Journal of Medical Ultrasound RSS feed: Articles in Press. The Journal of Medical Ultrasound is the peer-reviewed publication of the Asian Federation of Societies for Ultrasound in Medicine and Biology, and the Chinese Taipei Society of Ultrasound in Medicine. Its aim is to promote clinical and scientific research in ultrasonography, and to serve as a channel of communication among sonologists, sonographers, and medical ultrasound physicians in the Asia-Pacific region and wider international community. The Journal invites original contributions relating to the clinical and laboratory investigations and applications of ultrasonography. http://www.jmu-online.com//inpress?rss=yesElsevier Inc.en © 2012 Published by Elsevier Inc. Journal of Medical Ultrasound0929-64412012-02-20 © 2012 Published by Elsevier Inc. healthpermissions@elsevier.comhttp://www.jmu-online.com/article/PIIS0929644112000021/abstract?rss=yesBreast cancer (BC) has become a global disease among women. Cost-effective strategies in reducing mortality caused by BC are highly desirable. Here, we suggest a working program based on an overall evaluation of the shortcomings and advantages of the current strategy for BC screening in Taiwan. From 1995 to 2002, cervical cancer was the most frequent cancer in women in Taiwan. However, invasive BC has moved from the second-most to the most frequent cancer since 2003. The incidence of BC increased by 14.69% between 2003 and 2008. In the same time interval, the incidence of cervical cancer decreased by 4.59%. Age analysis for BC incidence showed that 11% were at a relatively young age (30–39 years) and the peak incidence was in the group aged 40–49 years. Furthermore, only 31% of patients were at stage I according to data for newly diagnosed patients at National Taiwan University Hospital for 2004–2009. With the increase in pregnancy at an advanced maternal age, obstetrician–gynecologists should be alert to the possibility of coexisting BC and pregnancy. To facilitate early detection of BC, a campaign for “Three points examined together” should be implemented. Obstetrician–gynecologists should perform breast examination including palpation and ultrasound examination at the same time as the annual Pap smear. Mammography should be performed every 2–3 years or when indicated. If suspicious lesions are found, patients should be referred to a breast imaging laboratory, where a definitive diagnosis can be established. For confirmed cases of BC, appropriate surgery, chemotherapy and radiotherapy should be provided. In short, active participation of obstetrician–gynecologists is a must in the campaign against BC in Taiwan.Strategy for Breast Cancer Screening in Taiwan: Obstetrician–Gynecologists Should Actively Participate in Breast Cancer Screening - Corrected ProofLi-Yun Chang, Ya-Ling Yang, Ming-Kwang Shyu, Hsiao-Lin Hwa, Fon-Jou Hsieh10.1016/j.jmu.2012.01.001Journal of Medical Ultrasound (2012)2012-02-20Journal of Medical Ultrasound2012-02-20REVIEW ARTICLEhttp://www.jmu-online.com/article/PIIS0929644112000045/abstract?rss=yesAccurate distinction of internal carotid artery (ICA) severe stenosis from occlusion in patients with acute stroke is crucial because carotid revascularization may reduce the risk of recurrent stroke. We report a 68-year-old man who had acute onset of right hemiparesis and hemiparesthesia. Head magnetic resonance imaging (MRI) on the first day and computed tomography (CT) angiography the next day showed total occlusion or pseudo-occlusion of the left ICA. However, carotid ultrasonography at around the same time clearly demonstrated focal severe stenosis of the left ICA orifice and catheter carotid angiography later confirmed the findings. The patient received angioplasty and stenting of the left ICA 3 weeks after stroke, and his follow-up course was uneventful. The case report highlights the value of carotid ultrasonography in distinguishing critical stenosis from occlusion of the carotid artery in patients with acute ischemic stroke.Distinguishing Critical Stenosis from Occlusion of the Internal Carotid Artery by Carotid Duplex in a Patient with Acute Ischemic Stroke - Corrected ProofKai-Hsiang Chen, Chi-Chao Chao, Sung-Chun Tang, Jiann-Shing Jeng10.1016/j.jmu.2012.01.003Journal of Medical Ultrasound (2012)2012-02-20Journal of Medical Ultrasound2012-02-20CASE REPORT