Diagnosis of Superficial Lymph Nodes Disease by Two-dimensional Ultrasonography Combined with Ultrasonic Elastography
10.3969/j.issn.1005-5185.2017.02.008
- VernacularTitle:二维超声超声联合弹性成像在浅表淋巴结疾病诊断中的应用
- Author:
Ruiming WU
;
Shuping YANG
;
Guorong LV
;
Haolin SHEN
;
Xiaohan CAI
- Keywords:
Lymphadenitis;
Lymphoma;
Lymphatic metastasis;
Ultrasonography;
Elasticity imaging techniques;
Diagnosis,differential
- From:
Chinese Journal of Medical Imaging
2017;25(2):109-111
- CountryChina
- Language:Chinese
-
Abstract:
Purpose It is still undetermined about the application of regular ultrasound (US) combined with ultrasonic elastography (UE) in diagnosing superficial lymph nodes disease.Therefore our aim is to evaluate the value of US combined with UE in diagnosing superficial lymph nodes disease.Materials and Methods The ultrasonography and pathological data of 214 patients (with 266 superficial lymph nodes) were analyzed retrospectively.The US and UE data were compared with the pathologic results.Results The elastic classification of reactive hyperplastic and lymphomatous lymph nodes were no greater than grade 3,respectively;that of malignant metastatic lymph nodes was greater than grade 4.The accuracy of UE or US+UE was higher in diagnosing reactive hyperplastic lymph nodes and metastatic lymph nodes' nature compared with US (P＜0.05).The sensitivity and accuracy of US+UE in diagnosing malignant superficial lymph nodes were higher than those of US (90.13％ vs.72.37％;86.09％ vs.68.05％,P＜0.05).Compared with UE alone,those of US+UE were also higher (90.13％ vs.77.63％;86.09％ vs.72.56％,P＜0.05).Conclusion The accuracy of differential diagnosis of benign or malignant superficial lymph nodes can be improved by US+UE method.
