Explore the vast range of titles available.

BackgroundThree-dimensional (3D) ultrasonography is nonionizing and has been demonstrated to be a reliable tool for scoliosis assessment, including coronal and sagittal curvatures. It shows a great potential for axial vertebral rotation (AVR) evaluation, yet its validity and reliability need to be further demonstrated.Materials and MethodsTwenty patients with adolescent idiopathic scoliosis (AIS) (coronal Cobb: 26.6 ± 9.1°) received 3D ultrasound scan for twice, 10 were scanned by the same operator, and the other 10 by different operators. EOS Bi-planar x-rays and 3D scan were conducted on another 29 patients on the same day. Two experienced 3D ultrasonographic researchers, with different experiences on AVR measurement, evaluated the 3D ultrasonographic AVR of the 29 patients (55 curves; coronal Cobb angle: 26.9 ± 11.3°). The gold standard AVR was determined from the 3D reconstruction of coronal and sagittal EOS radiographs. Intra-class correlation coefficients (ICCs), mean absolute difference (MAD), standard error measurements (SEM), and Bland–Altman's bias were reported to evaluate the intra-operator and inter-operator/rater reliabilities of 3D ultrasonography. The reliability of 3D ultrasonographic AVR measurements was further validated using inter-method with that of EOS.ResultsICCs for intra-operator and inter-operator/rater reliability assessment were all greater than 0.95. MAD, SEM, and bias for the 3D ultrasonographic AVRs were no more than 2.2°, 2.0°, and 0.5°, respectively. AVRs between both modalities were strongly correlated (R2 = 0.901) and not significantly different (p = 0.205). Bland–Altman plot also shows that the bias was less than 1°, with no proportional bias between the difference and mean of expected and radiographic Cobb angles.ConclusionThis study demonstrates that 3D ultrasonography is valid and reliable to evaluate AVR in AIS patients. 3D ultrasonography can be a potential tool for screening and following up subjects with AIS and evaluating the effectiveness of nonsurgical treatments.

Introduction Obstetric anal sphincter injury (OASI) complicates around 5% of deliveries in primiparas. The study objective was to assess the utility of three‐dimensional endoanal ultrasonography (3D‐EAUS) in the diagnosis of OASI. Material and methods The present study was designed to mirror screening settings with an unselected cohort of nulliparous women. All enrolled patients underwent clinical examination of the perineum by the caregiver, and 3D‐EAUS was conducted. Post‐processing of ultrasonography volume data was performed by an experienced colorectal surgeon who was blinded to all other data. The sensitivity, specificity, negative predictive value, and positive predictive value of 3D‐EAUS in the diagnosis of OASI was evaluated. The trial is registered at ISCRTN: 18006769. Results A total of 680 scans were performed, of which 18.5% were judged as “non‐assessable”, resulting in 554 assessable recordings. Sphincter defects were observed in 12.8% of all assessable recordings on 3D‐EAUS (n = 71). With clinical examination set as the reference standard, ultrasound sensitivity in the diagnosis of OASI was 30.4%, whereas its specificity was 87.9%. The negative predictive value was 96.7% and the positive predictive value was only 9.9%. Comments were left on 175 examinations, of which 74% referred to the management of the examination. Conclusions Using 3D‐EAUS in a maternity ward is demanding because staff generally have little experience in endoanal ultrasound, which contributes to difficulties in obtaining good image quality. When 3D‐EAUS is performed to mirror screening settings, it adds no convincing diagnostic power to clinical examination in the diagnosis of OASI. Acquisition of immediate postpartum optimal three‐dimensional endoanal ultrasound (3D‐EAUS) images presents significant challenges that may affect image quality and interpretation. This article will describe some of these problems and exemplify them in images.

Ultrasound probe calibration is crucial for precise spatial mapping in ultrasound-guided surgical navigation and free-hand 3D ultrasound imaging as it establishes the rigid-body transformation between the ultrasound image plane and an external tracking sensor. However, the existing methods often rely on manual feature point selection and exhibit limited robustness to outliers, resulting in reduced accuracy, reproducibility, and efficiency. To address these limitations, we propose a fully automated calibration framework that leverages the geometric priors of an N-wire phantom to achieve reliable recognition. The method incorporates a robust feature point extraction algorithm and integrates a hybrid outlier rejection strategy based on the Random Sample Consensus (RANSAC) algorithm. The experimental evaluations demonstrate sub-millimeter accuracy (<0.6 mm) across varying imaging depths, with the calibration process completed in under two minutes and exhibiting high repeatability. These results suggest that the proposed framework provides a robust, accurate, and time-efficient solution for ultrasound probe calibration, with strong potential for clinical integration.

Background Sugar-protein glycocalyx coats healthy endothelium, but its ultrastructure is not well described. Our aim was to determine the three-dimensional ultrastructure of capillary endothelial glycocalyx in the heart, kidney, and liver, where capillaries are, respectively, continuous, fenestrated, and sinusoidal. Methods Tissue samples were processed with lanthanum-containing alkaline fixative, which preserves the structure of glycocalyx. Results Scanning and transmission electron microscopy revealed that the endothelial glycocalyx layer in continuous and fenestrated capillaries was substantially thicker than in sinusoids. In the heart, the endothelial glycocalyx presented as moss- or broccoli-like and covered the entire luminal endothelial cell surface. In the kidney, the glycocalyx appeared to nearly occlude the endothelial pores of the fenestrated capillaries and was also present on the surface of the renal podocytes. In sinusoids of the liver, glycocalyx covered not only the luminal side but also the opposite side, facing the space of Disse. In a mouse lipopolysaccharide-induced experimental endotoxemia model, the capillary endothelial glycocalyx was severely disrupted; that is, it appeared to be peeling off the cells and clumping. Serum concentrations of syndecan-1, a marker of glycocalyx damage, were significantly increased 24 h after administration of lipopolysaccharide. Conclusions In the present study, we visualized the three-dimensional ultrastructure of endothelial glycocalyx in healthy continuous, fenestrated, and sinusoidal capillaries, and we also showed their disruption under experimental endotoxemic conditions. The latter may provide a morphological basis for the microvascular endothelial dysfunction associated with septic injury to organs.

OBJECTIVES: This study evaluated the long-term outcomes after tension-free vaginal tape (TVT) surgery and examined whether 3D transvaginal ultrasound (US) mesh position parameters (providing multiplanar visualization and improved measurement reproducibility compared with 2D imaging) are associated with urinary symptoms and quality-of-life changes in women with stress urinary incontinence (SUI). We hypothesized that mesh position would correlate with long-term patient-reported outcomes. MATERIAL AND METHODS: In this retrospective cohort, 30 women underwent TVT surgery for SUI between 2012 and 2014 at a tertiary referral center. In 2024, at a median follow-up of 11 years (interquartile range [IQR] 10–12), all patients had clinical evaluation, completed the Urinary Distress Inventory-6 (UDI-6), Incontinence Impact Questionnaire-7 (IIQ-7), and Overactive Bladder Questionnaire Short Form (OAB-q SF), and underwent 3D transvaginal US to measure total urethral length, mesh-to-bladder neck distance, mesh-to-midurethra ratio, and minimal mesh-to-urethral lumen distance. Preoperative and follow-up scores were compared using paired t-tests or Wilcoxon signed-rank tests. Correlations between mesh parameters and score changes were analyzed with Spearman’s correlation. RESULTS: Long-term treatment success was achieved in all patients, with negative postoperative stress tests and no retreatment. UDI-6, IIQ-7, and OAB-q SF scores improved significantly from baseline (p < 0.001 for all). No mesh erosion occurred. De novo overactive bladder (OAB) developed in six patients (20%). No strong correlations were found between mesh parameters and score changes (all |ρ| < 0.30). CONCLUSIONS: TVT surgery provided excellent long-term outcomes with sustained symptom and quality-of-life improvement. Mesh position measured by 3D US at long-term follow-up was not strongly associated with patient-reported outcomes.

Background Orofacial clefts are one of the most common congenital malformations of the fetal face and ultrasound is mainly responsible for its diagnosis. It is difficult to view the fetal palate, so there is currently no unified standard for fetal palate screening, and the diagnosis of cleft palate is not included in the relevant prenatal ultrasound screening guidelines. Many prenatal diagnoses for cleft palate are missed due to the lack of effective screening methods. Therefore, it is imperative to increase the display rate of the fetal palate, which would improve the detection rate and diagnostic accuracy for cleft palate. We aim to introduce a fetal palate screening software based on the “sequential sector scan though the oral fissure”, an effective method for fetal palate screening which was verified by our follow up results and three-dimensional ultrasound and to evaluate its feasibility and clinical practicability. Methods A software was designed and programmed based on “sequential sector scan through the oral fissure” and three-dimensional ultrasound. The three-dimensional ultrasound volume data of the fetal face were imported into the software. Then, the median sagittal plane was taken as the reference interface, the anterior upper margin of the mandibular alveolar bone was selected as the fulcrum, the interval angles, and the number of layers of the sector scan were set, after which the automatic scan was performed. Thus, the sector scan sequential planes of the mandibular alveolar bone, pharynx, soft palate, hard palate, and maxillary alveolar bone were obtained in sequence to display and evaluate the palate. In addition, the feasibility and accuracy of the software in fetal palate displaying and screening was evaluated by actual clinical cases. Results Full views of the normal fetal palates and the defective parts of the cleft palates were displayed, and relatively clear sequential tomographic images and continuous dynamic videos were formed after the three-dimensional volume data of 10 normal fetal palates and 10 cleft palates were imported into the software. Conclusions The software can display fetal palates more directly which might allow for a new method of fetal palate screening and cleft palate diagnosis.

Objective To assess the structural and hemodynamic characteristics of the foramen ovale (FO) in fetuses with late-onset fetal growth restriction (LO-FGR) using three-dimensional (3D) ultrasonography and Doppler imaging, and to examine their associations with Doppler parameters in FGR and composite adverse perinatal outcomes (CAPO). Methods This case-control study included 40 fetuses with LO-FGR and 40 matched controls exhibiting appropriate-for-gestational-age (AGA) between 34 and 37 weeks. FO area was measured using 3D spatio-temporal image correlation (STIC) imaging, and FO width and pulsatility index (PI) were evaluated using 2D and Doppler ultrasonography. FO parameters were compared between the groups, and partial correlation analyses adjusted for gestational age to assess their associations with FGR and CAPO. Additionally, Receiver Operating Characteristic (ROC) curve analysis was conducted to evaluate the predictive value of FO parameters for CAPO within the FGR group. Results FO area ( p  < 0.001), FO width ( p  < 0.001), left atrial (LA) width ( p  = 0.029), FO/LA ratio ( p  < 0.001), and FO/RA ratio ( p  = 0.024) were significantly reduced in the FGR group compared to the controls. Among FGR fetuses, those who developed CAPO had lower FO area ( p  = 0.009), FO width ( p  = 0.001), LA width ( p  = 0.006), FO/LA ratio ( p  < 0.001), and FO/RA ratio ( p  = 0.041). In ROC analysis, the FO/LA ratio exhibited the highest predictive value for predicting CAPO (AUC: 0.851, p  < 0.001). Conclusion Alterations in FO morphology are significantly associated with adverse perinatal outcomes in LO-FGR. The FO/LA ratio may serve as a reliable and noninvasive parameter for risk stratification. Incorporating advanced fetal cardiac morphometry could improve prenatal surveillance in FGR.

Background Early diagnosis of cleft lip and palate (CLP) requires a multiplane examination, demanding high technical proficiency from radiologists. Therefore, this study aims to develop and validate the first artificial intelligence (AI)-based model (CLP-Net) for fully automated multi-plane localization in three-dimensional(3D) ultrasound during the first trimester. Methods This retrospective study included 418 (394 normal, 24 CLP) 3D ultrasound from 288 pregnant woman between July 2022 to October 2024 from Shenzhen Guangming District People’s Hospital during the 11–13 + 6 weeks of pregnancy. 320 normal volumes were used for training and validation, while 74 normal and 24 CLP volumes were used for testing. Two experienced radiologists reviewed three standard lip and palate planes (mid sagittal, retronasal triangle, and maxillary axial planes) as ground truth (GT) and the CLP-Net was developed to locate these planes. Results In normal test set, mean angle(± SD)° and distance(± SD)mm differences were 6.24 ± 4.83, 9.81 ± 5.48, 15.36 ± 18.14 and 0.86 ± 0.72, 1.36 ± 1.15, 1.96 ± 2.35 for MSP ± SD, RTP ± SD and MAP ± SD, NCC and SSIM were 0.931 ± 0.079, 0.819 ± 0.122, 0.781 ± 0.157 and 0.896 ± 0.058, 0.785 ± 0.076, 0.726 ± 0.088 respectively. In the CLP cases, there were 8.61 ± 5.52, 10.67 ± 5.08, 16.91 ± 17.42 and 1.03 ± 1.20, 1.17 ± 1.08, 1.34 ± 0.95 for mean angle and distance in MSP, RTP, and MAP, respectively. NCC and SSIM were 0.876 ± 0.104, 0.803 ± 0.084, 0.793 ± 0.089 and 0.841 ± 0.105, 0.812 ± 0.085, 0.764 ± 0.100, respectively. CLP-Net predictions had a highly visual acceptance rate among radiologists (MSP: 95%, RTP: 70%, MAP: 70%), with improved localization speed 15s(31.3%) for senior radiologists and 63s(38.9%) for junior radiologists. Conclusions CLP-Net accurately locates three planes for CLP screening, aiding radiologists and enhancing the efficiency of ultrasound examinations.

Background Differentiated thyroid cancer (DTC) accounts for the majority of thyroid cancers. The preoperative diagnosis of extrathyroidal extension (ETE) in DTC patients is highly important. However, two-dimensional ultrasound (2D-US) has several limitations in diagnosing ETE. This study aimed to evaluate the efficiency of OmniView of three-dimensional ultrasound (3D-OmniView) in assessing the ETE of DTC patients compared with that of 2D-US. Methods Patients who underwent thyroid surgery for nodules adjacent to the thyroid capsule between February 2016 and January 2018 were prospectively enrolled in this study. Both 2D-US and 3D-OmniView were used to evaluate ETE of thyroid nodules. The definition for ETE in ultrasound images was capsule disruption, or capsule disruption and surrounding tissue invasion. Intraoperative and pathological findings of ETE were considered positive. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), accuracy, and area under the ROC curve (AUC) were calculated. Results A total of 176 DTC nodules from 137 patients were included in this study. ETE was identified in 67.0% of the nodules. The sensitivity, accuracy, NPV and AUC of 3D-OmniView for predicting ETE were significantly greater than those of 2D-US. The sensitivity and specificity of 2D-US and 3D-OmniView were 51.7% and 79.7%, respectively ( P  < 0.001), and 81.0% and 82.8%, respectively ( P  = 0.809). Both 2D-US and 3D-OmniView showed better efficacy in evaluating ETE in nodules > 1 cm than in evaluating ETE in nodules ≤ 1 cm. Conclusion 3D-OmniView was more precise in predicting ETE of DTC nodules than 2D-US. 3D-OmniView is recommended for further evaluation of all thyroid nodules adjacent to the thyroid capsule. ETE was easier to detect by ultrasound for nodules > 1 cm than for nodules ≤ 1 cm.

Crimean-Congo hemorrhagic fever virus (CCHFV) is a tick-borne pathogen that causes severe disease in humans. CCHFV is widely distributed in more than 30 countries and distinct regions, which means that it poses a serious threat to human health. The nucleocapsid protein (NP) encoded by the CCHFV S gene is the primary detectable antigen in infected cells, which makes it an important viral antigen and a clinical diagnostic target. In this study, the modified biosynthetic peptide (BSP) method was used to identify the fine epitopes on the N- and C- terminals of NP from the CCHFV YL04057 strain using rabbit antiserum against CCHFV-NP. Nine epitopes were identified: E1a (178NLILNRGG185), E1b (184GGDENP189), E2 (352PLKWGKK358), E3 (363FADDS367), E4 (399NPDDAA404), E5a (447DIVASEHL454), E5b (452EHLLHQSL459), E6 (464SPFQNAY470) and E7 (475NATSANII482). Western blotting analysis showed that each epitope interacted with the positive serum of sheep that had been naturally infected with CCHFV. Amino acid sequence alignment between each epitope and their homologous proteins showed that they were almost 100% conserved among 12 CCHFV sequences from different lineages, except for epitopes E1a, E1b and E2. Three-dimensional structural modeling analysis showed that all identified epitopes were located on the surface of the NP \"head\" domain. This study identified fine epitopes on the N- and C- terminals of NP, which will increase the understanding of the structure and function of NP, and it could lay the foundation for the design and development of a CCHFV multi-epitope peptide vaccine and detection antigen.