Journals Journal of Clinical Ultrasound...

Journal of Clinical Ultrasound : JCU
Carolina Gonçalves Vieira, Luis Guillermo Coca Velarde, Renato Augusto Moreira de Sá, Ana Elisa Rodrigues Baião, Edward Araujo Júnior
OBJECTIVE: The aim of this study was to evaluate the maternal and ultrasonographic characteristics of pregnant women who underwent cervical length (CL) measurement by transvaginal ultrasound between 11 and 13 + 6 weeks of gestation and who delivered at term or preterm. METHODS: A retrospective cohort study was carried out between March 2013 and December 2018 by analyzing ultrasound data of singleton pregnant women who underwent CL measurement by transvaginal ultrasound during the first trimester scan...
June 14, 2024: Journal of Clinical Ultrasound: JCU
Patricia Velasco-Fernández, Fermín Valera-Garrido, Francisco J Valderrama-Canales, Francisco Minaya-Muñoz, Pablo Herrero, Diego Lapuente-Hernández
PURPOSE: The gastrocnemius venous system presents different anatomical variants. There have been described four locations of myofascial trigger points (MTrPs) in this muscle. However, no studies have analyzed the coincidence between vessels and MTrPs present in the gastrocnemius. Therefore, the main objective was to study the anatomical variability of the venous system by ultrasound and its coincidence with the location of the MTrPs. METHODS: A total of 100 lower limbs were studied...
June 12, 2024: Journal of Clinical Ultrasound: JCU
Ji-Su Seong, Yoo-Min Kim, Gina Nam, Gwang-Jun Kim
Primary inguinal hernia is a common pediatric surgical condition with an incidence of 1%-4%, which is higher in male or premature newborns. It is characterized by the protrusion of abdominal contents through inguinal canal in newborns. However, prenatal fetal inguinal hernia is a rare condition because the pressure of amniotic fluid is similar to intra-abdominal pressure. Only 19 English publications were found with 21 reported cases until now. We report belatedly discovered inguinoscrotal hernia at 38+0 weeks' gestation...
June 12, 2024: Journal of Clinical Ultrasound: JCU
Stefano Giusto Picchi, Giulia Lassandro, Giorgio Mazzotta, Domenico Tafuri, Giulio Cocco, Antonio Corvino
Scapulothoracic dislocation (STD) is a rare condition consisting in the loss of anatomical relations of the scapula with the posterior chest wall. This pathological condition commonly occurs after a scapular region trauma or an upper arm distractive injury. Here-in, we present a case of STD occurring in a young male patient, and we discuss the mechanism of injury, the radiological imaging features, and how it can guide and help the orthopedist in the management.
June 8, 2024: Journal of Clinical Ultrasound: JCU
Zornitsa Vassileva, Elena Pavlova, Roumen Marinov, Ibryam Ibryam, Petya Radulova
A 31-week fetus was diagnosed with premature ductal constriction due to maternal treatment with sertraline. An emergent Cesarean section was performed at 32 gestational weeks. The baby was born in a severely depressed condition, with supra-systemic pulmonary hypertension, requiring intubation, mechanical ventilation, and milrinone infusion. The patient's condition improved rapidly, allowing weaning from the ventilator and the inodilator therapy. The baby was discharged home at 38 weeks postmenstrual age, in good general condition, without any signs of pulmonary hypertension, requiring no respiratory support...
June 7, 2024: Journal of Clinical Ultrasound: JCU
Julio Elito Júnior, Suzan Menasce Goldman, Pedro Teixeira Castro, Heron Werner, Victor Hugo Saucedo Sanchez, Edward Araujo Júnior
We reported a case of heterotopic twin pregnancy in a unicornuate uterus with a non-communicating rudimentary horn with survival of both fetuses. The diagnosis was made late at 28 weeks of gestation, with suspicion raised by ultrasound and confirmed by magnetic resonance imaging (MRI). During hospitalization, obstetric ultrasound with color Doppler was performed every 2 days to assess fetal well-being and myometrial thickness, which was determined by measurements of the uterine wall at the accessory horn...
June 6, 2024: Journal of Clinical Ultrasound: JCU
Xiao-Yi Wang, Yu-Ting Zhu, Shuang Zheng, Fei Xiao, Yuan-Yuan Zhu, Shan Che, Pei Hu
Non-Hodgkin lymphoma (NHL) is a highly aggressive malignant tumor arising in lymph nodes or extra-nodal lymphoid tissues, with an incidence of 8.3 per million. It accounts for approximately 7% of childhood and adolescent malignancies, second only to leukemia and brain tumors. Despite the gastrointestinal tract being the most common extra-nodal site involved by lymphoma, primary intestinal lymphoma (PIL) is rare and typically affects middle-aged men without specific clinical symptoms. Here, we present the case of a 2-year-old child indicative of PIL with the informed consent of the parents...
June 6, 2024: Journal of Clinical Ultrasound: JCU
Nooshin Amjadi, Parichehr Pooransari, Masoumeh Mirzamoradi, Soraya Saleh Gargari, Zahra Naeiji, Nayereh Rahmati, Taraneh Arbabzadeh, Farahnaz Torkestani, Zohreh Karimi
PURPOSE: Respiratory distress syndrome (RDS) is potentially fatal in infants. The present study investigated the association of maternal serum vitamin D level with fetal pulmonary artery Doppler indices and neonatal RDS. METHODS: This cross-sectional-analytical study was conducted on 260 mothers admitted for delivery. The maternal serum 25-hydroxyvitamin D level was measured and fetal main pulmonary artery Doppler indices were evaluated. The neonate's weight, apgar score, RDS, Umbilical cord arterial pH and neonatal intensive care unit admission were recorded...
June 3, 2024: Journal of Clinical Ultrasound: JCU
Tülay Demircan, Bahar Konuralp Atakul, Barış Güven, Kaan Yıldız, Cem Karadeniz, Büşra Emir, Mehmet Özeren, Nazmi Narin
PURPOSE: Fetal growth restriction (FGR) is a common pregnancy complication that can be associated with several adverse perinatal outcomes. One of these negative outcomes is ductus arteriosus, especially in preterm babies. In this study, intrauterine heart function and ductus diameter were evaluated in babies with FGR. METHODS: Thirty-seven fetuses with FGR were compared with 37 normal-weight fetuses at the same gestational week. In our study, ventricular diameters, aorta, pulmonary artery, ductus arteriosus (DA), aortic arch diameter, and flow traces were examined...
June 3, 2024: Journal of Clinical Ultrasound: JCU
Libo Gao, Shuyi Lyu
The tubular strips of anechoic areas and multiple curved strong echoes were seen in the lump-characteristic manifestations of breast hemangioma.
June 3, 2024: Journal of Clinical Ultrasound: JCU
Kakoly Borthakur
Endometrial osseous metaplasia (EOM) is a rare condition characterized by abnormal bone formation in the endometrium. This acts as a foreign body in the uterus. The commonest clinical presentation is secondary infertility. Transvaginal ultrasonography is the mainstay of first-line diagnosis. Hysteroscopy confirms the diagnosis and aids in complete removal. Diagnosis of this condition is crucial as post-treatment fertility outcomes are good. This case highlights the importance of three-dimensional ultrasonography before infertility treatment and after hysteroscopic removal of osseous metaplasia to look for reactive endometrial polyps which may interfere with the embryo implantation and spontaneous conception altering the post-surgical fertility outcome...
June 3, 2024: Journal of Clinical Ultrasound: JCU
Özcan Gökçek, Medine Sinem Koptay, Simay Bozpınar Özkan
Renal cell carcinoma (RCC) extremely rarely metastasizes to the testis. To date, only three reports have documented bilateral testicular metastasis of RCC. Here, we review the ultrasonographic characteristics of testicular metastasis of renal cell carcinoma cases in the literature and present a 43-year-old patient with von Hippel-Lindau (VHL) disease who was diagnosed with bilateral testicular metastasis of RCC many years after nephrectomy, with ultrasonographic-pathological correlation.
June 1, 2024: Journal of Clinical Ultrasound: JCU
Antonio Corvino, Valeria Lonardo, Domenico Tafuri, Giulio Cocco, Andrea Delli Pizzi, Andrea Boccatonda, Fabio Corvino, Thomas G Costantino, Tal Horer, Orlando Catalano
Aortic dissection (AD) is a rare and potentially fatal condition that may be diagnosed late. During an emergency or elective abdominal ultrasound (US) examination, when going to evaluate the abdominal aorta for other reasons, it may happen that we find ourselves suspecting an AD. It is therefore important to know the US characteristics of this pathology to avoid wrong or missed diagnoses. Here, we present our practical experience regarding the application of US in the study of the abdominal aorta, which allowed us on several occasions to find an unexpected dissection in patients brought to our attention for other reasons...
June 1, 2024: Journal of Clinical Ultrasound: JCU
Xiaoqing Hu, Lan Yu, Yu Wu, Feixiang Xiang
We present a case study detailing the occurrence of splenic lymphangioma in a 9-year-old girl. The multimodal imaging revealed a significant mass, a finding subsequently validated through histopathological examination. This case underscores the importance of considering splenic lymphangioma as a rare but notable differential diagnosis for solid masses observed in imaging studies.
May 30, 2024: Journal of Clinical Ultrasound: JCU
Rayan A Ahyad, Eman M Mansory
OBJECTIVES: To describe a systematic scanning approach using anatomical landmarks followed by an assessment of radiology trainees' ability to identify the normal appendix in healthy children. METHODS: Uncontrolled pre and post study assessing radiology residents' sonographic skills in detecting the normal appendix in healthy children. Initial questionnaire for the trainees' demographics, perceptions and experiences in detecting the appendix with ultrasound in children followed by a precourse test on healthy volunteers...
May 30, 2024: Journal of Clinical Ultrasound: JCU
Ceng Wang, Zhenzhen Wang, Yi Zheng, Jing Wang, Litao Sun
BACKGROUND: Hypertrophic obstructive cardiomyopathy (HOCM) is clinically symptomatic and prone to malignant arrhythmias and sudden cardiac death (SCD). Currently, an effective treatment is surgical resection of the hypertrophic ventricular septum to relieve the left ventricular outflow tract (LVOT) obstruction and mitral insufficiency. Our center performs an innovative, minimally invasive right infra-axillary thoracotomy for transaortic septal myectomy. Minimally invasive procedures rely more on perioperative transesophageal echocardiography (TEE)...
May 30, 2024: Journal of Clinical Ultrasound: JCU
Yong Zhang, Xueqing Xing, Zhenxia Zhang, Juan Li, Jian Wang
BACKGROUND: Recent studies have shown that right atrial (RA) function are important predictors of cardiovascular morbidity and mortality. However, the study data about RA phasic function in obstructive sleep apnea syndrome (OSAS) patients are scarce, especially based on the left ventricular geometry. So, we aimed to assess the influence of left ventricular geometry on RA phasic function in OSAS patients via a multimodal echocardiographic approach. METHODS: Total of 235 OSAS patients were enrolled in this cross-section study and underwent complete clinical, polysomnography, and echocardiography examinations...
May 28, 2024: Journal of Clinical Ultrasound: JCU
Fen He, Rui Wang, Lu Li, Heng Yi, Zhong Chen
Liver involvement in lymphoma often manifests as nonoccupying diffuse infiltration, posing challenges in distinguishing it from primary liver disorder. Herein, we present the case of a 21-year-old female who underwent two separate diagnoses within a nine-month interval before being ultimately diagnosed with peripheral T-cell lymphoma, not otherwise specified. Our review of this case identified an ultrasound imaging feature, the hypoechoic periportal cuffing. When combined with associated increased lymphocyte count and liver enlargement, it can serve as a noninvasive suggestion for malignant disorders, in particular hemic and lymphatic diseases...
May 24, 2024: Journal of Clinical Ultrasound: JCU
Jiansheng Zhong, Heng Zhang, Yuyang Chen, Jun Li, Liangfeng Wei, Shousen Wang
OBJECTIVES: Observation of pituitary neuroendocrine tumors with streaky sign on MRI, analysis of their features on imaging and further investigation of the relationship between the direction of the streak sign and the direction of optimal tumor expansion. METHODS: The MR images of 237 patients with pituitary neuroendocrine tumors were retrospectively analyzed. The streaky-like high signal with a substantial length of more than 10 mm and obvious enhancement on T1WI was defined as the streaky sign...
May 20, 2024: Journal of Clinical Ultrasound: JCU
Tiantian Li, Lei Yang, Hongxia Jing, Yuanyuan Zhu, Lei Fei, Bin Xiao
Left ventricular-right atrial communication (LV-RAC) refers to the shunt from the left ventricle to the right atrium caused by an abnormal channel between the left ventricle and the right atrium, and is a specific type of ventricular septal defect that is rare. We diagnosed one case using echocardiography.
May 20, 2024: Journal of Clinical Ultrasound: JCU
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