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Shear Wave Elastography versus Strain Elastography in Diagnosing Parathyroid Adenomas
المؤلفون المشاركون
Stoian, Dana
Sporea, Ioan
Amzar, Daniela
Cotoi, Laura
Borlea, Andreea
Navolan, Dan
Varcus, Flore
المصدر
International Journal of Endocrinology
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-11، 11ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-03-17
دولة النشر
مصر
عدد الصفحات
11
التخصصات الرئيسية
الملخص EN
Objectives.
The aim of the study was to compare elastographic means in parathyroid adenomas, using shear wave elastography and strain elastography.
Methods.
This prospective study examined 20 consecutive patients diagnosed with primary hyperparathyroidism and parathyroid adenoma, confirmed by biochemical assay, technetium-99 sestamibi scintigraphy, and pathology report, after parathyroid surgery.
All patients were examined on conventional 2B ultrasound, 2D shear wave elastography, and strain elastography.
We determined using 2D shear wave elastography (SWE) the elasticity index (EI) in parathyroid adenoma, thyroid parenchyma, and surrounding muscle and examined using strain elastography the parathyroid adenoma, and determined the strain ratio with the thyroid tissue and muscle tissue.
Results.
All patients had positive sestamibi scintigraphy and underwent surgery, with confirmation of parathyroid adenoma in all cases.
The mean parathormone (PTH) value before surgery was 153.29 pg/ml (36.5, 464.8) and serum calcium concentration was 10.5 mg/dl (9, 11.5).
We compared using 2D-SWE and strain elastography parathyroid adenoma with thyroid tissue and with surrounding muscle.
The mean EI measured by SWE in parathyroid adenoma was 4.74 ± 2.74 kPa and in thyroid parenchyma was 11.718 ± 4.206 kPa (mean difference = 6.978 kPa, p<0.001), and the mean EI value in muscle tissue was 16.362 ± 3.829 kPa (mean difference = 11.622, p<0.001).
Using ROC analysis, we found that an EI below 7 kPa correctly identifies parathyroid tissue.
We evaluated parathyroid adenomas using strain elastography by color mapping and strain ratio as a semiquantitative measurement; however, we could not find any statistical correlation comparing the strain ratio obtained from the parathyroid adenoma with the thyroid tissue (p=0.485).
Conclusion.
Ultrasound elastography is a helpful tool in identifying parathyroid adenomas.
A cutoff value below 7 kPa can be used in 2D-SWE.
Color maps in strain elastography without adding strain ratio can be used, parathyroid adenoma being identified as score 1 in the Rago criteria.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Cotoi, Laura& Amzar, Daniela& Sporea, Ioan& Borlea, Andreea& Navolan, Dan& Varcus, Flore…[et al.]. 2020. Shear Wave Elastography versus Strain Elastography in Diagnosing Parathyroid Adenomas. International Journal of Endocrinology،Vol. 2020, no. 2020, pp.1-11.
https://search.emarefa.net/detail/BIM-1170266
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Cotoi, Laura…[et al.]. Shear Wave Elastography versus Strain Elastography in Diagnosing Parathyroid Adenomas. International Journal of Endocrinology No. 2020 (2020), pp.1-11.
https://search.emarefa.net/detail/BIM-1170266
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Cotoi, Laura& Amzar, Daniela& Sporea, Ioan& Borlea, Andreea& Navolan, Dan& Varcus, Flore…[et al.]. Shear Wave Elastography versus Strain Elastography in Diagnosing Parathyroid Adenomas. International Journal of Endocrinology. 2020. Vol. 2020, no. 2020, pp.1-11.
https://search.emarefa.net/detail/BIM-1170266
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1170266
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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