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Real-Time Ultrasound-Computed Tomography Fusion with Volume Navigation to Assess Pancreatic Cystic Lesions

Transabdominal ultrasound is a promising imaging modality for pancreatic cystic lesions. This study aims to determine if transabdominal ultrasonography with CT fusion (TAUS-f) using volume navigation can be used to measure pancreatic cystic lesions (PCLs) compared to CT alone. We evaluated 33 patien...

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Autores principales: Mathew, Manoj, Virarkar, Mayur, Sun, Jia, Thai, Khoan, Saleh, Mohammed, Menendez-Santos, Manuel, Bedi, Deepak, Lee, Jeffrey E., Katz, Matthew, Kundra, Vikas, Bhosale, Priya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10529455/
https://www.ncbi.nlm.nih.gov/pubmed/37754523
http://dx.doi.org/10.3390/curroncol30090608
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author Mathew, Manoj
Virarkar, Mayur
Sun, Jia
Thai, Khoan
Saleh, Mohammed
Menendez-Santos, Manuel
Bedi, Deepak
Lee, Jeffrey E.
Katz, Matthew
Kundra, Vikas
Bhosale, Priya
author_facet Mathew, Manoj
Virarkar, Mayur
Sun, Jia
Thai, Khoan
Saleh, Mohammed
Menendez-Santos, Manuel
Bedi, Deepak
Lee, Jeffrey E.
Katz, Matthew
Kundra, Vikas
Bhosale, Priya
author_sort Mathew, Manoj
collection PubMed
description Transabdominal ultrasound is a promising imaging modality for pancreatic cystic lesions. This study aims to determine if transabdominal ultrasonography with CT fusion (TAUS-f) using volume navigation can be used to measure pancreatic cystic lesions (PCLs) compared to CT alone. We evaluated 33 patients prospectively with known PCLs. The readers evaluated each PCL’s size and imaging characteristics on TAUS-f and CT alone. These were compared to endoscopic ultrasonography reports. A total of 43 PCLs from 32 patients were evaluated. The detection rate by TAUS-f was 93%. Two of the three undetected PCLs were in the tail of the pancreas. Inter-reader variabilities for TAUS-f and CT were 0.005 cm and 0.03 cm, respectively. Subgroup analysis by size and location demonstrated that inter-modality variability between TAUS-f and CT was smallest for lesions < 1.5 cm with a size difference of −0.13 cm for each reader and smallest in the pancreatic head with a size difference of −0.16 cm and −0.17 cm for readers 1 and 2. We found that TAUS-f effectively evaluates PCLs compared to CT alone, thus suggesting that it should be considered part of the surveillance algorithm for a subset of patients.
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spelling pubmed-105294552023-09-28 Real-Time Ultrasound-Computed Tomography Fusion with Volume Navigation to Assess Pancreatic Cystic Lesions Mathew, Manoj Virarkar, Mayur Sun, Jia Thai, Khoan Saleh, Mohammed Menendez-Santos, Manuel Bedi, Deepak Lee, Jeffrey E. Katz, Matthew Kundra, Vikas Bhosale, Priya Curr Oncol Article Transabdominal ultrasound is a promising imaging modality for pancreatic cystic lesions. This study aims to determine if transabdominal ultrasonography with CT fusion (TAUS-f) using volume navigation can be used to measure pancreatic cystic lesions (PCLs) compared to CT alone. We evaluated 33 patients prospectively with known PCLs. The readers evaluated each PCL’s size and imaging characteristics on TAUS-f and CT alone. These were compared to endoscopic ultrasonography reports. A total of 43 PCLs from 32 patients were evaluated. The detection rate by TAUS-f was 93%. Two of the three undetected PCLs were in the tail of the pancreas. Inter-reader variabilities for TAUS-f and CT were 0.005 cm and 0.03 cm, respectively. Subgroup analysis by size and location demonstrated that inter-modality variability between TAUS-f and CT was smallest for lesions < 1.5 cm with a size difference of −0.13 cm for each reader and smallest in the pancreatic head with a size difference of −0.16 cm and −0.17 cm for readers 1 and 2. We found that TAUS-f effectively evaluates PCLs compared to CT alone, thus suggesting that it should be considered part of the surveillance algorithm for a subset of patients. MDPI 2023-09-13 /pmc/articles/PMC10529455/ /pubmed/37754523 http://dx.doi.org/10.3390/curroncol30090608 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Mathew, Manoj
Virarkar, Mayur
Sun, Jia
Thai, Khoan
Saleh, Mohammed
Menendez-Santos, Manuel
Bedi, Deepak
Lee, Jeffrey E.
Katz, Matthew
Kundra, Vikas
Bhosale, Priya
Real-Time Ultrasound-Computed Tomography Fusion with Volume Navigation to Assess Pancreatic Cystic Lesions
title Real-Time Ultrasound-Computed Tomography Fusion with Volume Navigation to Assess Pancreatic Cystic Lesions
title_full Real-Time Ultrasound-Computed Tomography Fusion with Volume Navigation to Assess Pancreatic Cystic Lesions
title_fullStr Real-Time Ultrasound-Computed Tomography Fusion with Volume Navigation to Assess Pancreatic Cystic Lesions
title_full_unstemmed Real-Time Ultrasound-Computed Tomography Fusion with Volume Navigation to Assess Pancreatic Cystic Lesions
title_short Real-Time Ultrasound-Computed Tomography Fusion with Volume Navigation to Assess Pancreatic Cystic Lesions
title_sort real-time ultrasound-computed tomography fusion with volume navigation to assess pancreatic cystic lesions
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10529455/
https://www.ncbi.nlm.nih.gov/pubmed/37754523
http://dx.doi.org/10.3390/curroncol30090608
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