I´m delighted to see that my dermatologic ultrasound books and their translations are now available in English, Spanish, Portuguese, Chinese, Korean, and very soon in Russian and Turkish @xworts @sonoskin

How much of a skin disease remains invisible to the clinical examination? I recently had the pleasure of speaking with Dr. Carla Torres, pediatric dermatologist at Children’s Hospital Colorado, on the podcast” Pediatras en Línea” about the clinical impact of dermatologic ultrasound. Our conversation explored how high-frequency and ultra-high-frequency ultrasound, together with color Doppler, can complement the clinical examination by revealing structural and vascular changes beneath the skin. We discussed applications in hidradenitis suppurativa, pediatric dermatology, vascular anomalies, skin tumors, and aesthetic complications, as well as the importance of standardized scanning protocols and appropriate training. One of the most rewarding aspects of working in this field for more than two decades has been seeing dermatologic ultrasound develop into a growing international and multidisciplinary community. The real objective remains the same: translating imaging findings into better clinical decisions and patient care. Listen to the 🎧 Original Spanish-language podcast on Spotify:
open.spotify.com/episode/2i9… My thanks to Dr. Carla Torres , Ms Vanessa Bernal, and the Pediatras en Línea team for the kind invitation and engaging discussion. #DermatologicUltrasound #PediatricDermatology #HidradenitisSuppurativa #Radiology #Dermatology #MedicalImaging

Very honored to be recognized among the Top Board Reviewers of the Journal of Ultrasound in Medicine (JUM)! 🌟 With 43 manuscript reviews, I am delighted to be ranked #2 among the journal’s top Board reviewers across all areas of ultrasound. As a reviewer in the dermatologic ultrasound section, I work alongside other reviewers to help advance this growing field and enhance the scientific quality of the manuscripts submitted for publication. It is particularly rewarding to contribute to the continued development and recognition of dermatologic ultrasound within the broader ultrasound community. Peer review is an essential—and often unseen—part of academic work. It is a privilege to contribute to maintaining the scientific quality of our field, while also having the opportunity to learn from the innovative research being developed by colleagues around the world. Congratulations to my fellow top reviewers Erik Su, Greggory R. DeVore, Giovanna Ferraioli, and Ulysses Torres, and to the 41 Board members who completed at least 10 reviews. Thank you to the Journal of Ultrasound in Medicine and AIUM for this recognition and for the opportunity to contribute to our ultrasound community. Scientific publishing is a collective effort, and I am very happy to play a part in it. 🔬📚 #JournalOfUltrasoundInMedicine #JUM #AIUM #Ultrasound #MedicalUltrasound #DermatologicUltrasound #PeerReview #ScientificResearch #MedicalResearch #AcademicMedicine #MedicalImaging #Research @AIUMultrasound @sonoskin

📢 Honored to Be Featured in Medscape Dermatology!

I am delighted to share that Medscape Medical News has published an article highlighting the growing role of ultrasound in the management of hidradenitis suppurativa (HS), featuring my work and contributions to this field.

The article discusses how dermatologic ultrasound is transforming the diagnosis, staging, treatment planning, surgical mapping, and monitoring of HS by revealing disease activity and severity that may not be fully appreciated through clinical examination alone.

I am particularly grateful that the article recognized several milestones from our research, including:
• The development of the sonographic scoring systems for HS (SOS-HS and mSOS-HS).
• The demonstration that ultrasound frequently changes clinical staging and therapeutic management.
• The contribution of ultra-high-frequency ultrasound in detecting early and subtle disease abnormalities.
• Our international efforts to establish consensus recommendations for the use of ultrasound in HS.

It is especially rewarding to see dermatologic ultrasound gaining increasing international recognition and adoption, helping clinicians provide more precise and personalized care for patients living with HS.

Many thanks to Medscape Medical News, Christine Kilgore, Dr. Iltefat Hamzavi, Dr. Hadar Lev-Tov, and all colleagues worldwide who continue advancing imaging research in hidradenitis suppurativa.

Together, we continue to build the evidence supporting ultrasound as an essential tool in HS management. Link: medscape.com/viewarticle/cas…

#HidradenitisSuppurativa #Ultrasound #DermatologicUltrasound #MedicalImaging #HS #Dermatology #Radiology #SkinUltrasound #MedicalResearch @Medscape

📚✨ Excited to share our new publication!
Proud to have collaborated as a co-author in the review article:
"New Frontiers of Skin Ultrasound in Precision Medicine"
published in Ultrasound in Medicine & Biology.
This comprehensive review explores the expanding role of high-frequency and ultra-high-frequency ultrasound in dermatology and aesthetic medicine, highlighting its applications in:

🔹 Skin cancer assessment and surgical planning (melanoma, basal cell carcinoma, squamous cell carcinoma)
🔹 Hidradenitis suppurativa diagnosis, staging, and monitoring
🔹 Psoriasis and psoriatic arthritis evaluation
🔹 Systemic sclerosis and morphea assessment
🔹 Benign skin tumors and cutaneous metastases
🔹 Cosmetic fillers and management of aesthetic complications
🔹 Emerging applications of artificial intelligence in skin imaging

Skin ultrasound is increasingly becoming an essential tool for precision medicine, providing real-time, non-invasive, and high-resolution evaluation that supports diagnosis, treatment decisions, and patient follow-up.

Congratulations to all the co-authors on this collaborative work!

#SkinUltrasound #DermatologicUltrasound #HighFrequencyUltrasound #PrecisionMedicine #Dermatology #ArtificialIntelligence #HidradenitisSuppurativa #Psoriasis #Melanoma #SkinCancer 
Reference Tiu D, Wortsman X, Scurtu LG, Simionescu O. New Frontiers of Skin Ultrasound in Precision Medicine. Ultrasound Med Biol. 2026 Jun 12:S0301-5629(26)00201-2. doi: 10.1016/j.ultrasmedbio.2026.05.015. Epub ahead of print. PMID: 42285862. @xworts @sonoskin

🌍 Proud to be a co-author of the recently published article:

“Criteria for Hidradenitis Suppurativa Competence Centers”

This international Delphi consensus study brings together global experts, patient representatives, and multidisciplinary leaders in hidradenitis suppurativa (HS) to establish the first evidence-based criteria for HS Competence Centers (HSCC).

The publication highlights the importance of:
✔️ Multidisciplinary care
✔️ Standardized protocols and evidence-based management
✔️ Early diagnosis and timely referral
✔️ Specialized surgical and imaging support
✔️ Continuous medical education and patient-centered care
✔️ International collaboration networks

I am especially pleased to contribute to the discussions regarding imaging and the role of ultrasound within specialized HS multidisciplinary teams, reinforcing the growing importance of imaging techniques in optimizing diagnosis, severity assessment, treatment planning, and monitoring in HS.

This work represents an important step toward improving the quality and standardization of care for patients living with HS worldwide. Reference: Marzano AV, Bechara FG, Shi VY, Martorell A, Hsiao JL, Van der Zee HH, Villani AP, Alavi A, Ingram JR, Sayed CJ, Tzellos T, Chandran NS, Ju Q, Kurokawa I, Frew JW, Gulliver WPF, Rivitti-Machado MC, Wortsman X, McGrath BM, Pintori G, Jordan V, Thomas N, Alarcon I, Zouboulis CC. Criteria for Hidradenitis Suppurativa Competence Centers. Dermatol Ther (Heidelb). 2026 May 23. doi: 10.1007/s13555-026-01783-1. Epub ahead of print. PMID: 42176118. Link: pubmed.ncbi.nlm.nih.gov/4217…

#HidradenitisSuppurativa #HS #Dermatology #Ultrasound #DermatologicUltrasound #MedicalImaging #InflammatorySkinDiseases #PatientCare @sonoskin

✨ Excited to share our new publication in the Journal of Ultrasound in Medicine! ✨

“Dynamic Color Doppler Ultrasound Features of Cutaneous Mastocytoma at High and Ultra-High Frequency.”

This study explored dynamic ultrasound changes incutaneous mastocytoma before and after a gentle friction maneuver, demonstrating that high- and ultra-high-frequency color Doppler ultrasound can reveal increased dermal thickening and hypervascularity that may support the diagnosis of these lesions.

Among the highlights of the study:
🔹 Dynamic increase in dermal vascularity after friction maneuver
🔹 Detection of hypoechoic dermal thickening at high and ultra-high frequency
🔹 Potential role of ultrasound as a non-invasive support tool for early diagnosis and management
🔹 Largest case series to date evaluated with high and ultra-high frequency ultrasound

Very proud to collaborate with this outstanding international team and continue contributing to the advancement of dermatologic ultrasound and innovative imaging applications in skin diseases.

Congratulations to all coauthors for this important contribution! Reference: Sechi A, Tagliati C, Marzano AV, Dini V, Oranges T, Wortsman X. Dynamic Color Doppler Ultrasound Features of Cutaneous Mastocytoma at High and Ultra-High Frequency. J Ultrasound Med. 2026 May 22. doi: 10.1002/jum.70309. Link: onlinelibrary.wiley.com/doi/…

#DermatologicUltrasound #Ultrasound #ColorDoppler #Mastocytoma #CutaneousMastocytosis #SkinImaging #Radiology #Dermatology #HighFrequencyUltrasound #UltraHighFrequencyUltrasound #Innovation #MedicalImaging @xworts @sonoskin

Excited to share our review article:
“High‑frequency ultrasound in genodermatoses” in the Journal of Ultrasound led by Dr Farooq and Dr. Tagliati

Genodermatoses are a heterogeneous group of inherited skin diseases that may show variable expression and delayed clinical manifestations, which makes early diagnosis challenging.

High‑frequency ultrasound (HFUS) is a powerful non‑invasive imaging modality capable of visualizing the epidermis, dermis and hypodermis and detecting pathological changes not visible on clinical examination.

🔬 Key Advantages of HFUS
🧬 Early detection of inherited skin disorders
🔎 Identification of subclinical skin changes
📊 Objective monitoring of disease progression
📈 Evaluation of treatment response
🧠 Integration with dermoscopy, OCT and confocal microscopy

Proud to collaborate with an outstanding international team advancing the field of dermatologic ultrasound and generate the first review on the support of ultrasound in genodermatosis.

#Dermatology #DermatologicUltrasound #HFUS #Genodermatoses #SkinImaging #ultrasound 
📖 Citation:
Farooq SMY, Tagliati C, Moazzam M, Corvino A, Niazi Y, Cocco G, Mlosek RK, Simonetti O, 
Asif MF, Wortsman X, Bilal S. High‑frequency ultrasound in genodermatoses. Journal of Ultrasound. 2026.doi.org/10.1007/s40477-026-0…   Link: pubmed.ncbi.nlm.nih.gov/4180…

✨ Paris · January 2026 🇫🇷 ✨ I’m very happy to share my participation in the Ultrasound in Aesthetics IMCAS Course (January 28–31) and the ThinkIn Course (January 26–27) held in Paris. It was a privilege to be part of these high-level educational courses during IMCAS, where ultrasound was highlighted as a key tool for safer, more precise, and evidence-based aesthetic practice. These courses reinforced how essential ultrasound is to see before we treat: understanding anatomy in real time, managing complex cases and complications, and ultimately improving patient safety and outcomes in aesthetic medicine. Grateful for the inspiring discussions, outstanding faculty, and the opportunity to share and learn alongside colleagues from all over the world. Paris was, as always, the perfect setting for science and innovation. 🖤🔍 #IMCAS2026 #UltrasoundInAesthetics #ThinkInCourse #AestheticUltrasound #DermatologicUltrasound #ImageGuidedAesthetics #PatientSafety #Paris #MedicalEducation #Innovation @xworts @sonoskin

I’m very pleased to share our recently published case demonstrating the first reported ultrasound image ofa shagreen patch in Tuberous SclerosisComplex 🙌 Using high-frequency dermatologic ultrasound, wewere able to visualize characteristic dermal thickening and decreased echogenicity, providingnew insight into this important cutaneous sign. Thisreport reinforces how ultrasound can enhancedermatologic diagnosis and deepen our understandingof rare genodermatoses. 🧠 Why it matters:
Shagreen patch is one of the major diagnostic criteriaof Tuberous Sclerosis Complex. Until now, itscharacteristics had never been documented withultrasound. This opens new possibilities for non-invasive assessment and improved clinicalcharacterization. 📄 Read the article here: Diagnostics (2025) — Shagreen Patch in Tuberous Sclerosis Complex at High-Frequency Ultrasound
Authors: Corrado Tagliati & Ximena Wortsman 🔍 Advancing dermatologic ultrasound, one step at a time! Reference: Tagliati C, Wortsman X. Shagreen Patch in Tuberous Sclerosis Complex at High-FrequencyUltrasound. Diagnostics (Basel). 2025 Dec12;15(24):3168. doi: 10.3390/diagnostics15243168. PMID: 41464169; PMCID: PMC12731642. @xworts @sonoskin #dermatologicultrasound

I’m delighted to share that our recent research on the usefulness of color Doppler ultrasound to detect vascular occlusions caused by cosmetic filler injections has been featured on the BBC London website. 👉 bbc.com/news/articles/c773n3… The BBC coverage highlights how ultrasound can play a decisive role in the early identification of vascular compromise, a rare but potentially severe complication that can lead to tissue damage or even vision loss. By visualizing filler placement and evaluating blood flow in real time, ultrasound adds a crucial layer of safety to aesthetic procedures. I’m truly honored to have contributed to this multicentric study, working with a remarkable international team alongside the lead investigator, our dear colleague Dr. Rosa Sigrist (Brazil), and with our dear colleagues Dr. Cristina Chammas (Brazil), Dr. Fernanda Cavallieri (Brazil), Dr. Claudia Gonzalez (Colombia), and Dr. Leonie Schelke (The Netherlands). Our collaborative effort reflects a shared commitment to advancing safer, image-guided aesthetic medicine. This research was just presented at the RSNA (Radiological Society of North America) Annual Meeting 2025 in Chicago—an important milestone for the field of radiology. This recognition by the BBC and RSNA reinforces a key message: 🔍 Ultrasound is not merely an adjunct tool in aesthetic medicine—it is an essential safety instrument that enables us to visualize fillers, identify risks, and protect patients. @xworts @sonoskin

✨ Honored to be featured in the newspaper El Mercurio (Chile) for our international project on Artificial Intelligence for the discriminating cosmetic fillers on ultrasound.
Together with colleagues from Spain and an interdisciplinary and international team of radiologists, dermatologists, computer scientists, and imaging experts, we developed an AI-based system capable of automatically distinguishing the most common types of cosmetic fillers on ultrasound. 
🔍 Why is this important?
As aesthetic procedures rise worldwide, many patients present with multiple substances—often without knowing exactly what was injected. This complicates diagnosis and treatment, especially when managing adverse events. 
Our AI tool seeks to support physicians by:
• Automatically identifying the most common filler materials
• Improving the diagnostic workflow for complications
• Helping guide safer interventions and personalized treatment plans
• Standardizing evaluations across different centers and ultrasound systems 
🧠 This is the first initiative to combine high-frequency ultrasound with artificial intelligence deep learning to improve safety for users of cosmetic fillers. The project analyzed thousands of images from multiple countries and across several ultrasound platforms, ensuring broad clinical applicability. 
This work reflects years of research on imaging of fillers and is a step toward creating robust, reliable tools that assist specialists in everyday practice—and ultimately improve patient care.
We are grateful to the entire international team and excited about the next phase, as we continue to refine the algorithm and expand its capabilities. 
📄 Full article available in the section Innovation of El Mercurio, Chile. 
Article Published in the Journal of Ultrasound in Medicine 
Reference:
Wortsman X, Lozano M, Rodriguez FJ, Valderrama Y, Ortiz-Orellana G, Zattar L, de Cabo F, Ducati E, Sigrist R, Fontan C, Rezende J, Gonzalez C, Schelke L, Zavariz J, Barrera P, Velthuis P. Artificial Intelligence Deep Learning Ultrasound Discrimination of Cosmetic Fillers: A Multicenter Study. J Ultrasound Med. 2025 Sep 29. doi: 10.1002/jum.70079. Link to Article :onlinelibrary.wiley.com/doi/… @xworts @sonoskin @elmercurioec @AIUMultrasound

🌍 The Tremendous Importance and Impact of Guidelines and Standardized Protocols in Dermatologic Ultrasound 💡📖 I´m glad to share this article, recently published in the Journal of Ultrasound in Medicine, that emphasizes the following points: - Dermatologic ultrasound differs from conventional soft tissue ultrasound—integrating clinical evaluation, color/power Doppler, spectral analysis, and high-to ultra-high-frequency technology to visualize skin structures in unparalleled detail. -Evidence-based guidelines and standardized examination protocols are transforming dermatologic ultrasound into a mature and structured imaging subspecialty. 🖋️ From inflammatory diseases to oncology, nail disorders, and aesthetics, standardized protocols ensure: 
✅ Higher diagnostic accuracy and reproducibility
✅ Improved therapeutic decisions through subclinical detection
✅ Enhanced collaboration between dermatologists and radiologists
✅ Precise cost estimation and time allocation of the ultrasound examinations for real-world practice 🔗 Read more in the Journal of Ultrasound in Medicine Reference: Wortsman, X. (2025), The Tremendous Importance and Impact of Guidelines and Standardized Protocols in Dermatologic Ultrasound. J Ultrasound Med. doi.org/10.1002/jum.70093 #DermatologicUltrasound #Guidelines #Protocols #Standardization #HighFrequencyUltrasound #UHFUS #SkinImaging #Dermatology #UltrasoundEducation #ImagingStandards @xworts @sonoskin @AIUMultrasound

Just Published!!! 🌍✨ International Multicenter Study Published on Artificial Intelligence Deep Learning Ultrasound Discrimination of Cosmetic Fillers We are proud to share the results of an international collaborative study exploring the use of artificial intelligence (AI) and deep learning (YOLOv11) to discriminate cosmetic fillers on dermatologic ultrasound (US) in the Journal of Ultrasound in Medicine. 🔹 Study Highlights: Conducted by 14 physicians across 6 countries. Dataset: 1,432 ultrasound images of hyaluronic acid (HA), polymethylmethacrylate (PMMA), calcium hydroxyapatite (CaHA), and silicone oil (SO). AI achieved an average accuracy of 92%, with outstanding performance for HA (F1 score 0.96) and SO (F1 score 0.94). Further work is needed to refine AI recognition of CaHA and PMMA. 🔬 This is the first study to demonstrate AI’s role in supporting the reliable discrimination of cosmetic fillers on ultrasound under real-world conditions. 🤝 Special thanks to all international collaborators and institutions who made this research possible. More info at: Wortsman X, Lozano M, Rodriguez FJ, Valderrama Y, Ortiz-Orellana G, Zattar L, de Cabo F, Ducati E, Sigrist R, Fontan C, Rezende J, Gonzalez C, Schelke L, Zavariz J, Barrera P, Velthuis P. Artificial Intelligence Deep Learning Ultrasound Discrimination of Cosmetic Fillers: A Multicenter Study. J Ultrasound Med. 2025 Sep 29. doi: 10.1002/jum.70079. Epub ahead of print. PMID: 41024593. Journal Link: onlinelibrary.wiley.com/doi/… Pubmed link is:pubmed.ncbi.nlm.nih.gov/4102… @xworts @sonoskin @AIUMultrasound #artificialintelligence #dermatologicultrasound #ultrasound #dermatology #fillers #aesthetic

I am truly honored and grateful for the invitation to Sonoderm 2025 in Bucharest, Romania. It was a wonderful experience to share my knowledge in dermatologic ultrasound with outstanding colleagues, while also discovering Bucharest for the first time—a fantastic city with beautiful parks and elegant architecture. We were fortunate to enjoy exceptional guided tours led by Prof. Olga Simionescu. My heartfelt thanks to Prof. Dr. Maria Crișan, Prof. Dr. Radu Badea, Prof. Dr. Diana Crișan, and Prof. Dr. Olga Simionescu for their kind hospitality. It was also a joy to reconnect and share with dear colleagues and friends: Prof. Dr. Fernando Alfageme, Dr. Claudia Gonzalez, Dr. Orlando Catalano, and Dr. Valentina Dini.  @xworts @sonoskin