatible with metastasis from the patient's pancreatic cancer. This case showcases the role of histologically confirmed diagnosis in liver lesions with atypical imaging characteristics, especially in patients with a history of malignancy and potential oncological treatment.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484567","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}
Chengfang Yu, Shuang Wang, Na Shi, Li Li, Yilan Piao
{"title":"A case of scapular metastasis from hepatocellular carcinoma.","authors":"Chengfang Yu, Shuang Wang, Na Shi, Li Li, Yilan Piao","doi":"10.11152/mu-4425","DOIUrl":"10.11152/mu-4425","url":null,"abstract":"<p><p>.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":"26 3","pages":"322-323"},"PeriodicalIF":0.0,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305017","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}
Bin Hu, Yanan Li, Xin Li, Ming Zhang, Yi Jiang, Miao Shi
{"title":"A rare case of ovarian hypercalcemia type small cell carcinoma.","authors":"Bin Hu, Yanan Li, Xin Li, Ming Zhang, Yi Jiang, Miao Shi","doi":"10.11152/mu-4423","DOIUrl":"10.11152/mu-4423","url":null,"abstract":"<p><p>.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":"26 3","pages":"319-320"},"PeriodicalIF":0.0,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305018","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":"An interesting mass: a case of abdominal teratoma from ovary complicated with torsion.","authors":"Shuang Zheng, Fang Peng, Chengwen Tong, Dawei Wang, Lian-di Liu, Bin Xiao","doi":"10.11152/mu-4428","DOIUrl":"10.11152/mu-4428","url":null,"abstract":"<p><p>.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":"26 3","pages":"325-326"},"PeriodicalIF":0.0,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305019","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}
Ronan De Souza, Cecilia Gómez Ravetti, Rafael Silva E Castro, Elio Furbino Frossard, Isabella Santanna Dos Anjos, Angélica Gomides Dos Reis Gomes, Paula Frizera Vassallo, Vandack Nobre
{"title":"Utrasound as a method for confirming the positioning of enteral catheters in critically ill patients.","authors":"Ronan De Souza, Cecilia Gómez Ravetti, Rafael Silva E Castro, Elio Furbino Frossard, Isabella Santanna Dos Anjos, Angélica Gomides Dos Reis Gomes, Paula Frizera Vassallo, Vandack Nobre","doi":"10.11152/mu-4392","DOIUrl":"10.11152/mu-4392","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the agreement between the bedside ultrasound in a single epigastric window and the plain X-ray to confirm the positioning of the enteral catheter in critically ill patients.</p><p><strong>Material and methods: </strong>This was an observational, cross-sectional study conducted in two Intensive Care Units of a university hospital. The ultrasound exams were carried out immediately after the introduction of the enteral catheter, using only the epigastric window, with an injection of 5 ml of air associated with 5 ml of saline solution. In all cases, the plain radiography was taken to confirm the positioning of the enteral catheter and to define the beginning of nutritional therapy.</p><p><strong>Results: </strong>This study included 83 patients, the positioning of the enteral catheter was confirmed by plain radiography in all cases and by ultrasound in 81 (97.6%) patients. The median duration of the ultrasound exam was 2 (2-3) minutes, while the time spent between the request for the X-ray and the release of the exam for a doctor's appointment was 225 (120-330) minutes.</p><p><strong>Conclusion: </strong>Bedside ultrasound proved to be an effective, quick, and safe method to confirm the position of the enteral catheter in critically ill patients.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":"242-247"},"PeriodicalIF":0.0,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141444106","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}
Isil Basara Akin, Canan Altay, Aytaç Gülcü, Süleyman Men
{"title":"Contribution of MicroFlow imaging in the diagnosis of cystic artery pseudoaneurysm including weak turbulent flow.","authors":"Isil Basara Akin, Canan Altay, Aytaç Gülcü, Süleyman Men","doi":"10.11152/mu-4420","DOIUrl":"10.11152/mu-4420","url":null,"abstract":"<p><p>.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":"26 3","pages":"316-317"},"PeriodicalIF":0.0,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305034","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}