Medical ultrasonography最新文献_第6页

Unlocking the scar: ultrasound-guided hydrodissection for post-surgical radial nerve entrapment following clinical plateau. 解除瘢痕：超声引导下的术后桡神经夹持的水解剖。

IF 2.3

Medical ultrasonography Pub Date : 2026-06-26 DOI: 10.11152/mu-4629

Alan Chang, Shu-Mei Yang, Huey-Wen Liang, Chueh-Hung Wu

引用次数: 0

Sonographic features of low-grade appendiceal mucinous neoplasms. 低级别阑尾粘液性肿瘤的声像图特征。

IF 2.3

Medical ultrasonography Pub Date : 2026-06-26 DOI: 10.11152/mu-4626

Hongran Pan, Haotian Zhao, Yi Liu, Caina Xu, Li Li

引用次数: 0

Pouch-like infective endocarditis of the mitral valve. 二尖瓣囊状感染性心内膜炎。

IF 2.3

Medical ultrasonography Pub Date : 2026-06-26 DOI: 10.11152/mu-4625

Yuanyuan Cui, Xuejie Li

引用次数: 0

Prognostic value of CEUS-derived intrahepatic transit times for predicting short-term decompensation in compensated cirrhosis. 超声造影肝内转运时间预测代偿性肝硬化短期失代偿的预后价值。

IF 2.3

Medical ultrasonography Pub Date : 2026-06-17 DOI: 10.11152/mu-4617

Bogdan-Ioan Stanciu, Marcela Iojiban, Bogdan Procopeț, Horia Ștefănescu, Radu Badea, Monica Lupșor-Platon

{"title":"Prognostic value of CEUS-derived intrahepatic transit times for predicting short-term decompensation in compensated cirrhosis.","authors":"Bogdan-Ioan Stanciu, Marcela Iojiban, Bogdan Procopeț, Horia Ștefănescu, Radu Badea, Monica Lupșor-Platon","doi":"10.11152/mu-4617","DOIUrl":"https://doi.org/10.11152/mu-4617","url":null,"abstract":"Aims: To assess whether contrast-enhanced ultrasound (CEUS)-derived intrahepatic transit times predict short-term hepatic decompensation in patients with compensated cirrhosis and to determine whether they provide incremental prognostic value over noninvasive markers.Materials and methods: In this prospective study, 46 patients with compensated cirrhosis underwent CEUS with time-intensity curve analysis to determine hepatic artery-to-hepatic vein (HA-HVTT) and portal vein-to-hepatic vein (PV-HVTT) transit times. Liver stiffness and clinical scores (MELD, MELD 3.0, Child-Pugh, ALBI, FIB-4) were recorded. Patients were followed for 180 days to assess decompensation (ascites, variceal bleeding, or encephalopathy). Diagnostic performance was evaluated using ROC analysis, and prognostic value was assessed using Cox regression.Results: Twenty-three patients developed decompensation. PV-HVTT and HA-HVTT were significantly shorter in patients who decompensated (p<0.001). PV-HVTT showed excellent discrimination (AUC 0.928), outperforming liver stiffness and clinical scores (all p<0.01). A PV-HVTT cutoff of 2.38 seconds identified high-risk patients with a 6-month decompensation rate of 83.3%, compared with 13.6% in low-risk patients. PV-HVTT independently predicted decompensation (HR 0.37 per 0.5 s increase, p<0.001). HA-HVTT showed moderate performance.Conclusions: CEUS-derived transit times predict short-term decompensation in compensated cirrhosis and outperform established noninvasive markers. CEUS provides a functional assessment of intrahepatic hemodynamics and may improve risk stratification.","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279814","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

Clinical utility of left atrioventricular coupling index to define the response to cardiac resynchronization therapy. 左房室耦合指数在确定心脏再同步化治疗反应中的临床应用。

IF 2.3

Medical ultrasonography Pub Date : 2026-06-17 DOI: 10.11152/mu-4619

Ashraf M Anwar, Mohammed S Alshammakh, Mishari S Alharb, Sultan Alzahrani, Maryam Am Ali, Shahd A Abdulwahab, Alanoud M Alzahrani, Raed Sweidan, Fayez Bokhari

{"title":"Clinical utility of left atrioventricular coupling index to define the response to cardiac resynchronization therapy.","authors":"Ashraf M Anwar, Mohammed S Alshammakh, Mishari S Alharb, Sultan Alzahrani, Maryam Am Ali, Shahd A Abdulwahab, Alanoud M Alzahrani, Raed Sweidan, Fayez Bokhari","doi":"10.11152/mu-4619","DOIUrl":"https://doi.org/10.11152/mu-4619","url":null,"abstract":"Aim: The left atrioventricular coupling index (LACI) reflects the close interaction between left atrial (LA) and left ventricular (LV) dynamics. The study aimed to verify the diagnostic value of LACI in defining the cardiac resynchronization therapy (CRT) response using echocardiography.Material and methods: The study included 275 heart failure (HF) patients (65.1±12.5 years, 71.6% males, 54.6% non-ischemic cardiomyopathy) who underwent CRT implantation. To define CRT response, four echo criteria were used: I. ≥5% absolute increase in LV-ejection fraction (LV-EF), II. a combination of ≥5% absolute increase or no worsening of LV-EF and ≥10% reduction in LV end-systolic volume index, III. ≥10% reduction in LACI and IV. a combination of ≥10% reduction in LACI and ≥ 5% absolute increase or no worsening of LV-EF.Results: Patients had a high baseline LACI of 22.8% ±11.8% and low LV-EF of 24.5% ± 6.7%. The rate of CRT response at 6 months using criteria I, II and III was comparable (45.7%, 59.8% and 54.3% respectively), while the rate increased significantly to 72.8% when using criterion IV. During follow up (average duration of 47.1 ± 30.9 months), the CRT response rate showed a significant increase using criteria I and II (65.6% and 73.3% respectively). However, using criteria III and IV showed no significant difference (44.3% and 79.4% respectively).Conclusion: Using LACI in criterion IV was superior in defining the CRT response compared to other echocardiographic criteria at 6 months with no discrepancy between the 6 month and follow up results.","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279731","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

Ultrasound-guided techniques in the treatment of myofascial pain syndrome: a comparison of superficial and deep dry needling. 超声引导技术治疗肌筋膜疼痛综合征：浅干针与深干针的比较。

IF 2.3

Medical ultrasonography Pub Date : 2026-06-17 DOI: 10.11152/mu-4618

Muhammed Korkut, Mustafa Fatih Yaşar, Serdar Kılınç

{"title":"Ultrasound-guided techniques in the treatment of myofascial pain syndrome: a comparison of superficial and deep dry needling.","authors":"Muhammed Korkut, Mustafa Fatih Yaşar, Serdar Kılınç","doi":"10.11152/mu-4618","DOIUrl":"https://doi.org/10.11152/mu-4618","url":null,"abstract":"Aims: To compare the effectiveness of ultrasound (US)-guided superficial dry needling (SDN) and deep dry needling (DDN) in patients with myofascial pain syndrome (MPS) of the upper trapezius muscle.Material and methods: This prospective, single-blind, randomized study included 80 patients with upper trapezius MPS. Patients were assigned to SDN or DDN groups. Under US guidance, needles were inserted into the subcutaneous deep fascia in the SDN group and directly into muscle trigger points in the DDN group. Both groups received a one-week home exercise program. Outcomes were evaluated before and one week after treatment using the numeric pain rating scale (NPRS), neck Bournemouth questionnaire (NBQ), neck disability index (NDI), pressure pain threshold (PPT), and cervical range of motion (ROM).Results: Both groups showed significant improvements in NPRS, NBQ, NDI, and PPT (p<0.001). Cervical ROM improved in flexion, extension, right/left lateral flexion and rotation in the DDN group (p<0.001), but only in flexion and right rotation in the SDN group (p<0.05). Between-group comparisons showed that the DDN group demonstrated more favorable outcomes across all parameters.Conclusion: Both techniques were safe and effective for upper trapezius MPS. However, DDN demonstrated greater improvements in pain, functional status, daily activities, and biopsychosocial outcomes.","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279811","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

Diagnostic performance of ultrasonography in Crohn's disease: A systematic review and meta-analysis. 超声检查在克罗恩病中的诊断价值：一项系统综述和荟萃分析。

IF 2.3

Medical ultrasonography Pub Date : 2026-05-26 DOI: 10.11152/mu-4616

Yen-Jen Wang, Yow-Ling Shiue, I-Ha Lao, Pei-Ling Hsieh, Yu-Ting Kuo

{"title":"Diagnostic performance of ultrasonography in Crohn's disease: A systematic review and meta-analysis.","authors":"Yen-Jen Wang, Yow-Ling Shiue, I-Ha Lao, Pei-Ling Hsieh, Yu-Ting Kuo","doi":"10.11152/mu-4616","DOIUrl":"https://doi.org/10.11152/mu-4616","url":null,"abstract":"Aims: To determine whether ultrasonography (US) provide similar accuracy as ileocolonoscopy, magnetic resonance enterography (MRE), and computed tomography enterography (CTE) in Crohn's disease (CD) diagnosis.Material and methods: In this systematic review and meta-analysis PubMed, EMBASE, and Cochrane CENTRAL were searched from inceptionto December 2024 for studies that evaluated the diagnostic performance of US. Pooled sensitivity, specificity, and hierarchical summary receiver operating characteristic (HSROC) parameters were calculated. Subgroup and sensitivity analyses were performed, and publication bias was assessed with Deeks' funnel plot.Results: Nine prospective and 2 retrospective studies were included. The pooled sensitivity and specificity of US for detecting active bowel lesions were 0.86 (95% confidence interval [CI]: 0.65-0.95) and 0.88 (95% CI: 0.69-0.96, respectively). The HSROC model indicated ultrasound had strong overall diagnostic performance, with a diagnostic odds ratio (OR) of 43.85 (95% CI: 9.68-198.53). No evidence of publication bias was detected, and sensitivity analyses confirmed the robustness of the results.Conclusions: Ultrasonography demonstrates high diagnostic accuracy for CD and represents a reliable, non-invasive imaging modality. Standardization of protocols and further multicenter validation are warranted to optimize its clinical application.","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145959","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

Comparative analysis of the ultrasonographic and laryngoscopic features of glottic laryngeal carcinoma. 声门喉癌超声与喉镜特征的比较分析。

IF 2.3

Medical ultrasonography Pub Date : 2026-05-26 DOI: 10.11152/mu-4615

Xin-Xin Lu, Lei Sun, Fang-Xi Zhao, Yue-He Zhao, Xiao-Peng Li, Hua Wang

{"title":"Comparative analysis of the ultrasonographic and laryngoscopic features of glottic laryngeal carcinoma.","authors":"Xin-Xin Lu, Lei Sun, Fang-Xi Zhao, Yue-He Zhao, Xiao-Peng Li, Hua Wang","doi":"10.11152/mu-4615","DOIUrl":"https://doi.org/10.11152/mu-4615","url":null,"abstract":"Aim: To classify the ultrasonographic features of glottic laryngeal carcinoma and to explore the concordance between two-dimensional ultrasound findings, color Doppler flow imaging (CDFI) characteristics and endoscopic morphological classifications under white light and narrow-band imaging (NBI).Material and methods: This retrospective study included 151patients with pathologically confirmed glottic laryngeal carcinoma. Ultrasonographic findings were categorized based on twodimensionalgrayscale and CDFI findings. The concordance between ultrasound-based classifications and morphological types observed under white-light and NBI endoscopy was analyzed. The influencing factors of different vascular patterns were also investigated.Results: The morphological classifications identified by two-dimensional ultrasound - i.e., mass, moth-eaten, popcorn-like, and thickened types - were significantly correlated with endoscopic morphological types. Blood flow patterns observed on CDFI - i.e., star-like, tree-branch, and firework-like - were strongly correlated with intrapapillary capillary loop (IPCL) classifications under NBI. Tumor length and the resistive index (RI) were significantly associated with blood flow patterns (p < 0.05), and multivariate logistic regression analysis revealed that the RI was an independent predictor of blood flow patterns.Conclusion: Two-dimensional ultrasound can be used to obtain quantitative vascular parameters and to noninvasively assess both the morphology and vascular characteristics of glottic laryngeal carcinoma. These sonographic findings exhibit high concordance with endoscopic evaluations, thus providing support for the use of ultrasound as a valuable adjunct in the pretreatment assessment of glottic carcinoma.","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145972","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

Arterial phase "steal phenomenon" in hepatic CEUS: a descriptive observation. 肝超声造影中动脉期“偷窃现象”的描述性观察。

IF 2.3

Medical ultrasonography Pub Date : 2026-05-18 DOI: 10.11152/mu-4613

Kathleen Möller, Christian Jenssen, Christoph Frank Dietrich

引用次数: 0

Nomogram for predicting malignancy in subpleural pulmonary lesions using clinical and contrast-enhanced ultrasound parameters. 利用临床和增强超声参数预测胸膜下肺病变恶性的Nomogram。

IF 2.3

Medical ultrasonography Pub Date : 2026-04-30 DOI: 10.11152/mu-4612

Lei Hao, Lijing Zhu, Zhuojun Qi, Bojuan Wang, Jingzhu Xu, Xin Zhao, Jie Zhao, Xinghua Wang

{"title":"Nomogram for predicting malignancy in subpleural pulmonary lesions using clinical and contrast-enhanced ultrasound parameters.","authors":"Lei Hao, Lijing Zhu, Zhuojun Qi, Bojuan Wang, Jingzhu Xu, Xin Zhao, Jie Zhao, Xinghua Wang","doi":"10.11152/mu-4612","DOIUrl":"https://doi.org/10.11152/mu-4612","url":null,"abstract":"Aim: To develop and validate an individualized nomogram for differentiating benign from malignant SPLs based on contrast-enhanced ultrasound (CEUS) imaging features and clinical data.Materials and methods: A total of 407 patients with SPLs from our hospital (201 benign, 206 malignant) were randomly divided into development (n=284) and internal validation (n=123) cohorts using a 7:3 ratio. Candidate variables were selected using Boruta analysis and multivariable logistic regression. Model performance was evaluated with respect to discrimination, calibration, and clinical utility. To further assess generalizability, external validation cohort was performed in 106 patients (51 benign, 55 malignant) from an independent hospital.Results: The nomogram, incorporating six variables-age, maximum diameter, homogeneity, vascular sign, AT difference ratio, and visceral pleural invasion-demonstrated high discriminatory performance with area under the curve (AUC) values of 0.949 in the development cohort, 0.908 in the internal validation cohort, and 0.941 in the external validation cohort. Calibration curves indicated good agreement between predicted and observed outcomes. Decision curve analysis (DCA), clinical impact curves (CIC), and net reduction curves (NRC) supported the model's clinical utility.Conclusion: The validated nomogram shows strong potential as a practical tool for aiding clinical decision-making in differentiating malignant SPLs.","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148146027","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