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What to screen and how to screen MASLD patients? 筛查什么以及如何筛查 MASLD 患者?
Pub Date : 2024-06-21 DOI: 10.11152/mu-4395
Ioan Sporea, Alina Popescu

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引用次数: 0
Lung ultrasound manifestations of right lung squamous cell carcinoma with iodine-125 seeds implantation. 植入碘 125 种子的右肺鳞状细胞癌的肺部超声表现
Pub Date : 2024-06-21 DOI: 10.11152/mu-4406
Haotian Zhao, Xiaona Wang, Yaru Yan Yan, Li Li
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引用次数: 0
Recurrence of cardiac myxoma three decades after first extraction - never say never. 心脏肌瘤首次摘除三十年后复发--永不言败。
Pub Date : 2024-06-21 DOI: 10.11152/mu-4401
Mijo Meter, Zrinka Jurišić, Damir Fabijanić

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引用次数: 0
The correlation between time-intensity curve parameters of transrectal contrast-enhanced ultrasound and pathological prognostic factors in rectal adenocarcinoma 直肠腺癌经直肠对比增强超声时间强度曲线参数与病理预后因素的相关性
Pub Date : 2024-05-15 DOI: 10.11152/mu-4375
Shitao Su, Jianyuan Huang, Xuanzhang Huang, Xigui Li, Yaoli Liu, Jun Meng, Yu Fan, Xiaoyan He, Shangyong Zhu
Aims: To investigate the correlation between time-intensity curve (TIC) parameters obtained from transrectal contrast-enhanced ultrasound (TR-CEUS) and important pathological prognostic factors in rectal adenocarcinoma.Material and methods: We retrospectively included 477 patients with pathologically confirmed rectal adenocarcinoma. TIC parameters were derived from preoperative dynamic TR-CEUS images. These parameters included peak intensity (PI), time to peak (TTP),mean transit time (MTT), slope (S), and area under the curve (AREA). Pathological prognostic factors included TN stage, tumor diameter, lymphovascular invasion (LVI), perineural invasion, and tumor differentiation. Spearman’s correlation analysis and binary logistic regression were used to analyze the association between TIC parameters and pathological prognostic factors.Results: pT1-2 stages rectal carcinomas exhibited higher PI-max, PI-min, S-max, S-min, AREA-max, and AREA-min than pT3-4 stages (all p<0.05). pN0 stage rectal adenocarcinomas displayed higher PI-max, S-max, AREA-max, PI-ratio, Sratio, and AREA-ratio than pN1-2 stage (all p<0.05). PI-ratio and S-ratio were higher in the LVI-negative and tumor diameter ≥4cm group compared to the LVI-positive and tumor diameter <4cm group, respectively (p<0.05). Well-differentiated rectal adenocarcinomas displayed higher PI-max, AREA-max, PI-ratio, S-ratio, and AREA-ratio than the moderate-poor differentiated group (all p<0.05). PI-max, S-max, AREA-max, PI-ratio, S-ratio, and AREA-ratio were negatively correlated with pN stage (all p<0.05). PI-ratio and S-ratio were independent predictive factors for the pN stage (OR=0.774, OR=1.048). S-ratio and AREA-ratio were independent predictive factors for tumor differentiation (OR=1.071, OR=0.911).Conclusions: TIC parameters derived from TR-CEUS exhibit correlations with specific pathological prognostic factors in rectal adenocarcinomas. This non-invasive method may hold promise for preoperatively assessing the prognosis of rectal adenocarcinoma patients.
目的:研究经直肠对比增强超声(TR-CEUS)获得的时间-强度曲线(TIC)参数与直肠腺癌重要病理预后因素之间的相关性:我们回顾性地纳入了477例经病理证实的直肠腺癌患者。TIC参数来自术前动态TR-CEUS图像。这些参数包括峰值强度(PI)、达峰时间(TTP)、平均通过时间(MTT)、斜率(S)和曲线下面积(AREA)。病理预后因素包括 TN 分期、肿瘤直径、淋巴管侵犯(LVI)、神经周围侵犯和肿瘤分化。斯皮尔曼相关分析和二元逻辑回归用于分析TIC参数与病理预后因素之间的关联。结果:pT1-2期直肠癌的PI-max、PI-min、S-max、S-min、AREA-max和AREA-min均高于pT3-4期直肠癌(均P<0.05);pN0期直肠腺癌的PI-max、S-max、AREA-max、PI-ratio、Sratio和AREA-ratio均高于pN1-2期直肠癌(均P<0.05)。LVI阴性组和肿瘤直径≥4厘米组的PI-ratio和S-ratio分别高于LVI阳性组和肿瘤直径<4厘米组(P<0.05)。分化良好的直肠腺癌的 PI-max、AREA-max、PI-ratio、S-ratio 和 AREA-ratio 均高于中度分化不良组(均 p<0.05)。PI-max、S-max、AREA-max、PI-ratio、S-ratio 和 AREA-ratio 与 pN 分期呈负相关(均 p<0.05)。PI 比率和 S 比率是 pN 分期的独立预测因素(OR=0.774,OR=1.048)。S比率和AREA比率是肿瘤分化的独立预测因素(OR=1.071,OR=0.911):结论:TR-CEUS得出的TIC参数与直肠腺癌的特定病理预后因素相关。这种无创方法有望用于术前评估直肠腺癌患者的预后。
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引用次数: 0
The usefulness of ultrasound in identifying the underlying findings linked to pain in podagra patients 超声波在确定与足癣患者疼痛有关的潜在检查结果方面的作用
Pub Date : 2024-05-15 DOI: 10.11152/mu-4373
Meixia Du, Yanmi Zhong, Mengmeng Yan, Lishan Xiao, Caiyun Jiang, Fangfang Zhang, Cheng Zhao, Chunping Ning
Aim: To explore whether ultrasound (US) can be employed to identify the underlying characteristics associated with pain in patients with podagra by evaluating the relationship between ultrasound findings and clinical pain.Material and methods: Patients with podagra were recruited and grouped into a pain group (G1, 82 patients) and a non pain group (G2, 123 patients). US features were collected and compared. US data were analyzed by binary logistic regression analysis and ROC analysis. Interobserver reliability was assessed, too.Results: A total of 205 patients (196 male and 9 female) were enrolled in this study. In multivariate analysis, the thickness of the synovium (OR=1.928, CI=1.074-3.463), CD (color Doppler) signal of the synovium (OR=1.458, CI=1.011-2.103), and CD signal of the tophi (OR=1.576, CI=1.142-2.177) were identified as risk factors for clinical pain. Areas under the ROC curves (AUC) were 0.713, 0.686 and 0.641 for the three indicators, respectively. The best cutoff points were 1 mm for the thickness of the synovium, grade 1 for the CD signal of the synovium and grade 2 for the CD signal of the tophi.Conclusions: Ultrasound can provide valuable information for determining underlying features associated with pain in patients with podagra.
目的:通过评估超声波检查结果与临床疼痛之间的关系,探讨超声波检查(US)是否可用于确定足癣患者疼痛的相关基本特征:招募足癣患者,将其分为疼痛组(G1,82 例)和非疼痛组(G2,123 例)。收集并比较超声波特征。通过二元逻辑回归分析和 ROC 分析对 US 数据进行了分析。同时还评估了观察者之间的可靠性:共有 205 名患者(196 名男性和 9 名女性)参与了这项研究。在多变量分析中,滑膜厚度(OR=1.928,CI=1.074-3.463)、滑膜的 CD(彩色多普勒)信号(OR=1.458,CI=1.011-2.103)和趾骨的 CD 信号(OR=1.576,CI=1.142-2.177)被确定为临床疼痛的危险因素。三个指标的 ROC 曲线下面积(AUC)分别为 0.713、0.686 和 0.641。滑膜厚度的最佳临界点为1毫米,滑膜的CD信号为1级,趾骨的CD信号为2级:超声波可为确定足癣患者与疼痛相关的潜在特征提供有价值的信息。
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引用次数: 0
History of contrast enhanced ultrasound (CEUS). 有造影剂增强超声(CEUS)检查史。
Pub Date : 2024-04-26 DOI: 10.11152/mu-4366
Christoph F Dietrich, Thomas Albrecht, Harald Becher, Chris J Harvey, Christian Jenssen, Adrian K Lim, Kathleen Möller, Christian Greis

The 50th year of the European Federation of Societies in Ultrasound in Medicine and Biology (EFSUMB) has been celebrated 2022 publishing articles on the history of US. Contrast enhanced ultrasound (CEUS) allows to visualize blood flow and tissue perfusion. CEUS has proven to be safe without risk of nephrotoxicity. The availability of a contrast agent (tracer) for ultrasound imaging allows for the first time a dynamic assessment of tissue perfusion (blood flow and wash-in/wash-out pattern) which is an essential part for the detection and characterisation of pathological tissue and abnormal organ function. It was an outstanding achievement of academic centers in close cooperation with EFSUMB to investigate and validate the clinical potential of this new technology for the diagnosis and monitoring of various diseases and to develop clinical guidelines based on an in-depth assessment of the existing scientific publications. An important part of the implementation of CEUS in clinical practice was the development of contrast-specific imaging modes on the ultrasound scanners (in close cooperation with the machine manufacturers), the optimization of the machine setups for contrast imaging and the education provided to clinical users in form of workshops, webinars, textbooks and scientific congresses.

为庆祝欧洲医学和生物学超声学会联合会(EFSUMB)成立 50 周年,2022 年出版了有关美国超声历史的文章。对比增强超声(CEUS)可观察血流和组织灌注情况。事实证明,CEUS 是安全的,没有肾毒性风险。造影剂(示踪剂)在超声成像中的应用首次实现了对组织灌注(血流和冲入/冲出模式)的动态评估,这是检测和描述病理组织和异常器官功能的重要组成部分。学术中心与 EFSUMB 密切合作,研究和验证了这项新技术在诊断和监测各种疾病方面的临床潜力,并在深入评估现有科学出版物的基础上制定了临床指南,这是一项杰出成就。在临床实践中实施 CEUS 的一个重要部分是在超声扫描仪上开发造影剂专用成像模式(与机器制造商密切合作)、优化造影剂成像的机器设置以及通过研讨会、网络研讨会、教科书和科学大会等形式向临床用户提供教育。
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引用次数: 0
Lung cancer with bilateral internal jugular vein thrombosis. 肺癌合并双侧颈内静脉血栓形成。
Pub Date : 2024-03-27 DOI: 10.11152/mu-4339
Fenglin Jiang, Jingjun Zhu

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引用次数: 0
The utility of ultrasound for the diagnosis and treatment of primary and metastatic melanoma - a remaining oncological challenge. 超声波在诊断和治疗原发性和转移性黑色素瘤中的应用--肿瘤学的一项新挑战。
Pub Date : 2024-03-27 DOI: 10.11152/mu-4337
Radu Badea, Maria Crisan

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引用次数: 0
Ultrasound-guided thrombin injection in the management of brachial artery pseudoaneurysm with median nerve compression. 超声引导下注射凝血酶治疗伴有正中神经压迫的肱动脉假性动脉瘤。
Pub Date : 2024-03-27 DOI: 10.11152/mu-4342
Guoyun Wang, Jie Liu, Xiaoli Cao

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引用次数: 0
Multiple metastasis of malignant melanoma. The diagnostic role of ultrasonography starting from a parotid tumor. 恶性黑色素瘤的多发性转移。从腮腺肿瘤开始的超声波诊断作用。
Pub Date : 2024-03-27 Epub Date: 2024-01-24 DOI: 10.11152/mu-4322
Alexandru Florin Badea, Răzvan Orza, Andrada Seicean

We presented the case of a patient with a slowly developing right parotid tumor over the course of several years. Multimodal ultrasonography proved relevant for malignancy. Subsequent imaging identified tumors in numerous organs, considered metastases. Ultrasonography consolidated all identified aspects. Biopsy from an adrenal mass and histological examination evidenced the presence of a malignant, metastatic melanoma with cutaneous origin. Considerations are made regarding the role of ultrasonography in such cases.

我们介绍了一名右腮腺肿瘤患者的病例,该肿瘤在数年内缓慢发展。多模态超声波检查证明其为恶性肿瘤。随后的影像学检查在多个器官中发现了肿瘤,被认为是转移瘤。超声波检查巩固了所有已确定的方面。肾上腺肿块的活检和组织学检查证明存在皮肤来源的恶性转移性黑色素瘤。超声波检查在此类病例中的作用值得考虑。
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引用次数: 0
期刊
Medical ultrasonography
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