Ultrasound-based diagnosis for the cervical lymph nodes in a tuberculosis-endemic area
Objectives/Hypothesis No previous ultrasound (US) studies have investigated the diagnostic accuracy of specific US‐based diagnostic protocol for cervical lymph node (LN) lesions in a tuberculosis‐endemic area. This study aimed to assess the accuracy of US‐based diagnosis of cervical LNs in a tubercu...
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| Veröffentlicht in: | The Laryngoscope 2015-05, Vol.125 (5), p.1113-1117 |
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| creator | Moon, In S. Kim, Dong W. Baek, Hye J. |
| description | Objectives/Hypothesis
No previous ultrasound (US) studies have investigated the diagnostic accuracy of specific US‐based diagnostic protocol for cervical lymph node (LN) lesions in a tuberculosis‐endemic area. This study aimed to assess the accuracy of US‐based diagnosis of cervical LNs in a tuberculosis‐endemic area.
Study Design
This was a retrospective cohort study.
Methods
We enrolled 495 consecutive patients who underwent US examination of the LNs in the neck. A single radiologist carried out the US examination, and established a US‐based diagnosis at the time of the examination in each of the patients. We calculated the diagnostic accuracy of US for LNs in the neck by using the final results as a reference standard.
Results
Of 476 study cases, the number of tuberculous, nontuberculous benign, malignant, and indeterminate US category cases was 74, 224, 152, and 26, respectively. Confirmed diagnoses in these cases were as follow: tuberculous LN (n = 69), nontuberculous benign LN (n = 249), and malignant LN (n = 158). The sensitivity, specificity, positive and negative predictive values, and accuracy of tuberculous, malignant, and nontuberculous benign US categories were 90.9%, 96.4%, 81.1%, 98.4%, and 95.6%; 92.8%, 96.6%, 93.4%, 96.3%, and 95.3%; and 92.2%, 95.0%, 95.1%, 92.0%, and 93.6%, respectively. All US categories showed a high sensitivity and specificity.
Conclusions
The present US‐based diagnostic protocol for cervical LNs in a tuberculosis‐endemic area may be useful.
Level of Evidence
4. Laryngoscope, 125:1113–1117, 2015 |
| doi_str_mv | 10.1002/lary.25030 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1676591249</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3666188031</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3950-155d0b1c633725736d77abdf371efdcd15b7aae1a767c3f57eb937a23b9d5e283</originalsourceid><addsrcrecordid>eNp90E1v1DAQBmALgei25cIPQJa4oEop_sjE8bGqoEVaUbVqS-nFcuwJdXGSxU6A_fdk2bYHDpzmMM-8Gr2EvObskDMm3keb1ocCmGTPyIKD5EWpNTwni3kpixrEzQ7ZzfmeMa4ksJdkR4Csa12KBbm-imOyeZh6XzQ2o6c-2G_9kEOm7ZDoeIfUYfoZnI00rrvVHe0Hj5mGnlo6Tg0mN8UNL7D32AVHbUK7T160NmZ89TD3yNXHD5fHp8Xy7OTT8dGycFIDKziAZw13lZRKgJKVV8o2vpWKY-ud59Aoa5FbVSknW1DYaKmskI32gKKWe-TdNneVhh8T5tF0ITuM0fY4TNnwSlWguSj1TN_-Q--HKfXzdxsFdVkyBbM62CqXhpwTtmaVQjcXbDgzm7bNpm3zt-0Zv3mInJoO_RN9rHcGfAt-hYjr_0SZ5dHF18fQYnsT8oi_n25s-m4qJRWYL59PzO2Nur08vT43Wv4BDKeZow</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1675844075</pqid></control><display><type>article</type><title>Ultrasound-based diagnosis for the cervical lymph nodes in a tuberculosis-endemic area</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Moon, In S. ; Kim, Dong W. ; Baek, Hye J.</creator><creatorcontrib>Moon, In S. ; Kim, Dong W. ; Baek, Hye J.</creatorcontrib><description>Objectives/Hypothesis
No previous ultrasound (US) studies have investigated the diagnostic accuracy of specific US‐based diagnostic protocol for cervical lymph node (LN) lesions in a tuberculosis‐endemic area. This study aimed to assess the accuracy of US‐based diagnosis of cervical LNs in a tuberculosis‐endemic area.
Study Design
This was a retrospective cohort study.
Methods
We enrolled 495 consecutive patients who underwent US examination of the LNs in the neck. A single radiologist carried out the US examination, and established a US‐based diagnosis at the time of the examination in each of the patients. We calculated the diagnostic accuracy of US for LNs in the neck by using the final results as a reference standard.
Results
Of 476 study cases, the number of tuberculous, nontuberculous benign, malignant, and indeterminate US category cases was 74, 224, 152, and 26, respectively. Confirmed diagnoses in these cases were as follow: tuberculous LN (n = 69), nontuberculous benign LN (n = 249), and malignant LN (n = 158). The sensitivity, specificity, positive and negative predictive values, and accuracy of tuberculous, malignant, and nontuberculous benign US categories were 90.9%, 96.4%, 81.1%, 98.4%, and 95.6%; 92.8%, 96.6%, 93.4%, 96.3%, and 95.3%; and 92.2%, 95.0%, 95.1%, 92.0%, and 93.6%, respectively. All US categories showed a high sensitivity and specificity.
Conclusions
The present US‐based diagnostic protocol for cervical LNs in a tuberculosis‐endemic area may be useful.
Level of Evidence
4. Laryngoscope, 125:1113–1117, 2015</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1002/lary.25030</identifier><identifier>PMID: 25388942</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Accuracy ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Child ; Child, Preschool ; Diagnosis, Computer-Assisted - methods ; DNA, Bacterial - analysis ; endemic ; Endemic Diseases ; Endoscopic Ultrasound-Guided Fine Needle Aspiration - methods ; Female ; Follow-Up Studies ; Humans ; Infant ; lymph node ; Lymph Nodes - diagnostic imaging ; Lymph Nodes - microbiology ; Lymph Nodes - pathology ; Male ; Medical research ; metastasis ; Middle Aged ; Mycobacterium tuberculosis - genetics ; Mycobacterium tuberculosis - isolation & purification ; Neck ; Reproducibility of Results ; Republic of Korea - epidemiology ; Retrospective Studies ; Tuberculosis ; Tuberculosis, Lymph Node - diagnosis ; Tuberculosis, Lymph Node - epidemiology ; Ultrasonic imaging ; Ultrasonography, Doppler - methods ; ultrasound ; Young Adult</subject><ispartof>The Laryngoscope, 2015-05, Vol.125 (5), p.1113-1117</ispartof><rights>2014 The American Laryngological, Rhinological and Otological Society, Inc.</rights><rights>2015 The American Laryngological, Rhinological and Otological Society, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3950-155d0b1c633725736d77abdf371efdcd15b7aae1a767c3f57eb937a23b9d5e283</citedby><cites>FETCH-LOGICAL-c3950-155d0b1c633725736d77abdf371efdcd15b7aae1a767c3f57eb937a23b9d5e283</cites><orcidid>0000-0002-9826-1326</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Flary.25030$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Flary.25030$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25388942$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moon, In S.</creatorcontrib><creatorcontrib>Kim, Dong W.</creatorcontrib><creatorcontrib>Baek, Hye J.</creatorcontrib><title>Ultrasound-based diagnosis for the cervical lymph nodes in a tuberculosis-endemic area</title><title>The Laryngoscope</title><addtitle>The Laryngoscope</addtitle><description>Objectives/Hypothesis
No previous ultrasound (US) studies have investigated the diagnostic accuracy of specific US‐based diagnostic protocol for cervical lymph node (LN) lesions in a tuberculosis‐endemic area. This study aimed to assess the accuracy of US‐based diagnosis of cervical LNs in a tuberculosis‐endemic area.
Study Design
This was a retrospective cohort study.
Methods
We enrolled 495 consecutive patients who underwent US examination of the LNs in the neck. A single radiologist carried out the US examination, and established a US‐based diagnosis at the time of the examination in each of the patients. We calculated the diagnostic accuracy of US for LNs in the neck by using the final results as a reference standard.
Results
Of 476 study cases, the number of tuberculous, nontuberculous benign, malignant, and indeterminate US category cases was 74, 224, 152, and 26, respectively. Confirmed diagnoses in these cases were as follow: tuberculous LN (n = 69), nontuberculous benign LN (n = 249), and malignant LN (n = 158). The sensitivity, specificity, positive and negative predictive values, and accuracy of tuberculous, malignant, and nontuberculous benign US categories were 90.9%, 96.4%, 81.1%, 98.4%, and 95.6%; 92.8%, 96.6%, 93.4%, 96.3%, and 95.3%; and 92.2%, 95.0%, 95.1%, 92.0%, and 93.6%, respectively. All US categories showed a high sensitivity and specificity.
Conclusions
The present US‐based diagnostic protocol for cervical LNs in a tuberculosis‐endemic area may be useful.
Level of Evidence
4. Laryngoscope, 125:1113–1117, 2015</description><subject>Accuracy</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Diagnosis, Computer-Assisted - methods</subject><subject>DNA, Bacterial - analysis</subject><subject>endemic</subject><subject>Endemic Diseases</subject><subject>Endoscopic Ultrasound-Guided Fine Needle Aspiration - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Infant</subject><subject>lymph node</subject><subject>Lymph Nodes - diagnostic imaging</subject><subject>Lymph Nodes - microbiology</subject><subject>Lymph Nodes - pathology</subject><subject>Male</subject><subject>Medical research</subject><subject>metastasis</subject><subject>Middle Aged</subject><subject>Mycobacterium tuberculosis - genetics</subject><subject>Mycobacterium tuberculosis - isolation & purification</subject><subject>Neck</subject><subject>Reproducibility of Results</subject><subject>Republic of Korea - epidemiology</subject><subject>Retrospective Studies</subject><subject>Tuberculosis</subject><subject>Tuberculosis, Lymph Node - diagnosis</subject><subject>Tuberculosis, Lymph Node - epidemiology</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography, Doppler - methods</subject><subject>ultrasound</subject><subject>Young Adult</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90E1v1DAQBmALgei25cIPQJa4oEop_sjE8bGqoEVaUbVqS-nFcuwJdXGSxU6A_fdk2bYHDpzmMM-8Gr2EvObskDMm3keb1ocCmGTPyIKD5EWpNTwni3kpixrEzQ7ZzfmeMa4ksJdkR4Csa12KBbm-imOyeZh6XzQ2o6c-2G_9kEOm7ZDoeIfUYfoZnI00rrvVHe0Hj5mGnlo6Tg0mN8UNL7D32AVHbUK7T160NmZ89TD3yNXHD5fHp8Xy7OTT8dGycFIDKziAZw13lZRKgJKVV8o2vpWKY-ud59Aoa5FbVSknW1DYaKmskI32gKKWe-TdNneVhh8T5tF0ITuM0fY4TNnwSlWguSj1TN_-Q--HKfXzdxsFdVkyBbM62CqXhpwTtmaVQjcXbDgzm7bNpm3zt-0Zv3mInJoO_RN9rHcGfAt-hYjr_0SZ5dHF18fQYnsT8oi_n25s-m4qJRWYL59PzO2Nur08vT43Wv4BDKeZow</recordid><startdate>201505</startdate><enddate>201505</enddate><creator>Moon, In S.</creator><creator>Kim, Dong W.</creator><creator>Baek, Hye J.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9826-1326</orcidid></search><sort><creationdate>201505</creationdate><title>Ultrasound-based diagnosis for the cervical lymph nodes in a tuberculosis-endemic area</title><author>Moon, In S. ; Kim, Dong W. ; Baek, Hye J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3950-155d0b1c633725736d77abdf371efdcd15b7aae1a767c3f57eb937a23b9d5e283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Accuracy</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Diagnosis, Computer-Assisted - methods</topic><topic>DNA, Bacterial - analysis</topic><topic>endemic</topic><topic>Endemic Diseases</topic><topic>Endoscopic Ultrasound-Guided Fine Needle Aspiration - methods</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Infant</topic><topic>lymph node</topic><topic>Lymph Nodes - diagnostic imaging</topic><topic>Lymph Nodes - microbiology</topic><topic>Lymph Nodes - pathology</topic><topic>Male</topic><topic>Medical research</topic><topic>metastasis</topic><topic>Middle Aged</topic><topic>Mycobacterium tuberculosis - genetics</topic><topic>Mycobacterium tuberculosis - isolation & purification</topic><topic>Neck</topic><topic>Reproducibility of Results</topic><topic>Republic of Korea - epidemiology</topic><topic>Retrospective Studies</topic><topic>Tuberculosis</topic><topic>Tuberculosis, Lymph Node - diagnosis</topic><topic>Tuberculosis, Lymph Node - epidemiology</topic><topic>Ultrasonic imaging</topic><topic>Ultrasonography, Doppler - methods</topic><topic>ultrasound</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moon, In S.</creatorcontrib><creatorcontrib>Kim, Dong W.</creatorcontrib><creatorcontrib>Baek, Hye J.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moon, In S.</au><au>Kim, Dong W.</au><au>Baek, Hye J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ultrasound-based diagnosis for the cervical lymph nodes in a tuberculosis-endemic area</atitle><jtitle>The Laryngoscope</jtitle><addtitle>The Laryngoscope</addtitle><date>2015-05</date><risdate>2015</risdate><volume>125</volume><issue>5</issue><spage>1113</spage><epage>1117</epage><pages>1113-1117</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><abstract>Objectives/Hypothesis
No previous ultrasound (US) studies have investigated the diagnostic accuracy of specific US‐based diagnostic protocol for cervical lymph node (LN) lesions in a tuberculosis‐endemic area. This study aimed to assess the accuracy of US‐based diagnosis of cervical LNs in a tuberculosis‐endemic area.
Study Design
This was a retrospective cohort study.
Methods
We enrolled 495 consecutive patients who underwent US examination of the LNs in the neck. A single radiologist carried out the US examination, and established a US‐based diagnosis at the time of the examination in each of the patients. We calculated the diagnostic accuracy of US for LNs in the neck by using the final results as a reference standard.
Results
Of 476 study cases, the number of tuberculous, nontuberculous benign, malignant, and indeterminate US category cases was 74, 224, 152, and 26, respectively. Confirmed diagnoses in these cases were as follow: tuberculous LN (n = 69), nontuberculous benign LN (n = 249), and malignant LN (n = 158). The sensitivity, specificity, positive and negative predictive values, and accuracy of tuberculous, malignant, and nontuberculous benign US categories were 90.9%, 96.4%, 81.1%, 98.4%, and 95.6%; 92.8%, 96.6%, 93.4%, 96.3%, and 95.3%; and 92.2%, 95.0%, 95.1%, 92.0%, and 93.6%, respectively. All US categories showed a high sensitivity and specificity.
Conclusions
The present US‐based diagnostic protocol for cervical LNs in a tuberculosis‐endemic area may be useful.
Level of Evidence
4. Laryngoscope, 125:1113–1117, 2015</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>25388942</pmid><doi>10.1002/lary.25030</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-9826-1326</orcidid></addata></record> |
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| subjects | Accuracy Adolescent Adult Aged Aged, 80 and over Child Child, Preschool Diagnosis, Computer-Assisted - methods DNA, Bacterial - analysis endemic Endemic Diseases Endoscopic Ultrasound-Guided Fine Needle Aspiration - methods Female Follow-Up Studies Humans Infant lymph node Lymph Nodes - diagnostic imaging Lymph Nodes - microbiology Lymph Nodes - pathology Male Medical research metastasis Middle Aged Mycobacterium tuberculosis - genetics Mycobacterium tuberculosis - isolation & purification Neck Reproducibility of Results Republic of Korea - epidemiology Retrospective Studies Tuberculosis Tuberculosis, Lymph Node - diagnosis Tuberculosis, Lymph Node - epidemiology Ultrasonic imaging Ultrasonography, Doppler - methods ultrasound Young Adult |
| title | Ultrasound-based diagnosis for the cervical lymph nodes in a tuberculosis-endemic area |
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