20 MHz ultrasonic imaging for quantitative assessment and documentation of early and late postradiation skin reactions in breast cancer patients

Warszawski, A.; Röttinger, E. M.; Vogel, R.; Warszawski, N.

doi:10.1016/s0167-8140(97)00201-6

Cited by 47 publications

(53 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…8 -20 Other than observer scoring of radiation skin changes by visual inspection, methods of evaluating acute skin toxicity include spectrophotometry, 21 reflectance spectroscopy with computerized color analyzer, 22 and ultrasonic imaging. 23 Although these techniques may provide objective measures of skin reaction, their implementation in a busy clinic is cumbersome and time consuming. Another limitation of the available skin assessment instruments is that they often emphasize observer evaluation of skin reactions but do not address associated patient symptoms and functional outcomes even though this information may impact management decisions.…”

mentioning

confidence: 99%

Preliminary Reliability and Validity Testing of a New Skin Toxicity Assessment Tool (STAT) in Breast Cancer Patients Undergoing Radiotherapy

Berthelet¹,

Truong²,

Musso³

et al. 2004

American Journal of Clinical Oncology

View full text Add to dashboard Cite

Clear consensus on the clinical evaluation of acute skin toxicity among cancer patients undergoing radical radiotherapy (RT) is currently lacking. This study investigates the reliability and validity of a new Skin Toxicity Assessment Tool (STAT) to evaluate the objective and subjective manifestations of RT-induced acute skin effects. The STAT was designed by a multidisciplinary team involved in the management of radiation skin reactions. The tool has 3 components: patient and treatment parameters, observer scoring, and patient-reported symptoms, and was piloted in a cohort of 27 breast cancer patients by pairs of independent blinded observers. Each patient was assessed weekly during RT and 2 weeks after therapy completion. Validity and reliability testing of the STAT was performed. Information on the tool's ease of use was obtained by recording the time necessary to complete the assessment at each visit and by a survey among the tool's users. All subjects developed some degree of skin reaction during breast RT. The level of agreement between observers in eliciting subjective complaints ranged from 72% to 92% (95% CI = 63-96%; kappa = 0.33-0.68). The interobserver agreement in scoring skin reactions ranged from 65.0 to 97.5% (kappa = 0.46-0.81). Objective and subjective toxicity scores were significantly correlated (P < 0.05). The STAT was easy to use and required on average a few minutes to complete at each visit. The STAT is an easy-to-use, standardized instrument to evaluate acute skin reaction and may be applied to clinical care and research in patients undergoing radiotherapy.

show abstract

mentioning

confidence: 99%

Preliminary Reliability and Validity Testing of a New Skin Toxicity Assessment Tool (STAT) in Breast Cancer Patients Undergoing Radiotherapy

Berthelet¹,

Truong²,

Musso³

et al. 2004

American Journal of Clinical Oncology

View full text Add to dashboard Cite

show abstract

“…Cutaneous ultrasonography has been extensively used in human dermatology to study normal skin echogenicity, thickness and hydration status, as well as various pathologic conditions, including cutaneous or subcutaneous neoplasms, cysts, inflammatory lesions, post-radiation reactions, scleroderma, edema, wounds, and presence of foreign bodies (Alexander and Miller 1979;Miyauchi and Miki 1983;Fornage and Deshayes 1986;Fornage et al 1993;Fornage 1993;Gniadecka 1996;Gniadecka and Quistorff 1996;Warszawski et al 1997;Milner et al 1997;Cammarota et al 1998;Foster et al 2000;Eisenbeiss et al 2001;Mirpuri et al 2001;Dyson et al 2003;Scope and Halpern 2003;Kong et al 2008). Contrary to the situation in human medicine, in veterinary medicine only few studies on cutaneous ultrasonography of the canine skin are available (Diana et al 2004;Mantis et al 2005;Mantis et al 2007;Diana et al 2008;Zanna et al 2012;Mantis et al 2014).…”

Section: The Historymentioning

confidence: 99%

Ultrasonographic examination of the canine skin: a review

Mantis

Saridomichelakis

2018

J Hellenic Vet Med Soc

View full text Add to dashboard Cite

ABSTRACT. Real time B-mode ultrasonography is a non-invasive diagnostic imaging modality that does not use radiation and allows examination of various soft tissue structures. For many years it is used in human dermatology and in the last decade it has entered the canine dermatology arena. Based on the frequency employed, cutaneous ultrasonography may be classified as intermediate-(7-15 MHz) or high-frequency (20 MHz or higher). Using intermediate frequency, the ultrasonographic features of normal canine skin are consistent and three distinct visible layers can be seen. Using a 50 MHz transducer, the epidermis and hair follicles are also identified and accurate measurements of skin thickness can be obtained. The aim of this article is to review the available published knowledge regarding ultrasonographic examination of the canine skin.

show abstract

“…These imaging modalities are especially helpful if there is a concern that the LE is related to cancer diagnosis [6]. Ultrasonic skin thickness measurement can be used for monitoring LE [21][22][23][24][25]. Ultrasound scans, particularly high-resolution Doppler, can help to differentiate LE from lipedema and may also be helpful in the detection of LE of the head and neck.…”

Section: Soft Tissue Imagingmentioning

confidence: 99%

Breast Cancer-Related Lymphedema (BCRL)

Soran

Polat

Mager³

2016

Breast Disease

View full text Add to dashboard Cite

After undergoing treatment for breast cancer, many patients endure lifelong problems, such as lymphedema (LE), musculoskeletal problems, and psychosocial problems. Every patient with breast cancer-related LE (BCRL) should be assessed thoroughly for physical and psychological needs by a multidisciplinary team. In recent years, there has been increasing awareness of the diagnosis and treatment of BCRL. BCRL will be discussed in detail in this chapter.

show abstract

20 MHz ultrasonic imaging for quantitative assessment and documentation of early and late postradiation skin reactions in breast cancer patients

Cited by 47 publications

References 20 publications

Preliminary Reliability and Validity Testing of a New Skin Toxicity Assessment Tool (STAT) in Breast Cancer Patients Undergoing Radiotherapy

Preliminary Reliability and Validity Testing of a New Skin Toxicity Assessment Tool (STAT) in Breast Cancer Patients Undergoing Radiotherapy

Ultrasonographic examination of the canine skin: a review

Breast Cancer-Related Lymphedema (BCRL)

Contact Info

Product

Resources

About