{"title":"The interesting and deceptive intrauterine vesicular lesions: a case of multiple chorionic cysts and its pregnancy outcome.","authors":"Guilin Ye, Houqing Pang","doi":"10.11152/mu-4481","DOIUrl":"10.11152/mu-4481","url":null,"abstract":"<p><p>.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":"27 1","pages":"115-116"},"PeriodicalIF":0.0,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143545457","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":"Torsion with necrosis of a wandering spleen in a child.","authors":"Xia Li, Wenqin Liu, Yuting Li, Xiaomin Liao, Shaozhen Liang","doi":"10.11152/mu-4484","DOIUrl":"https://doi.org/10.11152/mu-4484","url":null,"abstract":"","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":"27 1","pages":"110-111"},"PeriodicalIF":0.0,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143545459","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}
Bülent Alyanak, Mazlum Serdar Akaltun, Fatih Bağcıer, Burak Tayyip Dede
{"title":"Five-step dynamic ultrasonographic assessment of swallowing for dysphagia.","authors":"Bülent Alyanak, Mazlum Serdar Akaltun, Fatih Bağcıer, Burak Tayyip Dede","doi":"10.11152/mu-4469","DOIUrl":"10.11152/mu-4469","url":null,"abstract":"<p><p>This paper presents a five-step dynamic ultrasonography (US) technique aimed at diagnosing oropharyngeal dysphagia, which encompasses the analysis of tongue-palate contact, hyoid movement, upper esophageal sphincter opening, vocal fold closure and post-swallow residue. This protocol is implemented in a sequential manner, intending to methodically evaluate the essential phases of swallowing function. By mirroring the natural process of swallowing, this sequential method may provide a full understanding of possible dysfunctions at each stage. Considering the advantages of US in dysphagia diagnosis, we believe that this method will provide clinicians with a perspective for bedside dysphagia evaluation.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":"27 1","pages":"93-97"},"PeriodicalIF":0.0,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143545452","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}
Amjad Alhyari, Ehsan Safai Zadeh, Ana Martín Algíbez, Annalisa Berzigotti, Christian Görg, Corinna Trenker, Christian Jenssen, Adrian Lim, Kathleen Möller, Yi Dong, Xin Wu Cui, Wen-Ping Wang, Christoph Frank Dietrich
{"title":"Comments and illustrations of the WFUMB CEUS liver guidelines: rare benign hematological focal liver lesions (hepatic extramedullary hematopoiesis, Hemophagocytic lymphohistiocytosis, reactive lymphoid hyperplasia).","authors":"Amjad Alhyari, Ehsan Safai Zadeh, Ana Martín Algíbez, Annalisa Berzigotti, Christian Görg, Corinna Trenker, Christian Jenssen, Adrian Lim, Kathleen Möller, Yi Dong, Xin Wu Cui, Wen-Ping Wang, Christoph Frank Dietrich","doi":"10.11152/mu-4419","DOIUrl":"10.11152/mu-4419","url":null,"abstract":"<p><p>The manifestation of benign hematological infiltration in the liver is a challenge due to their rare occurrence and therefore, limited awareness and the general need for biopsy and histological confirmation. Owing to the rarity of these lesions, there are limited data concerning their appearance on ultrasound and, specifically, contrast-enhanced ultrasound. In a series of papers, we have compiled the US and CEUS characteristics of rare FLL, where there are few reports and images available, in order to build up a library of these cases. This paper describes the US and CEUS features of benign hematological FLL which include hepatic extramedullary hematopoiesis (EMH), hemophagocytic lymphohistiocytosis (HLH) and reactive lymphoid hyperplasia (RLH). Although these lesions occur rarely in the liver, their correct identification is imperative for appropriate patient`s management.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":"73-81"},"PeriodicalIF":0.0,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914969","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":"Thrombosed persistent median artery in a medical sonographer.","authors":"Stephen Leinfelder, Nicholas C Nacey","doi":"10.11152/mu-4431","DOIUrl":"10.11152/mu-4431","url":null,"abstract":"<p><p>The use of gray-scale and color Doppler ultrasound as a first-line imaging modality for wrist pain can be advantageous, especially in cases of clinically suspected carpal tunnel syndrome. This report presents the case of a medical sonographer who exhibited acute wrist pain secondary to a thrombosed persistent median artery after excessive stress loading on her scanningwrist. Ultrasound is able to easily diagnose this rare condition, which may at times be associated with carpal tunnel symptoms due to mass effect from the expanded aberrant artery.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":"98-100"},"PeriodicalIF":0.0,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134952","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}
Cemil Gürses, Alpaslan Yavuz, Nevfel Kahvecioğlu, Mustafa Yalçın, Gizem Ünal, Burak Karadağ, Hüseyin Çiyiltepe
{"title":"The impact of bowel preparation on MRI scans for confirming rectosigmoid endometriosis detected by transvaginal ultrasonography.","authors":"Cemil Gürses, Alpaslan Yavuz, Nevfel Kahvecioğlu, Mustafa Yalçın, Gizem Ünal, Burak Karadağ, Hüseyin Çiyiltepe","doi":"10.11152/mu-4441","DOIUrl":"10.11152/mu-4441","url":null,"abstract":"<p><strong>Aims: </strong>The study aims to assess the impact of bowel preparation on MRI scans in diagnosing rectosigmoid endometriosis (RSE) and to examine the level of agreement among investigators, including radiologists and clinicians with varying levels of MRI experience.</p><p><strong>Material and methods: </strong>Fifty-eight patients underwent MRI scans, with 34 showing RSE and 24 without involvement, according to TVUS as the reference standard. The scans were conducted both with and without a bowel preparatory protocol (BPP).</p><p><strong>Results: </strong>The highest concordance was observed in the group 4, which included patients with RSE and BPP, with a Kappa value of 0.47-0.52. In contrast, for groups with MRI scans without the BPP, there was no consistency among the investigators (Kappa <0.20). The sensitivity, specificity, positive predictive value, and negative predictive value were 0.72, 0.47, 0.72, and 0.47 without BPP, and increased to 0.82, 0.74, 0.85, and 0.74, respectively, after BPP.</p><p><strong>Conclusions: </strong>The results reveal that the concordance between investigators in detecting RSE via MRI scan improves with the use of BPP. Additionally, the success rate of MRI and TVUS for detecting RSE can be comparable, but only if bowel preparatory techniques are utilized during MRI scans.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":"38-43"},"PeriodicalIF":0.0,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484568","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}
Esat Kaba, Merve Solak, Ayşenur Topçu Varlık, Yusuf Çubukçu, Lütfullah Sağır, Kubilay Muhammed Sünnetci, Ahmet Alkan, Hasan Gündoğdu, Fatma Beyazal Çeliker, Mehmet Beyazal
{"title":"The impact of deep learning on diagnostic performance in the differentiation of benign and malignant thyroid nodules.","authors":"Esat Kaba, Merve Solak, Ayşenur Topçu Varlık, Yusuf Çubukçu, Lütfullah Sağır, Kubilay Muhammed Sünnetci, Ahmet Alkan, Hasan Gündoğdu, Fatma Beyazal Çeliker, Mehmet Beyazal","doi":"10.11152/mu-4432","DOIUrl":"10.11152/mu-4432","url":null,"abstract":"<p><strong>Aims: </strong>This study aims to use deep learning (DL) to classify thyroid nodules as benign and malignant with ultrasonography (US). In addition, this study investigates the impact of DL on the diagnostic success of radiologists with different experiences. Material and methods: This study included 576 US images of thyroid nodules. The dataset was divided into 80% training and 20% test sets. Four radiologists with different levels of experience classified the images in the test set as benign-malignant. A DL model was then trained with the train set and predicted benign-malignant for the test set. Then, the output of the DL model for each nodule in the test set was presented to 4 radiologists, who were asked to make a benign-malignant classification again considering these DL results.</p><p><strong>Results: </strong>The accuracy of the DL model was 0.9391. The accuracy for junior resident (JR) 1, JR 2, senior resident (SR), and senior radiologist (Srad) before DL-assisting were 0.7043, 0.7826, 0.8435, and 0.8522 respectively. The accuracy in DL-assisted classifications was 0.9130, 0.8696, 0.9304, and 0.9043 for JR 1, JR2, SR, and Srad, respectively. DL assistance changed the decisions of less experienced radiologists more than more experienced radiologists. Conclusion: The DL model has superior accuracy in classifying thyroid nodules as benign-malignant with US images than radiologists with different levels of experience. Additionally, all radiologists, and most notably less experienced radiology residents, increased their accuracy in DL-assisted predictions.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":"26-31"},"PeriodicalIF":0.0,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134951","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":"Endoscopy and endoscopic ultrasound for embedded or migratory digestive foreign body.","authors":"Jia Xie, Yan Qin, Mojin Wang, Rui Wang","doi":"10.11152/mu-4437","DOIUrl":"10.11152/mu-4437","url":null,"abstract":"<p><p>Embedded or migratory ingested foreign bodies (FBs) may be a disaster when not found intraluminally and can be seriously life-threatening. Endoscopic ultrasound (EUS) has advantages of transmural, close range and real-time imaging. Under its guidance, minimally invasive endoscopic removal of FBs and abscess drainage become available and safe to avoid unnecessary surgery. However, relatively few diagnostic applications of EUS have been reported. Endoscopic removal and abscess drainage with or without EUS-guidance were even scarce. We found 21 cases of migratory FBs reported in which EUS was used to diagnose and/or treat including our case. We further summarized clinical characteristics and EUS manifestations of embedded or migratory FBs for future differentiation, and treatment strategies by endoscopy and EUS. EUS is a valuable tool in recognizing and differentiating embedded or migratory FBs. EUS-guided endoscopic removal is a minimally invasive, safe and innovative solution. EUS with novel device also assists in sufficient and secure drainage for FBs related abscess collections. A multidisciplinary team consult is sometimes mandatory for complicated cases. This would break a conceptual barrier in therapeutic endoscopy.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":"82-92"},"PeriodicalIF":0.0,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484565","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":"The feasibility of carotid evaluation by resident radiologists to expand access to ultrasound services.","authors":"Jia Liu, Mei Liao, Hui Zhang, Jie Ren","doi":"10.11152/mu-4434","DOIUrl":"10.11152/mu-4434","url":null,"abstract":"<p><strong>Aims: </strong>The purpose of our study was to determine resident radiologists' accuracy in diagnosing carotid atherosclerotic plaque and to assess any factors leading to incorrect findings.</p><p><strong>Materials and methods: </strong>The results of preliminary carotid scanning performed by radiology residents from December 1, 2021, to August 1, 2022, were retrospectively reviewed. These scans received an instant review by experts. The discrepancy rates of the resident radiologists were evaluated using expert diagnoses. Then, the plaque detection rate of the resident radiologists was investigated for different plaque characteristics. The causes of incorrect stenosis diagnoses were analyzed.</p><p><strong>Results: </strong>In the investigation of carotid plaque detection, a total of 274 carotid scans from 137 patients were evaluated in our hospital. The overall agreement rate of plaque detection was 90.9%. Echolucent plaques, plaques in the lateral or near wall, and plaques in the carotid bulbs were more likely to be misdiagnosed by resident radiologists. A total of 325 plaques were included in the investigation of carotid artery stenosis classification. The overall agreement rate of stenosis evaluation was 67.7%. The misclassification of moderate stenosis was greater than that of mild and severe stenosis (p=0.0003). The sensitivity was as low as 55.56%. Nonstandard sonographic techniques and incorrect application of interpretive criteria were two main causes.</p><p><strong>Conclusions: </strong>Resident radiologists could accurately and efficiently detect carotid plaques. Scanning by resident radiologists can expand access to ultrasound services. Only the diagnosis of moderate stenosis by resident radiologists was not satisfactory and may require a specialized review from experienced radiologists.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":"32-37"},"PeriodicalIF":0.0,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134950","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}