Anwendung der Kontrastmittelsonografie im Kopf-Hals-Bereich: Update

Rink, Maximilian; Krassler, Julia; Symeou, Luisa; Fischer, Rene; Jung, Ernst-Michael; Künzel, Julian

doi:10.1055/a-1994-5141

Laryngorhinootologie

2023

DOI: 10.1055/a-1994-5141

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Anwendung der Kontrastmittelsonografie im Kopf-Hals-Bereich: Update

Maximilian Rink,

Julia Krassler,

Luisa Symeou

et al.

Abstract: Mithilfe der Kontrastmittelsonografie lässt sich die diagnostische Genauigkeit der konventionellen Sonografie in vielen Bereichen der HNO-Heilkunde erhöhen. Durch die Untersuchung werden Vaskularisation und Gewebeperfusion objektivierbar. Dies bietet vielversprechende Ansätze, beispielsweise zum Therapiemonitoring metastatischer zervikaler Lymphknoten oder im Rahmen der Behandlung vaskulärer Malformationen.

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A combination of ultrasound and contrast-enhanced ultrasound improves diagnostic accuracy for the differentiation of cervical tuberculous lymphadenitis from primary lymphoma

Liu,

Chen,

Wang

et al. 2023

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OBJECTIVES: To present a method combining ultrasound (US) and contrast-enhanced ultrasound (CEUS) features for differential diagnosis of cervical tuberculous lymphadenitis (CTL) and primary lymphoma. METHODS: A total of 155 patients with CTL (n = 49) and lymphoma (n = 106) who underwent US and CEUS were retrospectively included. The features extracted from US and CUES and the significant clinical data were created three models using the least absolute shrinkage and selection operator and logistic regression analysis. The diagnostic performance of the models was assessed using the area under the curve (AUC). RESULTS: The combined model outperformed US model and CEUS model in distinguish CTL from lymphoma achieved favorable performances in training set and validation set with AUCs of 0.958 and 0.946 as well as high accuracies (91.7% and 87.2%), sensitivities (95.9% and 84.4%) and specificities (82.4% and 93.3%). Delong’s test showed that among the three models, combined model was significantly different from the other two models in training set (p = 0.011 and 0.029, respectively) and validation set (p = 0.018 and 0.001, respectively). CONCLUSIONS: A combination of US and CEUS achieved good diagnostic performance in differentiating lymphoma and CTL, which might aid in clinical decision-making.

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A combination of ultrasound and contrast-enhanced ultrasound improves diagnostic accuracy for the differentiation of cervical tuberculous lymphadenitis from primary lymphoma

Liu,

Chen,

Wang

et al. 2023

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Anwendung der Kontrastmittelsonografie im Kopf-Hals-Bereich: Update

Cited by 1 publication

References 45 publications

A combination of ultrasound and contrast-enhanced ultrasound improves diagnostic accuracy for the differentiation of cervical tuberculous lymphadenitis from primary lymphoma

A combination of ultrasound and contrast-enhanced ultrasound improves diagnostic accuracy for the differentiation of cervical tuberculous lymphadenitis from primary lymphoma

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