Gabriel Czepe, Piotr Przybylski, Elżbieta Czekajska-Chehab
{"title":"Ultrasonographic appearance of gallbladder diverticula: a pictorial essay.","authors":"Gabriel Czepe, Piotr Przybylski, Elżbieta Czekajska-Chehab","doi":"10.11152/mu-4593","DOIUrl":"10.11152/mu-4593","url":null,"abstract":"<p><p>Gallbladder diverticulum is a rare developmental anomaly characterized by a herniation-like outpouching of the gallbladder wall. The reported incidence in autopsy studies ranges from 0.0008% to 9%. Most reported cases have been diagnosed postoperatively, and the role of ultrasonography in their detection remains uncertain. Based on our experience, we present a set of ultrasound features that may aid in the identification of gallbladder diverticula. Although often incidental, some diverticula may mimic cholecystitis or pose challenges during cholecystectomy. Despite limited literature representation, ultrasonography appears to be a reliable modality for their preoperative assessment. Greater awareness of this entity among sonographers may improve its recognition and reporting quality, enhancing diagnostic accuracy.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":"28 1","pages":"107-110"},"PeriodicalIF":2.3,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482995","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}
Chunyan Ji, Ling Zhou, Mingzhu Jiang, Lilan He, Min Zhou
{"title":"Diagnostic accuracy of lung ultrasound for the identification of acute respiratory distress syndrome: A systematic review and meta-analysis.","authors":"Chunyan Ji, Ling Zhou, Mingzhu Jiang, Lilan He, Min Zhou","doi":"10.11152/mu-4582","DOIUrl":"10.11152/mu-4582","url":null,"abstract":"<p><strong>Aim: </strong>This review was done to evaluate diagnostic accuracy of LUS against established ARDS reference standards in adult populations.</p><p><strong>Material and methods: </strong>Four electronic databases were searched through June 2025 without language restrictions. Two reviewers independently screened studies, extracted data, and assessed quality using QUADAS‑2. Bivariate random‑effects models generated pooled sensitivity, specificity, likelihood ratios, diagnostic odds ratios (DORs), and hierarchical summary receiver‑operating characteristic (HSROC) curves. Subgroup analyses explored pattern‑ versus score‑based protocols and prospective study designs. Publication bias was assessed via Deeks' funnel‑plot test.</p><p><strong>Results: </strong>Fourteen studies (531 ARDS-positive; 1354 ARDS-negative; pre‑test probability=28%) met inclusion criteria. Overall pooled sensitivity was 0.84 (95%CI: 0.69-0.92) and specificity 0.94 (95%CI: 0.83-0.98), with an AUROC of 0.95 (95%CI: 0.93-0.96). The positive likelihood ratio was 13.3 (95%CI: 5.0-35.9) and negative likelihood ratio 0.17 (95%CI: 0.09-0.34), corresponding to a DOR of 77 (95%CI: 26-227). Pattern‑based protocols achieved sensitivity 0.82 and specificity 0.96 (AUROC=0.96), while score‑based approaches yielded sensitivity 0.90 and specificity 0.83 (AUROC=0.93). Deeks' test indicated potential publication bias (p=0.004).</p><p><strong>Conclusions: </strong>LUS demonstrates excellent rule‑in and rule‑out performance for ARDS in critically ill adults, rivalling CT accuracy without its drawbacks. Adoption of standardized LUS protocols and integration into ARDS diagnostic pathways could enhance early detection, optimize management, and reduce reliance on ionizing imaging.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":"88-97"},"PeriodicalIF":2.3,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146014013","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}
Na Wang, Bin Tang, Hongjuan Zhang, Bo Wang, Jia Zhang
{"title":"Accuracy and precision of ultrasonic cardiac output monitor versus echocardiography for cardiac output measurement in neonates: a systematic review and meta-analysis.","authors":"Na Wang, Bin Tang, Hongjuan Zhang, Bo Wang, Jia Zhang","doi":"10.11152/mu-4538","DOIUrl":"10.11152/mu-4538","url":null,"abstract":"<p><strong>Aim: </strong>To perform a systematic review and meta-analysis of the consistency between ultrasonic cardiac output monitor (USCOM) and echocardiography in monitoring neonatal cardiac output.</p><p><strong>Material and methods: </strong>PubMed, Embase, Web of Science, Cochrane, Wanfang, Chinese National Knowledge Infrastructure Database, and Chinese Science and Technique Journal Database were searched from the inception of the databases to November 2024. Two reviewers independently performed study selection, data extraction, and risk of bias assessment. Method-comparison studies evaluating USCOM versus echocardiography in neonates were included. Pooled mean bias (accuracy), standard deviation, and mean percentage error (precision) of the included studies were calculated using a fixed-effects model.</p><p><strong>Results: </strong>Six of the 774 identified studies were included in the qualitative analysis, and four studies were included in the meta-analysis. The overall pooled bias and percentage error for left ventricular output measurements were -7.7±13.5 mL/kg/min (95% limit of agreement: -34.2 to 18.8 mL/kg/min) and 31.2%, respectively, while the overall pooled bias and percentage error for right ventricular output measurements were 40.5±21.3 mL/kg/min (95% limit of agreement: -1.2 to 82.2 mL/kg/min) and 35.1%, respectively.</p><p><strong>Conclusion: </strong>USCOM may overestimate right ventricular output trend, while left ventricular output measurement agreement is slightly better.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":"80-87"},"PeriodicalIF":2.3,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823559","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}
Juan Liu, Ting-Yi Wang, Xiao-Yi Wang, Zheng-Sen Dong, Tian-Tian Li, Pei Hu
{"title":"Imaging findings of anomalous origin of the right coronary artery from the left coronary sinus with hypertrophic cardiomyopathy in a young patient.","authors":"Juan Liu, Ting-Yi Wang, Xiao-Yi Wang, Zheng-Sen Dong, Tian-Tian Li, Pei Hu","doi":"10.11152/mu-4600","DOIUrl":"https://doi.org/10.11152/mu-4600","url":null,"abstract":"","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":"28 1","pages":"119-120"},"PeriodicalIF":2.3,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482984","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}
Sunita Abplanalp, Roman Hari, Michael Blaivas, Susan Campbell Westerway, Maria Cristina Chammas, Beatrice Hoffmann, Christian Jenssen, Kwok-Yin Leung, Kathleen Möller, Zhu Qingli, Hassan Rahhal, Yung-Liang Wan, Johannes Weimer, Christoph Frank Dietrich
{"title":"History of student ultrasound education: learning from working examples.","authors":"Sunita Abplanalp, Roman Hari, Michael Blaivas, Susan Campbell Westerway, Maria Cristina Chammas, Beatrice Hoffmann, Christian Jenssen, Kwok-Yin Leung, Kathleen Möller, Zhu Qingli, Hassan Rahhal, Yung-Liang Wan, Johannes Weimer, Christoph Frank Dietrich","doi":"10.11152/mu-4524","DOIUrl":"10.11152/mu-4524","url":null,"abstract":"<p><p>Ultrasound has become an essential tool in clinical diagnosis. Traditionally, ultrasound was predominantly taught during postgraduate medical training. However, today ultrasound education is increasingly being incorporated into preclinical curricula of medical students. Although extensive literature on individual ultrasound training programs is available, research on the effective development and implementation of ultrasound education for students remains limited. This article identified five key considerations for incorporating student ultrasound education into existing medical curricula, based on an analysis of working examples in various parts of the world: The synergistic relationship between anatomy and ultrasound, didactic evolutions such peer-assisted learning, the role of Point-of-Care-Ultrasound (POCUS) and e-Learning in resource-limited settings, the considerations of possible side effects and lastly, the early engagement with key stakeholders. These five key considerationsshould help the successful and long-term development, adaptation and implementation of a new or existing ultrasound education program in undergraduate education, thereby contributing to the training of competent future healthcare professionals.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":"70-79"},"PeriodicalIF":2.3,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144311126","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}
Kehan Lin, Yan Wang, Lin Wang, Hui Shen Shen, Guangliang Huang, Xiaoyan Xie, Yang Tan, Baoxian Liu
{"title":"Radiofrequency ablation for intrahepatic hepatocellular carcinoma and percutaneous ethanol injection for portal vein tumor thrombus: safety and feasibility.","authors":"Kehan Lin, Yan Wang, Lin Wang, Hui Shen Shen, Guangliang Huang, Xiaoyan Xie, Yang Tan, Baoxian Liu","doi":"10.11152/mu-4537","DOIUrl":"10.11152/mu-4537","url":null,"abstract":"<p><strong>Aims: </strong>To assess the viability and safety of radiofrequency ablation (RFA) for intrahepatic tumors in hepatocellular carcinoma (HCC) treatment, as well as percutaneous ethanol injection (PEI) for portal vein tumor thrombus (PVTT).</p><p><strong>Materials and methods: </strong>From January 2010 to December 2020, a total of 25 HCC patients who underwent RFA for intrahepatic tumor combined with PEI for PVTT were enrolled. Treatment response (assessed using modified Response Evaluation Criteria in Solid Tumors [mRECIST] based on contrast-enhanced computed tomography [CECT] or contrast-enhanced ultrasound [CEUS]), overall survival (OS), progression-free survival (PFS), and safety profile were evaluated. Univariate and multivariate analyses were performed to identify the prognostic factors in predicting the OS and PFS.</p><p><strong>Results: </strong>The overall response rate was 88%, including 12 (48%) patients achieving complete response (CR) and 10 (40%) patients achieving partial response (PR). Progressive disease (PD) was observed in 3 (12%) patients. The 1-, 3-, 6-, and 12- month PFS rates were 96%, 56%, 20%, and 4%, respectively. The OS rates at 6, 12, 24, 36, and 48 months were 96%, 52%, 28%, 8%, and 4%, respectively. The overall response was the only risk factor for the PFS in the univariate analysis (p=0.026), but not in the multivariate analysis (p=0.288). There was no independent prognostic factor of OS. No ablation-related mortality was observed. Major complication of liver abscess was observed in only 1 (4%) patient.</p><p><strong>Conclusions: </strong>RFA combined with PEI is a feasible treatment for HCC patients with PVTT, which might reduce the tumor burden and create conditions for further adjuvant therapy.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":"7-15"},"PeriodicalIF":2.3,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823565","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}
Xinxin Bu, Shuwen Sun, Yanyan Zhang, Tao Yuan, Cuiwei Wang
{"title":"Ultrasound characteristics of cervical lymph nodes in children with infectious mononucleosis.","authors":"Xinxin Bu, Shuwen Sun, Yanyan Zhang, Tao Yuan, Cuiwei Wang","doi":"10.11152/mu-4534","DOIUrl":"10.11152/mu-4534","url":null,"abstract":"<p><strong>Aim: </strong>To illustrate ultrasonographic characteristics of cervical lymph nodes in children with infectious mononucleosis (IM).</p><p><strong>Material and methods: </strong>Ultrasonographic characteristics of cervical lymph nodes in 61 children with IM were retrospectively analyzed, including the location, long diameter (LD), short diameter (SD), short-to-long diameter ratio (S/L), boundary clarity, presence of lymphatic hilum, internal hyperechoic features, blood supply mode and vascular richness.</p><p><strong>Results: </strong>The 61 children with IM comprised 41 males and 20 females, with an average age of 7.2±3.8 years. Bilateral enlargement of cervical lymph nodes was a typical ultrasonographic manifestation of IM. Lymph node enlargement was evenly distributed on both sides of the neck. All enlarged lymph nodes were in neck zone II, with an average S/L ratio of 0.37±0.07, long diameter 33.4±6.4 mm, and short diameter 12.1±2.5 mm. Other typical ultrasonographic characteristics of cervical lymph nodes in children with IM included clear borders (100%), beads-on-a-string (98.4%), smooth edges (98.4%), visible lymphatic hila (95.1%), loose arrangement of lymphatic hila (88.5%), central blood flow signals (96.7%), and vascular richness (82.0%). Conclusions: IM children present unique ultrasonographic characteristics of cervical lymph nodes, which may assist in the early and timely diagnosis of pediatric IM in clinical practice.</p>","PeriodicalId":94138,"journal":{"name":"Medical ultrasonography","volume":" ","pages":"38-42"},"PeriodicalIF":2.3,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823566","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}