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B-Mode and Elastosonographic Evaluation to Determine the Reference Elastosonography Values for Cervical Lymph Nodes
Background. It is crucial to differentiate between reactive and malignant lymphadenopathies. Elastosonography measures the elasticity of the tissue. Having a reference value for benign lymph nodes (LNs) is important in interpretation. The purpose of this study is to determine the reference elastoson...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4045529/ https://www.ncbi.nlm.nih.gov/pubmed/24967290 http://dx.doi.org/10.5402/2013/895287 |
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author | Kurt, Aydin Gunes Tatar, Idil Ipek, Ali Hekimoglu, Baki |
author_facet | Kurt, Aydin Gunes Tatar, Idil Ipek, Ali Hekimoglu, Baki |
author_sort | Kurt, Aydin |
collection | PubMed |
description | Background. It is crucial to differentiate between reactive and malignant lymphadenopathies. Elastosonography measures the elasticity of the tissue. Having a reference value for benign lymph nodes (LNs) is important in interpretation. The purpose of this study is to determine the reference elastosonography values of cervical LNs. Methods. 97 LNs were evaluated by B-mode and elastosonography. Depth, length, width, length to width ratio, hilar-cortical thickness, strain ratio, and elasticity scores were measured. Results. In 18.6% of the cervical LNs cortical thickness was less than the hilar thickness (group A) and in 81.4% it was equal or more (group B). 69.1% of LNs showed strain ratio (SR) less than 3 (group 1) and 30.9% equal to or more than 3 (group 2). 33% of LNs displayed elasticity score (ES) 1; 30.9% ES 2; 22.7% ES 3, and 13.4% ES 4. There was a significant correlation between thickness ratios and elasticity scores (P: 0.011). A significant correlation was also demonstrated between SR groups and elasticity scores. Conclusion. A simple, reproducible, noninvasive imaging technique for diagnosis of malignant LNs is necessary. Elastosonography can aid in the differentiation of benign versus malignant cervical LNs, thus help reduce the number of unnecessary biopsies for benign processes. |
format | Online Article Text |
id | pubmed-4045529 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-40455292014-06-25 B-Mode and Elastosonographic Evaluation to Determine the Reference Elastosonography Values for Cervical Lymph Nodes Kurt, Aydin Gunes Tatar, Idil Ipek, Ali Hekimoglu, Baki ISRN Radiol Clinical Study Background. It is crucial to differentiate between reactive and malignant lymphadenopathies. Elastosonography measures the elasticity of the tissue. Having a reference value for benign lymph nodes (LNs) is important in interpretation. The purpose of this study is to determine the reference elastosonography values of cervical LNs. Methods. 97 LNs were evaluated by B-mode and elastosonography. Depth, length, width, length to width ratio, hilar-cortical thickness, strain ratio, and elasticity scores were measured. Results. In 18.6% of the cervical LNs cortical thickness was less than the hilar thickness (group A) and in 81.4% it was equal or more (group B). 69.1% of LNs showed strain ratio (SR) less than 3 (group 1) and 30.9% equal to or more than 3 (group 2). 33% of LNs displayed elasticity score (ES) 1; 30.9% ES 2; 22.7% ES 3, and 13.4% ES 4. There was a significant correlation between thickness ratios and elasticity scores (P: 0.011). A significant correlation was also demonstrated between SR groups and elasticity scores. Conclusion. A simple, reproducible, noninvasive imaging technique for diagnosis of malignant LNs is necessary. Elastosonography can aid in the differentiation of benign versus malignant cervical LNs, thus help reduce the number of unnecessary biopsies for benign processes. Hindawi Publishing Corporation 2013-08-07 /pmc/articles/PMC4045529/ /pubmed/24967290 http://dx.doi.org/10.5402/2013/895287 Text en Copyright © 2013 Aydin Kurt et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Study Kurt, Aydin Gunes Tatar, Idil Ipek, Ali Hekimoglu, Baki B-Mode and Elastosonographic Evaluation to Determine the Reference Elastosonography Values for Cervical Lymph Nodes |
title | B-Mode and Elastosonographic Evaluation to Determine the Reference Elastosonography Values for Cervical Lymph Nodes |
title_full | B-Mode and Elastosonographic Evaluation to Determine the Reference Elastosonography Values for Cervical Lymph Nodes |
title_fullStr | B-Mode and Elastosonographic Evaluation to Determine the Reference Elastosonography Values for Cervical Lymph Nodes |
title_full_unstemmed | B-Mode and Elastosonographic Evaluation to Determine the Reference Elastosonography Values for Cervical Lymph Nodes |
title_short | B-Mode and Elastosonographic Evaluation to Determine the Reference Elastosonography Values for Cervical Lymph Nodes |
title_sort | b-mode and elastosonographic evaluation to determine the reference elastosonography values for cervical lymph nodes |
topic | Clinical Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4045529/ https://www.ncbi.nlm.nih.gov/pubmed/24967290 http://dx.doi.org/10.5402/2013/895287 |
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