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Journal of Ultrasound

Amer Harky, Ewa Zywicka, Giovanni Santoro, Lucas Jullian, Mihika Joshi, Sameh Dimitri
OBJECTIVE: The purpose of this systematic review and meta-analysis was to assess the sensitivity and specificity of contrast-enhanced ultrasound (CEUS) compared to computed tomography angiography (CTA) for the detection of endoleaks within endovascular aortic aneurysm repair (EVAR) surveillance at time of follow up. METHODS: A comprehensive literature search was undertaken among the four major databases (PubMed, Embase, Scopus and Ovid) to identify all articles assessing diagnostic specificity and accuracy with comparative modality (CEUS vs CTA) for endoleaks in adult patients at time of follow-up following EVAR...
February 15, 2019: Journal of Ultrasound
N P M Kuijsters, F Sammali, C Rabotti, Y Huang, M Mischi, B C Schoot
PURPOSE: Contractions in non-pregnant uterine can be assessed by visual inspection of transvaginal ultrasound (TVUS). Many authors have used this method to extract features like contraction frequency and direction. However, visual inspection is a subjective method and the outcome is dependent on the sonographers and video analysts. In this study, we wanted to see which uterine feature is reproducible enough, in terms of inter-observer agreement, to serve as a reliable control for future research...
February 15, 2019: Journal of Ultrasound
Margherita Trinci, Stefania Ianniello, Michele Galluzzo, Carlo Giangregorio, Riccardo Palliola, Vito Briganti, Stefano Tursini, Vittorio Miele
INTRODUCTION: Accessory spleen, also known as supernumerary spleen or splenunculum, is a congenital anomaly of the spleen due to a fusion defect during the embryogenesis. Usually it is detected casually during an ultrasound (US) examination of the abdomen and it is asymptomatic. CASE REPORT: RESULTS: We present a case of a 12 years old male patient, with 2-days history of left abdominal pain, without fever, gastrointestinal or genitourinary symptoms. The day before our observation, the patient had gone to another hospital, from where he had been discharged with medical analgesic therapy, without any benefit...
February 13, 2019: Journal of Ultrasound
Francesco Esposito, Marco Di Serafino, Carmela Mercogliano, Dolores Ferrara, Norberto Vezzali, Giovanni Di Nardo, Luigi Martemucci, Gianfranco Vallone, Massimo Zeccolini
The study of the gastrointestinal tract by imaging, particularly using ultrasound, is a required instrument for diagnosis of acute and chronic gastrointestinal pathologies in pediatric age. Actually, ultrasound plays an increasing role in the evaluation of gastrointestinal tract in neonatal and pediatric patients because of their small body habitus and the presence of less fat tissue in the abdominal wall and peritoneal cavity. Ultrasound has certain advantages, thanks to the new wide-spectrum frequency probes able to assess a detailed study of the morphological aspects and functional characteristics of bowel loops, adding a new dimension to the imaging of this body system...
February 13, 2019: Journal of Ultrasound
Marco Di Serafino, Matilde Gioioso, Rosa Severino, Francesco Esposito, Norberto Vezzali, Federica Ferro, Piernicola Pelliccia, Maria Grazia Caprio, Raffaele Iorio, Gianfranco Vallone
Paediatric biliary tract and gallbladder diseases include a variety of entities with a wide range of clinical presentations. Cholestasis represents an impaired secretion of bilirubin by hepatocytes, manifesting with high blood levels of conjugated bilirubin and jaundice. Various causes may be involved, which can be recognised analysing blood tests and hepatobiliary imaging, while sometimes liver biopsy or surgery may be necessary. High-resolution real-time ultrasonography is an important tool for differentiation of obstructive and non-obstructive causes of jaundice in infants and children...
February 12, 2019: Journal of Ultrasound
Federica Ferro, Norberto Vezzali, Evi Comploj, Elena Pedron, Marco Di Serafino, Francesco Esposito, Piernicola Pelliccia, Eugenio Rossi, Massimo Zeccolini, Gianfranco Vallone
Pediatric renal cystic diseases include a variety of hereditary or non-hereditary conditions. Numerous classifications exist and new data are continuously published. Ultrasound is the primary technique for evaluating kidneys in children: conventional and high-resolution US allows a detailed visualization of renal parenchyma and of number, size and location of the cysts, hence representing the most important diagnostic imaging technique for the first diagnosis and follow-up of these young patients. The purpose of this pictorial essay is to review the spectrum of renal cystic lesions in children from simple, complex or malignant single cysts to the several poly/multicystic kidney diseases...
January 1, 2019: Journal of Ultrasound
Gianpaolo Vidili, Ilario De Sio, Mirko D'Onofrio, Paoletta Mirk, Michele Bertolotto, Cosima Schiavone
The present document describes the SIUMB (Italian Society of Ultrasound in Medicine and Biology) guidelines for the use of ultrasound in the management of focal liver disease. The aim of the paper is to provide a clinical practice guideline for Italian physicians who are approaching the ultrasound study of a focal liver lesion. In particular, these guidelines provide simple indications, recommendations and general practice advices for the correct use of contrast-enhanced ultrasound (CEUS) in this scenario. They represent the SIUMB position of the ultrasound role in the diagnostic flow charts of the principal focal liver lesions, and are in agreement with other, previously published national and international guidelines...
December 22, 2018: Journal of Ultrasound
Marco Di Serafino, Valerio Vitale, Rosa Severino, Luigi Barbuto, Norberto Vezzali, Federica Ferro, Eugenio Rossi, Maria Grazia Caprio, Valeria Raia, Gianfranco Vallone
The pancreas is easily investigated in children thanks to the relative lack of fat tissue and the large left hepatic lobe with an optimal acoustic window. The use of high frequency, even linear transducers, usually results in detailed images of all pancreatic areas. A wide spectrum of pancreatic pathologic conditions can be identified and monitored at ultrasound although they are relatively uncommon during childhood compared to the adult. In this paper we briefly review the anatomy, technique, and sonographic aspects of normal and pathological pediatric pancreas...
December 14, 2018: Journal of Ultrasound
Valerio Vitale, Eugenio Rossi, Marco Di Serafino, Rocco Minelli, Ciro Acampora, Francesca Iacobellis, Chiara D'Errico, Aniello Esposito, Francesco Esposito, Gianfranco Vallone, Massimo Zeccolini
Nowadays, cranial ultrasonography (US) of the newborn represents the first imaging method in brain damage study and its possible outcomes. This exam is performed using the natural fontanelles, especially the anterior one. It is fast, non-invasive and does not produce any side effect. Ultrasonographic examination is usually performed in cases of prematurity, especially in children with birth weight less than 1500 g, because important informations about the possible presence of pathologies such as cerebral hemorrhage and hypoxic-ischemic encephalopathy are given...
December 14, 2018: Journal of Ultrasound
(no author information available yet)
No abstract text is available yet for this article.
December 11, 2018: Journal of Ultrasound
Margherita Trinci, Claudia Lucia Piccolo, Riccardo Ferrari, Michele Galluzzo, Stefania Ianniello, Vittorio Miele
Baseline ultrasound is the first-choice technique in traumatic hemodynamically stable children, and is essential in the early assessment of unstable patients to detect hemoperitoneum or other potentially fatal conditions. Despite the technological advancements in new ultrasound equipment and the experience of the operators, it is not always possible to rule out the presence of parenchymal traumatic lesions by means of baseline ultrasound nor to suspect them, especially in the absence of hemoperitoneum. For this reason, in the last decades, basic ultrasound has been associated with contrast-enhanced ultrasound (CEUS) to evaluate the stable little patient in cases such as low-energy blunt abdominal trauma...
December 8, 2018: Journal of Ultrasound
Iacopo Valente, Alessandro Pedicelli, Martina Piacentini, Marco Di Serafino, Gianfranco Vallone, Stefania Speca, Cesare Colosimo
Ultrasound represents the first-line survey for the assessment of spinal cord development abnormalities. In fact, within 6 months of life, the non-ossification of neuronal arcs provides an excellent acoustic window that allows a detailed depiction of the spinal canal, its content and of the surrounding soft tissues. Nevertheless, an accurate ultrasound examination requires a complete knowledge of the anatomy, the condition of normality, the frequent anatomical variants and the main pathologies involved. This review is intended to briefly summarize the US technique, the main clinical indication and the key notions that could help to properly perform this type of ultrasound examination...
December 7, 2018: Journal of Ultrasound
Ki Deok Park, Woo Yong Lee, Sang Hyun Nam, Myounghwan Kim, Yongbum Park
PURPOSE: Recent studies have compared the therapeutic efficacy and safety of the procedure using ultrasound and fluoroscopy. However, there are no published studies comparing the therapeutic efficacy and safety of fluoroscopy (FL)-guided cervical interlaminar epidural steroid injection (CIESI) with that of ultrasound (US)-guided selective nerve root block (SNRB). This study aimed to compare the mid-term effects and advantages of US-guided SNRB with FL-guided CIESI for radicular pain in the lower cervical spine through assessment of pain relief and functional improvement...
December 5, 2018: Journal of Ultrasound
Francesco Esposito, Dolores Ferrara, Marco Di Serafino, Mario Diplomatico, Norberto Vezzali, Anna Marcella Giugliano, Giovanna Stefania Colafati, Massimo Zeccolini, Paolo Tomà
Proper nomenclature is a major obstacle in understanding and managing vascular anomalies. Often the same term is used for totally different types of lesions or, conversely, the same lesion may be labeled with different terms. Although in recent times there has been a greater understanding of the problems concerning vascular anomalies, episodes of improper use of terminology still remain. The aim of this article, starting from the most recent classification of vascular anomalies, is to provide a clinical and instrumental approach to identifying these lesions and to converge towards a clear and unambiguous terminology that must become univocal among the various operators to avoid diagnostic misunderstandings and therapeutic errors...
November 28, 2018: Journal of Ultrasound
Piernicola Pelliccia, Simone Sferrazza Papa, Federica Cavallo, Veronica Maria Tagi, Marco Di Serafino, Francesco Esposito, Antonello Persico, Norberto Vezzali, Gianfranco Vallone
Urinary tract dilatation is identified sonographically in 1-2% of fetuses and reflects a spectrum of possible nephro-uropathies. There is significant variability in the clinical management of individuals with prenatal urinary tract dilatation to postnatal urinary pathologies, because of a lack of consensus and uniformity in defining and classifying urinary tract dilation. Ultrasonography is the first step to screen and diagnose kidneys and the urinary tract diseases of the children. The need for a correct ultrasound approach led to the realization of algorithms aimed at standardizing the procedures, the parameters and the classifications...
November 27, 2018: Journal of Ultrasound
Giulio Cocco, Vincenzo Ricci, Andrea Boccatonda, Giovanni Iannetti, Cosima Schiavone
Calcific tendinopathy is characterized by the deposition of calcium, mostly hydroxyapatite crystals, in tendons. Women are more frequently affected than men, with prevalence in the fourth and fifth decades of life. This condition has been reported between 2.5 and 7.5% of healthy shoulders in adults, but other tendons may also be affected. A complication of this condition is the migration of calcium deposits from tendons, usually the supraspinatus, into the subacromial-subdeltoid bursa. We reported a rare complication of calcific tendinopathy, that is, calcium deposits migrated from the long head of the biceps tendon over the proximal tract of the biceps brachii muscle...
December 2018: Journal of Ultrasound
Marco Sperandeo, Elisabettamaria Frongillo, Salvatore De Cosmo, Cristiana Cipriani
No abstract text is available yet for this article.
December 2018: Journal of Ultrasound
N Di Leo, L Venturini, V de Soccio, V Forte, P Lucchetti, G Cerone, G Alagna, M Caratozzolo, D Messineo, C Di Gioia, L Di Marzo, D Fresilli, C De Vito, G Pugliese, V Cantisani, F D'Ambrosio
PURPOSE: To assess the diagnostic effectiveness of Multiparametric ultrasound (MPUS), which includes color Doppler ultrasound (CDUS), CEUS and Shear wave elastography (SWE), for evaluating carotid plaque as compared with CT-angiography (CTA) and histology. MATERIALS AND METHODS: Forty-three consecutive patients scheduled to undergo carotid endarterectomy underwent MPUS. Then, after periods ranging from 2 days to 2 weeks, all underwent CTA. Each plaque was classified by means of dedicated scores for CEUS and SWE as compared with CTA features...
December 2018: Journal of Ultrasound
Claudia Lucia Piccolo, Margherita Trinci, Antonio Pinto, Luca Brunese, Vittorio Miele
Splenic injuries are common emergencies in the setting of abdominal trauma, as the spleen is the second most frequently injured abdominal organ after the liver. The treatment of splenic injuries underwent a severe shift from operative to non-operative due to an increased awareness of the double physiological function, both immunological and hematological, of the spleen. This, in turn, led to an increased application of splenic preservation techniques. The non-operative approach has been strengthened through radiological imaging and interventional radiology...
December 2018: Journal of Ultrasound
Antonio Furlan, Roberto Stramare
PURPOSE: To investigate the frequency of thickening of pulleys for flexor tendons in patients with early arthritis in their hands, and to evaluate it as a predictive sign of PsA. METHODS: A prospective observational study involving 228 consecutive patients presenting with recent onset of arthritis in their hands was conducted at rheumatology outpatient clinics in the Veneto region of Italy between October 2014 and September 2017. Diabetic patients were excluded because of the high frequency of trigger finger...
December 2018: Journal of Ultrasound
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