Evaluation of real-time qualitative sonoelastography of focal lesions in the parotid and submandibular glands: applications and limitations.
Objective: To evaluate qualitative ultrasound elastography for focal salivary gland masses identified during routine clinical practice.Methods: Sixty-five parotid or submandibular masses in 61 patients underwent real-time qualitative ultrasound elastography and were scored on colour-scaled elastogra...
| Publicado en: | European Radiology Vol. 20; no. 8; pp. 1958 - 1965 |
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| Autores principales: | , , , , , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Springer Nature
Aug2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104912184&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104912184 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09387994 NPH jtl: European Radiology issn: 09387994 maglogo: N pubinfo: dt: Aug2010 vid: 20 iid: 8 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 104912184 51989457 NLM20407904 2010710007 10.1007/s00330-010-1756-0 NLM20407904 104912184 ppf: 1958 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Evaluation of real-time qualitative sonoelastography of focal lesions in the parotid and submandibular glands: applications and limitations. aug: au: Bhatia KS Rasalkar DD Lee YP Wong KT King AD Yuen HY Ahuja AT Bhatia, Kunwar S S Rasalkar, Darshana D Lee, Yim-Ping Wong, Ka-Tak King, Ann D Yuen, Hok-Yuen Ahuja, Anil T affil: Department of Diagnostic Radiology and Organ Imaging, Faculty of Medicine, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong, SAR China sug: subj: Ultrasonography Methods Parotid Gland Ultrasonography Parotid Neoplasms Ultrasonography Submandibular Gland Ultrasonography Salivary Gland Neoplasms Ultrasonography Adolescence Adult Aged Aged, 80 and Over Computer Systems Female Human Male Middle Age Reproducibility of Results Sensitivity and Specificity Young Adult Adolescent: 13-18 years Adult: 19-44 years Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years Female Male ab: Objective: To evaluate qualitative ultrasound elastography for focal salivary gland masses identified during routine clinical practice.Methods: Sixty-five parotid or submandibular masses in 61 patients underwent real-time qualitative ultrasound elastography and were scored on colour-scaled elastograms in terms of their stiffness relative to adjacent normal salivary parenchyma from ES 1 (soft) to ES 4 (stiff). This was correlated with diagnosis from aspiration cytology or histology.Results: There were 29 Warthin's tumours (WTs), 23 pleomorphic adenomas (PAs), 2 adenoid cystic carcinomas, 1 adenosquamous carcinoma, 1 nodal metastasis from nasopharyngeal carcinoma, 1 lymphoma (2 deposits), 3 Kuttner tumours and 4 cases of Kimura's disease. ES scores showed clustering according to pathological condition. In this respect, PAs were firmer than WTs (P < 0.004, Fisher's exact test). Nine, 19, 14 and 17 of the benign masses and 0, 1, 2 and 3 of the malignant masses were ES 1, 2, 3 and 4 respectively. All three primary salivary malignancies were ES 4 compared with 1/29 WTs and 16/23 PAs.Conclusion: These preliminary findings suggest that qualitative real-time ultrasound elastography, although an ancillary technique to conventional ultrasound in the salivary glands, is likely to have a poor ability to discriminate benign lesions (particularly PAs) from malignant disease. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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