Differentiation between idiopathic granulomatous mastitis and malignant breast lesions using strain ratio on ultrasonic elastography

Yağci, Buket; Toslak, İclal Erdem; Çekiç, Bülent; Öz, Miraç; Karakaş, Barış Rafet; Akdemir, Meltem; Yıldız, Şeyma; Süren, Di̇nç; Bova, Davide

doi:10.1016/j.diii.2017.06.009

Cited by 21 publications

(16 citation statements)

References 25 publications

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“…Günümüzde tiroid, meme başta olmak üzere birçok doku tümörlerinin ve lenfadenopatilerin değerlendirilmesinde kullanılmıştır (11)(12)(13)(14)(15). Ayrıca kronik karaciğer hastalıklarında hepatik fibrozise bağlı olarak sertliğin arttığını belirten çok sayıda çalışma mevcuttur (15)(16)(17)(18).…”

Section: Discussionunclassified

Real Ti̇me Elastografi̇ni̇n Etki̇nli̇ği̇: Korti̇komedüller Strai̇n Orani Üri̇ner Obstrüksi̇yonun Tani Ve Taki̇bi̇nde Kullanilabi̇li̇r Mi̇?

Çoban¹,

Kurtoğlu²,

Türkoğlu³

et al. 2020

Yeni Üroloji Dergisi

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Üriner obstrüksiyonun tanı ve takibinde kortikomedüller strain oranının (SR) kullanılabilirliğini araştırmak. Gereç ve Yöntemler: Hastanemiz üroloji kliniğine renal kolikle başvuran hastalardan taşa bağlı unilateral üriner obstrüksiyon tanısı BT ile konulmuş 18-60 yaş arası 40 gönüllü (26 erkek, 14 kadın) hasta çalışmaya alındı. Hastalar iki gruba ayrıldı. Taşa sekonder hidronefrotik böbrek grup 1 iken yine aynı hastaların kontralateral sağlam böbrekleri kontrol grubu (grup 2) olarak dahil edildi. Hastaların yaş, cinsiyet, ne kadar zamandır renal koliği olduğu, tansiyon, body mass indexi (BMI) kaydedildi. Hastalara, abdominal radyolojide 8 yıl deneyimli, tek radyoloji uzmanı tarafından renal ultrasonografi, doppler ultrasonografi ve Real Time Elastografi (RTE) incelemesi yapıldı. Bu üç ölçümün ortalaması istatistiksel analizde kullanıldı. Dekompresyon fazında böbreğin cilde en yakın kesiminden B modda belirlenen medulla ve korteksde ilgilenilen bölge işaretlenerek gerinim oranı (SR) ölçüldü. Bulgular: Hem aynı hastanın taşa sekonder hidronefrotik böbreğine (grup 1), hem de kontralateral sağlam böbreğe (grup 2) bakılması nedeniyle gruplar arasında yaş farkı yoktu. Renal pelvis çapı ile obstrükte böbrekteki resistive index (RI) arasında pozitif korelasyon bulduk (p=0.006 ve r=0.446). Hidronefrotik böbreklerin ortalama kortikomedüller SR değerleri (0,225(0,01-2,40)) ile kontralateral normal böbreklerin ortalama SR değer

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Section: Discussionunclassified

Real Ti̇me Elastografi̇ni̇n Etki̇nli̇ği̇: Korti̇komedüller Strai̇n Orani Üri̇ner Obstrüksi̇yonun Tani Ve Taki̇bi̇nde Kullanilabi̇li̇r Mi̇?

Çoban¹,

Kurtoğlu²,

Türkoğlu³

et al. 2020

Yeni Üroloji Dergisi

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“…13 Even though sonoelastography has been proven to be useful in particular diseases such as liver fibrosis and breast cancer, there are controversial results in the literature on the benefits of sonoelastography for the diagnosis of salivary gland abnormalities in patients with SS. 5,13,17 Dejaco et al 17 conducted a study on 45 patients with primary SS, 24 patients with sicca symptoms, and 11 healthy control subjects using real-time sonoelastography and reported that realtime sonoelastography might be useful, particularly in selected cases in which conventional US results were inconclusive as well as for the assessment of functional impairment of salivary glands. 17 Similarly, in the current study, sonoelastography features supported the diagnosis of SS in 13 patients (22%) although conventional US findings were non-diagnostic.…”

Section: Discussionmentioning

confidence: 99%

“…All US examinations were performed by the same radiologist with four years of experience on US imaging and three years of experience on elastography imaging, and who was blinded to the diagnoses. All examinations were performed using a high frequency (8)(9)(10)(11)(12)(13)(14)(15) linear array transducer with the participants in the supine position. Initial diagnostic focused longitudinal and transverse US images of the parotid gland were recorded electronically in the form of dynamic and static images.…”

Section: Methodsmentioning

confidence: 99%

“…The SR was then automatically calculated by the software present in the scanner that corresponded to the ratio of fat to gland parenchyma based on previous descriptions in the literature ( Figure 2). 13 All recorded images were transferred to a separate workstation for subjective assessment of B-mode US images in terms of parenchymal echostructure and echogenicity of the glands. The images were reviewed independently by two radiologists, each with more than four years of experience, and who were both blinded to all the information of the participants.…”

Section: Methodsmentioning

confidence: 99%

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The Role of Real-Time Tissue Elastography and Gray-Scale Ultrasound Histogram Analysis in the Diagnosis of Patients With Sjögren’s Syndrome

et al. 2019

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Objectives: This study aims to evaluate gray-scale histogram analysis of B-mode ultrasound (US) images and US elastographic features of the parotid glands in patients with Sjögren's syndrome (SS) and to explore relationships with the ultrasonographic and disease activity scores in the light of histopathological findings. Patients and methods: A total of 57 consecutive female patients (mean age 47.9±10.4 years; range 25 to 76 years) with a diagnosis of SS and 48 healthy female individuals (mean age 51.1±10.8 years; range 20 to 70 years) underwent parotid ultrasonography and real-time tissue elastography imaging. Quantitative measurements of gray-scale US images were performed using the histogram software of the scanner. The histogram ratios of the parotid glands from both sides were obtained (histogram ratio; mean gray-scale histogram parotid/mean gray-scale histogram fat). Strain ratio (SR; ratio of fat to gland parenchyma) was calculated from the color-coded images. Subjective B-mode US scoring of electronically recorded grayscale US images was performed by two radiologists independently for intra-and inter-observer agreement. Subjective assessments, quantitative measurements, and clinical parameters were compared. Results: The SR of the patient group (1.4±0.8 right side, 1.5±0.9 left side) was significantly higher than that of the control group (1.0±0.3 right side, 1.1±0.3 left side) (p<0.05). The gray-scale histogram ratio of the patient group (1.3±0.5 right side, 1.4±0.9 left side) was lower than that of the control group (1.8±0.7 right side, 1.9±0.7 left side) (p<0.05). Receiver-operating-characteristics curve yielded 66% sensitivity for both sides and 50% and 52% specificity for the right and left sides, respectively, for a cut-off SR of 1.02; 76% and 86% sensitivity for the right and left sides, respectively, and 63% specificity for both sides for a cut-off histogram ratio of 1.35. The quantitative histogram ratio method had a higher positivity rate for the diagnosis of abnormal parotid glands than subjective assessments of US images. Conclusion: Sonoelastography and gray-scale histogram analysis of the parotid glands may be used as auxiliary tools to detect parotid gland sonographic abnormalities in patients with SS.

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“…Images, such as those from magnetic resonance, are useful in monitoring IGM behavior and clinical improvement, particularly in patients conservatively managed 6 . Also, elastography as adjuvant for conventional B-scan ultrasound, together with the calculated stress rate, helps to differentiate IGM from malignant breast lesions 7 . These tests were not performed in the cases described.…”

Section: Discussionmentioning

confidence: 99%

Idiopathic granulomatous mastitis: case series

Siqueira¹,

Fontinele²,

Vieira³

et al. 2019

Mastology

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A mastite granulomatosa idiopática é uma doença rara que mimetiza outras condições patológicas, incluindo adenocarcinoma de mama, tuberculose de mama e abscesso. Foram analisados três pacientes com diagnóstico de mastite granulomatosa idiopática, que receberam como tratamento corticosteroide, antibioticoterapia em casos de abscessos e, em um caso, ressecção do segmento mamário afetado. Todas as pacientes evoluíram com regressão dos sintomas. ABSTRACTIdiopathic granulomatous mastitis is a rare disease that mimics other pathological conditions, including breast adenocarcinoma, breast tuberculosis, and abscess. Three patients diagnosed with idiopathic granulomatous mastitis were analyzed, receiving corticosteroid treatment, antibiotic therapy in cases of abscesses, and, in one case, resection of the affected breast segment. All patients exhibited regression of symptoms.

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Differentiation between idiopathic granulomatous mastitis and malignant breast lesions using strain ratio on ultrasonic elastography

Abstract: Sonoelastographic strain ratio contributes to differentiate IGM from malignant breast lesions, thus has potential to influence clinical decision making for further biopsies.

Cited by 21 publications

References 25 publications

Real Ti̇me Elastografi̇ni̇n Etki̇nli̇ği̇: Korti̇komedüller Strai̇n Orani Üri̇ner Obstrüksi̇yonun Tani Ve Taki̇bi̇nde Kullanilabi̇li̇r Mi̇?

Real Ti̇me Elastografi̇ni̇n Etki̇nli̇ği̇: Korti̇komedüller Strai̇n Orani Üri̇ner Obstrüksi̇yonun Tani Ve Taki̇bi̇nde Kullanilabi̇li̇r Mi̇?

The Role of Real-Time Tissue Elastography and Gray-Scale Ultrasound Histogram Analysis in the Diagnosis of Patients With Sjögren’s Syndrome

Idiopathic granulomatous mastitis: case series

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