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Journal of Clinical Ultrasound: JCU

Yuxi Yan, Qinghua Liu, Xiaofang Liu, Xincun Zhang, Lili Miao, Huanping Pang, Aiying Zhang
An ileal adenomyoma leading to intussusception is very rare. We describe the case of a 4-month-old boy who presented with hematochezia. He was diagnosed with ileal adenomyoma by sonography, which was confirmed by histopathology. This case confirms that sonography is the preferred modality to diagnose an ileal adenomyoma.
December 14, 2018: Journal of Clinical Ultrasound: JCU
Rebekah J McCurdy, Brooke High, Peter F Schnatz, Jason Baxter, Xuezhi Jiang
PURPOSE: Residents in obstetrics and gynecology are deemed to be proficient in transvaginal ultrasound (TVUS) upon graduation, although TVUS education in residency is not standardized. The objective of this study is to assess for improvement in TVUS knowledge among residents after viewing an educational DVD. METHODS: This is a multisite prospective randomized controlled trial using an educational DVD ("Gynecology: Beginners Only"), compared to routine education...
December 7, 2018: Journal of Clinical Ultrasound: JCU
Mariana C Cardoso, Maria Inês Raposo, Mariana Ormonde, Rita Monteiro, André Sampaio, Pedro Cosme, Luisa Mota-Vieira
Isolated fetal ascites and cri-du-chat syndrome (CdCS; OMIM #123450) are two very rare conditions that, to our best knowledge, have never been reported together. Here, we describe a case of isolated fetal ascites detected in the first trimester ultrasound, with no other remarkable signs. After an extensive work-up (fetal ultrasound, serologies, Coombs test, and NIPT), an amniocentesis was performed and revealed an abnormal karyotype of 46,XX,del (p15.2), characteristic of CdCS. We hypothesize that isolated fetal ascites has to be considered an antenatal ultrasonographic marker for CdCS, a finding that should be confirmed in further cases...
December 4, 2018: Journal of Clinical Ultrasound: JCU
Pedro Brandão, Sandra Seco, Teresa Loureiro, Carla Ramalho
Harlequin ichthyosis is the most severe form of autosomal recessive congenital ichthyoses. So far, there are only a few reports of prenatal diagnosis in the literature, as prenatal sonographic features are quite subtle. We report a case of prenatal diagnosis of Harlequin ichthyosis on third-trimester sonographic examination in a consanguineous couple with no history of the disease and describe its characteristic sonographic features.
December 3, 2018: Journal of Clinical Ultrasound: JCU
Hiroko Naganuma, Hideaki Ishida, Masahiro Ogawa, Tutomu Sato, Masato Sageshima, Katunori Suzuki, Yoko Ohyama
PURPOSE: Hepatocellular carcinoma (HCC) on normal liver is very rare. The goal of this study was to determine the clinical manifestations and the role of ultrasonography (US) in the diagnosis of HCC arising in normal liver. METHODS: The clinical data and US findings in 12 cases of surgically resected HCC in normal liver were retrospectively analyzed. RESULTS: The patients were asymptomatic, had no hepatocarcinogenic factor, and hepatic function tests were almost normal in most cases...
November 28, 2018: Journal of Clinical Ultrasound: JCU
Vimi Rewari, Rashmi Ramachandran, Aparna Pande
No abstract text is available yet for this article.
November 25, 2018: Journal of Clinical Ultrasound: JCU
Sascha H Kranen, Bert Bond, Craig A Williams, Alan R Barker
PURPOSE: Macrovascular endothelial function is commonly assessed using flow-mediated dilation (FMD) and is nitric oxide (NO) dependent. However, the vasoreactivity to low flow during the FMD protocol may complement FMD interpretation. This study aimed to investigate in adolescents: (1) the day-to-day reliability of low-flow-mediated constriction (L-FMC) and composite vessel reactivity (CVR); and (2) the relationship between L-FMC and FMD. METHODS: A retrospective analysis of data on 27 adolescents (14...
November 25, 2018: Journal of Clinical Ultrasound: JCU
Pu Zhang, Ruijun Guo, Chen Wang, Dan Xiao, Haiyan Qin, Lingling Zhang
The aim of this study was to explore changes in the common carotid arterial wall elasticity after smoking cessation. Carotid artery ultrasonographic examination was performed in 136 patients, then 1 or 2 years after smoking cessation. We used echo-tracking (ET) to measure stiffness index (β), pressure-strain elasticity modulus (Ep), arterial compliance (AC), augmentation index (AI), and local pulse wave velocity (PWVβ). Patients were divided into four groups based on whether or not they successfully stopped smoking (groups M and N, respectively) and whether (groups M2 and N2, respectively) or not (groups M1 and N1, respectively) they showed comorbidities...
November 19, 2018: Journal of Clinical Ultrasound: JCU
Guang Song, Wenjing Bi, Xintong Zhang, Wanying Huang, Ke Zhou, Weidong Ren
Primary malignant pericardial mesothelioma (PMPM) is an extremely rare tumor, which may appear as a localized or a diffuse mass encasing the heart. Diffuse PMPMs have a poor prognosis due to the difficulty of surgical excision, whereas localized PMPMs have clear margins, thus facilitating surgical excision. Timely diagnosis and proper treatment are crucial for a favorable prognosis. Eight cases of localized PMPMs have been reported so far, but their characteristics have not been fully described. Herein, we present a patient with localized PMPM and describe the diagnosis methods, treatment, and outcomes of these tumors...
November 18, 2018: Journal of Clinical Ultrasound: JCU
Ross Kruger, Simon Freeman
Splenosis is an unusual condition representing auto-transplantation of splenic tissue following splenic trauma or surgery. When detected on imaging studies, the splenosis deposits are usually misinterpreted as pathological masses. We present a case where a pelvic mass incidentally visualized on an MRI examination, was proven to represent a deposit of splenosis by contrast enhanced ultrasound (CEUS). CEUS demonstrated persistent late-phase enhancement characteristic of splenic tissue. Ultrasound practitioners should be aware of this condition when an unusual abdominal or pelvic mass is encountered in a patient with a history of splenic trauma or surgery...
November 16, 2018: Journal of Clinical Ultrasound: JCU
Begum Uygur, Serkan Kahraman, Omer Celik, Mehmet Erturk
Iatrogenic aortic valve injury after mitral valve surgery is a well-known but rare complication. Herein, we report a 62-year-old male patient who underwent mitral valve replacement surgery 12 years ago and developed moderate to severe aortic regurgitation immediately after surgery.
November 16, 2018: Journal of Clinical Ultrasound: JCU
Akram M Asbeutah, Abdullah A AlMajran, Adekunle Adekile
PURPOSE: We assessed the pattern of cerebral blood flow and the relationship between the different transcranial Doppler imaging (TCDI) vascular parameters in children with sickle cell disease (SCD). METHODS: Forty-three SCD pediatric patients with a stable condition (21 HbSS, 19 HbSβ0 Thal, and 3 HbSD), aged 10.1 ± 3.9 years were studied. A control group of 26 with age and sex-matched, were included for comparison. TCDI scanning was carried out using a phased array transducer of 1-3 MHz through the trans-temporal window...
November 13, 2018: Journal of Clinical Ultrasound: JCU
Babak Geraiely, Anahita Tavoosi, Roya Sattarzadeh, Hamidreza Hassanbeigi, Mehrdad Larry
BACKGROUND: To this date, effects of mental stress on cardiac function have not been clearly investigated. Although hemodynamic and neuroendocrine adverse effects of daily mental stress on cardiovascular morbidity and mortality have been reported, its direct impact on diastolic function of the heart has not been previously studied. In this study, we aimed to assess the role of Board Exam anxiety on right and left ventricular diastolic function in medical residents. METHODS: Forty medical residents prior to participation in the medical board exam were enrolled in our study...
November 12, 2018: Journal of Clinical Ultrasound: JCU
Inês Sarmento-Gonçalves, Manuela Cunha, Teresa Loureiro, Pedro S Pinto, Carla Ramalho
Fetal lipomyelomeningocele was suspected during the second-trimester ultrasound and confirmed by magnetic resonance imaging. The pregnancy took its course and a term neonate was delivered. At 2 years of age lipomyelomeningocele surgical removal was performed. The patient is now 4 years old and, despite neurogenic bladder, is a healthy boy with normal psychomotor development for his age. This case illustrates the favorable prognosis of this entity and the importance of prompt diagnosis and multidisciplinary counseling...
November 8, 2018: Journal of Clinical Ultrasound: JCU
Sandeep Tripathi, Hammad Ganatra, Edmundo Martinez, Mohannad Mannaa, Joe Peters
PURPOSE: This study was designed to access sensitivity and specificity of detection of lung abnormalities by the ultrasound (US) done by PICU providers of varying levels of experience compared to CXR and to assess the inter-rater reliability in the interpretation of the USG findings. METHODS: Up to three US examinations were performed on patients meeting eligibility criteria. US examinations were reported by the operator and remotely by an expert reader. Both operator and readers interpretation were correlated with CXR read by an independent pulmonologist...
November 5, 2018: Journal of Clinical Ultrasound: JCU
Kirsteen R Burton, Bo-Yee Ngan, Oscar M Navarro
Melanotic neuroectodermal tumor of infancy (MNTI) is a rare, benign neoplasm of neural crest origin more commonly seen in the craniofacial region. We report a case of MNTI of the epididymis in a 6-month-old male child with emphasis on the sonographic appearance which has not been previously described. In this case, the mass was inseparable from the testicle and therefore the differential diagnosis considered both extratesticular and intratesticular masses. MNTI should be added to the differential diagnosis of scrotal masses, particularly if they present in a child younger than 12 months of age...
November 5, 2018: Journal of Clinical Ultrasound: JCU
Ji Yeon Park, Seong Yoon Yi, Taejung Kwon, Soo Heui Baek, Seon-Jeong Kim, Ki Eon Kwon, Jiyoun Choi
Metastasis to the thyroid is very rare in hepatocellular carcinoma (HCC) and only a few cases have been reported. Herein, we report a rare case of metastatic HCC to the thyroid in a 63-year-old man and discuss the various radiologic findings. Computed tomography (CT) revealed a heterogeneous enhancing mass that had invaded the thyroid cartilage in the left upper thyroid, compressing the airway. Ultrasonography (US) showed a heterogeneous hypoechoic mass with increased vascularity in the peripheral portion. The mass showed focal intense uptake on positron emission tomography-computed tomography (PET-CT)...
November 4, 2018: Journal of Clinical Ultrasound: JCU
Damjana Ključevšek, Olivera Pečanac, Mojca Tomažič, Mojca Glušič
Contrast-enhanced voiding urosonography (ceVUS) has been recognized as a child-friendly examination with high diagnostic accuracy for vesicoureteric reflux detection. A single bolus and the infusion techniques of ceVUS are described. Insufficient bladder contrast opacification during the filling phase and premature destruction of SonoVue microbubbles might occur. Data regarding SonoVue's features, doses, bladder contrast opacification, US bladder parameters, urine catheter, antibiotic prophylaxis, and childrens behaviors were collected to discover the possible causes of the contrast vanishing observed during bladder filling in 10% of examinations and in the later phase of ceVUS in 5% of examinations...
November 4, 2018: Journal of Clinical Ultrasound: JCU
Morteza Taghavi, Ali Ghaemian, Maryam Nabati, Aliasghar Farsavian, Mojtaba Shokri
Non-compaction of the left-ventricular myocardium is an extremely rare cardiomyopathy. The most common clinical manifestations are heart failure, ventricular arrhythmia, thromboembolism, and sudden cardiac death. The condition is diagnosed by two-dimensional echocardiography or magnetic resonance imaging. We report a rare case of a 55-year-old man with coexistence of left ventricular non compaction cardiomyopathy, significant coronary artery disease and massive thrombus formation within recesses in left ventricular cavity...
November 4, 2018: Journal of Clinical Ultrasound: JCU
Viola Seravalli, Giulia Masini, Chiara Morelli, Mariarosaria Di Tommaso, Lucia Pasquini, Felice Petraglia
OBJECTIVE: Uterine artery (UtA) Doppler examination is used in the first trimester to assess the risk of developing preeclampsia, with a standardized technique. However, the impact of bladder filling on UtA circulatory impedance in pregnancy has not been previously studied. This study aimed to examine the effect of bladder distension on UtA-pulsatility index (PI) and peak systolic velocity (PSV) in the first trimester of pregnancy. METHODS: The authors conducted a prospective repeated-measure study on pregnant women presenting for first-trimester screening for preeclampsia...
November 4, 2018: Journal of Clinical Ultrasound: JCU
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