Detection of Epidermal Thickening in GJB2 Carriers with Epidermal US1

Purpose: To measure epidermal thickness by using skin ultrasonography (US) in a series of healthy control subjects and obligate carriers for the worldwide most frequent form of congenital hearing loss owing to the mutated alleles of the connexin 26 gene ( GJB2 ). Materials and Methods: The patent fo...

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Veröffentlicht in:Radiology 2009-04, Vol.251 (1), p.280
Hauptverfasser: PierPaolo Guastalla, Veronica Ileana Guerci, Antonella Fabretto, Flavio Faletra, Domenico Leonardo Grasso, Elisabetta Zocconi, Despina Stefanidou, Pio D'Adamo, Luca Ronfani, Marcella Montico, Marcello Morgutti, Paolo Gasparini
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container_issue 1
container_start_page 280
container_title Radiology
container_volume 251
creator PierPaolo Guastalla
Veronica Ileana Guerci
Antonella Fabretto
Flavio Faletra
Domenico Leonardo Grasso
Elisabetta Zocconi
Despina Stefanidou
Pio D'Adamo
Luca Ronfani
Marcella Montico
Marcello Morgutti
Paolo Gasparini
description Purpose: To measure epidermal thickness by using skin ultrasonography (US) in a series of healthy control subjects and obligate carriers for the worldwide most frequent form of congenital hearing loss owing to the mutated alleles of the connexin 26 gene ( GJB2 ). Materials and Methods: The patent for the protocol, coupled with a new sonographic probe specifically designed to analyze epidermal thickness and a dedicated algorithm to classify individuals in groups, is pending. Institutional ethics committee approval and patient consent were obtained. After a preliminary study in 23 subjects aimed to define the best body site and instrument and protocol for US, a total of 303 individuals (237 healthy subjects, 51 carriers, and 15 homozygotes) were tested at midline forehead by using a linear large-band probe with a frequency ranging from 6 to 15 MHz to determine epidermal thickness. Variance and linear regression analyses were performed. Regression coefficients were then used to obtain measurements of thickness corrected for age and sex. Results: GJB2 obligate carriers had a significant increase in epidermal thickness compared with control subjects. GJB2 status explains about 50.0% of this variability, whereas an additional 25.0% is explained by sex and age. Results led to the development of a possible screening protocol with a 98.0% sensitivity and 92.8% specificity in subjects aged 20 80 years, with a likelihood ratio of a positive test of 14:1. Even better results (100% sensitivity and 98.9% specificity) were obtained in an analysis of people of only reproductive age. Conclusion: Epidermal thickening in the white population owing to GJB2 carrier status can be detected by using US. This measurement could provide a simple, noninvasive, rapid, and sensitive test for carrier screening. © RSNA, 2009
doi_str_mv 10.1148/radiol.2511080912
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GJB2 status explains about 50.0% of this variability, whereas an additional 25.0% is explained by sex and age. Results led to the development of a possible screening protocol with a 98.0% sensitivity and 92.8% specificity in subjects aged 20 80 years, with a likelihood ratio of a positive test of 14:1. Even better results (100% sensitivity and 98.9% specificity) were obtained in an analysis of people of only reproductive age. Conclusion: Epidermal thickening in the white population owing to GJB2 carrier status can be detected by using US. 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GJB2 status explains about 50.0% of this variability, whereas an additional 25.0% is explained by sex and age. Results led to the development of a possible screening protocol with a 98.0% sensitivity and 92.8% specificity in subjects aged 20 80 years, with a likelihood ratio of a positive test of 14:1. Even better results (100% sensitivity and 98.9% specificity) were obtained in an analysis of people of only reproductive age. Conclusion: Epidermal thickening in the white population owing to GJB2 carrier status can be detected by using US. 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title Detection of Epidermal Thickening in GJB2 Carriers with Epidermal US1
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