Real‐time transvaginal elastosonography of uterine fibroids

Ami, O.; Lamazou, F.; Mabille, M.; Levaillant, Jean‐Marc; Deffieux, X.; Frydman, René; Musset, D.

doi:10.1002/uog.7358

Cited by 46 publications

(34 citation statements)

References 11 publications

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“…In our study, on elastosonography the fibroid appears as a blue area with regular borders, i.e. with greater hardness than the surrounding tissue, according to Ami et al [23].…”

Section: Discussionmentioning

confidence: 62%

“…It is important to emphasise that specific colours do not represent a precise value of stiffness but rather that stiffness is present in a particular area compared with the surrounding areas. Currently this technique is being used, with good results, in the evaluation of breast and thyroid lesions and in prostate cancer [16][17][18][19][20][21], while its use in gynaecology has been limited to the evaluation of the uterine cervix and, only very recently, of uterine fibroids [22,23].…”

Section: Discussionmentioning

confidence: 99%

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Elastosonography: a possible new tool for diagnosis of adenomyosis?

Tessarolo¹,

Bonino²,

Camanni³

et al. 2011

Eur Radiol

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“…In our study, on elastosonography the fibroid appears as a blue area with regular borders, i.e. with greater hardness than the surrounding tissue, according to Ami et al [23].…”

Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 99%

Elastosonography: a possible new tool for diagnosis of adenomyosis?

Tessarolo¹,

Bonino²,

Camanni³

et al. 2011

Eur Radiol

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“…As a result, they are often poorly visualized on traditional transvaginal ultrasonography, so that their number and size can be wrongly estimated; this may cause difficulties during any subsequent surgery. Using a commercially available machine with small movements of the probe inducing tissue displacement, it was concluded that real-time ultrasonic elastography could provide detailed mapping and characterization of fibroids [217]. That is useful in itself, but an important problem in cases of dysfunctional bleeding is the possibility that it may not be due to fibroids, but to adenomyosis or other causes, for which the treatment is different.…”

Section: Review Medical Ultrasonic Elastography P N T Wells and Hmentioning

confidence: 99%

Medical ultrasound: imaging of soft tissue strain and elasticity

Wells

Liang

2011

J. R. Soc. Interface.

448

322

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After X-radiography, ultrasound is now the most common of all the medical imaging technologies. For millennia, manual palpation has been used to assist in diagnosis, but it is subjective and restricted to larger and more superficial structures. Following an introduction to the subject of elasticity, the elasticity of biological soft tissues is discussed and published data are presented. The basic physical principles of pulse-echo and Doppler ultrasonic techniques are explained. The history of ultrasonic imaging of soft tissue strain and elasticity is summarized, together with a brief critique of previously published reviews. The relevant techniques—low-frequency vibration, step, freehand and physiological displacement, and radiation force (displacement, impulse, shear wave and acoustic emission)—are described. Tissue-mimicking materials are indispensible for the assessment of these techniques and their characteristics are reported. Emerging clinical applications in breast disease, cardiology, dermatology, gastroenterology, gynaecology, minimally invasive surgery, musculoskeletal studies, radiotherapy, tissue engineering, urology and vascular disease are critically discussed. It is concluded that ultrasonic imaging of soft tissue strain and elasticity is now sufficiently well developed to have clinical utility. The potential for further research is examined and it is anticipated that the technology will become a powerful mainstream investigative tool.

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“…Although their clinical use is simple, tocodynamometry and manual palpation remain highly subjective and experience dependent, with large intra-and inter-operator variability [1].…”

Section: Introductionmentioning

confidence: 99%

“…Elastography is a rapidly growing field but has not yet been widely applied to obstetrics and gynaecology. To our knowledge only a few studies have been conducted to investigate uterine fibroids [1], cervical tumours [32] or cervix stiffness [32,30,28] using qualitative real-time static elastography. This technique, in which strain maps of tissues are calculated after applying static stress directly onto the surface of the body with the ultrasonic probe, provides information on the relative stiffness of the tissues investigated, but is highly operator dependant and non-quantitative.…”

Section: Introductionmentioning

confidence: 99%