Elastografia fali poprzecznej guzów nadnerczy jest możliwa do wykonania i może pomóc w różnicowaniu zmian litych z torbielowatymi — doniesienie wstępne

Słapa, Rafał Z.; Kasperlik-Załuska, A; Migda, Bartosz; Jakubowski, W

doi:10.5603/ep.2014.0017

Cited by 5 publications

(5 citation statements)

References 22 publications

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“…In principle, if a medium is composed of pure liquid, the shear velocity will be zero because shear waves are not transferred to pure water [18]. However, most cystic tumors have some degree of elasticity.…”

Section: Discussionmentioning

confidence: 99%

The feasibility of shear wave elastography for diagnosing superficial benign soft tissue masses

2019

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Section: Discussionmentioning

confidence: 99%

The feasibility of shear wave elastography for diagnosing superficial benign soft tissue masses

2019

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“…In patients of slight constitution, probes of higher frequencies can be used (3) . The preparation for an examination is the same as for an abdominal scan.…”

Section: Equipmentmentioning

confidence: 99%

“…By contrast with solid tumors, cysts do not present a colored elastographic signal since shear waves do not propagate through fluids (Fig. 4) (5) .…”

Section: Equipmentmentioning

confidence: 99%

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Standards of ultrasound imaging of the adrenal glands

et al. 2015

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Adrenal glands are paired endocrine glands located over the upper renal poles. Adrenal pathologies have various clinical presentations. They can coexist with the hyperfunction of individual cortical zones or the medulla, insufficiency of the adrenal cortex or retained normal hormonal function. The most common adrenal masses are tumors incidentally detected in imaging examinations (ultrasound, tomography, magnetic resonance imaging), referred to as incidentalomas. They include a range of histopathological entities but cortical adenomas without hormonal hyperfunction are the most common. Each abdominal ultrasound scan of a child or adult should include the assessment of the suprarenal areas. If a previously non-reported, incidental solid focal lesion exceeding 1 cm (incidentaloma) is detected in the suprarenal area, computed tomography or magnetic resonance imaging should be conducted to confirm its presence and for differentiation and the tumor functional status should be determined. Ultrasound imaging is also used to monitor adrenal incidentaloma that is not eligible for a surgery. The paper presents recommendations concerning the performance and assessment of ultrasound examinations of the adrenal glands and their pathological lesions. The article includes new ultrasound techniques, such as tissue harmonic imaging, spatial compound imaging, three-dimensional ultrasound, elastography, contrast-enhanced ultrasound and parametric imaging. The guidelines presented above are consistent with the recommendations of the Polish Ultrasound Society.

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“…Healthy adrenal glands are not visible in the examination due to their small size. In fact, in adults they do not exceed 2-5 cm, with branches reaching 6--10 mm [4]. It is estimated that ultrasound assessment is effective for tumours of about 3 cm.…”

Section: Adrenal Incidentaloma Radiological Assessmentmentioning

confidence: 98%

Pułapki w diagnostyce incydentaloma nadnerczy

Cyrańska-Chyrek

Grzymisławska

Ruchała

2017

Endokrynologia Polska

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Adrenal incidentaloma (AI) includes all lesions with diameter ≥ 1 cm found incidentally during imaging examinations not associated with suspected adrenal pathology. Every adrenal incidentaloma requires a detailed hormonal and imaging assessment. Initial diagnosis includes radiological phenotypical evaluation (particularly in CT, or in case of contraindications - in MRI) and biochemical assessment of tumour hormonal activity (which includes cortisol circadian rhythm, salivary cortisol concentration, 24-hour urinary free-cortisol and metanephrines test, short cortisol and dexamethasone suppression test, ACTH level assessment, aldosterone and ARO concentration, adrenal androgen concentration). Each diagnostic step is associated with limitations and method imperfections. The influence of administered medications, age and concomitant diseases must be taken into account when interpreting test results. It is important to remember abovementioned factors may cause false positive or false negative test results. The following paper is to summarize the etiology of the most common diagnostic mishaps which frequently lead to misdiagnoses, an increase in patient's anxiety and, as a consequence, in the introduction of improper therapy or its discontinuation. The awareness of biochemical and imaging test limitations, and the knowledge of false positive and false negative result sources, allows for the optimisation of the diagnostic process. Simultaneously, the analyzed factors may contribute to a decrease in unnecessary and frequently repeated tests. Additionally, it may imply avoiding the costs of unjustified deep diagnostics.

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Elastografia fali poprzecznej guzów nadnerczy jest możliwa do wykonania i może pomóc w różnicowaniu zmian litych z torbielowatymi — doniesienie wstępne

Cited by 5 publications

References 22 publications

The feasibility of shear wave elastography for diagnosing superficial benign soft tissue masses

The feasibility of shear wave elastography for diagnosing superficial benign soft tissue masses

Standards of ultrasound imaging of the adrenal glands

Pułapki w diagnostyce incydentaloma nadnerczy

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