Pub Date : 2022-05-31DOI: 10.46268/jsu.2022.9.1.18
Young Hun Kim, Y. Kim
{"title":"Differences of Tumor Size Measured by Ultrasonography and Magnetic Resonance Imaging Compared to Pathological Tumor Size in Primary Breast Cancer","authors":"Young Hun Kim, Y. Kim","doi":"10.46268/jsu.2022.9.1.18","DOIUrl":"https://doi.org/10.46268/jsu.2022.9.1.18","url":null,"abstract":"","PeriodicalId":33937,"journal":{"name":"Journal of Surgical Ultrasound","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46117908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-31DOI: 10.46268/jsu.2022.9.1.13
Gun-Woo Kim, Young-Nam Rho, W. Yun
{"title":"Clinical Outcomes of Ultrasound-Guided Thrombin Injection for the Treatment of Iatrogenic Pseudoaneurysm","authors":"Gun-Woo Kim, Young-Nam Rho, W. Yun","doi":"10.46268/jsu.2022.9.1.13","DOIUrl":"https://doi.org/10.46268/jsu.2022.9.1.13","url":null,"abstract":"","PeriodicalId":33937,"journal":{"name":"Journal of Surgical Ultrasound","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44404181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Heejung Keum, B. Kang, H. Park, W. Kim, J. Jung, Jeeyeon Lee
{"title":"Ultrasonographic Findings of Postoperative Change after Breast Reconstruction","authors":"Heejung Keum, B. Kang, H. Park, W. Kim, J. Jung, Jeeyeon Lee","doi":"10.46268/jsu.2022.9.1.8","DOIUrl":"https://doi.org/10.46268/jsu.2022.9.1.8","url":null,"abstract":"","PeriodicalId":33937,"journal":{"name":"Journal of Surgical Ultrasound","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48144891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-30DOI: 10.46268/jsu.2021.8.2.32
B. Kang, H. Park, J. Jung, W. Kim, Jin Ho Chung, Jeeyeon Lee
An accurate understanding of ultrasound findings of post-operative changes in breast cancer would be one of the most important areas of breast cancer surveillance. This is especially true when the ultrasound is performed by breast surgeons who have in-depth knowledge of oncoplastic breast surgery as it would be easier for them to distinguish between true recurrence of breast cancer and post-operative changes. In this article, the various but typical post-operative changes in breast cancer are described. These findings would be truly helpful to breast surgeons for the detection of early recurrence and treatment of post-operative complications.
{"title":"Ultrasonographic Findings of Post-Operative Changes after Breast Cancer Surgery","authors":"B. Kang, H. Park, J. Jung, W. Kim, Jin Ho Chung, Jeeyeon Lee","doi":"10.46268/jsu.2021.8.2.32","DOIUrl":"https://doi.org/10.46268/jsu.2021.8.2.32","url":null,"abstract":"An accurate understanding of ultrasound findings of post-operative changes in breast cancer would be one of the most important areas of breast cancer surveillance. This is especially true when the ultrasound is performed by breast surgeons who have in-depth knowledge of oncoplastic breast surgery as it would be easier for them to distinguish between true recurrence of breast cancer and post-operative changes. In this article, the various but typical post-operative changes in breast cancer are described. These findings would be truly helpful to breast surgeons for the detection of early recurrence and treatment of post-operative complications.","PeriodicalId":33937,"journal":{"name":"Journal of Surgical Ultrasound","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46814420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-30DOI: 10.46268/jsu.2021.8.2.48
Dong Hyun Lim, Jaedo Yang, B. Chung, H. Yu, Mi Rin Lee, H. Hwang
Purpose: The purpose of this study was to evaluate the safety, technical feasibility, and complications of ultrasound-guided placement of totally implantable venous access ports (TIVAPs) in the arm compared to the chest for patients with cancer in a single center. Methods: We retrospectively identified 371 patients who underwent TIVAP implantation in the upper arm or chest between July 2018 and June 2019. Implantation via the upper arm (arm port) or the jugular vein (chest port) was performed under sonographic and fluoroscopic guidance after administering local anesthesia. Medical records were reviewed to determine technical success, complications, and the causes of port removal were analyzed. Results: In total, 371 devices were implanted, 252 in the upper arm (n = 252) and 119 in the upper chest wall (n = 119). The technical success rate was 100%. There were fewer complications observed in the arm port group compared to the chest port group (13 vs 23 patients; 5.2% vs 19.3%), which was statistically significant (P = 0.002). The chest port group developed more complications per 1000 catheter days and had a higher total complication rate than the arm port group (P < 0.001). Local infection with abscess and wound dehiscence were the most common cause of port removal. Multivariate analysis showed that the implantable port in the arm involved a less complicated procedure (P = 0.002). Conclusion: Implantation of TIVAPs in the upper arm is a safe and feasible procedure with a low rate of complications. TIVAPs in the upper arm may be a good alternative to TIVAPs in the chest.
{"title":"Ultrasound-Guided Totally Implantable Venous Access: Comparison between Arm and Chest Ports in Solid Organ Cancer Patients","authors":"Dong Hyun Lim, Jaedo Yang, B. Chung, H. Yu, Mi Rin Lee, H. Hwang","doi":"10.46268/jsu.2021.8.2.48","DOIUrl":"https://doi.org/10.46268/jsu.2021.8.2.48","url":null,"abstract":"Purpose: The purpose of this study was to evaluate the safety, technical feasibility, and complications of ultrasound-guided placement of totally implantable venous access ports (TIVAPs) in the arm compared to the chest for patients with cancer in a single center. Methods: We retrospectively identified 371 patients who underwent TIVAP implantation in the upper arm or chest between July 2018 and June 2019. Implantation via the upper arm (arm port) or the jugular vein (chest port) was performed under sonographic and fluoroscopic guidance after administering local anesthesia. Medical records were reviewed to determine technical success, complications, and the causes of port removal were analyzed. Results: In total, 371 devices were implanted, 252 in the upper arm (n = 252) and 119 in the upper chest wall (n = 119). The technical success rate was 100%. There were fewer complications observed in the arm port group compared to the chest port group (13 vs 23 patients; 5.2% vs 19.3%), which was statistically significant (P = 0.002). The chest port group developed more complications per 1000 catheter days and had a higher total complication rate than the arm port group (P < 0.001). Local infection with abscess and wound dehiscence were the most common cause of port removal. Multivariate analysis showed that the implantable port in the arm involved a less complicated procedure (P = 0.002). Conclusion: Implantation of TIVAPs in the upper arm is a safe and feasible procedure with a low rate of complications. TIVAPs in the upper arm may be a good alternative to TIVAPs in the chest.","PeriodicalId":33937,"journal":{"name":"Journal of Surgical Ultrasound","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48348851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-30DOI: 10.46268/jsu.2021.8.2.41
Jung-Ho Park, Hyun Ryung Kim, Sanghwa Kim, Y. Lim, K. Jung, L. Kim
Background: Axillary ultrasonography is a non-invasive and sensitive method used in the evaluation of breast cancer. We sought to evaluate the value of axillary ultrasonography in the nodal staging of breast cancer patients with axillary lymph node metastases. Methods: From a retrospective database, we reviewed the electronic medical records of breast cancer patients with axillary lymph node metastases who underwent curative surgery between 2003 and 2020. We collected the relevant clinicopathological data and ultrasonographic images. We performed a binary logistic regression analysis to evaluate the factors associated with a high nodal stage. Results: A total of 563 patients were included. Total mastectomy, larger tumor size, abnormal axillary ultrasonography, high histologic grade, lymphatic invasion, hormonal receptor negativity, and HER2 receptor positivity were associated with a pN2 or higher nodal stage. A receiver-operator curve analysis revealed that two or more abnormal lymph nodes seen on axillary ultrasonography identified a high nodal stage with a sensitivity of 62.2% and a spe-cificity of 85.3%. Multivariate analysis revealed that patient age less than 50, lymphatic invasion, two or more abnormal lymph nodes, and hilar effacement were independent predictive factors for the high nodal stage. Conclusion: In patients with two or more abnormal lymph nodes on axillary ultrasonography, upfront axillary lymph node dissection or neoadjuvant chemotherapy is preferred. Our findings highlight the importance of axillary ultrasonography in the nodal staging of breast cancer.
{"title":"Clinical Value of Axillary Ultrasonography in Breast Cancer with Lymph Node Metastases","authors":"Jung-Ho Park, Hyun Ryung Kim, Sanghwa Kim, Y. Lim, K. Jung, L. Kim","doi":"10.46268/jsu.2021.8.2.41","DOIUrl":"https://doi.org/10.46268/jsu.2021.8.2.41","url":null,"abstract":"Background: Axillary ultrasonography is a non-invasive and sensitive method used in the evaluation of breast cancer. We sought to evaluate the value of axillary ultrasonography in the nodal staging of breast cancer patients with axillary lymph node metastases. Methods: From a retrospective database, we reviewed the electronic medical records of breast cancer patients with axillary lymph node metastases who underwent curative surgery between 2003 and 2020. We collected the relevant clinicopathological data and ultrasonographic images. We performed a binary logistic regression analysis to evaluate the factors associated with a high nodal stage. Results: A total of 563 patients were included. Total mastectomy, larger tumor size, abnormal axillary ultrasonography, high histologic grade, lymphatic invasion, hormonal receptor negativity, and HER2 receptor positivity were associated with a pN2 or higher nodal stage. A receiver-operator curve analysis revealed that two or more abnormal lymph nodes seen on axillary ultrasonography identified a high nodal stage with a sensitivity of 62.2% and a spe-cificity of 85.3%. Multivariate analysis revealed that patient age less than 50, lymphatic invasion, two or more abnormal lymph nodes, and hilar effacement were independent predictive factors for the high nodal stage. Conclusion: In patients with two or more abnormal lymph nodes on axillary ultrasonography, upfront axillary lymph node dissection or neoadjuvant chemotherapy is preferred. Our findings highlight the importance of axillary ultrasonography in the nodal staging of breast cancer.","PeriodicalId":33937,"journal":{"name":"Journal of Surgical Ultrasound","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41739955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-30DOI: 10.21203/rs.3.rs-1083563/v1
H. Jeong, D. Park, Daeyoun Won, Jong Kyun Lee
Aim We investigated the clinical features of symptomatic rectoceles, as measured by transperineal ultrasound (TPUS), and evaluated the association between rectocele size and the clinical symptoms of pelvic floor disorders. Method This was a retrospective study using data obtained at a pelvic floor centre between August 2020 and January 2021. A total of 125 patients with defaecation disorders, such as constipation and faecal incontinence, were included. The preoperative questionnaire included the Cleveland Clinic Constipation Scoring System (CCCS, Wexner constipation score), Cleveland Clinic Incontinence Score (CCIS, Wexner incontinence score), faecal incontinence severity index (FISI), and faecal incontinence quality of life (FIQOL) scale. The size of the rectocele was measured on the trans-perineal 2D images. Patients were assigned to three groups based on rectocele size: no rectocele (<10 mm), ≥10 mm rectocele, and ≥15 mm rectocele. Results In the study population, 43 participants (34.4%) had no rectocele, 50 (40.0%) had ≥10 mm rectocele, and 32 (25.6%) had ≥15 mm rectocele. From the no rectocele to ≥15 mm rectocele group, the scores for the symptoms of incontinence and constipation increased, and the quality of life worsened. The CCIS (6.00±4.95 vs 8.62±5.77 vs 11.08±5.63, P = 0.004), FIQOL (13.72±4.19 vs 13.42±4.35 vs 10.38±3.88, P = 0.006), FISI (18.83±17.67 vs 25.15±17.34 vs 33.42±15.49, P = 0.010), and CCCS (7.50±6.26 vs 8.65±5.31 vs 13.11±5.90, P = 0.006), respectively. Conclusion The TPUS was a valuable method for the anatomical evaluation of symptomatic rectocele. The larger the size of the symptomatic rectocele measured using TPUS, the more severe the clinical symptoms.
目的:研究经会阴超声(TPUS)测量的症状性直肠膨出的临床特征，并评估直肠膨出大小与盆底疾病临床症状之间的关系。这是一项回顾性研究，使用了2020年8月至2021年1月期间在骨盆底中心获得的数据。共纳入125例排便障碍患者，如便秘和大便失禁。术前问卷包括克利夫兰诊所便秘评分系统(CCCS, Wexner便秘评分)、克利夫兰诊所失禁评分(CCIS, Wexner失禁评分)、大便失禁严重程度指数(FISI)、大便失禁生活质量(FIQOL)量表。在经会阴二维图像上测量直肠突的大小。根据直肠前突的大小将患者分为三组:无直肠前突(<10 mm)、≥10 mm直肠前突和≥15 mm直肠前突。结果在研究人群中，43名参与者(34.4%)没有直肠前突，50名参与者(40.0%)有≥10mm的直肠前突，32名参与者(25.6%)有≥15mm的直肠前突。从无直肠膨出组到直肠膨出≥15mm组，尿失禁和便秘症状评分增加，生活质量恶化。CCIS(6.00±4.95 vs 8.62±5.77 vs 11.08±5.63,P = 0.004)、FIQOL(13.72±4.19 vs 13.42±4.35 vs 10.38±3.88,P = 0.006)、FISI(18.83±17.67 vs 25.15±17.34 vs 33.42±15.49,P = 0.010)和CCCS(7.50±6.26 vs 8.65±5.31 vs 13.11±5.90,P = 0.006)。结论tpu是一种有价值的诊断症状性直肠前突的解剖学方法。tpu测量的有症状的直肠前突尺寸越大，临床症状越严重。
{"title":"Assessing Rectocele Depth and Its Association with Symptoms of Pelvic Floor Disorders Using Transperineal Ultrasound","authors":"H. Jeong, D. Park, Daeyoun Won, Jong Kyun Lee","doi":"10.21203/rs.3.rs-1083563/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-1083563/v1","url":null,"abstract":"\u0000 Aim\u0000\u0000We investigated the clinical features of symptomatic rectoceles, as measured by transperineal ultrasound (TPUS), and evaluated the association between rectocele size and the clinical symptoms of pelvic floor disorders.\u0000Method\u0000\u0000This was a retrospective study using data obtained at a pelvic floor centre between August 2020 and January 2021. A total of 125 patients with defaecation disorders, such as constipation and faecal incontinence, were included. The preoperative questionnaire included the Cleveland Clinic Constipation Scoring System (CCCS, Wexner constipation score), Cleveland Clinic Incontinence Score (CCIS, Wexner incontinence score), faecal incontinence severity index (FISI), and faecal incontinence quality of life (FIQOL) scale. The size of the rectocele was measured on the trans-perineal 2D images. Patients were assigned to three groups based on rectocele size: no rectocele (<10 mm), ≥10 mm rectocele, and ≥15 mm rectocele.\u0000Results\u0000\u0000In the study population, 43 participants (34.4%) had no rectocele, 50 (40.0%) had ≥10 mm rectocele, and 32 (25.6%) had ≥15 mm rectocele. From the no rectocele to ≥15 mm rectocele group, the scores for the symptoms of incontinence and constipation increased, and the quality of life worsened. The CCIS (6.00±4.95 vs 8.62±5.77 vs 11.08±5.63, P = 0.004), FIQOL (13.72±4.19 vs 13.42±4.35 vs 10.38±3.88, P = 0.006), FISI (18.83±17.67 vs 25.15±17.34 vs 33.42±15.49, P = 0.010), and CCCS (7.50±6.26 vs 8.65±5.31 vs 13.11±5.90, P = 0.006), respectively.\u0000Conclusion\u0000\u0000The TPUS was a valuable method for the anatomical evaluation of symptomatic rectocele. The larger the size of the symptomatic rectocele measured using TPUS, the more severe the clinical symptoms.","PeriodicalId":33937,"journal":{"name":"Journal of Surgical Ultrasound","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67949984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-30DOI: 10.46268/jsu.2021.8.2.25
H. Jin, Hyangkyoung Kim
Critical limb ischemia is a clinical syndrome of ischemic pain at rest or tissue loss resulting from non-healing ulcers or gangrene related to peripheral artery disease. The primary ther-apeutic goal is to preserve limb function. The most important factor for determining the healing potential of a wound is the degree of perfusion to the affected segment. Several tests objectively measure the degree of tissue perfusion: for example, ankle-brachial index, toe pressure, ultrasound, transcutaneous oxygen pressure, two-dimensional perfusion angiography, indocyanine green angiography, diagnostic nuclear medicine imaging, and laser doppler skin perfusion pressure. In this study, we investigated tests that can measure tissue perfusion and discussed the advantages and limitations of each test.
{"title":"Evaluation Methods for Foot Perfusion in Critical Limb Ischemia","authors":"H. Jin, Hyangkyoung Kim","doi":"10.46268/jsu.2021.8.2.25","DOIUrl":"https://doi.org/10.46268/jsu.2021.8.2.25","url":null,"abstract":"Critical limb ischemia is a clinical syndrome of ischemic pain at rest or tissue loss resulting from non-healing ulcers or gangrene related to peripheral artery disease. The primary ther-apeutic goal is to preserve limb function. The most important factor for determining the healing potential of a wound is the degree of perfusion to the affected segment. Several tests objectively measure the degree of tissue perfusion: for example, ankle-brachial index, toe pressure, ultrasound, transcutaneous oxygen pressure, two-dimensional perfusion angiography, indocyanine green angiography, diagnostic nuclear medicine imaging, and laser doppler skin perfusion pressure. In this study, we investigated tests that can measure tissue perfusion and discussed the advantages and limitations of each test.","PeriodicalId":33937,"journal":{"name":"Journal of Surgical Ultrasound","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49175378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-11-30DOI: 10.46268/jsu.2021.8.2.37
Y. Kim
An ultrasonogram is very useful for the diagnosis of thyroid cancer and determining the preoperative stage. Accurate staging before surgery using an ultrasonogram is essential for determining the extent of surgery. This review summarizes the use of ultrasonography in the preoperative staging of thyroid cancer.
{"title":"Preoperative Staging of Thyroid Cancer by Ultrasonography","authors":"Y. Kim","doi":"10.46268/jsu.2021.8.2.37","DOIUrl":"https://doi.org/10.46268/jsu.2021.8.2.37","url":null,"abstract":"An ultrasonogram is very useful for the diagnosis of thyroid cancer and determining the preoperative stage. Accurate staging before surgery using an ultrasonogram is essential for determining the extent of surgery. This review summarizes the use of ultrasonography in the preoperative staging of thyroid cancer.","PeriodicalId":33937,"journal":{"name":"Journal of Surgical Ultrasound","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42388180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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