{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T17:27:46Z","timestamp":1793726866344,"version":"4.6.1"},"reference-count":25,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Ultrasound"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Diabetes mellitus is associated with a wide spectrum of macrovascular and microvascular complications affecting multiple organ systems. Ultrasound offers a noninvasive, accessible imaging modality for the early detection of these complications. This systematic review and meta\u2010analysis evaluated the diagnostic role of ultrasound across diabetes\u2010related complications, including nephropathy, neuropathy, hepatic fibrosis, carotid atherosclerosis, plantar fasciitis, and cardiac vascular alterations. Relevant studies were identified from PubMed, Scopus, and the Cochrane Library, supplemented by gray literature, and appraised using the Newcastle\u2013Ottawa Scale. The meta\u2010analysis was performed using Jamovi software in accordance with PRISMA guidelines. Pooled findings demonstrated that the renal resistive index (RI) measured by Doppler ultrasound was significantly elevated in diabetic nephropathy compared with controls. Plantar fascia thickness, peripheral nerve cross\u2010sectional area, and liver stiffness were all significantly greater in diabetic patients than in non\u2010diabetic controls (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.05 across outcomes). Carotid intima\u2010media thickness and vascular resistance parameters were also measurably increased, reflecting early atherosclerotic changes. These results confirm that ultrasound is a versatile and diagnostically valid tool across multiple diabetes\u2010related complication domains, with particular strength in hepatic, neurological, renal, and musculoskeletal assessment. The consistent findings across organ systems support its integration into routine diabetic surveillance. Standardized acquisition protocols and larger prospective studies are needed to consolidate reference ranges and strengthen clinical applicability.\n                  <\/jats:p>","DOI":"10.1002\/jcu.70330","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T04:39:32Z","timestamp":1790051972000},"page":"2269-2277","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Role of Ultrasound in the Evaluation of Diabetics\u2010Related Complication: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1002","volume":"54","author":[{"given":"Yifei","family":"Guo","sequence":"first","affiliation":[{"name":"Department of Endocrinology and Metabolism Guangzhou Panyu District Maternaland Child Health Hospital (Affiliated Hospital Group of Guangdong Medical University Panyu HeXian Memorial Hospital)  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dawei","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Taihe Hospital, Hubei University of Medicine  Shiyan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4136-3189","authenticated-orcid":false,"given":"Xingxing","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Taihe Hospital, Hubei University of Medicine  Shiyan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yulei","family":"Wan","sequence":"additional","affiliation":[{"name":"Department of Radiology, The Sixth Hospital of Wuhan Affiliated Hospital of Jianghan University  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,21]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehx095"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijpmr.ijpmr_60_24"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1538574420965743"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/biomedicines10071487"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.315.7109.629"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc23\u2010SINT"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2015.11.004"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1152\/physrev.00045.2011"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.5005\/jp\u2010journals\u201010066\u20100027"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/hsr2.2004"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.3904\/kjim.2013.28.1.35"},{"issue":"9","key":"e_1_2_10_13_1","first-page":"57","article-title":"Evaluation of Renal Artery Doppler as a Tool to Diagnose Diabetic Nephropathy","volume":"13","author":"Lavanya N.","year":"2024","journal-title":"International Journal of Scientific Research"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc23\u2010S002"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2021.731187"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1259\/bjr.20200173"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.164.2.7839974"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.4081\/or.2019.8364"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40477\u2010016\u20100201\u2010x"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.115.05536"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1590\/0100\u20103984.2022.0020"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJGM.S434182"},{"key":"e_1_2_10_24_1","unstructured":"Wells G. 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