scholarly journals Evaluation of the possibilities of shear wave elastography for differentiation of lymphomatous and reactive changes of superficial lymph nodes

2020 ◽  
Vol 15 (1) ◽  
pp. 59-64
Author(s):  
E. V. Kovaleva ◽  
T. Yu. Danzanova ◽  
G. T. Sinyukova ◽  
E. A. Gudilina ◽  
P. I. Lepedatu ◽  
...  

Objective: to evaluate the possibilities of ultrasound elastography for differentiation of reactive and lymphomatous superficial lymph nodes (LN).Materials and methods. The prospective study included 138 patients with enlarged superficial LN. Based on a previous histological examination, patients were divided into two groups: 1st group (n = 108) – patients with non-Hodgkin’s lymphomas and Hodgkin’s lymphoma; 2nd (n = 30) – patients with reactive (inflammatory) changes in superficial LN. All patients underwent ultrasound elastography of the enlarged LN using ARFI technology.Results. According to the results of ultrasound elastography, the average, minimum, and maximum shear wave velocities for enlarged LN in lymphoma (1st group) were 2.616 ± 0.684; 1.980 ± 0.557 and 3.351 ± 0.987 m / s, respectively; for LN with reactive changes (2nd group) – 1.704 ± 0.223; 1.414 ± 0.209 and 2.027 ± 0.261 m / s, respectively. Thus, the average, minimum, and maximum values of shear wave velocities significantly different between the groups (p ˂0.001). The cut off values of the average shear wave velocity in the differential diagnosis of lymphoma and hyperplasia are determined at the level of 2.05 m / s, with a sensitivity of 88.5 %, specificity of 100 %, and AUC of 0.942 (p ˂0.001).Conclusion. Ultrasound elastography demonstrated statistically significant differences in shear wave velocity in the enlarged superficial LN in lymphoma and in inflammatory processes that can be used as a preliminary non-invasive differential diagnosis of enlarged superficial LN in these conditions. 

2020 ◽  
Vol 15 (2) ◽  
pp. 42-48
Author(s):  
E. V. Kovaleva ◽  
T. Yu. Danzanova ◽  
G. T. Sinyukova ◽  
E. A. Gudilina ◽  
P. I. Lepedatu ◽  
...  

The objective: to evaluate the possibilities of ARFI technology (Acoustic Radiation Force Impulse), including Virtual Touch™ Tissue Imaging (VTI) and Virtual Touch™ Tissue Quantification (VTQ) for differentiation of lymphomatous and metastatic superficial lymphadenopathy.Materials and methods. The prospective study included 138 patients with enlarged superficial lymph nodes (LN). Based on a previous histological examination, patients were divided into two groups: 1st group (n = 108) – patients with non-Hodgkin’s lymphomas and Hodgkin’s lymphoma; 2nd group (n = 30) – patients with metastasis of solid tumors in superficial LN. All patients underwent ultrasound elastography of the enlarged LN using ARFI technology. In VTI study the Area Ratio parameter was evaluated, and the minimum and average values of the shear wave velocity were estimated in VTQ study.Results. According to the results of VTI study the Area Ratio parameter for enlarged LN in lymphoma (1st group) and for metastatic lymphadenopathy (2 nd group) were 1.031 ± 0.197 and 0.851 ± 0.15, respectively (p = 0.000009). The cut off value of the Area Ratio parameter was 0.901 with sensitivity, specificity and accuracy 80.6, 70.0 and 78.8 %, respectively. Minimum values of shear wave velocities for 1st and 2 nd groups were 1.980 ± 0.557 and 2.214 ± 0.367 m/s, respectively (p = 0.032). The cut off values of the average shear wave velocity in the differentiating of lymphomatous and metastatic lymphadenopathy are determined at the level of 2.00 m/s, with sensitivity of 70.0 %, specificity of 59.3 %, and accuracy of 61.6 %.Conclusion. Ultrasound elastography with ARFI technology demonstrated statistically significant differences in the Area Ratio parameter and in the minimum shear wave velocity in the enlarged superficial LN in lymphoma and with metastasis that can be used as a preliminary non-invasive differential diagnosis of enlarged superficial LN in these conditions. Moreover, the Area Ratio parameter has a statistically more significant effect on differentiating of lymphomatous and metastatic lymphadenopathy.


2019 ◽  
Vol 35 (3) ◽  
pp. 182-187
Author(s):  
Amitabh Dashottar ◽  
Erin Montambault ◽  
Jeffrey R. Betz ◽  
Kevin D. Evans

Although ultrasound elastography is established as a reliable and valid tool for assessment of skeletal muscles, guidelines around the technical specifications, data selection, and acquisition parameters still lack consensus. One such parameter is the use of the quantification box (Q-box) that calculates the shear wave velocity/modulus, within a selected region of interest (ROI). Currently, no data compare the effect of the elastographic area within the ROI to the mean shear wave velocity calculations, using a Q-box. In this study, the mean shear wave velocity calculated over a smaller (single Q-box) ROI is compared to the mean shear wave velocity calculated over maximum area of elastogram, within a ROI. Comparison of mean shear wave velocity revealed a significant difference ( t = 2.79, P = .007) between the means calculated over maximum area of elastogram for only nonuniform elastograms. The rater agreement for the classification scheme was assessed (κ = 0.85). To prevent possible overestimation of shear wave velocities, it may be necessary to place the Q-box over the maximum elastographic area.


2020 ◽  
Vol 44 (5) ◽  
pp. 1142-1149
Author(s):  
Pedro Paulo ROSSIGNOLI ◽  
Marcus Antônio Rossi FELICIANO ◽  
Bruno Watanabe MINTO ◽  
Marjury Cristina MARONEZI ◽  
Ricardo Andres Ramirez USCATEGUI ◽  
...  

The goal of this study was to describe and compare B mode and elastographic characteristics of the pectineus muscle of healthy dogs with dysplastic dogs. Thirty-one dogs (62 limbs) with hip dysplasia and 17 nondysplastic dogs (34 limbs) were evaluated. The hip dysplasia score was defined according to the Fédération Cynologique Internationale. Using B mode, echotexture and echogenicity of different regions of the pectineus muscle were evaluated. By means of ARFI elastography, qualitative (elastogram) and quantitative (shear wave velocity) tissue stiffness was assessed. B mode findings demonstrated a hyperechoic and heterogeneous pattern of the pectineus tissue in dogs with hip dysplasia, with compromised muscular delimitation and loss of its normal sonographic appearance, indicating the disease (P < 0.001). In the elastogram, it was observed that dogs with hip dysplasia showed less deformable pectineus muscle, with red colors (rigid). In quantitative evaluation, the different regions evaluated presented similar shear wave velocities; in dysplastic patients, shear wave velocities were higher compared to nondysplastic animals, with values higher than 2.85 m/s being strong indicators of the disease. Values of shear wave velocity were also influenced by the grade of dysplasia and age of the patients; however, there was no correlation with the depth of the evaluated area or body weight. It was concluded that pectineus muscle in dogs with hip dysplasia presents B mode and elastographic changes when compared to normal animals, demonstrating that these techniques might aid the evaluation of diseased dogs.


Author(s):  
Yichuan Zhu ◽  
Zhenming Wang ◽  
N. Seth Carpenter ◽  
Edward W. Woolery ◽  
William C. Haneberg

ABSTRACT V S 30 is currently used as a key proxy to parameterize site response in engineering design and other applications. However, it has been found that VS30 is not an appropriate proxy, because it does not reliably correlate with site response. Therefore, the VS30-based National Earthquake Hazards Reduction Program site maps may not capture regional site responses. In earthquake engineering, site resonance, which can be characterized by the fundamental mode with a site period (Tf) and its associated peak amplification (A0), is the primary site-response concern. Mapping Tf and A0 is thus essential for accurate regional seismic hazard assessment. We developed a 3D shear-wave velocity model for the Jackson Purchase Region of western Kentucky, based on shear-wave velocity profiles interpreted from seismic reflections and refractions, mapped geologic units, and digital-elevation-model datasets. We generated shear-wave velocity profiles at grid points with 500 m spacing from the 3D model and performed 1D linear site-response analyses to obtain Tf and A0, which we then used to construct contour maps for the study area. Our results show that Tf and A0 maps correlate with the characteristics of regional geology in terms of sediment thicknesses and their average shear-wave velocities. We also observed a strong dependency of A0 on bedrock shear-wave velocities. The mapped Tf and A0 are consistent with those estimated from borehole transfer functions and horizontal-to-vertical spectral ratio analyses at broadband and strong-motion stations in the study area. Our analyses also demonstrate that the depth to bedrock (Zb) is correlated to Tf, and the average sediment shear-wave velocity (VS-avg) is correlated to A0. This implies that Zb and VS-avg may be considered as paired proxies to parameterize site resonance in the linear-elastic regime.


Author(s):  
E. A. Gudilina ◽  
T. Yu. Danzanova ◽  
P. I. Lepedatu ◽  
G. T. Sinyukova

Purpose: Determination of informative value of a new method of ultrasound tomography, based on the properties of elasticity of soft tissues, in the differential diagnosis of metastatic lesions of the lymph nodes of the neck thyroid cancer.Material and methods: To assess the capabilities of shear wave ultrasound elastometry in the diagnosis of metastatic lesions of the lymph nodes in thyroid cancer, a study was carried out with 45 patients with suspected thyroid cancer. The work was performed by devices Acuson S2000 Siemens, Avius hi vision Hitachi using a linear sensor with a frequency of 5–12 MHz. For each object of the study, from 5 to 10 measurements of the shear wave velocity in m / s were made, depending on the size of the lymph nodes.Results: Reliable results were obtained in the group of altered lymph nodes (statistical significance p < 0.05). Interquartile intervals and the most common values of shear wave velocities do not overlap: in metastases — 2.20– 3.36 m/s, with hyperplasia of lymph nodes — 0.70–1.88 m/s, and medians show a significant difference in velocities: metastases — 3.00 m/s, hyperplastic lymph nodes 1.38 m/s.Conclusions: Shear wave elastography objectifies ultrasound studies, obtaining specific indicators of shear wave velocity in the areas of interest, and can be used as an additional diagnostic tool in the differential diagnosis of metastatic and hyperplastic lymph nodes.


Geophysics ◽  
1991 ◽  
Vol 56 (12) ◽  
pp. 2129-2138 ◽  
Author(s):  
M. A. Payne

In an effort to understand better the amplitude variation with offset for reflections from an oil sand and the sensitivity of the AVO response to shear‐wave velocity variations, I studied synthetic and field gathers collected from an onshore field in the Gulf of Mexico basin. A wave‐equation‐based modeling program generated the synthetic seismic gathers using both measured and estimated shear‐wave velocities. The measured shear‐wave velocities came from a quadrupole sonic tool. The estimated shear‐wave velocities were obtained by applying published empirical and theoretical equations which relate shear‐wave velocities to measured compressional‐wave velocities. I carefully processed the recorded seismic data with a controlled‐amplitude processing stream. Comparison of the synthetic gathers with the processed field data leads to the conclusion that the model containing the measured shear‐wave velocities matches the field data much better than the model containing the estimated shear‐wave velocities. Therefore, existing equations which relate shear‐wave velocities to compressional‐wave velocities yield estimates which are not sufficiently accurate for making quantitative comparisons of synthetic and field gathers. Even small errors in the shear‐wave velocities can have a large impact on the output. Such errors can lead to an incomplete and perhaps inaccurate understanding of the amplitude‐versus‐offset response. This situation can be remedied by collecting shear‐wave data for use in amplitude‐versus‐offset modeling, and for building databases to generate better shear‐wave velocity estimator equations.


Geophysics ◽  
1965 ◽  
Vol 30 (1) ◽  
pp. 117-121 ◽  
Author(s):  
B. S. Banthia ◽  
M. S. King ◽  
I. Fatt

Change in shear‐wave velocity for four dry sedimentary rocks has been studied as a function of the variation of both external hydrostatic pressure and internal pore pressure in the range 0 to 2,500 psi. The experimental method employs a beam of ultrasonic energy passing through a liquid in which a copper‐jacketed parallel‐sided slab of rock is rotated. The shear‐wave velocity is calculated from the laws of refraction and reflection of waves at a liquid‐solid boundary applied to the angle at which minimum energy is transmitted. The variation of shear‐wave velocity with pressure has been found to be a function of net overburden pressure, [Formula: see text], where [Formula: see text] hydrostatic pressure on the jacketed sample, [Formula: see text] pore pressure and n = a pressure‐dependent factor less than unity. The values of n at several differential pressures were chosen to yield a smooth curve passing through the displaced data points when the shear‐wave velocities were plotted as a function of net overburden pressure. Using the n values so obtained, the matrix compressibility [Formula: see text] for two of the sandstones has been calculated from the relation [Formula: see text]. The bulk compressibility [Formula: see text] for these two rocks had previously been obtained experimentally as a function of differential pressure. The values obtained for the matrix compressibility are in the range expected from a knowledge of the grain and cementing materials for these sandstones.


2019 ◽  
Vol 92 ◽  
pp. 03008
Author(s):  
Kazem Fakharian ◽  
Farzad Kaviani Hamedani ◽  
Iman Parandian ◽  
Morteza Jabbarpour Aghdam

In order to characterise fabric evolution, continuous bidirectional shear wave velocity measurements are performed in vertical and horizontal directions (V&H) on triaxial soil specimens during shearing in which two horizontal piezo-electrics were mounted on samples using a new measurement technique. The specimens are prepared by wet tamping method and then subjected to strain-controlled compressional shearing under drained and undrained conditions. The shear wave velocities of all drained specimens initially increased as the loading commenced and then converged to a unique state in both horizontal and vertical directions. The shear wave velocity of undrained specimens on the other hand, for both horizontal and vertical directions initially decreased due to the rising of the excess pore water pressure and then gradually approached a unique shear wave velocity like drained specimens. The fabric condition or stiffness in V&H directions of all the examined drained and undrained specimens at critical state are found to be unique.


2005 ◽  
Vol 21 (1) ◽  
pp. 161-177 ◽  
Author(s):  
Thomas L. Holzer ◽  
Michael J. Bennett ◽  
Thomas E. Noce ◽  
John C. Tinsley

Shear-wave velocities of shallow surficial geologic units were measured at 210 sites in a 140-km2 area in the greater Oakland, California, area near the margin of San Francisco Bay. Differences between average values of shear-wave velocity for each geologic unit computed by alternative approaches were in general smaller than the observed variability. Averages estimated by arithmetic mean, geometric mean, and slowness differed by 1 to 8%, while coefficients of variation ranged from 14 to 25%. With the exception of the younger Bay mud that underlies San Francisco Bay, velocities of the geologic units are approximately constant with depth. This suggests that shear-wave velocities measured at different depths in these surficial geologic units do not need to be normalized to account for overburden stress in order to compute average values. The depth dependence of the velocity of the younger Bay mud most likely is caused by consolidation. Velocities of each geologic unit are consistent with a normal statistical distribution. Average values increase with geologic age, as has been previously reported. Velocities below the water table are about 7% less than those above it.


С января по август 2017 г. выполнены ультразвуковые исследования лимфатических узлов у 51 человека (23 мужчины и 28 женщин) в возрасте 23-86 лет с цитологически верифицированным диагнозом “злокачественная меланома кожи”. У всех пациентов заподозрены метастатические изменения в лимфатических узлах различной локализации по данным серошкальной эхографии и допплерографических методик. Исследования были выполнены на аппарате Aplio 500 (Toshiba, Япония) линейным датчиком 7-18 МГц. В первую группу вошел 21 человек с метастазами в регионарных лимфатических узлах, во вторую - 30 пациентов с гиперплазией лимфоидноретикулярной ткани. Значения модуля Юнга для метастатически измененных лимфатических узлов составили 101,8 кПа (медиана), 14,0-164,5 кПа (2,5-97,5-й процентили), для гиперплазированных лимфатических узлов - 15,0 кПа, 7,2-56,8 кПа соответственно. Значения модуля Юнга в метастатически измененных лимфатических узлах не коррелировали ни с уровнем инвазии первичной опухоли (меланомы) по Кларку, ни с локализацией метастазов (подмышечные, шейные, паховые лимфатические узлы). Выявлены значимые различия в значениях модуля Юнга между метастатически измененными и гиперплазированными лимфатическими узлами у пациентов с меланомой кожи (P 0,0001). Наилучшие показатели диагностической информативности в выявлении метастатического поражения лимфатических узлов при меланоме кожи достигнуты при пороговом значении модуля Юнга 22,7 кПа (чувствительность - 86%, специфичность - 77%, AUC - 0,916). Ключевые слова: ультразвуковая эластография, эластография сдвиговой волной, злокачественная меланома кожи, уровень инвазии по Кларку, толщина по Бреслоу, лимфатические узлы, модуль Юнга, скорость сдвиговой волны, ultrasound elastography, shear wave elastography, cutaneous malignant melanoma, Clark level of invasion, Breslow thickness, lymph nodes, Young’s modulus, shear wave velocity


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