The possibilities of ultrasound elastography in diagnostics of lymphomatous changes of superficial lymph nodes

Objective: to evaluate the possibilities of strain elastography (SE) in eSie Touch mode and shear wave elastography (SWE) with ARFI (Acoustic Radiation Force Impulse) technology in Virtual TouchTM Tissue Imaging (VTI) for diagnostics lymphomatous superficial lymph nodes (LN).Materials and methods. T...

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Main Authors: E. V. Kovaleva, T. Yu. Danzanova, G. T. Sinyukova, E. A. Gudilina, P. I. Lepedatu, P. A. Zeynalova
Format: Article
Language:Russian
Published: ABV-press 2022-01-01
Series:Онкогематология
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Online Access:https://oncohematology.abvpress.ru/ongm/article/view/524
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author E. V. Kovaleva
T. Yu. Danzanova
G. T. Sinyukova
E. A. Gudilina
P. I. Lepedatu
P. A. Zeynalova
author_facet E. V. Kovaleva
T. Yu. Danzanova
G. T. Sinyukova
E. A. Gudilina
P. I. Lepedatu
P. A. Zeynalova
author_sort E. V. Kovaleva
collection DOAJ
description Objective: to evaluate the possibilities of strain elastography (SE) in eSie Touch mode and shear wave elastography (SWE) with ARFI (Acoustic Radiation Force Impulse) technology in Virtual TouchTM Tissue Imaging (VTI) for diagnostics lymphomatous superficial lymph nodes (LN).Materials and methods. The prospective study included 168 patients with enlarged superficial LN. Based on a previous histological examination, patients were divided into three groups: group 1 (n = 108) – patients with lymphomas; group 2 (n = 30) – patients with metastatic superficial LN; group 3 (n = 30) – patients with reactive (inflammatory) changes in superficial LN. All patients underwent SE and SWE elastography of the enlarged LN using eSie Touch and VTI modes respectively.Results. The SE data: reactive LN was characterized by elastotypes 1 and 2 with a predominance of elastic structure in 90.0 % of cases. In patients with lymphomas, the elastotype 3 was more often determined (58.3 %). The stiffest LN with the elastotype 4 were metastatic LN, detected in 66.7 % of patients from this group. The results of VTI elastography showed that the stiffest structure is typical for metastatic LN (elastotypes 5–6 in 63.3 % of cases). Lymphomas had an intermediate degree of stiffness (elastotypes 3–4 in 81.5 % of cases). The lowest indicators of elasticity were found in patients with reactive LN (elastotypes 1–2 in 73.4 % of cases).Conclusion. The qualitative assessment of superficial LN stiffness, both using SE and VTI elastography, demonstrated statistically significant differences in the frequency of various types of superficial LN elastograms with lymphomatous, metastatic and reactive changes, which allows for more accurate differential diagnosis between these types of lymphadenopathy.
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spelling doaj-art-c6bf0deefd1645dfad40d82a496c5c062025-08-04T13:57:51ZrusABV-pressОнкогематология1818-83462413-40232022-01-011719510310.17650/1818-8346-2022-17-1-95-103427The possibilities of ultrasound elastography in diagnostics of lymphomatous changes of superficial lymph nodesE. V. Kovaleva0T. Yu. Danzanova1G. T. Sinyukova2E. A. Gudilina3P. I. Lepedatu4P. A. Zeynalova5N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of RussiN.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia; N.I. Pirogov Russian National Research Medical University, Ministry of Health of RussiaN.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of RussiN.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of RussiN.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of RussiClinical Hospital “Lapino” of the “Mother and Child” Group of companiesObjective: to evaluate the possibilities of strain elastography (SE) in eSie Touch mode and shear wave elastography (SWE) with ARFI (Acoustic Radiation Force Impulse) technology in Virtual TouchTM Tissue Imaging (VTI) for diagnostics lymphomatous superficial lymph nodes (LN).Materials and methods. The prospective study included 168 patients with enlarged superficial LN. Based on a previous histological examination, patients were divided into three groups: group 1 (n = 108) – patients with lymphomas; group 2 (n = 30) – patients with metastatic superficial LN; group 3 (n = 30) – patients with reactive (inflammatory) changes in superficial LN. All patients underwent SE and SWE elastography of the enlarged LN using eSie Touch and VTI modes respectively.Results. The SE data: reactive LN was characterized by elastotypes 1 and 2 with a predominance of elastic structure in 90.0 % of cases. In patients with lymphomas, the elastotype 3 was more often determined (58.3 %). The stiffest LN with the elastotype 4 were metastatic LN, detected in 66.7 % of patients from this group. The results of VTI elastography showed that the stiffest structure is typical for metastatic LN (elastotypes 5–6 in 63.3 % of cases). Lymphomas had an intermediate degree of stiffness (elastotypes 3–4 in 81.5 % of cases). The lowest indicators of elasticity were found in patients with reactive LN (elastotypes 1–2 in 73.4 % of cases).Conclusion. The qualitative assessment of superficial LN stiffness, both using SE and VTI elastography, demonstrated statistically significant differences in the frequency of various types of superficial LN elastograms with lymphomatous, metastatic and reactive changes, which allows for more accurate differential diagnosis between these types of lymphadenopathy.https://oncohematology.abvpress.ru/ongm/article/view/524words: ultrasound elastographystrain elastographyarfilymphomaslymph node
spellingShingle E. V. Kovaleva
T. Yu. Danzanova
G. T. Sinyukova
E. A. Gudilina
P. I. Lepedatu
P. A. Zeynalova
The possibilities of ultrasound elastography in diagnostics of lymphomatous changes of superficial lymph nodes
Онкогематология
words: ultrasound elastography
strain elastography
arfi
lymphomas
lymph node
title The possibilities of ultrasound elastography in diagnostics of lymphomatous changes of superficial lymph nodes
title_full The possibilities of ultrasound elastography in diagnostics of lymphomatous changes of superficial lymph nodes
title_fullStr The possibilities of ultrasound elastography in diagnostics of lymphomatous changes of superficial lymph nodes
title_full_unstemmed The possibilities of ultrasound elastography in diagnostics of lymphomatous changes of superficial lymph nodes
title_short The possibilities of ultrasound elastography in diagnostics of lymphomatous changes of superficial lymph nodes
title_sort possibilities of ultrasound elastography in diagnostics of lymphomatous changes of superficial lymph nodes
topic words: ultrasound elastography
strain elastography
arfi
lymphomas
lymph node
url https://oncohematology.abvpress.ru/ongm/article/view/524
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