A vivid way of differentiating benign and malig-nant cervical lymph node through b-mode ultrasonography and sonoelastography
Cervical lymphadenopathy is not a diagnosis but it is a sign or symp-tom. The etiology could be inflammatory or degenerative or neoplastic. Cervical lymph node evaluation plays a vital role in patients with head and neck cancers because the results determine the prognosis and choice of therapy. Ultr...
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Deccan College of Medical Sciences
2021-07-01
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| Series: | Journal of Medical and Allied Sciences |
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| Online Access: | http://www.ejmanager.com/fulltextpdf.php?mno=63227 |
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| author | Shruti Patil Sidhesh Revathi Murugaiyan Pravitha Baskar Divyameenupreetha Ashok Muhsina Aboobaker Sindhu Bairavi Moongilmadai Raju |
| author_facet | Shruti Patil Sidhesh Revathi Murugaiyan Pravitha Baskar Divyameenupreetha Ashok Muhsina Aboobaker Sindhu Bairavi Moongilmadai Raju |
| author_sort | Shruti Patil |
| collection | DOAJ |
| description | Cervical lymphadenopathy is not a diagnosis but it is a sign or symp-tom. The etiology could be inflammatory or degenerative or neoplastic. Cervical lymph node evaluation plays a vital role in patients with head and neck cancers because the results determine the prognosis and choice of therapy. Ultrasonography can be used to assess the mor-phology, site, number, size and vascularity of cervical lymph node. However, the ultrasound criteria for metastatic lymph nodes are con-troversial. Sonoelastography is a novel imaging modality introduced as a non-invasive technique for evaluating cervical lymph nodes and to map the elastic properties of examined soft tissue. Neck lymph nodes are easily accessible and can be efficiently compressed against under-lying anatomical structures, with use of an ultrasound transducer for elastographic tissue characterization. The detail about the rigidity of a lymph node gives us the direction for percutaneous biopsy and nodal dissection under ultrasound guidance. Use of this information can also improve patient follow-up by enabling detection of cancer recurrence at an early stage. The study aims to differentiate benign and malignant cervical lymph nodes by observing the morphology, vascular Pattern and strain ratio cut-off value. In this trial 40 patients with cervical lym-phadenopathy were studied and the study concluded that Ultrasound elastography is a specific test unlike B-mode ultrasonography in dif-ferentiating benign and malignant cervical lymphadenopathy. The strain ratio cut-off value for benign vs malignant lymphadenopathy is 1.78. Thus Sonoelastography along with B-mode ultrasound increases the rate of detection of malignancy. [J Med Allied Sci. 2021; 11(2):172-177] |
| first_indexed | 2024-03-12T22:21:14Z |
| format | Article |
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| issn | 2231-1696 2231-170X |
| language | English |
| last_indexed | 2024-03-12T22:21:14Z |
| publishDate | 2021-07-01 |
| publisher | Deccan College of Medical Sciences |
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| series | Journal of Medical and Allied Sciences |
| spelling | doaj.art-e37892b4a47b4d12bac5f4c5f1d8c19a2023-07-23T07:47:12ZengDeccan College of Medical SciencesJournal of Medical and Allied Sciences2231-16962231-170X2021-07-0111217217710.5455/jmas.6322763227A vivid way of differentiating benign and malig-nant cervical lymph node through b-mode ultrasonography and sonoelastographyShruti Patil0Sidhesh Revathi Murugaiyan1Pravitha Baskar2Divyameenupreetha Ashok3Muhsina Aboobaker4Sindhu Bairavi Moongilmadai Raju5Department of Radiology, Vinayaka Missions Kirupananda Variyar Medical College and Hospital, Salem, Tamil Nadu, IndiaDepartment of Radiology, Vinayaka Missions Kirupananda Variyar Medical College and Hospital, Salem, Tamil Nadu, IndiaDepartment of Radiology, Vinayaka Missions Kirupananda Variyar Medical College and Hospital, Salem, Tamil Nadu, IndiaDepartment of Radiology, Vinayaka Missions Kirupananda Variyar Medical College and Hospital, Salem, Tamil Nadu, IndiaDepartment of Radiology, Vinayaka Missions Kirupananda Variyar Medical College and Hospital, Salem, Tamil Nadu, IndiaDepartment of Radiology, Vinayaka Missions Kirupananda Variyar Medical College and Hospital, Salem, Tamil Nadu, IndiaCervical lymphadenopathy is not a diagnosis but it is a sign or symp-tom. The etiology could be inflammatory or degenerative or neoplastic. Cervical lymph node evaluation plays a vital role in patients with head and neck cancers because the results determine the prognosis and choice of therapy. Ultrasonography can be used to assess the mor-phology, site, number, size and vascularity of cervical lymph node. However, the ultrasound criteria for metastatic lymph nodes are con-troversial. Sonoelastography is a novel imaging modality introduced as a non-invasive technique for evaluating cervical lymph nodes and to map the elastic properties of examined soft tissue. Neck lymph nodes are easily accessible and can be efficiently compressed against under-lying anatomical structures, with use of an ultrasound transducer for elastographic tissue characterization. The detail about the rigidity of a lymph node gives us the direction for percutaneous biopsy and nodal dissection under ultrasound guidance. Use of this information can also improve patient follow-up by enabling detection of cancer recurrence at an early stage. The study aims to differentiate benign and malignant cervical lymph nodes by observing the morphology, vascular Pattern and strain ratio cut-off value. In this trial 40 patients with cervical lym-phadenopathy were studied and the study concluded that Ultrasound elastography is a specific test unlike B-mode ultrasonography in dif-ferentiating benign and malignant cervical lymphadenopathy. The strain ratio cut-off value for benign vs malignant lymphadenopathy is 1.78. Thus Sonoelastography along with B-mode ultrasound increases the rate of detection of malignancy. [J Med Allied Sci. 2021; 11(2):172-177]http://www.ejmanager.com/fulltextpdf.php?mno=63227b-mode ultrasonographycervical lymphnodesonoelastographystrain cut-off ratio |
| spellingShingle | Shruti Patil Sidhesh Revathi Murugaiyan Pravitha Baskar Divyameenupreetha Ashok Muhsina Aboobaker Sindhu Bairavi Moongilmadai Raju A vivid way of differentiating benign and malig-nant cervical lymph node through b-mode ultrasonography and sonoelastography Journal of Medical and Allied Sciences b-mode ultrasonography cervical lymphnode sonoelastography strain cut-off ratio |
| title | A vivid way of differentiating benign and malig-nant cervical lymph node through b-mode ultrasonography and sonoelastography |
| title_full | A vivid way of differentiating benign and malig-nant cervical lymph node through b-mode ultrasonography and sonoelastography |
| title_fullStr | A vivid way of differentiating benign and malig-nant cervical lymph node through b-mode ultrasonography and sonoelastography |
| title_full_unstemmed | A vivid way of differentiating benign and malig-nant cervical lymph node through b-mode ultrasonography and sonoelastography |
| title_short | A vivid way of differentiating benign and malig-nant cervical lymph node through b-mode ultrasonography and sonoelastography |
| title_sort | vivid way of differentiating benign and malig nant cervical lymph node through b mode ultrasonography and sonoelastography |
| topic | b-mode ultrasonography cervical lymphnode sonoelastography strain cut-off ratio |
| url | http://www.ejmanager.com/fulltextpdf.php?mno=63227 |
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