Shear wave elastography of adrenal masses is feasible and may help to differentiate between solid and cystic lesions - an initial report

The aim of this study was to evaluate the feasibility and usefulness of supersonic shear wave elastography (SSWE) in the diagnosis of nonmalignant adrenal masses. 13 patients with a total number of 16 adrenal masses were enrolled in the study. In each case, both conventional ultrasound imaging and S...

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Veröffentlicht in:Endokrynologia Polska 2014, Vol.65 (2), p.119-124
Hauptverfasser: Słapa, Rafał Z, Kasperlik-Załuska, Anna A, Migda, Bartosz, Jakubowski, Wiesław S
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container_end_page 124
container_issue 2
container_start_page 119
container_title Endokrynologia Polska
container_volume 65
creator Słapa, Rafał Z
Kasperlik-Załuska, Anna A
Migda, Bartosz
Jakubowski, Wiesław S
description The aim of this study was to evaluate the feasibility and usefulness of supersonic shear wave elastography (SSWE) in the diagnosis of nonmalignant adrenal masses. 13 patients with a total number of 16 adrenal masses were enrolled in the study. In each case, both conventional ultrasound imaging and SSWE for stiffness assessment were performed. The final diagnosis was based on CT, MRI, biochemical studies, surgery or more than one year of follow up. The final diagnosis: nodular hyperplasia in six masses, six adenomas, three cysts, and one myelolipoma. All solid adrenal masses presented the elastography signal in contrast to cystic lesions that were devoid of it, as shear waves do not propagate through fluids. SSWE is a feasible technique that can be applied during ultrasound of the abdomen and retroperitoneum. SSWE presents potential for the differentiation of solid and cystic adrenal lesions. Further large scale studies evaluating the possibility of differentiation of adrenal and other retroperitoneal masses with SSWE are warranted.
doi_str_mv 10.5603/EP.2014.0017
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In each case, both conventional ultrasound imaging and SSWE for stiffness assessment were performed. The final diagnosis was based on CT, MRI, biochemical studies, surgery or more than one year of follow up. The final diagnosis: nodular hyperplasia in six masses, six adenomas, three cysts, and one myelolipoma. All solid adrenal masses presented the elastography signal in contrast to cystic lesions that were devoid of it, as shear waves do not propagate through fluids. SSWE is a feasible technique that can be applied during ultrasound of the abdomen and retroperitoneum. SSWE presents potential for the differentiation of solid and cystic adrenal lesions. 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subjects Adenoma - diagnostic imaging
Adenoma - pathology
Adrenal Gland Diseases - diagnostic imaging
Adrenal Gland Diseases - pathology
Adrenal Gland Neoplasms - diagnostic imaging
Adrenal Gland Neoplasms - pathology
Adult
Aged
Cysts - diagnostic imaging
Cysts - pathology
Diagnosis, Differential
Elasticity
Elasticity Imaging Techniques - methods
Feasibility Studies
Female
Humans
Hyperplasia - pathology
Lipoma - diagnostic imaging
Male
Middle Aged
Sensitivity and Specificity
Ultrasonic imaging
title Shear wave elastography of adrenal masses is feasible and may help to differentiate between solid and cystic lesions - an initial report
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