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Journal of Ultrasound

Daniel L Ault, Aimee R Jokerst, Norman W Kettner
PURPOSE: To describe a patient with an occult isolated trapezoid fracture of the wrist. Isolated trapezoid fractures are very difficult to detect without advanced radiological imaging, since the fragment displacement does not occur in the sagittal plane. A discussion regarding the investigation of trapezoid fractures utilizing multiple imaging modalities includes the first demonstration of its detection via ultrasonography (US). METHODS: A 26-year-old male presented to a chiropractic teaching clinic with pain involving the left wrist, after vaulting over the handlebars of his bicycle 2 days prior...
July 14, 2018: Journal of Ultrasound
Dolores Ferrara, Francesco Esposito, Marco Di Serafino, Chiara Gullotto, Andrea Baglioni, Leonardo Martinelli, Massimo Zeccolini
Urinary schistosomiasis is a tropical infection with a high endemicity in the developing countries and is included in the list of "Neglected Tropical Diseases". It is caused by a parasitic worm, Schistosoma haematobium, and it has come into the spotlight as a major cause of urogenital disease. Furthermore, it is linked to bladder cancer and it is a predisposing factor for HIV/AIDS. In this case, we describe a bladder schistosomal disease in a young African boy with persistent macroscopic hematuria and its ultrasound diagnostic bladder imaging...
July 12, 2018: Journal of Ultrasound
Gian Ludovico Rapaccini, Cosima Schiavone, Stefania Speca
No abstract text is available yet for this article.
June 26, 2018: Journal of Ultrasound
Daniele Orso, Alessio Ban, Nicola Guglielmo
PURPOSE: Pneumonia is the third leading cause of death in children under 5 years of age worldwide. In pediatrics, both the accuracy and safety of diagnostic tools are important. Lung ultrasound (LUS) could be a safe diagnostic tool for this reason. We searched in the literature for diagnostic studies about LUS to predict pneumonia in pediatric patients using systematic review and meta-analysis. METHODS: The Medline, CINAHL, Cochrane Library, Embase, SPORTDiscus, ScienceDirect, and Web of Science databases from inception to September 2017 were searched...
June 21, 2018: Journal of Ultrasound
Arash Babaei-Ghazani, Peyman Roomizadeh, Golshan Sanaei, Saeideh Najarzadeh-Mehdikhani, Kimia Habibi, Shahin Nikmanzar, Yadollah Kheyrollah
PURPOSE: The deep branch of the radial nerve (DBRN) enters the forearm as it passes under the arcade of Frohse. This is the most common entrapment site of the DBRN in the forearm. In this study, we investigated the ultrasonographic reference values for the diameters and cross-sectional area (CSA) of the DBRN at the level of the arcade of Frohse in a healthy sample of the population. METHODS: Sixty-five healthy Caucasian volunteers (130 nerves) were recruited for this study...
June 16, 2018: Journal of Ultrasound
H Grazhdani, E David, O Ventura Spagnolo, F Buemi, A Perri, N Orsogna, S Gigli, R Chimenz
Diagnostic ultrasound (US) images can be obtained from a quality device, in optimal working conditions, combined with the capable actions of the operator in tweaking the equipment's characteristics. The quality assurance (QA) is the topic of this review article, and it is addressed in an US practice through proper selection of the equipment when purchasing, and through care and preventive maintenance of the machine for ensuring accurate performance. For optimal US system functioning, QA steps carried out on the basis of a scheduled program are needed in any US practice or department...
June 14, 2018: Journal of Ultrasound
Hannah G van Velzen, Arend F L Schinkel, Myrthe E Menting, Annemien E van den Bosch, Michelle Michels
PURPOSE: Previous studies suggest that anterior mitral valve leaflet (AMVL) elongation is a primary phenotypic feature in hypertrophic cardiomyopathy (HCM). Our aim was to assess AMVL length in individuals with HCM gene mutations and in healthy controls and to identify predictors of the development of HCM during follow-up. METHODS: A total of 133 HCM mutation carriers and 135 controls underwent cardiac examination including electro- and echocardiography. AMVL length was measured in the parasternal long axis and apical three chamber view during diastole...
June 6, 2018: Journal of Ultrasound
B Kuzmanović Elabjer, M Bušić, D Miletić, M Bjeloš, N Vukojević, D Bosnar
PURPOSE: To evaluate the efficacy of standardized A-scan echography (ASE) complementing ultrasound biomicroscopy (UBM) to propose the most efficient method as grounds for the diagnosis, treatment, and follow-up of anterior eye-segment tumors. METHODS: The inclusion criteria were tumors of the ciliary body and peripheral choroidal tumors, whose anterior border could not be visualized with a 10 MHz ultrasound probe. The largest basal dimension and the highest prominence of the tumor were measured with a UBM Lin 50 probe...
May 17, 2018: Journal of Ultrasound
Cristina Felicani, Chiara De Molo, Horia Stefanescu, Fabio Conti, Elena Mazzotta, Veronica Gabusi, Elena Nardi, Antonio Maria Morselli-Labate, Pietro Andreone, Carla Serra
PURPOSE: The assessment of liver fibrosis is essential in the management of patients with chronic liver diseases. Liver biopsy is considered the gold standard procedure for this purpose, though the recent development of new elastosonographic techniques to measure liver stiffness (LS) noninvasively is promising. Point quantification elastography (PQE) showed good results but less is known about the level of skill needed to obtain reliable results. The aim of the study was to evaluate the reproducibility of PQE in assessing LS in healthy subjects comparing three operators with different expertise...
June 2018: Journal of Ultrasound
Edward L Sutherland, Agnieszka Choromanska, Sayf Al-Katib, Mary Coffey
PURPOSE: The purpose of this study was to evaluate the rate of nondiagnostic ultrasound-guided renal mass biopsies (RMBs) at our institution and to determine what patient, procedural, and focal renal mass (FRM) factors were associated with nondiagnostic ultrasound-guided RMBs. METHODS: Eighty-two ultrasound-guided renal mass biopsies performed between January 2014 and October 2016 were included in our study. Biopsy outcomes (diagnostic vs. nondiagnostic) and patient, procedural, and FRM characteristics were retrospectively reviewed and recorded...
June 2018: Journal of Ultrasound
Manuela Nestola, Nicoletta De Matthaeis, Pietro Manuel Ferraro, Paola Fuso, Stefano Costanzi, Gian Franco Zannoni, Fabrizio Pizzolante, Sabina Vasquez Quadra, Giovanni Gambaro, Gian Ludovico Rapaccini
PURPOSE: To compare contrast-enhanced ultrasonography (CEUS)-derived time-intensity (TI) curves with histological findings in kidneys of patients affected by chronic glomerulonephritides (GN) in the early stage of disease. METHODS: Research ethics committee approval and patient written informed consent were obtained. Thirty-one patients who showed clinical and laboratory signs of GN, with preserved renal function, were consecutively enrolled. They underwent kidney CEUS, from which TI curves were obtained, and kidney biopsy...
June 2018: Journal of Ultrasound
Mattia Di Segni, Valeria de Soccio, Vito Cantisani, Giacomo Bonito, Antonello Rubini, Gabriele Di Segni, Sveva Lamorte, Valentina Magri, Corrado De Vito, Giuseppe Migliara, Tommaso Vincenzo Bartolotta, Alessio Metere, Laura Giacomelli, Carlo de Felice, Ferdinando D'Ambrosio
PURPOSE: To assess the diagnostic performance and the potential as a teaching tool of S-detect in the assessment of focal breast lesions. METHODS: 61 patients (age 21-84 years) with benign breast lesions in follow-up or candidate to pathological sampling or with suspicious lesions candidate to biopsy were enrolled. The study was based on a prospective and on a retrospective phase. In the prospective phase, after completion of baseline US by an experienced breast radiologist and S-detect assessment, 5 operators with different experience and dedication to breast radiology performed elastographic exams...
June 2018: Journal of Ultrasound
L Mulazzani, V Salvatore, F Ravaioli, G Allegretti, F Matassoni, R Granata, A Ferrarini, H Stefanescu, Fabio Piscaglia
Unfortunately, in the first sentence under the section head "Point shear wave elastography", the transducer name was misspelled as CA541 (rather than CA451).
June 2018: Journal of Ultrasound
Santi Di Pietro, Francesco Falaschi, Alice Bruno, Tiziano Perrone, Valeria Musella, Stefano Perlini
PURPOSE: The sonographic evaluation of inferior vena cava diameters and its collapsibility-that is also defined as the caval index-has become a popular way to easily obtain a noninvasive estimate of central venous pressure. This is generally considered an easy sonographic task to perform, and according to the American College of Emergency Physicians (ACEP) Guidelines 25 repetitions of this procedure should be sufficient to reach proficiency. However, little is known about the learning process for this sonographic technique...
June 2018: Journal of Ultrasound
Misun Hwang, Matthew A Thimm, Anthony L Guerrerio
PURPOSE: Cavernous transformation of the portal vein can be missed on color Doppler exam or arterial phase cross-sectional imaging due to their slow flow and delayed enhancement. Contrast-enhanced ultrasound (CEUS) offers many advantages over other imaging techniques and can be used to successfully detect cavernous transformations of the portal vein. METHODS: A 10-month-old female was followed for repeat episodes of hematemesis. Computed tomography angiography (CTA) and magnetic resonance arteriogram (MRA) and portal venography were performed...
June 2018: Journal of Ultrasound
Ashraf Talaat Youssef
INTRODUCTION: Many uncommon obstetric and gynecologic problems associated with pregnancy and the early postpartum period can lead to severe abdominal pain and be life-threatening. The patient will be in urgent need of a quick and accurate decision. The means of management will depend on the ability to differentiate between these problems to achieve an optimal diagnosis. MATERIALS AND METHODS: 30 pregnant females attended a private obstetric ultrasound clinic with clinical picture of acute abdomen with pregnancy...
June 2018: Journal of Ultrasound
Nikolaos Mamas, Konstantinos Andreanos, Dimitrios Brouzas, Andreas Diagourtas, Andreas Droulias, Ilias Georgalas, Dimitrios Papaconstantinou
PURPOSE: To report the case of a 65-year-old metalworker with no known history of ocular trauma, who suffered from intense ocular pain during magnetic resonance imaging (MRI) of the brain, due to a retained intraocular metallic foreign body (IOFB). CASE REPORT: Meticulous ophthalmological examination was inconclusive. An IOFB was confirmed with X-ray scan, whereas its exact localization was enabled by means of ultrasonography and ultrasound biomicroscopy (UBM). CONCLUSIONS: Despite appropriate screening protocols, MRI-related ocular complications might occur in the presence of a hidden metallic IOFB...
June 2018: Journal of Ultrasound
Carla Serra, Cristina Felicani, Elena Mazzotta, Veronica Gabusi, Valentina Grasso, Antonio De Cinque, Lydia Giannitrapani, Maurizio Soresi
PURPOSE: Conventional grayscale ultrasound (US) is accurate in the diagnosis of gallbladder disease (GD), but in some cases, it is not decisive. Contrast-enhanced ultrasound (CEUS) improves the diagnostic accuracy of US. The primary objective of this study is to assess the reliability of CEUS in the diagnosis of sludge; the secondary objective is to assess the ability of CEUS to diagnose cancer. METHODS: We retrospectively reviewed the US of 4137 patients positive for GD...
June 2018: Journal of Ultrasound
Monica Pennisi, Alessandro Conti, Renato Farina, Pietro Valerio Foti, Giuseppe Cocuzza, Andrea Boncoraglio, Valeria Costanzo, Giuliana Costanzo
Generally, small quantities of adipose tissue is present in the thyroid gland. The adenolipoma of the thyroid gland is considered a rare finding. It consists in a benign, encapsulated neoplasm composed of mature adipose tissue and glandular elements. We report a case of a 71 year-old female patient presenting with swelling of the anterior neck and history of airway obstruction. Ultrasound (US) examination showed a bulky multinodular goiter which caused dislocation and compression of the trachea. The scans performed at the level of the isthmic region showed the presence of a hyperechoic oval formation with a homogeneous echostructure and regular contours; these characteristics suggested the lipomatous nature of the nodule...
June 2018: Journal of Ultrasound
Gabriele Barella, Matteo Lodi, Stefano Faverzani
PURPOSE: B-mode sonographic evaluation of shoulder joint in dogs provides qualitative information concerning mainly tendon and muscles structures. Although the sonographic findings of tenomuscular lesions have been described previously, their frequency in symptomatic and asymptomatic patients has not been reported yet. Aim of the study was to describe and compare qualitative ultrasonographic findings of shoulder joint in clinically symptomatic and asymptomatic dogs and to speculate which lesions might be considered major responsible for lameness...
June 2018: Journal of Ultrasound
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