{"title":"Diagnosis of rare Loffler endocarditis by cardiac ultrasound: a case report and literature review.","authors":"Juanjuan Li, Ping Li, Maogang Gao, Xiaoxiao Yin, Dongxia Gao, Xiaohui Ji","doi":"10.11152/mu-4416","DOIUrl":"10.11152/mu-4416","url":null,"abstract":"<p><p>Loffler endocarditis is a rare disease associated with high mortality rates, therefore early diagnosis and prompt treatment are crucial factors in managing this condition effectively. The clinical manifestations are nonspecific which can lead to misdiagnosis easily. Here we report a case of rare idiopathic hypereosinophilic syndrome with Loffler endocarditis as the first presentation, first suspected acute coronary syndrome, diagnosed correctly by cardiac ultrasound. The purpose is to improve our understanding of the ultrasound manifestations of this disease.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":"421-423"},"PeriodicalIF":0.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914970","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 ultrasound-based nomogram for predicting central lymph node metastasis in papillary thyroid microcarcinoma.","authors":"Xiaochen Zhang, Jianing Zhu, Xin Ai, Meizheng Dang, Pintong Huang","doi":"10.11152/mu-4411","DOIUrl":"10.11152/mu-4411","url":null,"abstract":"<p><strong>Aims: </strong>Performing prophylactic central lymph node dissection for papillary thyroid microcarcinoma (PTMC) patients with clinically negative lymph node metastasis remains controversial - not all patients with PTMC are suitable for active surveillance. Therefore, we aimed to establish a nomogram based on ultrasound features for predicting CLNM in PTMC.</p><p><strong>Material and methods: </strong>This retrospective study included 636 patients with PTMC, in which the CLNM status was pathologically confirmed. Univariate and multivariate regression analyses were conducted to screen for risk factors associated with CLNM. Then, a CLNM prediction model was established, receiver operating characteristic, calibration, and decision curve analyses were used to assess the model's performance.</p><p><strong>Results: </strong>Five variables, including age, sex, combined CLNM status, tumor size, and capsule invasion, were included in the nomogram. The values of the area under the receiver operating characteristic curve in the training and validation datasets were 0.720 (95% confidence interval [CI], 0.649-0.791) and 0.704 (95% CI, 0.622-0.786), respectively.</p><p><strong>Conclusions: </strong>An ultrasound-based nomogram was successfully established, of which the predictive model shows excellent predictive performance and can be used to evaluate the status of CLNM in PTMC. Thus, patients with high nomogram scores should be considered for prophylactic central neck dissection.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":"369-375"},"PeriodicalIF":0.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141857505","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":"Robust estimation of Shear Wave group velocity for ultrasound elastography based on frequency domain analysis.","authors":"Qian Lv, Xin Zhao, Liang Zhao, Ying Liu, Ye Tian, Jianzhong Guo","doi":"10.11152/mu-4464","DOIUrl":"https://doi.org/10.11152/mu-4464","url":null,"abstract":"<p><strong>Aims: </strong>Shear wave elastography (SWE) is of great significance in measuring the elasticity and in evaluating mechanical properties of biological tissues. The elasticity of biological tissues can be reflected by measuring the propagation velocity of shear waves. Therefore, accurate estimation of shear wave velocity is crucial.</p><p><strong>Material and methods: </strong>In this study, we proposed a robust estimation method based on a cyclic shifting algorithm (CSA) for measuring shear wave group velocity in homogeneous media. To validate the utility of the algorithm, we conducted accuracy analysis and robustness analysis with different noise levels in the digital phantom used for the standardization of shear wave velocity by Quantitative Imaging Biomarker Alliance (QIBA) of the Radiological Society of North America.</p><p><strong>Results: </strong>The estimated shear wave velocities (SWV) of the elastic digital phantoms with Young's moduli 3 kPa, 6 kPa, 15 kPa, 30 kPa are 1.0156 m/s, 1.4065 m/s, 2.1875 m/s, 3.1250 m/s, respectively. When adding Gaussian white noise with 0 dB, the relative errors of the estimated SWVs are 2.5%, 4.8%, 11.8%, 20.5%, respectively. The estimated SWVs in the gelatin phantom with gelatin concentration of 7% and 10% are 2.0442 m/s and 3.1237 m/s. Compared with the existing two representative estimation algorithms, the estimation algorithm proposed in this paper has a higher anti-noise performance due to effective energy accumulation in the frequency domain.</p><p><strong>Conclusions: </strong>The proposed SWV method based on CSA in frequency domain is a robust shear wave group velocity estimation method, which seems to be a useful tool in homogeneous media for ultrasound elastography.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869815","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 and clinical features for differential diagnosis of low-grade appendiceal mucinous neoplasm and acute suppurative appendicitis.","authors":"Yanyan Xiao, Guoliang Jian, Yuan Zhong, Jiongyuan Chen, Jieyi Ye, Yingyu Chen, Yinting Chen, Yide Qiu, Jipeng Wu, Weijun Huang","doi":"10.11152/mu-4412","DOIUrl":"10.11152/mu-4412","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the application of ultrasound along with clinical features for the differential diagnosis of low-grade appendiceal mucinous neoplasm (LAMN) and acute suppurative appendicitis (ASA).</p><p><strong>Material and methods: </strong>The ultrasound and clinical data of 76 patients with histopathologically confirmed LAMN (31 patients) and ASA (45 patients) were retrospectively analyzed. Univariate analysis and binary logistic regression analysis of the influencing factors were conducted to identify LAMN and ASA. The AUROC was calculated to analyze the diagnostic efficacy of these independent factors. A four-grid table was established to determine the diagnostic efficacy of the ultrasound marks for diagnosing LAMN.</p><p><strong>Results: </strong>Patient age and appendix short diameter in the LAMN group were found to be significantly higher than those in the ASA group. The neutrophil ratio and thickness of the appendix wall in the LAMN group were significantly lower than they were in the ASA group. Patient age (OR=1.112, p=0.015) and appendix short diameter (OR=1.476, p=0.008) were independent risk factors for LAMN. The AUROCs for age and short diameter were 0.898 [95% CI: 0.807, 0.956] and 0.953 [95% CI: 0.879, 0.988], respectively. The LAMN group tumors were characterized by the appearance of an \"onion skin\" sign or a purely cystic mark on sonograms, with specificities of 100% for both. Neutrophil ratio (OR<0.001, p=0.064) and thickness of the appendix wall (OR=0.776, p=0.414) were not independent risk factors for ASA.</p><p><strong>Conclusion: </strong>Employing ultrasonography with clinical features is useful for distinguishing LAMN from ASA. Patient age, short diameter of the appendix, and sonographic appearance of \"onion skin\" or purely cystic mark could be key factors in diagnosing LAMN.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":"348-355"},"PeriodicalIF":0.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141857469","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":"Non-mass-like breast intraductal carcinoma detected by Micro-Flow imaging and elastography.","authors":"Ruifeng Liu","doi":"10.11152/mu-4462","DOIUrl":"10.11152/mu-4462","url":null,"abstract":"<p><p>.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":"26 4","pages":"435-436"},"PeriodicalIF":0.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869823","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}
Daniela Fodor, Oana Serban, Sergiu Gabriel Macavei, Lucian Barbu Tudoran, Paula Bora, Maria Badarinza
{"title":"A new form of severe acute localized reactions following intra-articular hyaluronic acid injections in knee osteoarthritis. A case report.","authors":"Daniela Fodor, Oana Serban, Sergiu Gabriel Macavei, Lucian Barbu Tudoran, Paula Bora, Maria Badarinza","doi":"10.11152/mu-4415","DOIUrl":"10.11152/mu-4415","url":null,"abstract":"<p><p>Intra-articular hyaluronic acid (HA) injections are widely used for the treatment of symptomatic knee osteoarthritis. Adverse reactions were described in a limited number of patients and consist in local inflammatory reactions and severe acute inflammatory reactions (pseudosepsis). We present the case of a 71-year-old woman who experienced a severe acute adverse effect immediately (within minutes) following intraarticular HA administration, attributed to HA precipitation. The severe very early local manifestations were accompanied by important systemic reactions, necessitating treatment with systemic corticosteroids besides joint lavage.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":"417-420"},"PeriodicalIF":0.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914968","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}
Christoph F Dietrich, Thomas Albrecht, Harald Becher, Chris J Harvey, Christian Jenssen, Adrian K Lim, Kathleen Möller, Christian Greis
{"title":"History of contrast enhanced ultrasound (CEUS).","authors":"Christoph F Dietrich, Thomas Albrecht, Harald Becher, Chris J Harvey, Christian Jenssen, Adrian K Lim, Kathleen Möller, Christian Greis","doi":"10.11152/mu-4366","DOIUrl":"10.11152/mu-4366","url":null,"abstract":"<p><p>The 50th year of the European Federation of Societies in Ultrasound in Medicine and Biology (EFSUMB) has been celebrated 2022 publishing articles on the history of US. Contrast enhanced ultrasound (CEUS) allows to visualize blood flow and tissue perfusion. CEUS has proven to be safe without risk of nephrotoxicity. The availability of a contrast agent (tracer) for ultrasound imaging allows for the first time a dynamic assessment of tissue perfusion (blood flow and wash-in/wash-out pattern) which is an essential part for the detection and characterisation of pathological tissue and abnormal organ function. It was an outstanding achievement of academic centers in close cooperation with EFSUMB to investigate and validate the clinical potential of this new technology for the diagnosis and monitoring of various diseases and to develop clinical guidelines based on an in-depth assessment of the existing scientific publications. An important part of the implementation of CEUS in clinical practice was the development of contrast-specific imaging modes on the ultrasound scanners (in close cooperation with the machine manufacturers), the optimization of the machine setups for contrast imaging and the education provided to clinical users in form of workshops, webinars, textbooks and scientific congresses.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":"405-416"},"PeriodicalIF":0.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141160128","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's role in differentiating camptodactyly-arthropathy-coxa vara-pericarditis (CACP) syndrome from inflammatory arthritis in children. A narrative review.","authors":"Mihaela Sparchez, Daniela Fodor","doi":"10.11152/mu-4452","DOIUrl":"https://doi.org/10.11152/mu-4452","url":null,"abstract":"<p><p>Camptodactyly-arthropathy-coxa vara-pericarditis (CACP) syndrome is a rare genetic disorder characterized by a combination of congenital flexion contractures of the fingers (camptodactyly), non-inflammatory joint swelling (arthropathy), hip deformities (coxa vara), and recurrent pericarditis. In early childhood, the clinical presentation is dominated by the articular manifestations that can easily mimic juvenile idiopathic arthritis, often leading to delayed diagnosis and inappropriate treatments. Although not pathognomonic, ultrasound may provide specific ultrasound characteristics of joint involvement in CACP syndrome that help differentiate it from inflammatory arthropathies. This report aims to highlight the role of ultrasound in the initial assessment, differential diagnosis, and ongoing monitoring of CACP syndrome, drawing on both our patient series and a review of the literature.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869819","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":"Doppler ultrasound in the era of angiography.","authors":"Bogdan-Augustin Chis","doi":"10.11152/mu-4463","DOIUrl":"https://doi.org/10.11152/mu-4463","url":null,"abstract":"<p><p>.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":"26 4","pages":"337-338"},"PeriodicalIF":0.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869821","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}