Ana Fabianne Brambila‐Rodríguez, Guillermo De La Cruz Villalobos, Juan Joel Domínguez‐Rodríguez, Héctor Oviedo‐Cruz
ObjectivesTo evaluate the accuracy of ultrasound estimates of fetal weight made by residents.MethodsA cross‐sectional study was conducted on consecutive pregnancies attended in an obstetric ward. All participants provided their consent to participate. Inclusion criteria were singleton pregnancies with ultrasound evaluation and delivery within 14 days. Congenital abnormalities and stillbirths were excluded. Ultrasound scans were performed by two residents, one observer per subject, following standardized methodology and supervised by senior staff. Fetal weight was calculated using the four‐parameter Hadlock 1985 formula. Birth weight was measured using a standard clinical scale. Bland–Altman and mixed‐effects analyses were performed.ResultsIn a 6‐month period, 95 gestations were recruited at 30–41 weeks, and birth weights ranged from 1200 to 4080 g. The bias between methods was −28 g (CI95%, −74 to 18) with 95% limits of agreement of ±440 g. The 95% deviation between methods was of ±16%. Parity had the most significant effect on the bias between methods; operator and maternal weight had no significant effect.ConclusionsSupervised measurement of fetal weight by residents demonstrated high accuracy. Parity bias may be associated with visceral fat deposition independent of maternal weight gain. A methodology for medical evaluation is presented.
{"title":"Accuracy of supervised measurement of fetal weight in a residency program","authors":"Ana Fabianne Brambila‐Rodríguez, Guillermo De La Cruz Villalobos, Juan Joel Domínguez‐Rodríguez, Héctor Oviedo‐Cruz","doi":"10.1002/jcu.23842","DOIUrl":"https://doi.org/10.1002/jcu.23842","url":null,"abstract":"ObjectivesTo evaluate the accuracy of ultrasound estimates of fetal weight made by residents.MethodsA cross‐sectional study was conducted on consecutive pregnancies attended in an obstetric ward. All participants provided their consent to participate. Inclusion criteria were singleton pregnancies with ultrasound evaluation and delivery within 14 days. Congenital abnormalities and stillbirths were excluded. Ultrasound scans were performed by two residents, one observer per subject, following standardized methodology and supervised by senior staff. Fetal weight was calculated using the four‐parameter Hadlock 1985 formula. Birth weight was measured using a standard clinical scale. Bland–Altman and mixed‐effects analyses were performed.ResultsIn a 6‐month period, 95 gestations were recruited at 30–41 weeks, and birth weights ranged from 1200 to 4080 g. The bias between methods was −28 g (CI95%, −74 to 18) with 95% limits of agreement of ±440 g. The 95% deviation between methods was of ±16%. Parity had the most significant effect on the bias between methods; operator and maternal weight had no significant effect.ConclusionsSupervised measurement of fetal weight by residents demonstrated high accuracy. Parity bias may be associated with visceral fat deposition independent of maternal weight gain. A methodology for medical evaluation is presented.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":"44 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142268793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Colin J. McCarthy, Jeffrey L. Weinstein, Julie C. Bulman, Sarah E. Schroeppel DeBacker, Seth J. Berkowitz, Arriyan S. Dowlatshahi, Muneeb Ahmed, Salomao Faintuch
PurposeTo evaluate the safety and efficacy of ultrasound‐guided percutaneous thrombin injection for the treatment of upper extremity pseudoaneurysms.MethodsAn institutional database containing 8,316,467 radiology reports was searched for suitable cases over a 241‐month period. Fourteen female and 10 male patients, average age of 69.7 years (range 29–93) underwent a total of 26 procedures for the management of upper extremity pseudoaneurysms, involving the radial (n = 9), brachial (n = 9) or other upper extremity arteries (n = 6). Baseline demographic and pseudoaneurysm characteristics were documented, together with primary and secondary success, failures, and complications. All procedures were performed with real‐time ultrasound guidance.ResultsThe mean pseudoaneurysm volume was 9.93 cm3 (range 0.06–111.62 cm3). Twelve cases were related to central line placement or arterial access. Primary success was obtained in 50% (n = 12) after a single ultrasound‐guided thrombin injection, and secondary success was achieved in an additional six (for a total success of 75%). Success was highest for the treatment of brachial artery pseudoaneurysms (87.5%), and in those who were diagnosed within 7 days of the inciting event, findings that were statistically significant (p‐value 0.046 and 0.002, respectively).ConclusionsUltrasound‐guided percutaneous thrombin injection is safe and effective for managing upper extremity pseudoaneurysms.
{"title":"Ultrasound‐guided percutaneous thrombin injection for the management of upper extremity pseudoaneurysms: 20 years of tertiary care center experience","authors":"Colin J. McCarthy, Jeffrey L. Weinstein, Julie C. Bulman, Sarah E. Schroeppel DeBacker, Seth J. Berkowitz, Arriyan S. Dowlatshahi, Muneeb Ahmed, Salomao Faintuch","doi":"10.1002/jcu.23829","DOIUrl":"https://doi.org/10.1002/jcu.23829","url":null,"abstract":"PurposeTo evaluate the safety and efficacy of ultrasound‐guided percutaneous thrombin injection for the treatment of upper extremity pseudoaneurysms.MethodsAn institutional database containing 8,316,467 radiology reports was searched for suitable cases over a 241‐month period. Fourteen female and 10 male patients, average age of 69.7 years (range 29–93) underwent a total of 26 procedures for the management of upper extremity pseudoaneurysms, involving the radial (<jats:italic>n</jats:italic> = 9), brachial (<jats:italic>n</jats:italic> = 9) or other upper extremity arteries (<jats:italic>n</jats:italic> = 6). Baseline demographic and pseudoaneurysm characteristics were documented, together with primary and secondary success, failures, and complications. All procedures were performed with real‐time ultrasound guidance.ResultsThe mean pseudoaneurysm volume was 9.93 cm<jats:sup>3</jats:sup> (range 0.06–111.62 cm<jats:sup>3</jats:sup>). Twelve cases were related to central line placement or arterial access. Primary success was obtained in 50% (<jats:italic>n</jats:italic> = 12) after a single ultrasound‐guided thrombin injection, and secondary success was achieved in an additional six (for a total success of 75%). Success was highest for the treatment of brachial artery pseudoaneurysms (87.5%), and in those who were diagnosed within 7 days of the inciting event, findings that were statistically significant (<jats:italic>p</jats:italic>‐value 0.046 and 0.002, respectively).ConclusionsUltrasound‐guided percutaneous thrombin injection is safe and effective for managing upper extremity pseudoaneurysms.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":"20 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142268572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Inflammatory liposarcoma is one of the rarest subtypes of well-differentiated liposarcoma. We present an extremely rare case of well-differentiated inflammatory liposarcoma that occurs in the muscularis of the gallbladder, which was difficult to diagnose before surgery due to the lack of specific clinical and imaging findings. Since cyclin-dependent kinase 4 (CDK4) and murine double minute 2 (MDM2) both displayed amplification in this case, they are not only important markers for auxiliary diagnosis but also the focus of current targeted therapy.
{"title":"Well-differentiated inflammatory liposarcoma in the muscularis of the gallbladder.","authors":"Jianfei Chen,Congyu Tang,Zhidan Geng,Qiqin You,Hongli Cao,Wenping Wang,Qing Yu,Haixia Yuan","doi":"10.1002/jcu.23830","DOIUrl":"https://doi.org/10.1002/jcu.23830","url":null,"abstract":"Inflammatory liposarcoma is one of the rarest subtypes of well-differentiated liposarcoma. We present an extremely rare case of well-differentiated inflammatory liposarcoma that occurs in the muscularis of the gallbladder, which was difficult to diagnose before surgery due to the lack of specific clinical and imaging findings. Since cyclin-dependent kinase 4 (CDK4) and murine double minute 2 (MDM2) both displayed amplification in this case, they are not only important markers for auxiliary diagnosis but also the focus of current targeted therapy.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":"15 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142252908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ebru Sahin Gulec, Esra Bahar Gur, Secil Karaca Kurtulmus, Bilgesu Cetinel Kaygun, Esin Kasap, Ahmet Demir
ObjectivesThis study aims to compare the elastographic properties of the ovaries of patients with poor ovarian response (POR) with healthy controls by using real‐time ultrasound tissue elastography and to investigate the predictive value of ovarian strain ratio (OSR) in the diagnosis of POR.Materials and MethodsA cross‐sectional study was conducted among infertility patients. OSR measurements of 46 women diagnosed with POR and 41 healthy controls with male infertility were performed by real‐time ultrasound tissue elastography. Ovarian volume, OSR, antral follicle count (AFC), age, body mass index (BMI), anti‐mullerian hormone (AMH), follicle stimulating hormone (FSH), and estradiol (E2) values, were compared between the groups. A receiver operating characteristic curve was used to compare the sensitivity and specificity of OSR, AFC, AMH, FSH, and E2 for POR diagnosis.ResultsPatients with POR were significantly older, had a lower duration of infertility, lower AMH, higher FSH, higher E2, lower AFC and ovarian volume (p < 0.01, p = 0.02, p < 0.01, p < 0.01, p < 0.01, p < 0.01, p < 0.01, respectively). The mean OSR of both ovaries was similar between the groups. For the diagnosis of POR, the sensitivity and specificity for AMH were 97.5% and 100%, for AFC were 86.7% and 97.6%; for FSH were 66.7% and 80.5%, for E2 were 53.3% and 90.2%, respectively.ConclusionsThe significant independent predictors of the POR were AMH, AFC, and FSH, with no additional significant contribution from OSR. However, considering the relationship between POR and ovarian fibrosis, it is recommended to investigate this issue in more comprehensive studies.
本研究旨在利用实时超声组织弹性成像技术比较卵巢反应不良（POR）患者与健康对照组卵巢的弹性特性，并探讨卵巢应变比（OSR）在诊断 POR 中的预测价值。通过实时超声组织弹性成像技术对 46 名确诊为 POR 的女性和 41 名男性不育症健康对照者进行了卵巢应变比测量。比较了各组之间的卵巢体积、OSR、前卵泡计数（AFC）、年龄、体重指数（BMI）、抗苗勒氏激素（AMH）、促卵泡激素（FSH）和雌二醇（E2）值。用接收器操作特征曲线比较了 OSR、AFC、AMH、FSH 和 E2 对 POR 诊断的敏感性和特异性。结果POR患者的年龄明显偏大，不孕时间较短，AMH较低，FSH较高，E2较高，AFC和卵巢体积较小（分别为p < 0.01, p = 0.02, p < 0.01, p < 0.01, p < 0.01, p < 0.01, p < 0.01）。两组患者卵巢的平均OSR相似。对于 POR 的诊断，AMH 的敏感性和特异性分别为 97.5%和 100%，AFC 的敏感性和特异性分别为 86.7%和 97.6%，FSH 的敏感性和特异性分别为 66.7%和 80.5%，E2 的敏感性和特异性分别为 53.3%和 90.2%。然而，考虑到 POR 与卵巢纤维化之间的关系，建议对这一问题进行更全面的研究。
{"title":"Can ultrasound elastography be useful in the diagnosis of poor ovarian response?","authors":"Ebru Sahin Gulec, Esra Bahar Gur, Secil Karaca Kurtulmus, Bilgesu Cetinel Kaygun, Esin Kasap, Ahmet Demir","doi":"10.1002/jcu.23827","DOIUrl":"https://doi.org/10.1002/jcu.23827","url":null,"abstract":"ObjectivesThis study aims to compare the elastographic properties of the ovaries of patients with poor ovarian response (POR) with healthy controls by using real‐time ultrasound tissue elastography and to investigate the predictive value of ovarian strain ratio (OSR) in the diagnosis of POR.Materials and MethodsA cross‐sectional study was conducted among infertility patients. OSR measurements of 46 women diagnosed with POR and 41 healthy controls with male infertility were performed by real‐time ultrasound tissue elastography. Ovarian volume, OSR, antral follicle count (AFC), age, body mass index (BMI), anti‐mullerian hormone (AMH), follicle stimulating hormone (FSH), and estradiol (E2) values, were compared between the groups. A receiver operating characteristic curve was used to compare the sensitivity and specificity of OSR, AFC, AMH, FSH, and E2 for POR diagnosis.ResultsPatients with POR were significantly older, had a lower duration of infertility, lower AMH, higher FSH, higher E2, lower AFC and ovarian volume (<jats:italic>p</jats:italic> < 0.01, <jats:italic>p</jats:italic> = 0.02, <jats:italic>p</jats:italic> < 0.01, <jats:italic>p</jats:italic> < 0.01, <jats:italic>p</jats:italic> < 0.01, <jats:italic>p</jats:italic> < 0.01, <jats:italic>p</jats:italic> < 0.01, respectively). The mean OSR of both ovaries was similar between the groups. For the diagnosis of POR, the sensitivity and specificity for AMH were 97.5% and 100%, for AFC were 86.7% and 97.6%; for FSH were 66.7% and 80.5%, for E2 were 53.3% and 90.2%, respectively.ConclusionsThe significant independent predictors of the POR were AMH, AFC, and FSH, with no additional significant contribution from OSR. However, considering the relationship between POR and ovarian fibrosis, it is recommended to investigate this issue in more comprehensive studies.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":"1 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142252912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pedro Teixeira Castro,Ana Paula Pinho Matos,Gerson Ribeiro,Tatiana Fazecas,Edward Araujo Júnior,Heron Werner
The complete absence of the nose, arhinia, is a malformation most often associated with severe brain malformations. However, arhinia can be isolated, but only a few cases have been described. The prenatal diagnosis of isolated arhinia is also rarely described, with only three cases describing their follow-up, mostly in the first months of life. In this case report, we describe the prenatal diagnosis of isolated arhinia and the long-term follow-up of 8 years with normal psychological and cognitive development. We also demonstrated the fetal magnetic resonance imaging and pediatric computed tomography three-dimensional reconstructions of the face.
{"title":"Isolated congenital arhinia: Fetal magnetic resonance imaging and pediatric computed tomography 3D reconstructions, long-term follow-up and review of the literature.","authors":"Pedro Teixeira Castro,Ana Paula Pinho Matos,Gerson Ribeiro,Tatiana Fazecas,Edward Araujo Júnior,Heron Werner","doi":"10.1002/jcu.23843","DOIUrl":"https://doi.org/10.1002/jcu.23843","url":null,"abstract":"The complete absence of the nose, arhinia, is a malformation most often associated with severe brain malformations. However, arhinia can be isolated, but only a few cases have been described. The prenatal diagnosis of isolated arhinia is also rarely described, with only three cases describing their follow-up, mostly in the first months of life. In this case report, we describe the prenatal diagnosis of isolated arhinia and the long-term follow-up of 8 years with normal psychological and cognitive development. We also demonstrated the fetal magnetic resonance imaging and pediatric computed tomography three-dimensional reconstructions of the face.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":"9 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142252909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shuihua Yang, Jizeng Li, Guican Qin, Mengfeng Liang, Yan Liang, Suli Luo, Zuojian Yang, Yulan Pang, Feiwen Long, Yanni Tang, Lin Kong
PurposeTo assess the feasibility of using the stereo‐microscope to identify the pathological anatomy of the congenital heart diseases in the first trimester.MethodsFifteen fetuses of 8–12 weeks aborted due to prevent miscarriage failure and 42 fetuses of 11–14 weeks with congenital heart diseases were included in the study, we dissected their hearts through a stereo‐microscope, then compared with the prenatal ultrasonographic diagnosis.ResultsUsing stereomicroscopy, the positive view of the heart and the great arteries, the long axis view of the aortic arch, the inflow tract view of the bottom heart, the semilunar valve view of the bottom heart, and the transverse section of the ventricle were showed contented and obtained satisfactory images, but the structure of atrioventricular valve and venous system had a lower rate of display.ConclusionThe characteristic pathological changes of cardiac inflow and outflow tract can be obtained by dissecting the heart sequential under the stereo‐microscopy. However it is often difficult to obtain satisfactory pathological sections for pulmonary venous abnormalities and Ebstein anomaly.
{"title":"Study on ultrasound diagnosis and pathological anatomy of fetal complex congenital heart disease in the first trimester","authors":"Shuihua Yang, Jizeng Li, Guican Qin, Mengfeng Liang, Yan Liang, Suli Luo, Zuojian Yang, Yulan Pang, Feiwen Long, Yanni Tang, Lin Kong","doi":"10.1002/jcu.23818","DOIUrl":"https://doi.org/10.1002/jcu.23818","url":null,"abstract":"PurposeTo assess the feasibility of using the stereo‐microscope to identify the pathological anatomy of the congenital heart diseases in the first trimester.MethodsFifteen fetuses of 8–12 weeks aborted due to prevent miscarriage failure and 42 fetuses of 11–14 weeks with congenital heart diseases were included in the study, we dissected their hearts through a stereo‐microscope, then compared with the prenatal ultrasonographic diagnosis.ResultsUsing stereomicroscopy, the positive view of the heart and the great arteries, the long axis view of the aortic arch, the inflow tract view of the bottom heart, the semilunar valve view of the bottom heart, and the transverse section of the ventricle were showed contented and obtained satisfactory images, but the structure of atrioventricular valve and venous system had a lower rate of display.ConclusionThe characteristic pathological changes of cardiac inflow and outflow tract can be obtained by dissecting the heart sequential under the stereo‐microscopy. However it is often difficult to obtain satisfactory pathological sections for pulmonary venous abnormalities and Ebstein anomaly.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":"40 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142252915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aggressive angiomyxoma (AAM) is a rare kind of neoplasm derived from mesenchyma, which is easily confused with other superficial masses. Here, we present a 21‐year‐old young female with a 2‐year history of a mass in the right vulva. The patient's laboratory analysis yielded unremarkable results. Ultrasound examination revealed the presence of a heterogeneous solid mass in the right vulva with blood flow. Enhanced computed tomography imagines showed a capsular neoplasm in the posterior the perineal region without obvious enhancement. The patient received surgery. Biopsy after surgery revealed that the tumor was AAM. The patient was followed up regularly. In this article, we will describe sonographic and computed tomography imagines, histologic features of AAM, and review the related literature.
{"title":"Ultrasound is helpful to diagnose and identify aggressive angiomyxoma: A case report","authors":"Min Wan, Hong Luo","doi":"10.1002/jcu.23826","DOIUrl":"https://doi.org/10.1002/jcu.23826","url":null,"abstract":"Aggressive angiomyxoma (AAM) is a rare kind of neoplasm derived from mesenchyma, which is easily confused with other superficial masses. Here, we present a 21‐year‐old young female with a 2‐year history of a mass in the right vulva. The patient's laboratory analysis yielded unremarkable results. Ultrasound examination revealed the presence of a heterogeneous solid mass in the right vulva with blood flow. Enhanced computed tomography imagines showed a capsular neoplasm in the posterior the perineal region without obvious enhancement. The patient received surgery. Biopsy after surgery revealed that the tumor was AAM. The patient was followed up regularly. In this article, we will describe sonographic and computed tomography imagines, histologic features of AAM, and review the related literature.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":"2020 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142252913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This case report presents the association of a chorionic bump with a partial mole pregnancy in a 37‐year‐old G3P2 woman. The differential diagnosis of a partial mole was considered after transvaginal ultrasonography revealed a chorionic bump. Subsequent pathological analysis confirmed the diagnosis. While the etiology of the chorionic bump remains dubious, we hypothesize an alternative explanation for chorionic bump formation based on the presence of three unique pathological features: necrosis, edema, and hemorrhage.
{"title":"New insight on etiology: A chorionic bump with partial mole pregnancy case report from Syria","authors":"Ahed Hamed, Rami Alhouri, Nour Allahham, Rafaeel Attallah","doi":"10.1002/jcu.23812","DOIUrl":"https://doi.org/10.1002/jcu.23812","url":null,"abstract":"This case report presents the association of a chorionic bump with a partial mole pregnancy in a 37‐year‐old G3P2 woman. The differential diagnosis of a partial mole was considered after transvaginal ultrasonography revealed a chorionic bump. Subsequent pathological analysis confirmed the diagnosis. While the etiology of the chorionic bump remains dubious, we hypothesize an alternative explanation for chorionic bump formation based on the presence of three unique pathological features: necrosis, edema, and hemorrhage.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":"100 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142252916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ümit Taşdemir, Ömer Gökhan Eyisoy, Ali Karaman, Oya Demirci
PurposeThe aim of this study is to reveal ultrasonographic features, associated anomalies and genetic errors in posterior fossa anomalies. As secondary aim postnatal outcomes of the cases were reviewed.MethodsWe conducted a retrospective case series from 2018 to 2024 involving fetuses with posterior fossa anomalies (PFA). Terminated cases confirmed by radiologic and postmortem pathologic findings and cases confirmed by postnatal clinical findings were included in the study.ResultsA total of 138 cases were included. In 81 (59%) cases there were multipl anomalies including cranial anomalies other than posterior fossa in 31 (22%) and non‐central nerve system anomalies in 69 (50%) cases. Of the 94 cases born, 28 (20%) died within a median of 2 months, within 1.5 years at the latest. Of the 66 (48%) cases still living, 30 (22%) have neurodevelopmental delay in Denver II Turkish standardized test.ConclusionsIt is crucial to have accurate and standardized prenatal classification and a multidisciplinary approach in fetuses with PFA. Specific ultrasonographic findings may be diagnostic especially where fetal MRI is not always available. We offer “arrow sign” to be tested whether it is accurate to diagnose Joubert syndrome by ultrasonography.
{"title":"Ultrasonographic evaluation of fetal posterior fossa anomalies: Six years experience of a tertiary center","authors":"Ümit Taşdemir, Ömer Gökhan Eyisoy, Ali Karaman, Oya Demirci","doi":"10.1002/jcu.23833","DOIUrl":"https://doi.org/10.1002/jcu.23833","url":null,"abstract":"PurposeThe aim of this study is to reveal ultrasonographic features, associated anomalies and genetic errors in posterior fossa anomalies. As secondary aim postnatal outcomes of the cases were reviewed.MethodsWe conducted a retrospective case series from 2018 to 2024 involving fetuses with posterior fossa anomalies (PFA). Terminated cases confirmed by radiologic and postmortem pathologic findings and cases confirmed by postnatal clinical findings were included in the study.ResultsA total of 138 cases were included. In 81 (59%) cases there were multipl anomalies including cranial anomalies other than posterior fossa in 31 (22%) and non‐central nerve system anomalies in 69 (50%) cases. Of the 94 cases born, 28 (20%) died within a median of 2 months, within 1.5 years at the latest. Of the 66 (48%) cases still living, 30 (22%) have neurodevelopmental delay in Denver II Turkish standardized test.ConclusionsIt is crucial to have accurate and standardized prenatal classification and a multidisciplinary approach in fetuses with PFA. Specific ultrasonographic findings may be diagnostic especially where fetal MRI is not always available. We offer “arrow sign” to be tested whether it is accurate to diagnose Joubert syndrome by ultrasonography.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":"31 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142252914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PurposeIn this study, we aimed to evaluate the differences in vascularity between the testis on the inguinal hernia (IH) side and the contralateral healthy testis by performing preoperative and postoperative (first month) examinations with superb microvascular imaging ultrasonography (SMI USG), and to compare results with power Doppler (PD) USG.MethodsIn this prospective cohort study, 35 patients diagnosed with IH between April 2023 and July 2023 who were hospitalized in the general surgery ward of a tertiary hospital for IH surgery were evaluated.ResultsThe postoperative vascular index (VI) values obtained by SMI were found to be significantly lower than preoperative VI values in both operated and non‐operated testes (p < 0.001). The VI values obtained with PD in the postoperative period were significantly lower in the operated and nonoperated testes on both sides compared with the VI values obtained in the preoperative period (p < 0.001 and p = 0.029, respectively). There was a significant difference between preoperative and postoperative VI difference values obtained by SMI and PD on the operated side (p = 0.015).ConclusionIn our study examining patients who had undergone IH surgery, testicular vascularity was assessed more precisely with the SMI USG method compared with the PD method.
目的 在这项研究中，我们旨在通过超微血管成像超声（SMI USG）进行术前和术后（第一个月）检查，评估腹股沟疝（IH）侧睾丸与对侧健康睾丸之间的血管差异，并将结果与动力多普勒（PD）USG进行比较。方法在这项前瞻性队列研究中，对 2023 年 4 月至 2023 年 7 月期间在一家三甲医院普外科病房住院接受 IH 手术治疗的 35 例确诊 IH 患者进行了评估。结果在手术和非手术睾丸中，SMI 获得的术后血管指数（VI）值均显著低于术前 VI 值（p <0.001）。与术前的 VI 值相比，术后用 PD 获得的两侧手术和非手术睾丸的 VI 值均明显较低（分别为 p < 0.001 和 p = 0.029）。结论在我们对接受 IH 手术的患者进行的研究中，与 PD 方法相比，SMI USG 方法能更精确地评估睾丸血管。
{"title":"The effect of surgical inguinal hernia repair on testicular blood supply: A prospective superb microvascular imaging ultrasonography study","authors":"Sevim Ozdemir, Tuba Selcuk Can, Rustu Turkay","doi":"10.1002/jcu.23821","DOIUrl":"https://doi.org/10.1002/jcu.23821","url":null,"abstract":"PurposeIn this study, we aimed to evaluate the differences in vascularity between the testis on the inguinal hernia (IH) side and the contralateral healthy testis by performing preoperative and postoperative (first month) examinations with superb microvascular imaging ultrasonography (SMI USG), and to compare results with power Doppler (PD) USG.MethodsIn this prospective cohort study, 35 patients diagnosed with IH between April 2023 and July 2023 who were hospitalized in the general surgery ward of a tertiary hospital for IH surgery were evaluated.ResultsThe postoperative vascular index (VI) values obtained by SMI were found to be significantly lower than preoperative VI values in both operated and non‐operated testes (<jats:italic>p <</jats:italic> 0.001). The VI values obtained with PD in the postoperative period were significantly lower in the operated and nonoperated testes on both sides compared with the VI values obtained in the preoperative period (<jats:italic>p <</jats:italic> 0.001 and <jats:italic>p =</jats:italic> 0.029, respectively). There was a significant difference between preoperative and postoperative VI difference values obtained by SMI and PD on the operated side (<jats:italic>p =</jats:italic> 0.015).ConclusionIn our study examining patients who had undergone IH surgery, testicular vascularity was assessed more precisely with the SMI USG method compared with the PD method.","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":"187 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142252917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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