Accuracy of Sonographic Diagnosis of Superficial Masses

Wagner, Jason M.; Lee, Kenneth S.; Rosas, Humberto G.; Kliewer, Mark A.

doi:10.7863/ultra.32.8.1443

Cited by 50 publications

(50 citation statements)

References 12 publications

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“…(5) and Wagner et al. (11) used a combination of both prospective and retrospective review of images. The retrospective review of static images is a common limitation of clinical studies into ultrasonography.…”

Section: Discussionmentioning

confidence: 99%

The diagnostic accuracy of ultrasonography for soft tissue lipomas: a systematic review

Rahmani

McCarthy

Bergin

2017

Acta Radiologica Open

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BackgroundUltrasound has been used in the diagnosis of soft-tissue lesions for well over a decade. Lipomas are the most common, benign, soft-tissue tumor and comprise adipose tissue. The sensitivity and specificity of diagnosing lipomas on ultrasound vary greatly in the literature.PurposeTo perform a systematic review on ultrasonography in soft-tissue lipomas to better ascertain the true diagnostic value of this test.Material and MethodsA systematic review of the diagnostic value of ultrasound in lipomas was performed where possible in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A comprehensive search of the literature was conducted using several well-known databases Scopus®, PubMed®, Ovid® Medline, and Web of Science®.ResultsA total of 455 articles were identified in the initial literature search. Six papers were included in the final systematic review, which revealed an overall sensitivity and specificity of 86.87% (95% confidence interval [CI] = 82.14–90.73) and 95.95% (95% CI = 93.75–97.54), respectively.ConclusionUltrasound is a useful tool in the diagnosis of superficial lipomas with good sensitivity and even better specificity and should continue to be the first line investigation in such cases.

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Section: Discussionmentioning

confidence: 99%

The diagnostic accuracy of ultrasonography for soft tissue lipomas: a systematic review

Rahmani

McCarthy

Bergin

2017

Acta Radiologica Open

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“…When referred for sonographic evaluation, ultrasonography has been shown to have variable accuracy, reportedly as high as 96% sensitivity, 97% specificity, and overall accuracy of 96% for the diagnosis of lipoma. 1 However, other investigators have reported lower numbers, ranging from 49% to 86% in overall accuracy. 4 In most cases, typical sonographic findings of a lipoma require no further evaluation other than periodic clinical follow-up.…”

Section: Benign Solid Masses Lipomamentioning

confidence: 96%

“…4 In one case series, 54% of all superficial masses referred for sonographic evaluation over a 3-year period were lipomas. 1 The sonographic appearance is typically of a well-circumscribed mass that can have variable echogenicity compared with the surrounding soft tissues. In the case series previously referred to, 59% of masses were isoechoic (Fig.…”

Section: Benign Solid Masses Lipomamentioning

confidence: 99%

“…In most cases, ultrasonography can accurately characterize the lesion, obviating biopsy and reducing unnecessary further work-up. 1 When needed, ultrasonography can also provide guidance for percutaneous biopsy. This article reviews the capabilities of ultrasonography in evaluating superficial soft tissue lesions and the sonographic appearance of common and uncommon disease entities.…”

Section: Introductionmentioning

confidence: 99%

“…With an incidence of approximately 3 per 1000 people per year, 99% of these lesions prove to be benign. 1 Ultrasonography is an attractive way to image these lesions because it is inexpensive, readily available, and does not rely on ionizing radiation. With proper scanning technique, ultrasonography can readily confirm the presence of a mass, differentiate solid from cystic lesions, define the anatomic extent of the lesion, and detect vascular lesions with high sensitivity.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Sonographic Evaluation of Palpable Superficial Masses

DiDomenico

Middleton

2014

Radiologic Clinics of North America

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Non‐Vascular Considerations When Interpreting Extremity Arterial and Venous Examinations

Malik

Young

Heng

et al. 2022

J of Ultrasound Medicine

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Peripheral arterial and venous examinations are performed regularly in vascular labs and interpreted by physicians of different specialities. Many vascular examinations have nonvascular pathology that is either inadvertently imaged by the sonographer or imaged with intent as it relates to patient's symptoms. It is prudent for every reader of vascular studies to be acquainted with the sonographic appearance of these non‐vascular lesions to enable appropriate and optimal interpretation that has a direct bearing on patient's clinical care. Our review includes a discussion of the nonvascular pathologies like lymph nodes, soft tissue edema, soft tissue fluid collections, musculotendinous injuries, soft tissue masses, and joint and bursal pathologies that may be encountered during interpretation of vascular exams. The pictorial essay includes a discussion of their sonographic appearances and pitfalls in interpretation. Multiple illustrative examples and sonographic images of the non‐vascular pathologies found during interpretation of vascular studies have been utilized to highlight their appearances.

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Accuracy of Sonographic Diagnosis of Superficial Masses

Abstract: Sonography has high accuracy in the evaluation of superficial masses, particularly lipomas.

Cited by 50 publications

References 12 publications

The diagnostic accuracy of ultrasonography for soft tissue lipomas: a systematic review

The diagnostic accuracy of ultrasonography for soft tissue lipomas: a systematic review

Sonographic Evaluation of Palpable Superficial Masses

Non‐Vascular Considerations When Interpreting Extremity Arterial and Venous Examinations

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