ACOUSTIC RADIATION FORCE IMPULSE IMAGING FOR REACTIVE AND MALIGNANT/METASTATIC CERVICAL LYMPH NODES

被引:49
作者
Fujiwara, Takashi [1 ]
Tomokuni, Junko [2 ]
Iwanaga, Ken [3 ]
Ooba, Susumu [3 ]
Haji, Tomoyuki [3 ]
机构
[1] Ehime Univ, Sch Med, Dept Otolaryngol Head & Neck Surg, Toon City, Ehime 7910295, Japan
[2] Kurashiki Cent Hosp, Dept Lab Med, Kurashiki, Okayama, Japan
[3] Kurashiki Cent Hosp, Dept Otolaryngol Head & Neck Surg, Kurashiki, Okayama, Japan
关键词
Head and neck cancer; Shear wave velocity; Acoustic radiation force impulse imaging; Virtual touch tissue quantification; Cervical lymph node; NECK-CANCER; IN-VIVO; METASTASES; DIAGNOSIS; HEAD; ELASTOGRAPHY; TECHNOLOGY;
D O I
10.1016/j.ultrasmedbio.2013.02.001
中图分类号
O42 [声学];
学科分类号
070206 ; 082403 ;
摘要
The aim of this study was to compare lymph node stiffness using acoustic radiation force impulse (ARFI) imaging in patients with cervical lymph node swelling. Forty-two cervical lymph nodes ( reactive, n = 22; metastatic, n = 20) from 19 patients ( 13 men, 6 women; mean age, 63.68 +/- 14.9 y; range, 23-85 y) were examined between September 2011 and March 2012. The shear wave velocity ( SWV, m/s) of each lymph node was evaluated by ARFI imaging. SWV of reactive lymph nodes was 1.52 +/- 0.48 m/s, and that of metastatic/malignant lymph nodes was 2.46 +/- 0.75 m/s. A SWV > 1.9 m/s was very useful metastatic lymph node classification, with 95.0% specificity, 81.8% sensitivity and 88.0% overall accuracy. The area under the receiver operating characteristic curve was 0.923 (95% confidence interval, 0.842-1.000). ARFI imaging can be useful in the differentiation of reactive and malignant/metastatic cervical lymph nodes. (E-mail: t.fujiwarabi@gmail.com) (c) 2013 World Federation for Ultrasound in Medicine & Biology.
引用
收藏
页码:1178 / 1183
页数:6
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