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Latest & greatest articles for ultrasound
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Ultrasound-assisted Lumbar Punctures: A Systematic Review and Meta-Analysis 30129102 2018 10 03 1553-2712 2018 Aug 21 Academic emergency medicine : official journal of the Society for Academic Emergency Medicine Acad Emerg Med Ultrasound-assisted Lumbar Punctures: A Systematic Review and Meta-Analysis. 10.1111/acem.13558 Lumbar punctures (LPs) are a common procedure in emergency medicine. However, studies have found that failed procedure rates can be as high as 50%. Ultrasound has been (...) suggested to improve success rates by visually identifying the location and trajectory for the LP procedure. This systematic review and meta-analysis was performed to determine whether the use of ultrasound improved the rate of successful LP performance. PubMed, CINAHL, Scopus, LILACS, the Cochrane Database of Systematic Reviews, the Cochrane Central Register of Controlled Trials, and bibliographies of selected articles were assessed for all randomized controlled trials comparing the success rates
Ultrasound-guided Pulsed Radiofrequency in the Management of Thoracic Postherpetic Neuralgia: A Randomized, Double-blinded, Controlled Trial 29757758 2018 10 04 1536-5409 34 11 2018 Nov The Clinical journal of pain Clin J Pain Ultrasound-guided Pulsed Radiofrequency in the Management of Thoracic Postherpetic Neuralgia: A Randomized, Double-blinded, Controlled Trial. 1017-1024 10.1097/AJP.0000000000000629 This study was designed to evaluate the efficacy and safety of ultrasound-guided pulsed (...) radiofrequency (PRF) for the intercostal nerves (ICNs) in the management of thoracic postherpetic neuralgia. After 2 weeks of treatment by pregabalin 150 mg/12 hours, patients were randomly allocated into 2 groups. The PRF group, after ultrasound-guided localization of the ICN of the affected thoracic dermatome, sensory stimulation of the ICN was tested. Thereafter, the patient received 2 cycles PRF at 42°C temperature, for 120 seconds. The sham group, after stimulation, the same time was spent to mimic PRF
Additive Effect of Therapeutic Ultrasound in the Treatment of Plantar Fasciitis: A Randomized Controlled Trial 29996734 2018 11 01 1938-1344 48 11 2018 Nov The Journal of orthopaedic and sports physical therapy J Orthop Sports Phys Ther Additive Effect of Therapeutic Ultrasound in the Treatment of Plantar Fasciitis: A Randomized Controlled Trial. 847-855 10.2519/jospt.2018.8110 Plantar fasciitis is the chief cause of pain in the plantar surface of the heel. Therapeutic ultrasound is one (...) of the most common conservative treatment modalities used by physical therapists worldwide, despite scarce evidence of its efficacy in treating plantar fasciitis. To evaluate the additive effect of therapeutic ultrasound in the treatment of plantar fasciitis in terms of pain, function, and quality of life. In this prospective, randomized, double-blind, placebo-controlled clinical trial, 54 patients with plantar fasciitis, aged 24 to 80 years, who met the inclusion criteria were randomized into an active
Ultrasound therapy doesn’t speed healing of leg fracture after surgery Signal - Ultrasound therapy doesn’t speed healing of leg fracture after surgery Dissemination Centre Discover Portal NIHR DC Discover Ultrasound therapy doesn’t speed healing of leg fracture after surgery Published on 7 February 2017 Low intensity pulsed ultrasound (LIPUS), sometimes used to encourage bone fractures to heal after surgery, makes no difference to how soon people can get back to their normal activities (...) was this study needed? A broken tibia is the most common long bone fracture. These fractures can take six months or longer to heal and are particularly vulnerable to non-union, when the broken pieces of bone fail to grow back together. LIPUS is commonly used in North America after fracture surgery with the intention of speeding up healing and preventing non-union and is available in the UK. LIPUS involves applying ultrasound waves to skin over the fracture using a wand or probe and gel, similar to those used
Ultrasound could help diagnose giant cell arteritis Signal - Ultrasound could help diagnose giant cell arteritis Dissemination Centre Discover Portal NIHR DC Discover Ultrasound could help diagnose giant cell arteritis Published on 14 February 2017 Ultrasound may aid diagnosis of giant cell arteritis in people referred from the community. It is less invasive than biopsy and might provide quicker results than a biopsy, but its role and place in the diagnostic pathway remain unclear. Giant cell (...) arteritis is a disease of medium to large sized arteries and can lead to a range of eye, brain and other complications. Sudden or gradual blindness is a real risk and anyone with suspected giant cell arteritis is referred to hospital for a biopsy and started on high dose steroids. This NIHR-funded study found that ultrasound correctly picks up more cases than biopsies, but also falsely identifies some people who do not have the condition. Biopsies falsely diagnose giant cell arteritis in fewer people
MRI scans help confirm ultrasound diagnosis of fetal brain abnormalities Signal - MRI scans help confirm ultrasound diagnosis of fetal brain abnormalities Dissemination Centre Discover Portal NIHR DC Discover MRI scans help confirm ultrasound diagnosis of fetal brain abnormalities Published on 4 April 2017 If fetal brain abnormality is suspected on a pregnancy ultrasound, following this with in-utero MRI (iuMRI) improves diagnostic accuracy. This sequence could allow more informed discussions (...) and decision-making around whether to continue with or terminate a pregnancy. The NIHR funded study included 565 women of 18 weeks’ pregnancy or more who received ultrasound followed by iuMRI. Diagnoses were confirmed either by postnatal imaging of the baby or at post-mortem examination. Overall iuMRI gave the correct diagnosis for 93% of scans compared to only 68% of ultrasounds. The accuracy of ultrasound declined above 24 weeks of pregnancy, whereas iuMRI performed well at all times. Clinicians reported
Ultrasound guided nerve blocks are safe, effective and save time Signal - Ultrasound guided nerve blocks are safe, effective and save time Dissemination Centre Discover Portal NIHR DC Discover Ultrasound guided nerve blocks are safe, effective and save time Published on 7 January 2016 This Cochrane review found that nerve blocks to provide local anaesthesia in the arms or legs of adults before a surgical procedure were safe and effective when guided by ultrasound compared to other guidance (...) techniques. They were successful about nine times out of ten with ultrasound guidance, compared to about eight times out of ten when using other techniques, such as nerve stimulation. Overall, guided blocks were quicker by one minute and caused fewer side effects, such as the accidental puncture of blood vessels. The review did not look at cost-effectiveness, or whether one or another technique was best in a particular block or a particular group of patients. The improved success rates, reduced adverse
Ultrasound shows potential for confirming the diagnosis of pneumonia in children Diagnosis of pneumonia in children may be confirmed by ultrasound Dissemination Centre Discover Portal NIHR DC Discover Ultrasound shows potential for confirming the diagnosis of pneumonia in children Published on 24 July 2018 doi: Ultrasound scans of the lungs can be more accurate than chest X-rays for diagnosing pneumonia in children in some circumstances. A review of the published evidence found that lung (...) ultrasound was more sensitive (missed fewer cases) and about as specific (gave about the same number of false alarms) as chest X-ray, when used to confirm suspected community-acquired pneumonia in children. While pneumonia is a clinical diagnosis, X-ray is often used for confirmation. Ultrasound also spares the child from the radiation associated with X-ray imaging. Many emergency departments already use ultrasound, so it might be practical to train paediatric staff to use it as a first-line test
Ultrasound-Guided Application of Percutaneous Electrolysis as an Adjunct to Exercise and Manual Therapy for Subacromial Pain Syndrome: A Randomized Clinical Trial 29777953 2018 09 29 1528-8447 19 10 2018 Oct The journal of pain : official journal of the American Pain Society J Pain Ultrasound-Guided Application of Percutaneous Electrolysis as an Adjunct to Exercise and Manual Therapy for Subacromial Pain Syndrome: A Randomized Clinical Trial. 1201-1210 S1526-5900(18)30183-4 10.1016/j.jpain (...) .2018.04.017 This randomized clinical trial compared the effects of adding ultrasound (US)-guided percutaneouselectrolysis into a program consisting of manual therapy and exercise on pain, shoulder-related disability, function, and pressure sensitivity in subacromial pain syndrome. Fifty patients with subacromial pain syndrome were randomized into manual therapy and exercise or percutaneous electrolysis group. All patients received the same manual therapy and exercise program, 1 session per week for 5
Lung Ultrasound Score Predicts Surfactant Need in Extremely Preterm Neonates 30108142 2018 09 04 1098-4275 142 3 2018 Sep Pediatrics Pediatrics Lung Ultrasound Score Predicts Surfactant Need in Extremely Preterm Neonates. e20180463 10.1542/peds.2018-0463 There are several lung ultrasound scores (LUS) for evaluating lung aeration in critically ill adults with restrictive lung disorders. A modified LUS adapted for neonates correlates well with oxygenation and is able to be used to predict
Ultrasound Is Superior to Palpation in Identifying the Cricothyroid Membrane in Subjects with Poorly Defined Neck Landmarks: A Randomized Clinical Trial 30260895 2018 09 27 1528-1175 2018 Sep 26 Anesthesiology Anesthesiology Ultrasound Is Superior to Palpation in Identifying the Cricothyroid Membrane in Subjects with Poorly Defined Neck Landmarks: A Randomized Clinical Trial. 10.1097/ALN.0000000000002454 WHAT THIS ARTICLE TELLS US THAT IS NEW: BACKGROUND:: Success of a cricothyrotomy (...) is dependent on accurate identification of the cricothyroid membrane. The objective of this study was to compare the accuracy of ultrasonography versus external palpation in localizing the cricothyroid membrane. In total, 223 subjects with abnormal neck anatomy who were scheduled for neck computed-tomography scan at University Health Network hospitals in Toronto, Canada, were randomized into two groups: external palpation and ultrasound. The localization points of the cricothyroid membrane determined
A systematic review of short-term vs long-term effectiveness of one-time abdominal aortic aneurysm screening in men with ultrasound 30037679 2018 07 30 2018 07 30 1097-6809 68 2 2018 08 Journal of vascular surgery J. Vasc. Surg. A systematic review of short-term vs long-term effectiveness of one-time abdominal aortic aneurysm screening in men with ultrasound. 612-623 S0741-5214(18)30891-7 10.1016/j.jvs.2018.03.411 An up-to-date systematic review on the long-term benefits of one-time (...) abdominal aortic aneurysm (AAA) screening in men with ultrasound is required as new evidence is available. This report was produced for the Canadian Task Force on Preventive Health Care to provide evidence on screening for AAA with ultrasound. The aim of this systematic review was to examine the short-term (3-5 years of follow-up) vs long-term (13-15 years of follow-up) effectiveness of one-time screening for AAA in men. This systematic review considered studies from the most recent U.S. Preventive Services Task Force
Endobronchial Ultrasound Elastography Differentiates Intrathoracic Lymph Nodes: A Meta-Analysis 29738756 2018 08 31 1552-6259 2018 May 05 The Annals of thoracic surgery Ann. Thorac. Surg. Endobronchial Ultrasound Elastography Differentiates Intrathoracic Lymph Nodes: A Meta-Analysis. S0003-4975(18)30590-3 10.1016/j.athoracsur.2018.04.003 In this study, we investigated the clinical significance of endobronchial ultrasound elastography for differentiating malignant and benign intrathoracic lymph (...) nodes. A meta-analysis was performed to evaluate the sensitivity and specificity of endobronchial ultrasound elastography in diagnosing intrathoracic lymph nodes. Publications before October 1, 2017, were included for analysis. Sensitivity, specificity, and other variables were pooled using the bivariate mixed-effects regression model. Seven studies met the inclusion criteria and were included. The pooled sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, and diagnostic
Transabdominal ultrasound and endoscopic ultrasound for diagnosis of gallbladder polyps. BACKGROUND: Approximately 0.6% to 4% of cholecystectomies are performed because of gallbladder polyps. The decision to perform cholecystectomy is based on presence of gallbladder polyp(s) on transabdominal ultrasound (TAUS) or endoscopic ultrasound (EUS), or both. These polyps are currently considered for surgery if they grow more than 1 cm. However, non-neoplastic polyps (pseudo polyps) do not need surgery (...) , even when they are larger than 1 cm. True polyps are neoplastic, either benign (adenomas) or (pre)malignant (dysplastic polyps/carcinomas). True polyps need surgery, especially if they are premalignant or malignant. There has been no systematic review and meta-analysis on the accuracy of TAUS and EUS in the diagnosis of gallbladder polyps, true gallbladder polyps, and (pre)malignant polyps. OBJECTIVES: To summarise and compare the accuracy of transabdominal ultrasound (TAUS) and endoscopic
Clinical and ultrasound remission after 6 months of treat-to-target therapy in early rheumatoid arthritis: associations to future good radiographic and physical outcomes 29934373 2018 07 07 1468-2060 2018 Jun 22 Annals of the rheumatic diseases Ann. Rheum. Dis. Clinical and ultrasound remission after 6 months of treat-to-target therapy in early rheumatoid arthritis: associations to future good radiographic and physical outcomes. annrheumdis-2017-212830 10.1136/annrheumdis-2017-212830 To explore (...) associations between remission, based on clinical and ultrasound definitions, and future good radiographic and physical outcome in early rheumatoid arthritis (RA). Newly diagnosed patients with RA followed a treat-to-target strategy incorporating ultrasound information in the Aiming for Remission in rheumatoid arthritis: a randomised trial examining the benefit of ultrasound in a Clinical TIght Control regimen (ARCTIC) trial. We defined 6-month remission according to Disease Activity Score, Disease
Routine antenatal ultrasound in low- and middle-income countries: first look - a cluster randomised trial 29782696 2018 06 16 1471-0528 2018 May 21 BJOG : an international journal of obstetrics and gynaecology BJOG Routine antenatal ultrasound in low- and middle-income countries: first look - a cluster randomised trial. 10.1111/1471-0528.15287 Ultrasound is widely regarded as an important adjunct to antenatal care (ANC) to guide practice and reduce perinatal mortality. We assessed the impact (...) of ANC ultrasound use at health centres in resource-limited countries. Cluster randomised trial. Clusters within five countries (Democratic Republic of Congo, Guatemala, Kenya, Pakistan, and Zambia) METHODS: Clusters were randomised to standard ANC or standard care plus two ultrasounds and referral for complications. The study trained providers in intervention clusters to perform basic obstetric ultrasounds. The primary outcome was a composite of maternal mortality, maternal near-miss mortality