Volume 5, Issue 4, July 2017, Page: 42-46
Differentiating Benign from Malignant Cervical Lymph Nodes with Sonoelastography
Abdelmoniem Mahmoud Mohie-Eldine, Radiological Department, Tanta University, Tanta, Egypt
Nabila El-Gazzar, Tropical Medicine Departement, Tanta University, Tanta, Egypt
Emad Mohamed Mashaly, Radiological Department, Tanta University, Tanta, Egypt
Reda Abd-Elsameea Alarabawy, Radiological Department, Tanta University, Tanta, Egypt
Sherief Abd-ElSalam, Tropical Medicine Departement, Tanta University, Tanta, Egypt
Received: May 3, 2017;       Accepted: Jun. 3, 2017;       Published: Oct. 18, 2017
DOI: 10.11648/j.ijmi.20170504.11      View  1513      Downloads  73
In the clinical practice, there is many overlap in diagnostic criteria between benign and malignant lymph nodes by grayscale and Doppler sonography. This study was carried out on 30 patients who suffered from enlarged cervical lymph nodes examined with B-mode US, Doppler US and Sonoelastography in the Sonoelastography unit of the Radiology department of Tanta university hospitals to prospectively estimate the accuracy of sonoelastography in the differentiation between benign and malignant cervical lymph nodes. Sonoelastography had the highest sensitivity (92.1%), specificity (95.5%) and accuracy (93.3%) in the differentiation between benign and malignant cervical lymph nodes, so Sonoelastography is a promising technique that is easy and rapid non-invasive to perform and help identifying cervical lesions that are likely to be malignant to avoid hazards that found in tissue biopsy especially in patients with bleeding disorders.
Lymphadenopathy, Elastography, Sonoelastography
To cite this article
Abdelmoniem Mahmoud Mohie-Eldine, Nabila El-Gazzar, Emad Mohamed Mashaly, Reda Abd-Elsameea Alarabawy, Sherief Abd-ElSalam, Differentiating Benign from Malignant Cervical Lymph Nodes with Sonoelastography, International Journal of Medical Imaging. Vol. 5, No. 4, 2017, pp. 42-46. doi: 10.11648/j.ijmi.20170504.11
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Alam F, Naito K, Horiguchi J, et al., (2008): “Accuracy of sonographicelastography in the differential diagnosis of enlarged cervical lymph nodes: comparison with conventional B-mode sonography”. Am J Roentgenol; 191: 604–10.
Liao L, Wang T, Young Y, et al., (2010): “Real-time and computerized sonographic scoring system for predicting malignant cervical lymphadenopathy”. Head Neck journal; 32: 594–598.
Ahuja A, Ying M, Ho S, et al., (2008): “Ultrasound of malignant cervical lymph nodes”. Cancer Imaging; 8 (1): 48–56.
Sureshkannan P, Vijayprabhu A, and John R. (2011): “Role of ultrasound in detection of metastatic neck nodes in patients with oral cancer”. Indian J Dent Res; 22 (3): 419–423.
Zhang Y, Lv Q, Yin Y, et al., (2009): “The value of ultrasound elastography in differential diagnosis of superficial lymph nodes”. Front Med China; 3 (3): 368–374.
Mahsa G, Mehdi M, Kamran A, et al., (2014): “Sonoelastography for differentiating benign and malignant cervical lymph nodes: A Systematic Review and Meta-Analysis”. Int J Preventive Med.; 5 (12): 1521–1528.
Teng DK, Wang H, Lin YQ, et al., (2012): “Value of ultrasound elastography in assessment of enlarged cervical lymph nodes”. Asian Pac J Cancer Prev.; 13: 2081–2085.
Hefeda M, and Badawy M. (2014): “Can ultrasound elastography distinguish metastatic from reactive lymph nodes in patients with primary head and neck cancers?”. The Egyptian Journal of Radiology and Nuclear Medicine; 45 (3): 715–722.
Lyshchik A, Higashi T, Asato R, et al., (2007): “Cervical lymph node metastases: diagnosis at sonoelastography: initial experience”. Radiology; 243 (1): 258 –267.
Cheng K, Choi Y, Shim W, et al. (2016): Virtual touch tissue imaging quantification shear wave elastography: prospective assessment of cervical lymph nodes. Ultrasound in medicine & biology, 42 (2), 378-386.
Choi J, Lee J and Baek J. (2015): Ultrasound elastography for evaluation of cervical lymph nodes. Ultrasonography, 34 (3), 157-164.
Tugut E1, Celenk C, Tanrivermis Sayit A, et al. (2017): Efficiency of B-mode Ultrasound and Strain Elastography in Differentiating Between Benign and Malignant Cervical Lymph Nodes. Ultrasound Q. 2017 May 25. doi: 10.1097/RUQ.0000000000000302.
Browse journals by subject