{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T23:05:58Z","timestamp":1773702358381,"version":"3.50.1"},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T00:00:00Z","timestamp":1718755200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T00:00:00Z","timestamp":1718755200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e0 degli Studi di Roma La Sapienza"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Ultrasound"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>The aim of this paper is to show how to improve diagnostic accuracy using CDUS and twinkling artifact in patients experiencing discomfort due to the presence of small FBs in the soft tissues not clearly visible at US grayscale examination.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Materials and methods<\/jats:title>\n                <jats:p>We enrolled 7 adult patients presenting with small (2\u20134\u00a0mm) superficial FBs located in the subcutaneous and muscle tissues, barely or not detectable on US grayscale. All patients underwent US grayscale and CDUS examinations.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>We identified superficial FB with twinkling artifact in all 7 patients. All of these were confirmed to represent foreign bodies after surgical excision.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>TA is useful in the evaluation of subcutaneous and muscular FBs and provides information on their location, depth and shape, which is useful if surgical excision is required.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s40477-023-00861-w","type":"journal-article","created":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T13:04:42Z","timestamp":1718802282000},"page":"1003-1007","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Unusual application of twinkling artifact"],"prefix":"10.1007","volume":"27","author":[{"given":"Francesco M.","family":"Drudi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Maroncelli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Flavia","family":"Angelini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maurizio","family":"Renda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gianluca","family":"Maglia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michele","family":"Bertolotto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vito","family":"Cantisani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,6,19]]},"reference":[{"key":"861_CR1","doi-asserted-by":"publisher","first-page":"269","DOI":"10.1148\/radiology.199.1.8633158","volume":"199","author":"A Rahmouni","year":"1996","unstructured":"Rahmouni A, Bargoin R, Herment A et al (1996) Color Doppler twinkling artifact in hyperechoic regions. Radiology 199:269\u2013271","journal-title":"Radiology"},{"key":"861_CR2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1148\/radiology.177.1.2204956","volume":"177","author":"DG Mitchell","year":"1990","unstructured":"Mitchell DG (1990) Color Doppler imaging: principles, limitations, and artifacts. Radiology 177:1\u201310","journal-title":"Radiology"},{"key":"861_CR3","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1002\/(SICI)1097-0096(199910)27:8<433::AID-JCU4>3.0.CO;2-1","volume":"27","author":"SK Aytac","year":"1999","unstructured":"Aytac SK, Ozcan H (1999) Effect of color Doppler system on the twinkling sign associated with urinary tract calculi. J Clin Ultasound 27:433\u2013439","journal-title":"J Clin Ultasound"},{"key":"861_CR4","doi-asserted-by":"publisher","first-page":"215","DOI":"10.2214\/ajr.180.1.1800215","volume":"180","author":"A Kamaya","year":"2003","unstructured":"Kamaya A, Tuthill T, Rubin JM (2003) Twinkling artifact on color Doppler sonography: dependence on machine parameters and underlying cause. AJR Am J Roentgenol 180:215\u2013222","journal-title":"AJR Am J Roentgenol"},{"key":"861_CR5","unstructured":"Granata A, Fiorini F, D\u2019Amelio A, et al. L\u2019ecocolordoppler nella pratica clinica nefrologica. Vol. 1. Milano: Ed. AccademiaNazionale di Medicina 2009, pp 163\u20135"},{"key":"861_CR6","first-page":"197","volume":"1","author":"A Herment","year":"1994","unstructured":"Herment A, Guglielmi JP (1994) Principles of colour imaging of blood flows. EurUltrasound 1:197\u2013204","journal-title":"EurUltrasound"},{"key":"861_CR7","first-page":"272","volume":"19","author":"ML Glica","year":"2017","unstructured":"Glica ML, Chirila CN, Podeanu DM et al (2017) Twinkle, twinkle little stone: an artifact improves the ultrasound performance. MedUltrason 19:272\u2013275","journal-title":"MedUltrason"}],"container-title":["Journal of Ultrasound"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s40477-023-00861-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s40477-023-00861-w\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s40477-023-00861-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,22]],"date-time":"2024-10-22T08:04:29Z","timestamp":1729584269000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s40477-023-00861-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,19]]},"references-count":7,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["861"],"URL":"https:\/\/doi.org\/10.1007\/s40477-023-00861-w","relation":{},"ISSN":["1876-7931"],"issn-type":[{"value":"1876-7931","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,19]]},"assertion":[{"value":"28 November 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 December 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 June 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Informed consent for publication of the images was obtained from all individual participants included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to publish"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}