Diagnostic Value of Transthoracic Echocardiography Combined With Contrast‐Enhanced Ultrasonography in Mediastinal Masses
Objectives Multiple types of mediastinal masses, especially masses in the anterior mediastinum, may be encountered in routine echocardiographic examinations for symptomatic or asymptomatic patients. The aim of this study was to evaluate the diagnostic value of transthoracic echocardiography combined...
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| Veröffentlicht in: | Journal of ultrasound in medicine 2019-02, Vol.38 (2), p.415-422 |
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| creator | Wang, Ding Zhang, Jun Liu, Yani Sun, Ruiying Tian, Jie Zhao, Wei Deng, Youbin |
| description | Objectives
Multiple types of mediastinal masses, especially masses in the anterior mediastinum, may be encountered in routine echocardiographic examinations for symptomatic or asymptomatic patients. The aim of this study was to evaluate the diagnostic value of transthoracic echocardiography combined with contrast‐enhanced ultrasonography in determining the location, composition, and vascularization of mediastinal masses.
Methods
A retrospective analysis was conducted on 48 consecutive patients who first had a diagnosis of mediastinal masses by echocardiography. The location of the mass, tissue components, and relationships with the heart and great vessels were analyzed on the basis of multiple transthoracic echocardiographic views. Further contrast‐enhanced ultrasonography was performed to determine the vascularization of masses in 25 patients. The clinical, computed tomographic, and histopathologic findings were all recorded and analyzed.
Results
The localization, ultrasonographic characteristics of the mass, degree of vascularization, and relationships with the heart and great vessels assessed on echocardiography allowed a correct diagnosis in most of the cases.
Conclusions
Transthoracic echocardiography is a useful method for diagnosing mediastinal. Further contrast‐enhanced ultrasonography could provide more details on the degree of vascularization, which could facilitate accurate diagnosis and differentiation diagnosis. |
| doi_str_mv | 10.1002/jum.14704 |
| format | Article |
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Multiple types of mediastinal masses, especially masses in the anterior mediastinum, may be encountered in routine echocardiographic examinations for symptomatic or asymptomatic patients. The aim of this study was to evaluate the diagnostic value of transthoracic echocardiography combined with contrast‐enhanced ultrasonography in determining the location, composition, and vascularization of mediastinal masses.
Methods
A retrospective analysis was conducted on 48 consecutive patients who first had a diagnosis of mediastinal masses by echocardiography. The location of the mass, tissue components, and relationships with the heart and great vessels were analyzed on the basis of multiple transthoracic echocardiographic views. Further contrast‐enhanced ultrasonography was performed to determine the vascularization of masses in 25 patients. The clinical, computed tomographic, and histopathologic findings were all recorded and analyzed.
Results
The localization, ultrasonographic characteristics of the mass, degree of vascularization, and relationships with the heart and great vessels assessed on echocardiography allowed a correct diagnosis in most of the cases.
Conclusions
Transthoracic echocardiography is a useful method for diagnosing mediastinal. Further contrast‐enhanced ultrasonography could provide more details on the degree of vascularization, which could facilitate accurate diagnosis and differentiation diagnosis.</description><identifier>ISSN: 0278-4297</identifier><identifier>EISSN: 1550-9613</identifier><identifier>DOI: 10.1002/jum.14704</identifier><identifier>PMID: 30027639</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Adolescent ; Adult ; Aged ; Contrast Media ; contrast‐enhanced ultrasonography ; Diagnosis, Differential ; echocardiography ; Echocardiography - methods ; Female ; Humans ; Image Enhancement - methods ; Male ; mediastinal masses ; Mediastinal Neoplasms - diagnostic imaging ; Mediastinum - diagnostic imaging ; Middle Aged ; Reproducibility of Results ; Retrospective Studies ; Ultrasonography - methods ; Young Adult</subject><ispartof>Journal of ultrasound in medicine, 2019-02, Vol.38 (2), p.415-422</ispartof><rights>2018 by the American Institute of Ultrasound in Medicine</rights><rights>2018 by the American Institute of Ultrasound in Medicine.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3254-a6e5fa34189c8e66c90c5cc5f1167597636f9484786a7dcf623e02083900facd3</citedby><cites>FETCH-LOGICAL-c3254-a6e5fa34189c8e66c90c5cc5f1167597636f9484786a7dcf623e02083900facd3</cites><orcidid>0000-0001-5706-0811</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%2Fjum.14704$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjum.14704$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30027639$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Ding</creatorcontrib><creatorcontrib>Zhang, Jun</creatorcontrib><creatorcontrib>Liu, Yani</creatorcontrib><creatorcontrib>Sun, Ruiying</creatorcontrib><creatorcontrib>Tian, Jie</creatorcontrib><creatorcontrib>Zhao, Wei</creatorcontrib><creatorcontrib>Deng, Youbin</creatorcontrib><title>Diagnostic Value of Transthoracic Echocardiography Combined With Contrast‐Enhanced Ultrasonography in Mediastinal Masses</title><title>Journal of ultrasound in medicine</title><addtitle>J Ultrasound Med</addtitle><description>Objectives
Multiple types of mediastinal masses, especially masses in the anterior mediastinum, may be encountered in routine echocardiographic examinations for symptomatic or asymptomatic patients. The aim of this study was to evaluate the diagnostic value of transthoracic echocardiography combined with contrast‐enhanced ultrasonography in determining the location, composition, and vascularization of mediastinal masses.
Methods
A retrospective analysis was conducted on 48 consecutive patients who first had a diagnosis of mediastinal masses by echocardiography. The location of the mass, tissue components, and relationships with the heart and great vessels were analyzed on the basis of multiple transthoracic echocardiographic views. Further contrast‐enhanced ultrasonography was performed to determine the vascularization of masses in 25 patients. The clinical, computed tomographic, and histopathologic findings were all recorded and analyzed.
Results
The localization, ultrasonographic characteristics of the mass, degree of vascularization, and relationships with the heart and great vessels assessed on echocardiography allowed a correct diagnosis in most of the cases.
Conclusions
Transthoracic echocardiography is a useful method for diagnosing mediastinal. Further contrast‐enhanced ultrasonography could provide more details on the degree of vascularization, which could facilitate accurate diagnosis and differentiation diagnosis.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Contrast Media</subject><subject>contrast‐enhanced ultrasonography</subject><subject>Diagnosis, Differential</subject><subject>echocardiography</subject><subject>Echocardiography - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Image Enhancement - methods</subject><subject>Male</subject><subject>mediastinal masses</subject><subject>Mediastinal Neoplasms - diagnostic imaging</subject><subject>Mediastinum - diagnostic imaging</subject><subject>Middle Aged</subject><subject>Reproducibility of Results</subject><subject>Retrospective Studies</subject><subject>Ultrasonography - methods</subject><subject>Young Adult</subject><issn>0278-4297</issn><issn>1550-9613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kEtOwzAQhi0EglJYcAGUJSxS7NixkyUq5aVWbCgso8FxiFFiFzsRKiuOwBk5CS4t7FjN65t_ND9CRwSPCMbJ2UvfjggTmG2hAUlTHOec0G00wInIYpbkYg_te_8SUEwE20V7NKSC03yA3i80PBvrOy2jB2h6FdkqundgfFdbBzK0J7K2Elyp7bODRb2MxrZ90kaV0aPu6lCZzoHvvj4-J6YGI8Ng3qxa1vxuaBPNVKkDpQ000Qy8V_4A7VTQeHW4iUM0v5zcj6_j6d3Vzfh8GkuapCwGrtIKKCNZLjPFucyxTKVMK0K4SPPwBq9yljGRcRClrHhCVXg0oznGFciSDtHJWnfh7GuvfFe02kvVNGCU7X2RYEHDJcxZQE_XqHTWe6eqYuF0C25ZEFysrC6C1cWP1YE93sj2T60q_8hfbwNwtgbedKOW_ysVt_PZWvIbLpCKyA</recordid><startdate>201902</startdate><enddate>201902</enddate><creator>Wang, Ding</creator><creator>Zhang, Jun</creator><creator>Liu, Yani</creator><creator>Sun, Ruiying</creator><creator>Tian, Jie</creator><creator>Zhao, Wei</creator><creator>Deng, Youbin</creator><general>John Wiley & Sons, Inc</general><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>7X8</scope><orcidid>https://orcid.org/0000-0001-5706-0811</orcidid></search><sort><creationdate>201902</creationdate><title>Diagnostic Value of Transthoracic Echocardiography Combined With Contrast‐Enhanced Ultrasonography in Mediastinal Masses</title><author>Wang, Ding ; Zhang, Jun ; Liu, Yani ; Sun, Ruiying ; Tian, Jie ; Zhao, Wei ; Deng, Youbin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3254-a6e5fa34189c8e66c90c5cc5f1167597636f9484786a7dcf623e02083900facd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Contrast Media</topic><topic>contrast‐enhanced ultrasonography</topic><topic>Diagnosis, Differential</topic><topic>echocardiography</topic><topic>Echocardiography - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Image Enhancement - methods</topic><topic>Male</topic><topic>mediastinal masses</topic><topic>Mediastinal Neoplasms - diagnostic imaging</topic><topic>Mediastinum - diagnostic imaging</topic><topic>Middle Aged</topic><topic>Reproducibility of Results</topic><topic>Retrospective Studies</topic><topic>Ultrasonography - methods</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Ding</creatorcontrib><creatorcontrib>Zhang, Jun</creatorcontrib><creatorcontrib>Liu, Yani</creatorcontrib><creatorcontrib>Sun, Ruiying</creatorcontrib><creatorcontrib>Tian, Jie</creatorcontrib><creatorcontrib>Zhao, Wei</creatorcontrib><creatorcontrib>Deng, Youbin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of ultrasound in medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Ding</au><au>Zhang, Jun</au><au>Liu, Yani</au><au>Sun, Ruiying</au><au>Tian, Jie</au><au>Zhao, Wei</au><au>Deng, Youbin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnostic Value of Transthoracic Echocardiography Combined With Contrast‐Enhanced Ultrasonography in Mediastinal Masses</atitle><jtitle>Journal of ultrasound in medicine</jtitle><addtitle>J Ultrasound Med</addtitle><date>2019-02</date><risdate>2019</risdate><volume>38</volume><issue>2</issue><spage>415</spage><epage>422</epage><pages>415-422</pages><issn>0278-4297</issn><eissn>1550-9613</eissn><abstract>Objectives
Multiple types of mediastinal masses, especially masses in the anterior mediastinum, may be encountered in routine echocardiographic examinations for symptomatic or asymptomatic patients. The aim of this study was to evaluate the diagnostic value of transthoracic echocardiography combined with contrast‐enhanced ultrasonography in determining the location, composition, and vascularization of mediastinal masses.
Methods
A retrospective analysis was conducted on 48 consecutive patients who first had a diagnosis of mediastinal masses by echocardiography. The location of the mass, tissue components, and relationships with the heart and great vessels were analyzed on the basis of multiple transthoracic echocardiographic views. Further contrast‐enhanced ultrasonography was performed to determine the vascularization of masses in 25 patients. The clinical, computed tomographic, and histopathologic findings were all recorded and analyzed.
Results
The localization, ultrasonographic characteristics of the mass, degree of vascularization, and relationships with the heart and great vessels assessed on echocardiography allowed a correct diagnosis in most of the cases.
Conclusions
Transthoracic echocardiography is a useful method for diagnosing mediastinal. Further contrast‐enhanced ultrasonography could provide more details on the degree of vascularization, which could facilitate accurate diagnosis and differentiation diagnosis.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>30027639</pmid><doi>10.1002/jum.14704</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-5706-0811</orcidid></addata></record> |
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| subjects | Adolescent Adult Aged Contrast Media contrast‐enhanced ultrasonography Diagnosis, Differential echocardiography Echocardiography - methods Female Humans Image Enhancement - methods Male mediastinal masses Mediastinal Neoplasms - diagnostic imaging Mediastinum - diagnostic imaging Middle Aged Reproducibility of Results Retrospective Studies Ultrasonography - methods Young Adult |
| title | Diagnostic Value of Transthoracic Echocardiography Combined With Contrast‐Enhanced Ultrasonography in Mediastinal Masses |
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