Role of sonoelastography in diagnosing endometrial lesions: Our initial experience

Marfani, Gulam; Phatak, Suresh; Madurwar, Kaustubh; Samad, S. Abdul

doi:10.4103/jdmimsu.jdmimsu_89_18

Cited by 3 publications

(3 citation statements)

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“…The results of all studies showed significant differences in the stiffness of benign and malignant tissue. Santos and Cristina, 13 Marfani et al, 14 and Abdel Latif et al, 12 using strain elastography, all found that endometrial hyperplasia and benign polyps produced strain ratios of 1-5 compared to strain ratios of 9-11 in endometrial carcinoma. Du et al 15 and Ma et al, 6 using shear wave elastography, showed E mean values to be significantly lower in benign tissue with a range of 15.68 kpa-21.20 kpa compared to a range of 38.46 kpa-49.36 kpa in malignant tissue.…”

Section: Resultsmentioning

confidence: 99%

“…These studies all showed that malignant tissue is significantly stiffer than benign tissue. Santos and Cristina, 13 Marfani et al, 14 and Gulketin et al 5 included differentiations between benign endometrial polyps, endometrial hyperplasia, and endometrial carcinoma. However, Marfani et al 14 and Gultekin et al 5 both concluded that elastography was not helpful in discriminating between benign endometrial polyps and benign endometrial hyperplasia.…”

Section: Resultsmentioning

confidence: 99%

“…Two studies determined that elastography is excellent at distinguishing endometrial carcinoma from benign endometrial pathologies but could not distinguish between benign polyps and hyperplasia. 5,14 Additional studies are needed in this area to determine if elastography can distinguish between these subgroups and how that affects the detection of early-stage endometrial carcinoma.…”

Section: Discussionmentioning

confidence: 99%

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The Role of Elastography in Diagnosing Endometrial Pathology

Marshall,

Clem

2023

Journal of Diagnostic Medical Sonography

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Objective: The aim of this review was to provide a summary of literature and research on the use of elastography and its effectiveness in diagnosing endometrial pathology. Materials and Methods: An online database search produced 16 research articles. Inclusion criteria consisted of ultrasound elastography of benign and malignant endometrial pathology. Priority was given to articles focused on endometrial hyperplasia, polyps, and endometrial carcinoma. Results: The difference in stiffness between endometrial carcinoma and benign endometrial pathology, including lesions and hyperplasia, is statistically significant. High rates of sensitivity and specificity are seen in using elastography to determine endometrial carcinoma from a benign endometrial pathology. Conclusion: Elastography can provide valuable information to aid in diagnosing endometrial carcinoma. Currently, the standard of care for diagnosing endometrial pathology is 2D ultrasound imaging with tissue sampling and histology. Elastography imaging of the endometrium offers the opportunity to diagnose endometrial pathology without invasive tissue sampling procedures. While this exciting development offers great potential, there must be universal, consistent approaches and studies of subgroups to be considered the standard of care.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The Role of Elastography in Diagnosing Endometrial Pathology

Marshall,

Clem

2023

Journal of Diagnostic Medical Sonography

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A preliminary study on the application of sono-elastography in differentiating endometrial carcinoma from benign endometrial lesions in a tertiary government hospital in the Philippines

Santos,

Pangilinan,

Franada

2023

WFUMB Ultrasound Open

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Sonoelastography in differential diagnosis of pathological processes of the myometrium (literature review)

2021

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Background. Intrauterine pathological processes, the most common medical conditions of which are leiomyoma, adenomyosis and infiltrative adenocarci- noma, currently represent a quite prevailing group of gynecological pathology, dangerous due to the potential of malignancy and recurrence. The development of an integrated non-invasive diagnostic approach that takes into account risk factors, symptoms, clinical examination and imaging, makes it possible to make an accurate diagnosis, which is essential to determine therapeutic strategy. Рurpose – to carry out a systematic analysis of the uptodate scientific literature regarding the use of imaging methods in diagnosis of pathological processes of the myometrium and determine the main directions of their development in these pathologies. Materials and methods. The material for the study were publications and results of clinical trials found in Scopus, Web of Science Core Collection and PubMed databases for the period from 2013 to 2020 based on the keywords like “adeno- myosis”, “leiomyoma”, “adenocarcinoma”, “sonography”, “sonoelastography”. Results and discussion. The complexity of diagnosing myometrial neoplasms, especially in case of combinations, initiates the search for new algorithms for diagnosing pathological processes of the myometrium, the purpose of which, ultimately, is to determine personalized strategy of treatment of female patients. According to the literature, recently sonoelastography potential has been increasingly used in diagnosis of the reproductive system diseases and assessment of the functional state of uterine tissues, contributing to differential diagnosis, monitoring and treatment of these diseases. Conclusions. Thus, there is a limited number of studies on the diagnosis of myometrium pathology along with insufficient general standards of technique for conducting and interpreting the findings of sonoelastography in the reproductive system pathology. Adding sonoelastography data to sonographic images in B-mode is useful for differentiating leiomyoma, adenomyosis, and normal uterus, which is reflected in increased accuracy and diagnostic consistency. Sonoelastography potential consists in increasing the accuracy of diagnosis, safety and availability of the method, its low cost. This contributes to the possibility of wider implementation of the technique in clinical practice in order to obtain additional diagnostic information.

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Role of sonoelastography in diagnosing endometrial lesions: Our initial experience

Cited by 3 publications

References 1 publication

The Role of Elastography in Diagnosing Endometrial Pathology

The Role of Elastography in Diagnosing Endometrial Pathology

A preliminary study on the application of sono-elastography in differentiating endometrial carcinoma from benign endometrial lesions in a tertiary government hospital in the Philippines

Sonoelastography in differential diagnosis of pathological processes of the myometrium (literature review)

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