Insertional Achilles tendinopathy is an umbrella medical term referring to pain and swelling on the posterior aspect of the calcaneus. High-resolution ultrasound imaging is commonly used in daily practice to assess the pathological changes of the Achilles tendon, cortical bone of the calcaneus, and soft tissues located inside the retrocalcaneal space to optimize the management of relevant patients. To the best of our knowledge, a standardized ultrasound protocol to evaluate the retrocalcaneal bursal complex is lacking in the pertinent literature. In this sense, our step-by-step sonographic approach is intended to be an easy and ready-to-use guide for sonographers/physicians in daily practice to assess this anatomical complex in patients with Achilles tendinopathy. Needless to say, the peculiar histological features of this V-shaped synovial/fibrocartilaginous bursa surrounding the posteroinferior wedge of the Kager's fat pad and the retrocalcaneal space make the examination challenging.
- MeSH
- Achillova šlacha * diagnostické zobrazování MeSH
- bursa synovialis * diagnostické zobrazování MeSH
- lidé MeSH
- patní kost * diagnostické zobrazování MeSH
- tendinopatie * diagnostické zobrazování MeSH
- ultrasonografie metody normy MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
- směrnice pro lékařskou praxi MeSH
- MeSH
- adnexa uteri diagnostické zobrazování MeSH
- endometrióza * diagnostické zobrazování MeSH
- hydronefróza diagnostické zobrazování etiologie MeSH
- lidé MeSH
- močový měchýř diagnostické zobrazování MeSH
- pánev diagnostické zobrazování MeSH
- tlusté střevo diagnostické zobrazování MeSH
- ultrasonografie metody normy MeSH
- ureter diagnostické zobrazování MeSH
- Check Tag
- lidé MeSH
- ženské pohlaví MeSH
- MeSH
- lidé středního věku MeSH
- lidé MeSH
- point of care testing MeSH
- ultrasonografie * metody normy přístrojové vybavení MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- kazuistiky MeSH
In centers with access to high-end ultrasound machines and expert sonologists, ultrasound is used to detect metastases in regional lymph nodes from melanoma, breast cancer and vulvar cancer. There is, as yet, no international consensus on ultrasound assessment of lymph nodes in any disease or medical condition. The lack of standardized ultrasound nomenclature to describe lymph nodes makes it difficult to compare results from different ultrasound studies and to find reliable ultrasound features for distinguishing non-infiltrated lymph nodes from lymph nodes infiltrated by cancer or lymphoma cells. The Vulvar International Tumor Analysis (VITA) collaborative group consists of gynecologists, gynecologic oncologists and radiologists with expertise in gynecologic cancer, particularly in the ultrasound staging and treatment of vulvar cancer. The work herein is a consensus opinion on terms, definitions and measurements which may be used to describe inguinal lymph nodes on grayscale and color/power Doppler ultrasound. The proposed nomenclature need not be limited to the description of inguinal lymph nodes as part of vulvar cancer staging; it can be used to describe peripheral lymph nodes in general, as well as non-peripheral (i.e. parietal or visceral) lymph nodes if these can be visualized clearly. The association between the ultrasound features described here and histopathological diagnosis has not yet been established. VITA terms and definitions lay the foundations for prospective studies aiming to identify ultrasound features typical of metastases and other pathology in lymph nodes and studies to elucidate the role of ultrasound in staging of vulvar and other malignancies. © 2021 International Society of Ultrasound in Obstetrics and Gynecology.
- MeSH
- gynekologie MeSH
- lidé MeSH
- lymfatické metastázy diagnostické zobrazování patologie MeSH
- nádory vulvy diagnostické zobrazování patologie MeSH
- směrnice pro lékařskou praxi jako téma * MeSH
- společnosti lékařské MeSH
- ultrasonografie normy MeSH
- Check Tag
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- konsensus - konference MeSH
- práce podpořená grantem MeSH
COVID-19 has caused great devastation in the past year. Multi-organ point-of-care ultrasound (PoCUS) including lung ultrasound (LUS) and focused cardiac ultrasound (FoCUS) as a clinical adjunct has played a significant role in triaging, diagnosis and medical management of COVID-19 patients. The expert panel from 27 countries and 6 continents with considerable experience of direct application of PoCUS on COVID-19 patients presents evidence-based consensus using GRADE methodology for the quality of evidence and an expedited, modified-Delphi process for the strength of expert consensus. The use of ultrasound is suggested in many clinical situations related to respiratory, cardiovascular and thromboembolic aspects of COVID-19, comparing well with other imaging modalities. The limitations due to insufficient data are highlighted as opportunities for future research.
- MeSH
- COVID-19 diagnostické zobrazování terapie MeSH
- echokardiografie metody normy MeSH
- internacionalita * MeSH
- konsensus * MeSH
- lidé MeSH
- plíce diagnostické zobrazování MeSH
- třídění pacientů metody normy MeSH
- tromboembolie diagnostické zobrazování terapie MeSH
- ultrasonografie normy MeSH
- vyšetření u lůžka normy MeSH
- znalecký posudek metody normy MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
- MeSH
- časové faktory MeSH
- elektrokardiografie normy MeSH
- kohortové studie MeSH
- lidé MeSH
- novorozenec MeSH
- srdeční frekvence fyziologie MeSH
- stetoskopy normy MeSH
- ultrasonografie přístrojové vybavení normy MeSH
- Check Tag
- lidé MeSH
- novorozenec MeSH
- Publikační typ
- časopisecké články MeSH
- pozorovací studie MeSH
- srovnávací studie MeSH
- MeSH
- diferenciální diagnóza MeSH
- dospělí MeSH
- lidé MeSH
- nádory štítné žlázy * diagnostické zobrazování diagnóza MeSH
- nomogramy * MeSH
- plocha pod křivkou MeSH
- prediktivní hodnota testů MeSH
- senzitivita a specificita MeSH
- ultrasonografie * metody normy MeSH
- uzly štítné žlázy * diagnostické zobrazování diagnóza MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- souhrny MeSH
OBJECTIVES: Critical care ultrasonography has become established within ICUs as a diagnostic tool and to guide management strategies and practical procedures. Following an international consensus statement in 2011, various national professional societies and organizations have sought to develop and deliver training program. The aim of this review was to assess the similarities and differences among these postgraduate intensive care/critical care training program. DATA SOURCES: A systematic review was performed in two steps. First, we searched medical databases and national societies' websites for documents meeting predefined inclusion criteria. If not found, professionals related to critical care ultrasonography were contacted. DATA EXTRACTION: Data were extracted independently by two authors. Analyses were conducted on general training requirements as well as specific competencies defined in the documents. DATA SYNTHESIS: Eight national program from seven countries were identified from a total of 25 countries; all identified program have defined competencies for core critical care ultrasonography. Although there were common themes across these program, significant variations in training requirements and assessments existed, for example, number of scans required for echocardiography training ranged from 10 to 100. Furthermore, the specifics of each ultrasound module varied between program. CONCLUSIONS: Despite widespread and increasing use of ultrasound in ICUs, the majority of countries lacked a formal training program and clearly defined competencies. Even among the countries where these are available, there remains variability. There is a need to better define the competencies required in core critical care ultrasonography and standardize the assessment process.
- MeSH
- jednotky intenzivní péče normy MeSH
- klinické kompetence normy MeSH
- kontinuální vzdělávání lékařů metody normy MeSH
- kurikulum normy MeSH
- lidé MeSH
- péče o pacienty v kritickém stavu * metody normy MeSH
- ultrasonografie * normy MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- systematický přehled MeSH
OBJECTIVE: To develop ultrasound (US) definitions and a US novel scoring system for major salivary gland (SG) lesions in patients with primary Sjögren's syndrome (pSS) and to test their intrareader and inter-reader reliability using US video clips. METHODS: Twenty-five rheumatologists were subjected to a three-round, web-based Delphi process in order to agree on (1) definitions and scanning procedure of salivary gland ultrasonography (SGUS): parotid, submandibular and sublingual glands (PG, SMG and SLG); (2) definitions for the elementary SGUS lesions in patients with Sjögren's syndrome; (3) scoring system for grading changes. The experts rated the statements on a 1-5 Likert scale. In the second step, SGUS video clips of patients with pSS and non-pSS sicca cases were collected containing various spectrums of disease severity followed by an intrareader and inter-reader reliability exercise. Each video clip was evaluated according to the agreed definitions. RESULTS: Consensual definitions were developed after three Delphi rounds. Among the three selected SGs, US assessment of PGs and SMGs was agreed on. Agreement was reached to score only greyscale lesions and to focus on anechoic/hypoechoic foci in a semiquantitative matter or, if not possible on a qualitatively (present/absent) evaluation of fatty or fibrous lesions. Intrareader reliability for detecting and scoring these lesions was excellent (Cohen's kappa 0.81) and inter-reader reliability was good (Light's kappa 0.66). CONCLUSION: New definitions for developing a novel semiquantitative US score in patients with pSS were developed and tested on video clips. Inter-reader and intrareader reliabilities were good and excellent, respectively.
- MeSH
- delfská metoda MeSH
- interpretace obrazu počítačem normy MeSH
- konsensus MeSH
- lidé MeSH
- reprodukovatelnost výsledků MeSH
- senzitivita a specificita MeSH
- Sjögrenův syndrom diagnostické zobrazování MeSH
- slinné žlázy diagnostické zobrazování MeSH
- ultrasonografie metody normy MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- audiovizuální média MeSH
- časopisecké články MeSH
- validační studie MeSH
- MeSH
- arteriae carotides * patofyziologie MeSH
- diagnostické techniky neurologické * klasifikace normy trendy MeSH
- intrakraniální trombóza diagnóza klasifikace prevence a kontrola MeSH
- lidé MeSH
- mozková smrt diagnóza klasifikace MeSH
- neurologické manifestace MeSH
- příručky lékařské MeSH
- radiologie klasifikace metody trendy MeSH
- stenóza arteria carotis diagnóza komplikace terapie MeSH
- subarachnoidální krvácení diagnóza prevence a kontrola terapie MeSH
- trombóza arteria carotis diagnóza komplikace terapie MeSH
- ultrasonografie * metody normy trendy MeSH
- Check Tag
- lidé MeSH
