CLINICAL EVALUATION OF REAL-TIME TISSUE ELASTOGRAPHY (RTE) FOR THE DIFFERENTIAL DIAGNOSIS OF THYROID FOLLICULAR LESIONS

2005 ◽  
Vol 26 (S 1) ◽  
Author(s):  
N Fukunari ◽  
K Tanaka ◽  
K Sugino ◽  
K Ito ◽  
K Ito
Keyword(s):  
Differential Diagnosis ◽  
Real Time ◽  
Clinical Evaluation ◽  
Follicular Lesions ◽  
Tissue Elastography

Clinical Evaluation of Color Doppler Imaging for the Differential Diagnosis of Thyroid Follicular Lesions

2004 ◽  
Vol 28 (12) ◽  
pp. 1261-1265 ◽  
Author(s):  
Nobuhiro Fukunari ◽  
Mitsuji Nagahama ◽  
Kiminori Sugino ◽  
Takashi Mimura ◽  
Koichi Ito ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Clinical Evaluation ◽  
Color Doppler ◽  
Color Doppler Imaging ◽  
Doppler Imaging ◽  
Follicular Lesions

scholarly journals Application of Real-Time Tissue Elastography with a Low Frequency Convex Array Probe: A Noninvasive Approach to Differential Diagnosis of Liver Tumors

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Juan Wang ◽  
Hong Ai ◽  
Long Guo ◽  
Lifang Tan ◽  
Huilin Gong ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Real Time ◽  
Liver Tumors ◽  
Low Frequency ◽  
Type A ◽  
Benign Tumors ◽  
Array Probe ◽  
Type C ◽  
Sensitivity Specificity ◽  
Tissue Elastography

To evaluate diagnostic performance of real-time tissue elastography (RTE) with a low frequency convex array probe for distinguishing benign from malignant hepatic tumors through trans-abdominal examination, elasticity images of 210 liver tumors were obtained by EUB-7500 (Hitachi Medical Systems and 3.5 MHz probe) and eventually 121 liver tumors were analyzed in the study. Elasticity images were classified into four types, from type a to d. Regarding type a or b as benign tumors and type c or d as malignant ones, sensitivity, specificity, and accuracy were calculated and the consistency between the findings of RTE and the pathohistological diagnosis was evaluated. The sensitivity, specificity, and accuracy were separately 97.2%, 88.0%, and 93.4% (P<0.001). Moreover, there was a good consistency between the findings of RTE and the pathological diagnosis (kappa value 0.86). Among elasticity images of all the malignant tumors, the hepatocellular carcinomas (HCCs) mainly appeared in type c, and liver metastatic cancers in type d. Thus, RTE utilized as a novel noninvasive imaging examination method enables us to distinguish benign from malignant liver tumors. Moreover, it provides certain information for the differential diagnosis between HCCs and liver metastatic cancers.

scholarly journals Diagnostic value of endoscopic ultrasound elastography for benign and malignant digestive system tumors

2019 ◽  
Vol 35 (5) ◽  
Author(s):  
Hongna Lv ◽  
Guangchao Zhu ◽  
Long’an Zhou
Keyword(s):  
Differential Diagnosis ◽  
Real Time ◽  
Endoscopic Ultrasound ◽  
Digestive System ◽  
Diagnostic Value ◽  
Ultrasound Elastography ◽  
Lesion Group ◽  
Benign Lesions ◽  
Malignant Lesions ◽  
Tissue Elastography

Objective: To investigate the effect of endoscopic ultrasound real-time tissue elastography in differential diagnosis of benign and malignant digestive system tumors. Methods: Forty-two patients with solid tumors of digestive system who were admitted to our hospital between October 2017 and October 2018 were selected. All patients were diagnosed by endoscopic ultrasound real-time tissue elastography. Elastography score was used. The strain ratios (SR) of the lesion and the surrounding control tissues were measured and compared. Results: Lesions with elastography score no more than two points were evaluated as benign, while lesions with elastography score no less than three points were evaluated as malignant. The difference of the elastography score between the benign lesion group and malignant lesion group was statistically significant (P<0.05). The sensitivity, specificity and accuracy of endoscopic ultrasound elastography in the diagnosis of malignant tumors of digestive system were 91.4%, 88.9% and 87.5%, respectively. The SR of the benign lesions ranged from 0.01 to 7.34, with a median SR of 7.33; the SR of the malignant lesions ranged from 1.01 to 47.66, with a median SR of 20.07. The SR of the benign lesions was significantly lower than that of the malignant lesions (P<0.05). Conclusion: Elastography of benign and malignant tissues of digestive tract tumors has different image characteristics. Endoscopic ultrasound real-time tissue elastography is effective in differential diagnosis of digestive tract tumors as it can effectively determine whether a tumor is benign or malignant and improve diagnostic accuracy. doi: https://doi.org/10.12669/pjms.35.5.1075 How to cite this:Lv H, Zhu G, Zhou L. Diagnostic value of endoscopic ultrasound elastography for benign and malignant digestive system tumors. Pak J Med Sci. 2019;35(5):---------. doi: https://doi.org/10.12669/pjms.35.5.1075 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Clinical analysis on the differential diagnosis of gastrointestinal neoplasms by real-time endoscopic ultrasonography

2020 ◽  
Vol 3 (3) ◽  
Author(s):  
Yumin Zhang
Keyword(s):  
Differential Diagnosis ◽  
Diagnostic Accuracy ◽  
Real Time ◽  
Endoscopic Ultrasonography ◽  
Elastic Strain ◽  
Digestive System ◽  
Benign Lesion ◽  
Malignant Lesion ◽  
Lesion Group ◽  
Tissue Elastography

Abstract: objective: to study and analyze the effect of real-time endoscopic ultrasonography in the differential diagnosis of gastrointestinal tumors.Selection methods: between January 2014 and January 2015 xinyang 53 cases of digestive system cancer patients admitted in hospital, a total of 79 substantial tumor of the digestive system lesions, all patients were diagnosed by endoscopic ultrasonography real-time tissue elastography, use elastic imaging score, for patients with lesions and their surrounding structures control the elastic strain rate ratio of measure and comparison analysis.Results: compared with the malignant lesion group, the difference between the benign lesion group and the benign lesion group was statistically significant (P<0.05).The ratio of elastic strain rate in benign lesion group was lower than that in malignant lesion group (P<0.05).The diagnostic accuracy, sensitivity and specificity were 91.14%, 94.74% and 81.82% respectively.Conclusion: endoscopic ultrasound real-time tissue elastography is effective in the differential diagnosis of digestive system tumors, and can effectively determine the benign and malignant tumors and improve the diagnostic accuracy.

Differential diagnosis of liver tumours using intraoperative real-time tissue elastography

2014 ◽  
Vol 102 (3) ◽  
pp. 246-253 ◽  
Author(s):  
K. Omichi ◽  
Y. Inoue ◽  
K. Hasegawa ◽  
Y. Sakamoto ◽  
H. Okinaga ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Real Time ◽  
Liver Tumours ◽  
Tissue Elastography

Classifications and Clinical Assessment of Haemorrhoids:The Proctologist’s Corner

2020 ◽  
Vol 15 ◽  
Author(s):  
Arcangelo Picciariello ◽  
Petr Tsarkov ◽  
Vincenzo Papagni ◽  
Sergey Efetov ◽  
Daniel Markaryan ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Clinical Evaluation ◽  
Clinical Assessment ◽  
Adult Population ◽  
Preoperative Assessment ◽  
Classification Systems ◽  
Patient Treatment ◽  
Benign Condition ◽  
Haemorrhoidal Disease ◽  
Therapeutic Choice

BACKGROUND: Haemorrhoidal disease (HD) is a benign condition affecting a considerable part of adult population. HD can be considered a social and economic burden with high impact on patient lifestyle. Several new techniques and devices have been proposed for HD treatment; however, preoperative assessment is essential and the use of classification system is recommended. METHODS: In the last two decades many studies described the preoperative assessment and several attempts of classification for HD. This review focuses on the most relevant studies found in literature where classification systems and clinical evaluation with differential diagnosis have been evaluated. RESULTS: The knowledge of classification systems and differential diagnosis for HD has been shown to play a central role in the clinical assessment and in the best treatment choice. Although there are new challenging techniques and devices for HD treatment, a preoperative assessment is always mandatory. CONCLUSION: Preoperative clinical evaluation is essential for HD patient treatment and outcome. Classification systems are useful for the therapeutic choice and for researches on new medical or surgical treatments. In fact, the international guidelines advise several therapeutic options depending on the severity of the HD.

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